Delicious diet menu 5. Breakfasts and desserts

Therapeutic Diet Number 5 according to Pevsner is designed to provide complete, but sparing nutrition with chronic diseases liver and bile ducts. Diet table number 5 provides dishes rich in vegetable fiber and lipotropic substances, and menu for diet 5 helps to normalize the liver and bile secretion by including foods with vitamins and minerals.

Diet 5th table with a menu for the week and recipes should be thought out in advance so that it is possible to cook healthy and delicious food not allowing in food unwanted products.

Diet table number 5 is prescribed by a doctor for chronic forms of cholecystitis, hepatitis, cholelithiasis without exacerbations. The essence of diet number 5 is to select a diet that will help avoid the development and aggravation of liver and biliary tract disease. To do this, the menu for every day includes diet meals, which do not irritate the digestive organs, normalize the separation of bile. At the same time, with the fifth table diet, the body receives physiological norm proteins, fats and carbohydrates, all essential vitamins and micronutrients.

Principles of diet table number 5 according to Pevsner

• cooking - steamed, boiled and baked;
• the daily diet menu is calculated for 6 meals a day;
• table salt allowed on a diet no more than 10 g per day;
• diet 5 provides at least 1.5 liters of free fluid per day;
• products with coarse fiber should be crushed or wiped during preparation.

Diet 5 table includes recipes for dishes with moderate energy value - no more than 2000 kcal / day. No more than 80 g of sugar is allowed in the diet, the remaining 300 g of carbohydrates allowed should come from cereals and vegetables. Proteins and fats are allowed for 90 g.

Diet number 5 according to Pevzner

Table of allowed and undesirable foods for diet 5 tables

What can you do with diet number 5

• Meat, Poultry, Fish - Lean, no tendons, no skin
• Cereals – Buckwheat and oatmeal are preferred
• Eggs - Soft-boiled, poached, protein omelette
• Bread, pastries - Yesterday's bread, lean products, dry biscuits
• Drinks – Coffee and tea with milk, kissels, compotes, juices

What not to do with diet number 5

• Meat, poultry, fish - Fatty meats and fish, offal, smoked meats, canned food
• Cereals - barley is undesirable
• Eggs - Hard-boiled, cooked in the form of scrambled eggs
• Bread, pastries - Fresh bread, rich and puff pastries
• Drinks – Strong black coffee, cocoa, soda, cold drinks

The diet is designed for approximately 10-14 days. For more information about its duration and permitted filling, you should ask your doctor.

Overeating, heavy meals have an adverse effect on the liver and gallbladder, contribute to the occurrence of spasms of the biliary tract and a painful attack.

Varieties of diet table number 5

A sample menu for a week is calculated depending on the type of diet No. 5. These may be varieties of the fifth table, which the doctor recommends when various diseases liver and biliary system.

Diet at fatty hepatosis liver provides for a reduction in the menu of fats up to 70 g / day. Diet 5a is prescribed for exacerbations of cholecystitis, hepatitis, cholelithiasis. In recipes for diet 5a, foods containing cholesterol should be minimized.

Diet 5p according to Pevzner is recommended for chronic pancreatitis. Table 5p differs from other varieties of this food system by reducing allowed carbohydrates to 200 g / day. 5p diet recipes should not contain whole eggs, spices and spices.

Table 5 is shown after gallbladder surgery, recipes for every day provide for a significant reduction in fat and salt.

With a lipotropic-fat variety of table number 5, recipes, on the contrary, include at least 110 g of fat per day. They are necessary so that bile does not stagnate. The menu is calculated in advance by day and includes all the nutrients in the right amount in the diet. They take as a basis the basic menu for every day for the diet table number 5.

Therapeutic diet No. 5 a, b, n - addition to diet No. 5

Menu for Monday

• 1st breakfast: oatmeal on the water, Rye bread with butter and a piece of cheese, tea.
• 2nd breakfast: baked apple.
• Lunch: rice soup with egg, steamed fish zrazy, berry juice.
• Snack: 100 g of homemade yogurt, biscuit cookies.
• Dinner: cottage cheese and carrot casserole, rosehip broth.
• At night: jelly.

Dish of the day: steam fish zrazy. For cooking, you will need 400 g of low-fat fish fillet (cod, hake, pollock), a slice of wheat bread without a crust, an egg, 8 pieces of pre-steamed pitted prunes, 2 tablespoons of milk, a teaspoon of butter, a teaspoon of breadcrumbs. Soak the bread in milk and squeeze out, cut the fish fillet into pieces. Put the fillet, bread in a blender and chop. Add the egg, a pinch of salt to the mass and mix well. Finely chop the prunes and mix with butter, breadcrumbs. Moisten your hands in water so that minced fish does not stick. We make a cake from minced meat, put the filling in the middle, give the zrazy an oval shape and put it in a double boiler. Cooking time - 20 minutes. For a side dish, you can prepare boiled cauliflower.

Menu for Tuesday

• 1st breakfast: semolina porridge on the water with a spoonful of strawberry jam, soft-boiled egg, tea.
• 2nd breakfast: ripe pear.
• Lunch: vegetable soup with semolina, steamed chicken cutlets.
• Afternoon snack: rice pudding.
• Dinner: minced chicken casserole with vegetables, tea.
• At night: kefir.

Dish of the day: minced chicken casserole with vegetables. Prepare 500 g of minced chicken (it is advisable not to use store-bought, but chop the chicken fillet in a blender). Peel and wash the onion, red bell pepper, large tomato, 3 medium potatoes. Finely chop the onion and mix with minced meat, add a pinch of salt. Cut the pepper and tomato into thin circles, and grate the potatoes on a coarse grater. Grease a baking dish with oil and lay out the minced meat, smooth it. Place a layer of tomatoes and peppers on top. Next, put a layer of grated potatoes and a little salt. Drizzle over with a tablespoon olive oil and brush with sour cream. Grate coarsely 100 g of any cheese to taste and sprinkle on the casserole. Put in the oven on medium heat, bake for 40 minutes.

Menu for Wednesday

• 1st breakfast: cottage cheese casserole with raisins, tea.
• 2nd breakfast: 2 tangerines.
• Lunch: buckwheat soup, a piece of boiled beef with carrot puree.
• Afternoon snack: semolina pudding.
• Dinner: beef stew with apples, tea.
• At night: jelly.

Dish of the day: beef stew with apples. For cooking, you need to take a kg of beef tenderloin, 2 large onions and carrots, 2-3 large sweet and sour apples, 2-3 tablespoons of flour. Cut the meat into large pieces (3-4 cm), roll in flour and quickly fry for vegetable oil. Pour 4 tablespoons of vegetable oil into a saucepan with thick walls, finely chop the onion and sauté in this oil over medium heat. Add meat, grated carrots on a coarse grater, add about 2 cups of water so that the meat is completely covered, salt and cook over low heat under a lid for 1.5 hours. Peel apples, cut into large slices and mix with meat. Simmer covered for another 40 minutes. Turn off the heat and let it brew for another 15 minutes before serving.

Menu for Thursday

• 1st breakfast: 2 protein steam omelette, boiled beetroot salad with cheese, tea.
• 2nd breakfast: banana.
• Lunch: vegetarian borscht, pumpkin porridge with rice.
• Snack: grated raw carrots with a spoonful of sour cream.
• Dinner: vinaigrette, a piece of boiled chicken fillet, rosehip decoction.
• At night: rosehip decoction.

