The 5p diet in pancreatitis is divided into two types: the first option is prescribed for patients in the acute stage, and the second is for those who are in remission or recovery. Table number 5p is an integral part of complex therapy, and, like any treatment, should be appointed only by the attending physician.
Pancreatitis and cholecystitis: inseparable connection of two diseases
Diet No. 5p is actually a modification of the basic curative diet number 5, which was developed to treat patients with diseases of the liver and gallbladder, in particular cholecystitis.
Cholecystitis and pancreatitis are two diseases that are closely interrelated, up to the similarity of symptoms and etiology. Treatment of the pancreas is almost always associated with the treatment of the gallbladder, since pathological changes in one organ inevitably lead to failures in the functioning of the organ of another. In this regard, endocrinologists often use the term "pancreocholecystitis."
Common symptoms of pancreatitis and cholecystitis are:
- severe pain( epigastric localization, irradiation under the right scapula, in the hypochondrium),
- vomiting and nausea,
- indigestion, belching after eating,
- diarrhea,
- bloating, flatulence.
The temperature for these diseases can differ: so, with pancreatitis, regardless of the nature of the course of the disease( acute, chronic), the temperature is always subfebrile, and for island cholecystitis - high, passing into febrile fever.
If we talk about diet number 5p as part of a comprehensive treatment, its main goals are:
- ensuring the maximum complete rest of the pancreas,
- gradual easing of the symptoms of pancreo-cholecystitis, up to the maximum degree of comfort,
- complex treatment not only of the pancreas,but also the gastrointestinal tract and the gallbladder.
Speaking of the latter, we mean that both treatment tables - both No. 5 and No. 5p - exclude the consumption of such foods or such types of culinary processing of nutrients in which the secretion of both insulin( pancreas) andand bile( gallbladder).If the diet is not changed, then the symptoms of both pancreatitis and cholecystitis become more pronounced, and the functionality of both organs undergoes significant changes.
The similarity between the two diets is that with cholecystitis, as well as with pancreatitis, dishes and foods that are difficult to digest are excluded from the patient's table, and cooking, smoking and the like are excluded from the cooking facilities. Such products are irritating factors in cholecystitis and pancreatitis, stimulate increased secretory activity of these organs.
Variants of the therapeutic diet 5p
Table number 5p is prescribed to patients with acute as well as chronic pancreatitis. In this case, the first variant of this diet is necessary for the treatment of both types of disease in the acute stage, and the variant of the second treatment table is used for patients in the stage of remission, i.e.it is only a chronic pancreatitis.
The general for both variants of diet number 5p is that it can be prescribed no earlier than on the fourth day of treatment, after the appearance of the first pronounced symptoms of acute pancreatitis or exacerbation of chronic inflammation of the pancreas. Until then, complete fasting is prescribed, in which intravenous infusions can be used as maintenance therapy:
- glucose solution( body tone support),
- physiological saline solution( so that the body does not dehydrate).
Both tables number 5 are aimed at:
- stabilization of the pancreas state,
- decrease in the secretory activity of the gallbladder.
Products and dishes that cause:
- increased secretion of gastric juice,
- flatulence,
- irritation of the gastrointestinal tract, mechanical and chemical are excluded from the menu.
The first variant of the diet № 5p
The menu in these cases contains low-calorie meals and foods with minimal fat and carbohydrate content. The content of the protein should correspond to the physiological norm, while one third of proteins are of non-viable origin.
The menu for the week should contain the following standards:
- proteins - 560g,
- fats - no more than 420g,
- carbs - 1400g,
- free liquid - no more than 14 liters.
Under the free liquid in dietology is meant not only drinking water, but also juices, compotes, and also liquid in the composition of the first dishes.
The caloric content of the menu for the week should not exceed 12,600 kilocalories.
The second version of the diet 5p
Menu with this dietary treatment involves an increase of 25% protein. In this case, the number of proteins of animal origin should be at least 60% of the diet), but the consumption of fats in this menu is reduced by 20%, while you can eat half the carbohydrates.
At the table of the second variant 5n it is recommended to eat not more than 600 g of food per one intake( liquid also enters this norm).
Menu for the week should be built in such a way that the following standards are observed:
- protein - 840 g,
- fats - not more than 560 g,
- carbohydrates - 2100 g, of which 210 g sugar( can be replaced with fructose).
The amount of liquid in all types is the same as in the first variant, and the calorific value increases to 19,600 kilocalories per week.
The approximate menu for the week can be viewed in the table below:
General rules for the diet №5p
With both versions of the diet, food intake should be divided into small portions: the patient should eat at least 5 times a day. At the same time, the menu should be made in the light of the fact that the daily norm for all nutrients and caloric content should be observed: you can not consume less quantity for five days, for example, animal proteins, so that on the sixth day you can take this peak by storm, while striking the pancreas.
The menu should be counted for a week, so that the food is varied. This is necessary both from the point of view of treatment of the pancreas, and from a psychological point of view, since any diet imposes certain limitations requires self-control. And the more serious the disease, the more restrictive the restrictions. To the background of these changes, the diet does not seem very monotonous, you need to alternate meals. The nutritionist can tell you what the menu should be, or give a ready sample of the menu for a week so that the patient does not have to count up calories and nutrients on his own.
The menu for patients with pancreatitis differs insignificantly by the nature of the culinary processing. In the diet with diet number 5, the following dishes are allowed:
- scraped vegetable soups,
- meat and fish steamed or boiled( lean),
- yesterday's bread( wheat),
- vegetables( stewed, steamed, boiled),
- of fruits - onlyapples( baked, mashed, only sweet),
- porridge of liquid and semi-liquid consistency of all cereals except pearl barley and mashed,
- eggs - omelet, soft-boiled, souffle, with the first version of table number 5p - only protein,
- curd - casseroles,
- boiled pasta.
As for dairy products, some sources allow the presence of sour-milk products in the menu with certain restrictions, while others completely exclude this type of dairy products. In order to introduce milk in one form or another, it is better to consult a doctor and a nutritionist.
The list of products to be excluded from the menu for inflammation of the pancreas is extensive. For patients with pancreatitis, during the treatment it is necessary to forget about alcohol, fried, fatty and heavy food, smoked products, marinades, pickles, mushrooms and much more. The table should completely lack coffee, condensed milk, beans, onions, garlic, sour fruits and berries, baked pastries and so on. About what products can not be used in the curative menu, it is necessary to tell the attending physician.
Inflammation of the pancreas( pancreatitis) requires the use of a special dietary diet, which would relieve the load from the diseased organ. Such a treatment table is diet number 5p. It is developed on the basis of the basic diet number 5 and is appointed by the attending physician in view of the stage of the disease.
