Gastroenterology table 5. Diet potato soup

Content:

Based on what products is the diet menu number 5. What are the tasks medical nutrition, sample diet and a few recipes.

People with pathologies of the gallbladder and liver react to certain foods with pain. Unload the gastrointestinal tract, relieve inflammation by reducing secretory functions will help special diet: "Table number 5". The menu for the week was developed by nutritionist M. I. Pevzner and prescribed by a doctor.

Indications and main nuances

Any liver problems, stones in gallbladder, sharp and chronic inflammation- a reason to adjust the diet. Table goals:

• restore the outflow of bile;
• improve organ function;
• relieve spasm of the bile ducts.

The menu for the week on "diet 5" puts a limit on the composition of the daily diet. With a calorie content of 2800 kcal, you need to consume up to 90 g of proteins and fats, and carbohydrates - within 400 g. At the same time, 60% should be protein food animal origin, 40% - vegetable fats. Recommended do not exceed the norms of sugar and salt - 80 and 10 g.

Fifth table menu excludes fried. Food is boiled, steamed and baked. Mode - the basis of the cure:

• do not overeat, eat the same portions;
• stick to the schedule;
• grind coarse fibrous food;
• drink up to two liters of liquid;
• avoid too cold and hot food and drink.

Treatment table rules

An exemplary diet menu No. 5 is compiled according to the lists of permitted and prohibited foods. The task of clinical nutrition is to saturate the body with useful substances:

• Finely chopped beets, tomatoes, red cabbage, onions, carrots, peppers and cucumbers.
• Side dishes in the form of semolina, buckwheat, rice and oatmeal. You can cook soups on the second or third broth.
• For desserts, choose apples, bananas, pomegranates and dried fruits (counted in sugars), as well as sweet berries.
• Get protein from chicken fillet, lean beef, turkey and rabbit. Milk sausages are allowed, but it is better to make them at home. Allowed: hake, pike perch, cod, shrimp and squid.
• Low-fat dairy products are used as snacks and for preparing main dishes, low-fat sour cream for salads.
• One whole egg and protein omelettes are allowed per day.
• Choose rye and wheat bread, baking without muffin.
• Drink weak teas, fruit juices diluted with water, berry fruit drinks and compotes.
• Use vegetable and butter in cooking.

Remove everything that provokes the release of bile- the basic principle therapeutic diet number 5. The menu for each day should include enough fiber, protein, vitamins and minerals.

Traumatic mucous membranes and causing the production gastric juice and bile products are prohibited:

• Radish, radish, garlic and green onion, spinach and sorrel, White cabbage fresh and sour, pickled vegetables are rough foods.
• Sources of heavy fiber, vegetable proteins: mushrooms, legumes, millet, barley and barley porridge, corn.
• Vegetables and berries with sourness, as well as grapes, apricots, plums - everything that provokes fermentation and flatulence.
• Fatty meat and fish, concentrated broths from any products.
• Homemade milk, sour cream, cream, high-fat fermented baked milk.
• Bitter condiments and sauces, ketchups and spices.
• Strong teas and coffee, alcohol and sodas.
• Chocolate, cookies, sweets. Only honey, marshmallows and marmalade are allowed.

The list of prohibitions actually repeats the principles of proper nutrition, except for the ban on vegetables with fiber.

Menu with recipes

You need to stick to the table for as long as it takes for the pain to disappear. Diet is prescribed for five weeks but the period may be shortened. The list of products allows you to make the diet varied.

Breakfasts:

• slimy oatmeal soup or porridge, cheese or egg, rye bread with butter;
• semolina porridge with jam or strawberries, a glass of low-fat milk;
• cottage cheese casserole with berries or raisins on semolina;
• cheesecakes with dried apricots on semolina or buckwheat with a piece of cheese;
• protein omelet with tomatoes and beetroot salad with cheese;
• dairy oatmeal and cottage cheese with berries;
• low-fat cottage cheese with a banana and a slice of wheat bread with cheese.