Dish of the day: pumpkin porridge with rice. 700 g pumpkin pulp cut into cubes, put in a saucepan, pour 100 ml of water and bring to a boil, simmer for 10 minutes. Add one and a half glasses of milk, add 2 tablespoons of sugar and a pinch of salt, mix and bring to a boil. Then pour half a glass of washed rice, smooth and do not mix. Cook on low heat for 30 minutes until the rice is fully cooked. Turn off the heat, stir the porridge, crushing the pieces of pumpkin, add a small piece of butter.

Menu for Friday

• 1st breakfast: cheesecakes with dried apricots, a spoonful of sour cream, tea.
• 2nd breakfast: 150 g of sweet berries.
• Lunch: beetroot, steamed fish cakes.
• Snack: cottage cheese cheesecake, carrot juice, diluted with water 1:1.
• Dinner: fish baked in low-fat sour cream with broccoli, apple compote.
• At night: kefir.

Dish of the day: baked fish with broccoli. Fillet of low-fat fish 600 g cut into portions and salt. Separate 400 g of broccoli into florets, dip into boiling water and boil for 5 minutes. Beat in a cup 2 eggs and 200 g low-fat sour cream. Grease a baking dish with oil, put fish and cabbage, pour sour cream sauce and put in a preheated oven over medium heat. Cook for 15 minutes and serve immediately.

Menu for Saturday

• 1st breakfast: buckwheat porridge, a piece of cheese, tea.
• 2nd breakfast: an apple baked with honey.
• Lunch: vegetable puree soup, chicken meatballs, milk sauce.
• Afternoon snack: cottage cheese casserole.
• Dinner: lazy cabbage rolls with rice, tea.
• At night: rosehip decoction.

Dish of the day: chicken meatballs in milk sauce. Grind 500 g of chicken fillet in a blender. Soak 3 small slices of white bread in water, squeeze and add to the meat. Peel the onion, wash, finely chop and combine with meat. Salt minced meat, knead well, form small balls. In a frying pan, heat 3 tablespoons of vegetable oil and 30 g of butter, pour a tablespoon of flour and stir vigorously so that there are no lumps. Pour a glass of milk, salt, bring to a boil and boil the sauce for 10 minutes with constant stirring. Put the meatballs in milk sauce, close the lid and cook over low heat for half an hour.

Menu for Sunday

• 1st breakfast: cottage cheese with banana slices, rye bread with strawberry jam, tea.
• 2nd breakfast: baked apple.
• Lunch: zucchini soup, fish cakes.
• Afternoon snack: lazy dumplings.
• Dinner: stewed cabbage with shrimps, rosehip broth.
• At night: kefir.

Dish of the day: zucchini soup. Prepare a small chicken fillet, 700 g of young zucchini, 2 potatoes and onions, 200 g of processed cheese. Boil the chicken fillet in a liter of water for 20 minutes after boiling. Peel, wash and cut vegetables into cubes. Remove the meat from the broth, put the potatoes and cook for 20 minutes. Add onion and zucchini, cook for another 10 minutes. Drain the liquid into a cup, grind the vegetables in a puree with a blender and pour the broth back. Cut the cheese and chicken meat into pieces, put in the soup, put on the fire and cook, stirring, until the cheese is completely dissolved. Serve with wheat croutons.

Diet table 5. What can you do? What is impossible?

At overweight the body is useful (only as prescribed by a doctor) to spend a fasting day once a week. At the same time, rice-compot fasting day is popular and well tolerated.

During the day, 5-6 times drink a glass of compote (1.5 liters per day) from dry or fresh sweet fruits. Rice porridge boiled in water without sugar is added to the compote 2-3 times a day. In total, 1.2 kg of fresh or 200-250 g of dried fruits and 50 g of rice are needed per day.

They also recommend cottage cheese or cheesecakes. fasting days. Approximately 400 g fat-free cottage cheese (in in kind or for making cheesecakes) are divided into 4-5 doses during the day. 2-3 cups of tea with milk without sugar and a glass of rosehip broth are allowed.

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Health food is mandatory method complex treatment sick. The founder of dietology, M. I. Pevzner, believed that nutrition is the background against which others are applied. therapeutic methods treatment, and he developed 15 dietary tables. medical diet for hereditary diseases associated with impaired absorption of substances is the only way treatment, one of the main - with, gastrointestinal diseases . In other cases, compliance with it prevents complications and progression of the disease. A number system of diets has been approved, which is mandatory for all medical and sanatorium institutions, dietary canteens.

Clinical nutrition (diet therapy) is based on the physiology and biochemistry of nutrition, on knowledge of the role of nutrients, a balanced diet and diet. It takes into account the causes, mechanisms and forms of the course of diseases, as well as the peculiarities of digestion in a sick person. Gastroenterology, as the science of treating diseases of the gastrointestinal tract, has a section on the dietary nutrition of patients.

Diet number 5 , Table No. 5 according to Pevzner is recommended for various diseases liver and gallbladder. It is also indicated for chronic colitis with and chronic without pronounced violations. We can say that this is a universal diet, and the most common table, on the basis of which many varieties have been created, which will be discussed below.

Wikipedia offers a characterization of the diet, but a more precise and detailed description of Therapeutic Diet Number 5 can be found in dietetic reference books. They give a description of the main table and its varieties, depending on the stage of the disease (exacerbation, recovery, persistent remission). Varieties of diets, to one degree or another, exclude mechanical and chemical irritants, and also provide for the presence of concomitant diseases.

The 5th dietary table provides for chemical sparing of the liver with good nutrition, as well as improving fat and cholesterol metabolism. In case of liver disease, a sparing diet is indicated, which contributes to the normalization of its function and at the same time improves bile secretion. Strong chemical irritants are essential oils, extractive substances, so they are excluded from the diet. Fried meat, dried and smoked foods are harmful to the liver, have a negative mechanical and chemical effect. Steam or boiled dishes from chopped meat and vegetables have a weak effect.

This diet contains a reduced amount of fats (due to refractory and poorly digestible), salt (6-10 g), limits the use of egg yolks and foods rich in purines . Uric acid in in large numbers found in the liver of animals, the meat of young animals and birds, baker's yeast, smoked sprat, sardines, tuna, sprats, herring, salmon caviar, salmon, dried porcini mushrooms, smoked eel, mackerel, shrimp, mussels. All of them are excluded from the diet - thus, this hypooxalate diet .

It has increased content fiber , pectins and lipotropic substances (therefore it is called lipotropic) - these are essential, found in beef, lean fish. They are rich in soybeans, whey, buttermilk and buckwheat grain. Lipotropic substances protect the liver from fatty degeneration, reduce the risk of cholesterol stones in the bladder and reduce deposition cholesterol in vessels. Fiber has a lipotropic effect, polyunsaturated fatty acid, phytosterols and lecithin . The last three substances are found in vegetable oils (corn, linseed, sunflower and others).

Dishes are cooked stewed, boiled or baked, which provides chemical sparing of the liver. Cooking products by frying is excluded. Dishes are not wiped (only sinewy meat and rough vegetables). It is mandatory to provide fractional nutrition, which contributes to the regular outflow of bile. The calorie content of nutrition is 2400-2600 kcal (proteins - 90 g, carbohydrates - 400 g, fats - 80 g). The use of salt is limited, liquids should be drunk within 1.5 liters.

One of the key products is lean meat and its choice is large - beef, chicken, turkey, veal and even lean pork. It is recommended to eat lean fish, up to 3 times a week. The vegetable composition is also quite diverse: almost all the vegetables we often eat, as well as non-acidic sauerkraut. It is important that fruits and berries are allowed in any form.

Not allowed:

• fatty meats, fried foods, smoked meats, liver, brains, canned food, kidneys, stews, sausages, lard, cooking oils;
• products that enhance fermentation and decay (legumes, millet, white cabbage, if poorly tolerated by patients);
• secretion stimulants (spices, mushrooms, horseradish, pickled vegetables, mustard, salted, pickled foods);
• extractive substances (broths from legumes, fish and mushrooms, meat);
• products with essential oils (turnips, radishes, all kinds of radishes, green onions, garlic);
• sour fruits (citrus fruits, sour varieties of plums, cranberries);
• cream, fatty and sour cottage cheese;
• coffee, cocoa, carbonated drinks, chocolate, ice cream, confectionery with cream.

List of products that are allowed:

• stale wheat bread or crackers;
• vegetarian soups with allowed vegetables, as well as soups with boiled cereals (rice, pearl barley, oatmeal, buckwheat), flour and vegetables for dressing soups and meat dishes are not sautéed;
• lean meat and fish, eating poultry is allowed in a baked piece;
• lean boiled, steam fish(piece and in the form of minced meat);
• milk, dairy products, low-fat and bold cottage cheese;
• protein steam omelettes, one yolk per day can only be added to meals;
• cereals from cereals: rice, buckwheat, oatmeal, hercules, boiled in water and half with milk;
• boiled thin vermicelli;
• boiled and stewed vegetables;
• ripe fruits (baked and raw), jelly, mashed dried fruits;
• honey, sugar, milk jelly, jam, marshmallows, marmalade;
• butter in meals (20 g per day);
• tea with lemon and sugar, weak coffee, sweet juices, rosehip infusion.

Diet 5th table for cholecystitis

Nutrition for cholecystitis depends on the stage of the disease. In the first days during an exacerbation, in order to maximize the sparing of the gastrointestinal tract, complete starvation is carried out. The patient is only allowed to take liquids: weak tea, diluted juices, rosehip decoctions. Appointed for 3 days Diet No. 5B , excluding any mechanical and chemical irritants. It is recommended for the duration of the patient's stay on strict bed rest (4-5 days).

It limits carbohydrates to 200 g (due to simple ones - sugar, jams), reduces protein (up to 80 g), and the amount of fat. Food is prepared without salt and only pureed. It is important to observe the fractional nutrition (at least 5 times) and take food in small portions. The calorie content of the daily diet is at the level of 1600 kcal, fluid intake is provided (up to 2.5 l / day).

• Light pureed food with water and no butter.
• Mucous soups (based on oatmeal, rice and semolina).
• Liquid pureed porridges (oatmeal and rice) with the addition of milk.
• Pureed compotes, jelly, vegetable juices.
• Somewhat later, mashed boiled meat (a little), low-fat cottage cheese, and steam fish are introduced.
• Wheat bread or crackers.

After 10 days, patients are transferred to for 1-2 weeks. Outside of exacerbation, a moderate sparing of the gallbladder and liver, normalization of the function of bile secretion, which are provided by Table No. 5, is provided. In nutrition, fats are somewhat limited (especially refractory). Dishes are cooked boiled, steamed, and baking without a crust is already allowed. Since nutrition for cholecystitis in remission is aimed at moderate stimulation of bile secretion, it contains:

• Salads and vinaigrettes seasoned with unrefined vegetable oil (they need to be changed).
• Various vegetables, berries and fruits.
• A large amount of fiber (due to the use of cereals, vegetables and fruits), which is necessary in the presence of constipation.
• Chicken eggs (no more than one), since the yolks are a strong choleretic product. For pain and bitterness in the mouth that may appear when eating eggs, only egg white dishes are allowed.

Diet number 5 can be used up to 1.5-2 years.

Biliary dyskinesia frequent companion gastroduodenitis and . It is characterized by a violation of the tone or motility of the biliary system. Depending on the disorders, dyskinesia can be hypertonic-hyperkinetic ( increased tone and increased motility) and hypotonic-hypokinetic (weak motility and weakened tone of the biliary tract).

Proper nutrition with dyskinesia avoids attacks and is the prevention of cholelithiasis. The diet for these two types contains general rules:

• Eat small portions (150 grams) and (5-6 times).
• Observe 3-4 hour intervals.
• Have dinner 3 hours before bedtime, eating light food (kefir, fruits).
• Avoid cold or very hot foods.
• Do not use animal (pork, goose, lamb) or trans fats (margarine, spread).

With hypomotor dyskinesia, foods that stimulate the motility of the gallbladder are allowed: vegetables, fruits, bran, vegetable oil, sour cream, eggs and black bread, cream.

With hypermotor dyskinesia, on the contrary, foods that stimulate bile formation are excluded: fatty dairy products, animal fats, black bread, raw vegetables, broths and sparkling water.

Diet number 5 for cholelithiasis

Nutrition for cholelithiasis during remission does not differ from that described above. In this case, the base table is also shown. With stones in the gallbladder, restrictions apply only to the use of egg yolks - only 0.5 yolks per dish are allowed, indigestible fats are prohibited. Vegetable oils are allowed in an amount that does not cause seizures.

Due to topographic proximity, common blood supply and innervation, with cholelithiasis and cholecystitis, the gastroduodenal system, pancreas (chronic develops) and intestines are involved in the pathological process.

With combined pathology with pancreatitis and cholecystitis, it is used. It is characterized by an increase in protein content (up to 120 g) and an even greater restriction of fats and carbohydrates, which stimulate the function of the pancreas. With cholecystopancreatitis, extractive substances (cabbage broth, meat and fish broths) and coarse fiber of vegetables are necessarily limited. All dishes are served boiled or steamed. The diet is prescribed for 3 months, then it is expanded.

It happens that the underlying disease accompanies gastroduodenitis . Symptoms depend on the stage of the disease, and treatment necessarily includes diet food. With gastroduodenitis in the acute stage, nutrition is prescribed within. Diets have much in common: they exclude dishes - causative agents of gastric secretion. Food is recommended liquid or mushy, boiled and mashed. Exclude the intake of foods rich in fiber (turnips, peas, radishes, beans, radishes, asparagus), fruits with rough skins (gooseberries, dates, currants, grapes), whole grain bread, as well as coarse sinewy meat, poultry skin and fish.

The 5th diet according to Pevzner is often used when in remission, since it provides chemical sparing of the mucosa. At the same time, white cabbage and corn are additionally excluded, as vegetables that have coarse fiber and cause. Barley, corn, barley and millet groats, fatty milk, cream, fermented baked milk are not recommended.

If there is gastritis in the acute stage in combination with cholecystitis, as well as with, especially with severe pain, it is indicated Table №5B . It is considered as sparing as the food is prepared without salt, served only pureed in the form of slimy soups, soufflés and mashed potatoes.

Diet number 5 after gallbladder removal

It should be noted that conservative treatment is not always effective. With frequent exacerbations of cholecystitis, in the presence of complications (purulent, phlegmonous cholecystitis), as well as with cholelithiasis, it is not possible to avoid removal of the gallbladder. Nutrition is the most important component of postoperative recovery period. 12 hours after the operation, it is allowed to drink water without gas in small sips (up to 500 ml per day). On the second day, kefir, unsweetened tea, jelly are introduced into the diet in portions of no more than 0.5 cups with a frequency of 3 hours.

Postoperative diet is extended for 3-4 days - allowed frequent use food (up to 8 times a day) in portions of 150 g: pureed soups on the water, mashed potatoes (semi-liquid), egg white scrambled eggs, grated boiled fish, fruit jelly. You can drink juices (apple, pumpkin) and tea with sugar. On the fifth day, biscuit biscuits and dry wheat bread are introduced. A week later, grated cereals (buckwheat, oatmeal), boiled rolled meat, low-fat cottage cheese and vegetable puree are allowed. The patient can then be transferred to Table No. 5A , a little later - on Table No. 5. Recipes will be given below.

Fatty liver disease is the most common disease in hepatology. The pathogenesis of the disease is associated with insulin resistance, as a result of which the liver accumulates triglycerides with the formation of fatty hepatosis, which eventually leads to the development of destructive changes in the liver ( steatohepatitis ). In general, the asymptomatic course of the disease is characteristic and it is accidentally detected during a biochemical study and ultrasound. An increase in the activity of ALT, AST and alkaline phosphatase , increase bilirubin , hypercholesterolemia and hypertriglyceridemia . In some patients, it is detected.

In fatty liver disease, weight loss is recommended, which is achieved by diet and physical activity. Patients need to follow the diet of Table No. 5, but in addition, when you need to reduce the energy value of the diet. A minimum calorie intake of at least 1200 kcal for women and 1500 kcal for men is allowed. Weight loss by 5-10% entails a decrease in the activity of ALT, AST, hepatosplenomegaly and helps to reduce steatosis . It is safe to reduce weight by 1500 g per week.

• Exclusion of butter, margarine, animal fat and the use of foods with polyunsaturated fatty acids (seafood, fish, vegetable oils, poultry, olives, nuts, if the energy requirement allows).
• Reducing cholesterol intake with food (up to 300 mg per day) - exclusion of caviar, egg yolk, offal, raw smoked sausages, fatty dairy products and fatty meats.
• Exclusion of dishes prepared by frying and deep-fried.
• Enrichment of food with vitamins (fruits, artichoke, Jerusalem artichoke, leek).
• At diabetes - exclusion of simple carbohydrates.

Among the innate functional bilirubinemia , Gilbert's syndrome is in first place. It is believed that this syndrome has 1-5% of the population. The reason is a violation of the binding bilirubin which is inherited. Other pathological changes the liver is not detected. Provoking factors periodic increase bilirubin in the blood are infection, congestion, intake sulfonamides , oral contraceptives , salicylates . In some cases, it first appears during the recovery period with.

The effect of hunger is very pronounced in this disease - an increase in the level of unconjugated bilirubin is noted. Therefore, rational nutrition is necessary within this dietary table and prevention long periods in eating. You also need to observe a sufficient water load to prevent bile thickening and use additional fat-soluble and trace elements.

It is necessary to completely abandon products containing preservatives and dyes, fatty meats and fish. Throughout life, the use of fried foods and alcohol is unacceptable. Nutrition for hepatitis C should be fractional, divided into 5-6 doses.

Below is not a table of products, but a list of products and dishes that will help you figure out what you can and cannot eat within this dietary table for all of the above diseases.

Varieties

• Table No. 5A - creates maximum rest of the liver, is prescribed for acute hepatitis and cholecystitis and exacerbation chronic diseases(hepatitis, cholecystitis and gastrointestinal tract), liver cirrhosis in the process of compensation.
• 5V - with severe exacerbation of chronic hepatitis and cholecystitis , liver cirrhosis with moderate deficiency peptic ulcer and gastritis associated with hepatitis or cholecystitis.
• 5P - with chronic in the stage of recovery or without exacerbation. Normalizes the function of the pancreas, reduces the excitability of the gallbladder, spares the stomach, liver and intestines.
• 5GA - hypoallergenic diet, which is based on the basic Table No. 5, but all seafood, fish, caviar, eggs, processed cheeses, ice cream, bell peppers, pickles, sauerkraut, peanuts, sesame seeds, hazelnuts, seeds, citrus fruits, strawberries, apricots, peaches are additionally excluded , raspberries, grapes, pomegranates, pineapple, melon, sea buckthorn, kiwi, semolina and wheat groats, whole milk, flavored fruit drinks, cakes, chocolate, marshmallows, marshmallows.
• 5Sch - postcholecystectomy syndrome with the presence duodenitis and exacerbation chronic gastritis. It provides maximum sparing of the digestive organs and a decrease in bile secretion.
• 5G or 5 L/W - is prescribed for hypotension of the gallbladder with symptoms of stagnation of bile and in a state after cholecystectomy with congestion of bile in the liver. Nutrition is aimed at enhancing bile secretion and improving the intestinal circulation of bile, so the diet includes polyunsaturated fatty acids and proteins.
• 5Р - at dumping syndrome after resection for ulcer.

Indications

For what diseases is this diet prescribed?

• acute cholecystitis and hepatitis in the recovery stage;
• chronic hepatitis without exacerbation;
• in remission;
• with (provided there is no liver failure);
• chronic cholecystitis (out of exacerbation).

Approved Products

Table of allowed products

Wholly or partially restricted products

Prohibited foods and dishes include:

• Fresh bread, pastries, fried pies, cakes, puff pastry, muffins.
• Products containing oxalic acid (sorrel, spinach), essential oils (radish, radish, garlic, onion), as well as highly extractive dishes (all broths).
• It is not allowed to eat fatty meat and fish, smoked meats, caviar, salted fish, sausages, canned food.
• The use of okroshka and cabbage soup from sauerkraut is not allowed.
• Offal with high content cholesterol (liver, kidney, brain, cod liver) are also excluded from the diet.
• Legumes and vegetables with coarse fiber (radishes, turnips, radishes), and with poor tolerance- white cabbage.
• Cooking and animal fats, goose and duck meat, hard-boiled and fried eggs.
• Under the ban fat milk and cream, spicy seasonings: horseradish, mustard, pepper, ketchup, mayonnaise.
• Black coffee, chocolate, cocoa are also excluded.

Table of prohibited products

* data are per 100 g of product

Menu diet number 5 for the week (Meal mode)

The following is sample menu dietary Table number 5. Compliance with it is necessary for 1.5 years.

Make sure that the diet for each day includes alternating protein dishes (eggs, cottage cheese, beef, fish, chicken, turkey) and cereals. Use a variety of ways to prepare them, which provides for Diet 5 table.

The menu for the week can be modified according to your preferences, without going beyond the allowed products.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

With severe inflammation, a diet is prescribed within Table №5A or №5B . To prevent stagnation of bile, 6 meals a day are recommended. All vegetables are excluded, only mucous membranes are allowed, and heat-treated apples can be made from fruits.

Portions should be small (100 g per dish). Breakfast can consist of 2 courses (total 200 g) and a drink, lunch - 3 courses (up to 300 g in total), dinner - 2 courses (200-225 g) and a drink.

We give an example of a diet for one day.

Below are some of the recipes.

Diet recipes number 5 (table number 5)

Since diet food is designed for a long period of time and needs to be varied, the hostess often faces the question of what to cook?

Milk porridge on the water

Breakfast usually consists of milk porridges or porridges boiled in water. It can be rice, buckwheat, oat or semolina. You can also cook omelets or cottage cheese dishes. Daily in Table 5A, 5 include tea with milk, for an afternoon snack - you can baked apples, fruit and vegetable juices, pumpkin porridge. Weekly recipes for preparing lunch first courses often contain soups (vegetable or cereal), but fresh cabbage soup and borscht are also acceptable. For cabbage soup, you can take white, Savoy or Brussels sprouts.

In the therapeutic diet of the 5th table, recipes for the second dish provide even more variety. It can be boiled and lightly baked chicken, fish baked with sour cream sauce, fish and meat steam cutlets, dumplings. You can cook stewed fish with vegetables, but for this table it is pre-boiled to eliminate extractives.

Desserts are also widely represented: cottage cheese soufflé, syrniki with carrots, cottage cheese pudding, fruit and berry mousses, sambuco, fruit and berry soufflés, protein biscuit and baked goods made from proteins and sugar (snowballs, meringues).

The choice of vegetable dishes is no less diverse: vegetables in milk sauce, beetroot puree, potatoes in milk, carrot puree with apples, cabbage stewed in milk, vegetable stew, potato roll with carrots, cabbage rolls with vegetables and rice, cauliflower stewed in milk .

Taking into account modern technologies, many of these dishes can be cooked in a slow cooker. For example, pancakes fried in oil in a pan are not allowed, but those cooked in a slow cooker and not too fried are allowed. It will be more useful to make them from oatmeal or buckwheat flour. We offer simple recipes for Diet No. 5 for every day.

First meal. Slimy and pureed soups

Mucous soups are prepared from the third day after the removal of the gallbladder and with a pronounced exacerbation of cholecystitis and hepatitis, and they are part of Table №5A . They are a strained decoction of well-boiled cereals. Puree soup is prepared from vegetables, cereals, with the addition of meat or poultry. On the Table 5A , 5 and 5P they are cooked on a vegetable or cereal broth. The products included in the composition are boiled until fully cooked and rubbed to a state of puree, which is combined with a decoction, brought to a boil. To prevent food particles from settling, the dish is seasoned with white sauce and boiled again.

Slimy oatmeal soup

Boil oatmeal well, strain without rubbing the groats. Bring the broth to a boil and add a little salt. The finished dish has a homogeneous cream consistency and does not contain food particles.

Cauliflower, potatoes, rice, milk, flour, butter.

Boil potatoes and cauliflower, rub them together with the liquid through a sieve, and leave a few small inflorescences intact. Boil rice for an hour, wipe, combine with soup and salt. Season with white sauce, add butter. Serve with croutons.

A week later, with the transition to the basic table, they switch to soups with finely chopped vegetables.

Barley soup

Ingredients: potatoes, cereals, carrots, onions, butter, sour cream.

Boil pearl barley. Chop the carrots and onions and put them in the water. Combine grits with vegetables, pour in vegetable broth, add potatoes, salt. Serve with parsley and sour cream.

Savoy cabbage soup

Carrots, potatoes, parsley root, onion cut. Onions, parsley and carrots are simmered separately in water with the addition of vegetable oil.

Potatoes and prepared vegetables are dipped in boiling water, boiled for 15-20 minutes. 5 minutes before the end of cooking, add chopped savoy cabbage and fresh tomatoes without skin. Salt to taste and bring to a boil. Serve with pieces of boiled meat.

Second course recipes

Chicken and zucchini casserole

Chicken meat, butter, milk, flour, zucchini, egg white, salt.

Cut the boiled chicken meat, add part of the milk sauce (prepared from milk and flour) and whipped protein. Mix minced meat with grated raw zucchini, salt, put in a mold, and pour milk sauce on top. Bake in the oven.

Composition of products. Blue whiting, onions, potatoes, zucchini, carrots, green pea, vegetable oil.

Boil the potatoes until half cooked, chop all the other vegetables randomly. Put prepared vegetables in a baking dish, fish fillet on top. Salt, pour vegetable oil, bake in the oven without crusting.

fish soufflé

Boiled fish fillet is passed through a meat grinder, milk sauce, butter (vegetable) oil and egg yolks are introduced. The mass is kneaded, salted, after which whipped proteins are introduced. The mass is spread on a baking sheet (optionally in molds) and steamed or baked.

Protein Omelette Recipe for Diet No. 5

Omelettes are natural and protein, mixed (with fillers from stewed carrots, chopped boiled meat) and stuffed.

How to cook a steam omelette, the use of which is allowed in this therapeutic diet? The beaten mixture of eggs and milk is slightly salted, poured into molds greased with oil and steamed in containers with mesh liners. The omelette should have a tender, uniform texture, slightly elastic, and the shape should be well preserved. Steam omelettes are light yellow in color. In the N5 Diet, yolks are limited, so you need to cook a protein omelet, taking only egg whites for the dish.

Salads

This diet provides for salads from raw vegetables, but when preparing them, turnips, radishes, radishes, sorrel, rhubarb, spinach, onions, pickled vegetables, and garlic are excluded. These can be traditional salads of tomatoes and cucumbers, seasoned with vegetable oil (sour cream). You can cook from green leaf lettuce, add any seeds and use dressing from vegetable oil and lemon juice.

Cabbage salads made from finely chopped cabbage are seasoned with lemon juice, sugar and butter. You can add tomatoes and cucumbers, grated carrots or apples to them. To prepare carrot salads, root vegetables are rubbed, seasoned with sugar (honey) and sour cream. Sliced ​​apples and boiled dried fruits are introduced.

Vinaigrettes are allowed, consisting of steamed potatoes, carrots and beets. They are mixed with chopped non-sour sauerkraut, peeled pickles.

meat salad

Fresh cucumbers, peppers, boiled meat cut into strips. Salt to taste and season with vegetable oil. Lay a slide in a salad bowl, if desired, decorate with boiled egg slices, lettuce leaves. You can enter boiled potatoes and carrots.

For kids

In children, functional disorders of the biliary system are more common, less often - inflammatory diseases ( , cholangitis ). However, functional disorders can cause the development of organic pathology of the liver, biliary system and pancreas. bile ducts have a complex system of sphincters and its synchronous activity is extremely important. For dysfunctional disorders, Diet 5 is recommended.

The table for children is no different from that for adults. The basic principles of heat treatment of dishes are preserved. The meal itself is a good stimulant for the flow of bile into the intestines. It follows that meals should be regular. Portions should be given small, avoiding overeating and it is advisable to teach the child to eat at the same time.

Children's diet should be age-appropriate and contain the optimal amount of protein and carbohydrates, and be easily digestible. For a 5-year-old child, the optimal easily digestible protein is the protein of dairy products, eggs and fish (if there is no allergy). In the treatment of dysfunctions with an increase in the tone of the sphincters, the fat content decreases (it is calculated on the basis of 0.5-0.6 g per kg of weight). Fats of vegetable origin are recommended and refractory animal fats are excluded. With hypomotor dyskinesia, the amount of vegetable fats increases to 1.0-1.2 g per kg of the child's weight.

A sample menu for children might look like this.

To organize the nutrition of patients in hospitals, even Soviet doctors developed several types of diets. The most famous of them is diet number 5. Today, the menu for this diet is publicly available and is considered a hit among people who adhere to proper nutrition. In this article, we will consider the features of the fifth table, an approximate weekly menu and recipes.

Purifying and therapeutic effect diet based on certain products, as well as in changing the method of preparation of products allowed for consumption. Diet table 5 is prescribed if:

• liver diseases (hepatitis of various origins, cirrhosis);
• diseases of the stomach (gastroenteritis, chronic gastritis);
• diseases of the gallbladder and biliary tract (cholangitis, cholelithiasis, cholecystitis; postoperative syndrome after removal of the gallbladder);
• diseases of the pancreas (pancreatoduodenitis, acute and chronic pancreatitis).

The purpose of the diet is to maintain or restore the normal functioning of the liver and biliary tract, improve bile production.

To fundamental principles diet number 5 includes:

1. A balanced carbohydrate-protein diet with a sufficient amount of fiber. Daily rate: proteins - up to 90 g, fats - up to 90 g (a third of them should have vegetable origin), carbohydrates - up to 350 g (of which simple carbohydrates- up to 80 g).
2. The daily calorie content of food should be 1600-2900 kcal.
3. Limiting salt intake (up to 10 g per day), as well as products containing purines, fats, essential substances and oxalic acid.
4. Fractional nutrition - eating 100-200 g 5-6 times a day.
5. Dishes should be boiled, stewed or steamed. Serve only warm.
6. Compliance with the drinking regime (at least 2 liters of water per day).

Depending on the disease, it is possible to slightly change the menu. For example, with an exacerbation of the above diseases, it is necessary to switch to a 5A diet. In this case, from diet menu all products that enhance the processes of fermentation in the intestine are excluded.

Allowed foods for diet number 5

When following a healthy diet, you need to know what kind of food you can eat. The list of allowed products includes:

• vegetable soups;
• boiled cereals (wheat, buckwheat, rice, oatmeal);
• dietary meat (rabbit, chicken, turkey, not fatty varieties beef);
• low-fat varieties of fish;
• low-fat dairy products;
• daily old or dried wheat bread;
• cooked vegetables;
• egg (2 pcs per week);
• butter and vegetable oils;
• dried fruits (prunes, raisins, dried apricots);
• baked fruits (pear and apple);
• desserts (marmalade, jam, marshmallow, mousses, marshmallows, honey).
• drinks (broth from wild rose, weak tea, jelly, compotes, vegetable juices without salt).

sample menu

The duration of adherence to a therapeutic diet depends on the stage of the disease and the characteristics of the organism. The menu for the week might look like this:

Monday:

• breakfast - oatmeal with raisins, rosehip decoction;
• 2 breakfast - a baked apple, cookies "Maria" (2 pcs.);
• lunch - vegetable soup with chicken meatballs, a piece of rye bread;
• afternoon snack - cottage cheese smoothie;
• dinner - wheat porridge, vinaigrette with vegetable oil, bread;
• 2 dinner - a glass of kefir.

Tuesday:

• breakfast - buckwheat porridge with butter, a slice of cheese, banana milkshake;
• 2 breakfast - low-fat cottage cheese with sour cream and fresh strawberries;
• lunch - rice soup, a roll of minced meat, a glass of low-fat milk;
• afternoon snack - grated carrot salad, 1 marshmallow;
• dinner - cabbage rolls from rice and chicken fillet, salad of prunes and boiled beets, a glass of strong tea with honey;
• 2 dinner - a glass of kefir.

Wednesday:

• breakfast - wheat porridge with butter, cottage cheese and berry pudding, tea with milk;
• 2 breakfast - boiled fruit puree;
• lunch - vegetable soup, a piece of boiled beef, cabbage and cucumber salad in vegetable oil;
• afternoon snack - baked apples with honey;
• dinner - mashed potatoes, pike perch in sour cream, a piece of bread;
• 2 dinner - acidophilus with chopped parsley.

Thursday:

• breakfast - rice porridge, a piece of cheese, cheesecakes, dried fruit compote;
• 2 breakfast - low-fat cottage cheese, carrot juice;
• lunch - pumpkin porridge, rabbit in sour cream, berry jelly;
• afternoon snack - protein omelet, a little marmalade;
• dinner - rice porridge, stewed cabbage, dried fruit compote;
• 2 dinner - kefir smoothie with pear.

Friday:

• breakfast - oatmeal in milk with jam, cottage cheese with sour cream, rosehip broth;
• 2 breakfast - fruit salad of bananas, apples and steamed raisins;
• lunch - vegetable soup, steamed cod, tea;
• afternoon snack - rice pudding, bread;
• dinner - zucchini stuffed with rice and turkey, 1 marshmallow;
• 2 dinner - fruit puree.

Saturday:

• breakfast - scrambled eggs from protein and vegetables, a piece of cheese, compote;
• 2 breakfast - stewed vegetables with rice, a piece of bread;
• lunch - beetroot, beef cutlets, compote;
• afternoon snack - carrot-apple puree, 1 marshmallow;
• dinner - baked turkey with apples, stewed cabbage;
• 2 dinner - acidophilus.

Sunday:

• breakfast - buckwheat porridge with butter, cottage cheese with fruit, milkshake;
• 2 breakfast - boiled fish, vinaigrette;
• lunch - mashed potatoes, minced rabbit cutlets, vegetable salad in vegetable oil, compote;
• afternoon snack - cottage cheese casserole, rosehip broth;
• dinner - vegetable soup, bread, a glass of tea;
• 2 dinner - a glass of kefir.

As you can see, the menu for every day can be very diverse. However, this diet lacks the taste of garlic and onions the most. Oriental spice asafoetida will help to cope with this trouble. Also, dishes in diet No. 5 have a bland taste, since it is not supposed to add a lot of salt. In this case, you can use natural seasonings such as oregano, marjoram, turmeric, rosemary. You need to add quite a bit.

Once again, we remind you that all dishes and drinks must be consumed only in the form of heat! Cold and hot foods can be harmful.

Recipes for diet number 5

With a therapeutic diet, you can use delicious recipes dishes. Here is some of them.

1. Stuffed zucchini.

For cooking you will need:

• turkey fillet;
• 0.5 cups of rice;
• 2 large zucchini;
• 1 carrot.

Boil the turkey and twist into minced meat. Rice also needs to be boiled, and then washed under cold water. Wash the carrots and pass through a large grater. Mix rice, carrots and minced meat. Wash the zucchini, cut in half and clean the middle so that you get a boat. Put the rice mixture into the zucchini and bake until fully cooked.

Patients can eat 100 g of a casserole.

2. Protein omelet.

The following products are needed:

• 2 eggs;
• 0.5 cup skim milk;
• dill or parsley.

This dish is easy to prepare. Take 2 eggs and separate the white from the yolk. Next, beat the protein with milk, add a few grains of salt. If desired, you can add some chopped greens. Put the prepared mixture in the steamer bowl for 20 minutes.

3. Vegetable soup.

Prepare the following vegetables:

• 100 g of white cabbage;
• 1 medium potato;
• 1 small carrot;
• 2 quail eggs.

Put a liter pot of water on the fire. While the water is boiling, wash and chop all the vegetables. First, add potatoes and cabbage to the pan. Stew the carrots a little in a pan, add the asafoetida spice. Pour the carrots with quail eggs and mix. Add everything to the soup. Serve with greens and low-fat sour cream. If desired, you can make chicken meatballs (rice, fillet, egg, natural spices).

Diet number 5 for children

AT modern time the number of children with diseases of the pancreas, gallbladder and liver has increased. The causes of gastrointestinal disease are very different. They can be eating disorders, infections, frequent use fast food, fatty and fried foods.

Table number 5 is the most famous diet that doctors prescribe to patients, including children. The menu for children is no different from the menu for adults. You can eat the same foods and dishes.

There are still some restrictions regarding products. For example, children under 3 years old can only eat white varieties of fish (pollock, hake, cod). In the menu of older children, you can include red fish (chum salmon, pink salmon, trout). Perfect for an afternoon snack and a snack, children's fruit and vegetable purees in jars.

Precautionary measures

When following diet number 5, it is strictly forbidden to eat too cold, hot and fried foods. The list of prohibited products includes:

1. The first dishes that are cooked in meat, mushroom and fish broth; all cold soups.
2. Fatty varieties of fish and meat, offal, canned food, sausages, smoked meats, pates, lard.
3. Fatty dairy products, spicy cheeses.
4. Mushrooms.
5. Some vegetables (radish, garlic, sorrel, spinach, Brussels sprouts).
6. Mayonnaise, ketchup, adjika, mustard, red and black pepper.
7. Fresh bread.
8. Ice cream, chocolate.
9. Citrus fruits, cranberries, grapes.
10. Alcohol, coffee, carbonated drinks.

Consequences of not following the diet

If you do not follow a therapeutic diet, patients run the risk of additional stress on the liver. The disease will worsen and treatment will have to be started again.

Usually diet number 5 is prescribed along with drug treatment. Compliance with this diet will help get rid of the symptoms of an exacerbation of the disease and achieve remission. In addition, the diet improves overall well-being in general and eliminates excess weight. The diet regimen is also suitable for young children.

Natalia Bogdanova

Reading time: 11 minutes

A A

This therapeutic diet is prescribed to patients who are at the stage of exacerbation of diseases of the liver and biliary tract (hepatitis, cholecystitis), in combination with colitis and gastritis, with cirrhosis of the liver at the stage of compensation.

Basic table rules number 5a- nutrition, excluding any mechanical irritants for the stomach and gastrointestinal tract, eating dishes in a pureed form.

What can and should be eaten on a diet number 5a?

For treatment table number 5a shown 5-6 meals a day.

Basic rules of the diet:

Approved Products

Approved Products

• Nasty cookies, yesterday's bread (or dry in a pan).
• Vegetable soups (vegetables are rubbed), cream and puree soups. Milk soups are acceptable, but taking into account the dilution of milk with water (1: 1). As ingredients of soups: cereals (rice, semolina and oatmeal), finely chopped vegetables (pumpkin, carrots, potatoes). For dressing - sour cream or butter.
• Meat and fish that meet dietary requirements: lean and lean varieties. For example, turkey with (you can cook a piece), rabbit meat and beef (in the form of mashed potatoes, soufflés, etc.). Chickens must be skinned, all tendons should be removed from meat.
• Fish is allowed only light varieties (non-fat). It can be boiled in a piece, steamed or in the form of cutlets.
• Dairy drinks. You can eat cottage cheese in the form of cheesecakes and puddings, pureed dishes or steamed (low-fat, homemade). Milk in the presence of colitis is only allowed as an ingredient in dishes.
• Baked protein omelettes (yolk - no more than 1 pc / day, only in dishes).
• Semolina and rice soufflé or puddings. From cereals (dilute milk with water) - semolina, mashed rice, oatmeal, buckwheat. You can boiled vermicelli.
• From vegetables allow the use of pumpkin and zucchini in pieces (boil). Allowed with beets and cauliflower with potatoes (boil, mash, wipe).
• Sweet is allowed only in the form of mashed raw and sweet (ripe, soft) berries / fruits, as well as baked and boiled, in the form of kissels and mousses, in the form of jelly. All dried fruits must be wiped. Honey and jam are also acceptable, to a limited extent - marshmallows with marmalade.
• All sauces are prepared on vegetable broths, you can also use milk, without toasted flour.
• Coffee - only weak, with the addition of milk. Sweet juices are allowed (homemade, squeezed, diluted with water). Recommended - tea (lemon / milk), rosehip broth.
• - no more than 30 g / day. Refined vegetable oil can be added to salads if the body tolerates it.

Prohibited Products

Prohibited for use:

• Muffins and puff pastries, as well as all fresh bread. Rye is also prohibited.
• Broths are strong, mushroom/bean, fish/meat broths.
• Meat fried, stewed and lumpy.
• All offal, any canned food and any smoked meats.
• Fatty varieties of meat / fish, caviar.
• Salty fish.
• Any egg dishes, except for those allowed.
• Sharp and salty cheeses, cream of any fat content, cottage cheese, subject to its high fat content and acidity.
• All crumbly cereals, millet.
• Mushrooms and beans.
• Any pickles and marinades.
• Turnip with cabbage, onion with garlic and radish, sorrel with radish.
• All snacks, fats and spices.
• No cocoa or black coffee. Ban on all cold drinks and any soda.
• You will have to part with ice cream and chocolate, cream-based products, as well as sour and fiber-rich fruits for the duration of the diet.

How to make a diet menu No. 5a for a week for the treatment of the liver with cholecystitis and hepatitis C?

An approximate weekly menu for patients for each day for table number 5a is as follows:

Monday

Tuesday

• For the 1st breakfast: weak coffee with milk + fresh salad (carrots / apples, grated) + cutlets (meat) with milk sauce
• For the 2nd breakfast: fresh apple
• For lunch: berry jelly + potato soup (crushed) + beets (stew) + a piece of boiled fish
• For an afternoon snack: biscuits with rosehip broth
• For dinner : krupenik (buckwheat) + mineral water
• Before bedtime - 100 g of kefir

Wednesday

Thursday

• For the 1st breakfast: pureed beef + pasta with 5 g butter + tea with milk
• For the 2nd breakfast: lazy dumplings with 50 g sour cream
• For lunch: vegetable soup (potato rub) + a glass of jelly + cabbage rolls
• For an afternoon snack: a couple of soft fruits
• For dinner: milk porridge (rice) with 5 g butter + cheese + tea
• Before bedtime - 100 g of kefir

Friday

Saturday

• For the 1st breakfast: buckwheat (boil) + cutlets (meat) + weak tea
• For the 2nd breakfast: jam (apples) + puree (carrots)
• For lunch: soup (pasta) with milk + pudding (cottage cheese) with 50 g sour cream + compote
• For an afternoon snack: kissel
• For dinner: porridge (semolina), with milk + mineral water
• Before bedtime - 100 g of kefir

Sunday

- This treatment table is not prescribed by itself, as a panacea for the disease, but only in combination with medical and physiotherapeutic treatment. It is not recommended to start it on your own - only after consulting a specialist.

With strict adherence to the diet, remission can be achieved quite quickly - eliminate the exacerbation, bring all the digestive organs back to normal. But you will have to follow all the recommendations of the doctor. If it is ordered to eat yesterday's bread, then it is absolutely impossible to eat fresh. If it is said that all roughage is ground, then we do it, otherwise there will simply be no point in the diet.

- A therapeutic diet definitely makes sense in the treatment of such diseases. Oddly enough, nutrition in general can cure many problems in the body. As for table 5a, it allows not only to improve general state and stop the exacerbation, but also reduce weight, raise the overall tone.

Several useful tips: prohibited foods should not be consumed during and after the diet. Forget about alcohol, alcohol and delicious smoked meats with spicy spices. Otherwise, the whole result of the diet will go down the drain. Loads on internal organs should not be at all - only in this case it will be possible to normalize their work. The course of the diet, if necessary, is repeated, but only on the recommendation of a doctor.

- With cholecystitis and chronic hepatitis it is extremely important to follow the key principles of the therapeutic diet.

1. First, you should introduce a sufficient amount of protein into the diet - complete and quickly digestible.
2. Secondly, do not exceed the allowed amount of fat, so as not to create an additional burden on the liver. That is, everything fatty foods- give to the enemy. Sour cream, cottage cheese, etc. - only light or completely fat-free. With oil - do not get carried away. If you want to enhance the choleretic effect of the diet - increase the amount of vegetable fats.

For overweight patients, the amount of carbohydrates should be reduced even below the norm allowed for this diet. Grind all food for the duration of the diet, finely chop, turn through a meat grinder, etc. Careful processing of food will ensure the sparing of diseased organs.

Since Soviet times, Mikhail Povzner's diets have been used for people with a variety of diseases. And today they are very popular in medical institutions. He also developed a special diet for people with a diseased liver, gallbladder, bile ducts. Proper nutrition should help to overcome the disease. A doctor should prescribe a therapeutic diet, but if you are well aware of your diagnosis, you can start using it yourself. Many people are interested in the topic: Rule number 5 what is possible and what is not, we suggest that you familiarize yourself with it below.

Every therapeutic diet focuses on consuming certain foods and eliminating others from the diet. The optimal number of meals per day is 5. At the same time, food is recommended to be divided into small pieces.

The diet itself is not a course of treatment. The effectiveness of disease control is achieved through drug treatment combined with the right diet. Properly cooked food makes it possible to prevent the disease from aggravating, put digestion in order and remove unpleasant symptoms one disease or another.

Diet 5 table: what is possible and what is not

Like any other, diet number 5 prescribes to eat certain foods and completely eliminate others.

1. You can have various soups - cereal and vegetable, milk and fruit.
2. Meat should be lean - beef and chicken, turkey, small amounts of ham and tongue.
3. Fish should be chosen lean: hake, bream, pike perch, cod, saffron cod, and black caviar are ideal. It is better to cook fish for a couple or boil, if you want to bake - do it after cooking, fish aspic is not prohibited.
4. Fat-free cottage cheese and milk, kefir will be useful for the body with diet number 5.
5. Of the allowed dishes - cottage cheese casseroles, cheesecakes, soufflés, dumplings and mild cheese. The norm of dairy products is 200 g per day.
6. It is better to cook cereals with water or with the addition of milk, baked and steam puddings, vermicelli and pasta are allowed.
7. Bread should be consumed only stale, so it should be dried for a day. It can be white and black varieties, “yesterday's” dry biscuit, low-fat dry.
8. Twice a week you can eat well-baked buns or pies, but on condition that there is no butter in the dough. Only one is allowed boiled egg, as well as greens - parsley and dill leaves. From spices, you can add a little cloves, vanilla, cinnamon and bay leaf.
9. Salt intake should be limited to 10 g per day, and only milk, berry and fruit sauces should be used, preferably natural.
10. Vegetables can be both raw and boiled, beets and carrots are especially useful. You can prepare various vegetable salads and side dishes. Mandatory for the diet are fruits, both baked and raw, as well as berries of non-acidic varieties.
11. From sweet berries, you can use natural jam, honey, sugar, marshmallow and marmalade, marshmallows are not prohibited - but not more than 70 g per day.
12. Butter is useful both for butter and various vegetable oils, it should be added not at the time, but in already prepared dishes and in small quantities.
13. You can drink fruit and various vegetable juices, coffee with milk and weak tea, as well as rosehip broth.

With diet number 5, you need to eat five times a day at regular intervals, and it is recommended to chop food.

In view of diseases of the liver and biliary tract, completely exclude alcohol, spicy, fried and smoked foods, fatty fish and meat, any kind of bacon, all canned food, animal brains and liver from the diet. Mushrooms, all kinds of legumes, spinach, garlic, radishes and sorrel, onions and turnips, vinegar and carbonated drinks, muffins, cocoa, ice cream and chocolate are also banned. Spices are not recommended. All these foods stimulate the production of bile and even in small quantities can exacerbate the disease.

Diet table number 5 is high-calorie. You can consume up to 2700 calories per day. Therapeutic nutrition is balanced, with a predominant amount of carbohydrates. Proportion useful substances, in principle, is kept within the standard ratio of 1:1:4 (proteins:fats:carbohydrates).

Type of diet

The diet is divided into several types. Depending on the existing disease in the patient, the doctor prescribes one of them.

Table 5

It is prescribed for the following diseases:

1. With cholecystitis.
2. Hepatitis in acute or chronic stage.
3. With gallstone disease.

It should be noted that all dishes are allowed to be consumed only in boiled form. You should eat at least 5-6 times a day.

Table 5a

1. cholecystitis.
2. Chronic or acute hepatitis.
3. Gallstone disease.

All dishes should be warm, most importantly - not cold and not hot. It is recommended to eat at least 5-6 times.

Table 5P

It is prescribed for pancreatitis, which has reached the chronic stage and does not have exacerbations or during recovery. It is allowed to consume no more than 1800 kcal per day.

Table 5

It is prescribed for postcholecystectomy syndrome, which is in an exacerbated form. No more than 2100 kcal is allowed.

Table 5l/f

It is prescribed in the presence of liver diseases. You can eat no more than 2700 kcal per day.

Table 5r

It is prescribed if the patient has an ulcer. It is allowed to consume no more than 2900 kcal per day.

Table 5 diet: menu for the week

Diet number 5: menu for every day

Based on the allowed products, you can make a diet menu for every day.

Example one:

1. In the morning reception - boiled meatballs from meat, semolina porridge and unsweetened tea.
2. Before lunch - an apple and dried fruits.
3. Lunch - vegetable soup, fruit compote and meatloaf.
4. Snack - rosehip compote and croutons without seasonings.
5. Dinner - beet cutlets, unsweetened tea and cookies.

Second example:

1. For breakfast - fat-free cottage cheese with sour cream and a spoonful of honey, oatmeal and tea.
2. 2nd breakfast - a baked apple.
3. Lunch reception - vegetable soup, boiled chicken in a sauce cooked with milk, and boiled rice.
4. Snack - rosehip compote.
5. Dinner - boiled fish cooked in vegetable broth and seasoned with white sauce. Mashed potatoes, curd cheesecake and unsweetened tea. Before going to bed - a glass of kefir.

Dish recipes

Diet 5 recipes for every day can be completely different, the choice of products is quite rich.

Protein and vegetable omelet:

1. Beat two proteins and add a little milk, pre-grated zucchini and a little bit of salt.
2. Pour the mixture into a mold and place in the oven.
3. Switch off after half an hour.

Apple and carrot cutlets:

1. Cut the carrots into strips and place in boiling water, then add sugar, chopped apples and leave for 5 minutes.
2. Add semolina, mix well and add whipped protein. Then refrigerate everything.
3. Form cutlets from the mixture, sprinkle with breadcrumbs and bake.

6 comments on ““Diet number 5: menu for every day””

I decided to support my friend, she had to stick to this diet because of liver problems, and I didn’t want her to be bored and lonely) but I didn’t think that I would be so dragged out, even after the end of the diet I try to stick to it so that the result achieved lasts longer!

I have had dyskinesia since childhood. Sometimes, with improper nutrition, there are exacerbations, so you have to use this diet (although for good, always stick to it) and, fortunately, the pain and all the unpleasant symptoms go away. So get well and eat right, limiting prohibited foods and there will be no exacerbations!

A couple of years ago I had serious problems with cookies. She was treated for a long time, and during the recovery period, the doctor prescribed this diet. What can I say, it was rather unusual, since I had to meticulously follow all the rules of the treatment table. A very important role is played by the products in the diet, and the way they are prepared, and the time of consumption. Never before have we paid so much attention to the food we eat. But what can you do ... It's better not to joke with health.
Now, by the way, I can already eat the usual foods, but the diet gave me a good hardening 🙂 So I still mechanically adhere to the principles of diet No. 5 and am very glad about it) I lost weight, I feel great!