Dinners:

• rice slimy soup with potatoes and steamed fish zrazy;
• rice soup with egg and minced chicken casserole, tomato;
• buckwheat soup and a slice of lean boiled beef, cucumber and red cabbage salad (grated);
• oven-baked fillet and pumpkin porridge with rice;
• zucchini soup, fish cutlet for a couple;
• beetroot, buckwheat with cutlet;
• tomato and cucumber salad, mashed potatoes, fish cakes.

Dinners:

• minced chicken casserole with egg and vegetables;
• stewed cabbage and beef with apples under kefir in the oven;
• apple-pumpkin salad, fish soup with rice;
• hard-boiled egg, vinaigrette, kefir with dried apricots (pre-soak);
• mashed potatoes and fish baked in low-fat sour cream;
• lazy stuffed cabbage from rice and cabbage, salad from boiled beets and prunes;
• salad with boiled cabbage, egg and squid (shrimp), rice porridge.

Snacks:

• fruit puree and protein omelet;
• baked apple with honey;
• cottage cheese with apple-carrot puree;
• rice pudding;
• bread with boiled fish and cucumber;
• kefir with banana.

At home, diet menu No. 5 can be revived with recipes based on healthy vegetables and protein:

• Beetroot with fish is preparing for lung basis fillet broth with the addition of finely chopped beets, carrots and onions. Potatoes give him satiety. Served with low fat sour cream.
• Minced turkey meatballs mixed with egg and salt are stewed with chopped onions and carrots.
• Stuffed squids are stuffed with boiled rice with finely chopped carrots, onions and bell peppers. Can be cooked in the oven or steamer.
• Chicken terrine is prepared by mixing the fillet, egg, milk and 2 tablespoons oatmeal in a blender. Chop the red pepper and stir into the mixture. Transfer to a mold sprinkled with breadcrumbs, bake in the oven.
• Poached eggs boiled in a bag smeared with mustard vegetable oil. Can be eaten with cheese and bread.

The menu for working people is quite easy to make from casseroles, meat dishes and puddings, kefir and salads. To comply with the regime, you will have to arm yourself with trays, but health is more expensive than laziness.

The main plus of the therapeutic diet number 5 is that it teaches proper nutrition. The habit of avoiding fatty and fried, spicy and pickled foods helps to avoid exacerbations of cholecystitis and pancreatitis.

Introducing the "5 table" diet with a description of what can be consumed, what can not. The table and diet menu table 5 will help you make a diet: what you can eat, what you can’t, and thus achieve maximum results and maintain your health!

The essence of the diet 5 table

Table No. 5 is a therapeutic diet developed by the famous Soviet scientist M.I. Pevzner for people suffering from diseases of the digestive system. The diet is a series of restrictions and recommendations for the preparation of a daily diet, following which it is possible to normalize the functioning of the liver and gallbladder. It is an effective complement to therapeutic and drug treatment, which is why it is so often prescribed by attending physicians. Despite the fact that the diet was developed a century ago, it has not lost its relevance, and to this day helps people with chronic diseases significantly improve their condition.

It is worth noting that table number 5 is not a diet for weight loss, and its use should be resorted to only as directed by a doctor for people suffering from diseases of the digestive system. Proper nutrition during illness is a determining factor in recovery. This diet is aimed at reducing the load on the digestive tract, normalizing bile secretion, liver function, and lipid metabolism, thereby avoiding exacerbation chronic diseases.

Basic principles and rules of the diet

Consider the basic rules and principles of the diet Table No. 5, following which you will be able to normalize the functioning of the digestive tract and avoid exacerbation of chronic diseases:

• daily rate water consumption. Every day you should drink at least 1.5 - 2 liters of clean non-carbonated water at room temperature;
• Eat more often, but less. Fractional nutrition is one of the basic principles of not only this diet, but also healthy lifestyle life in general. Break your diet into 4-5 meals throughout the day;
• Eliminate fried foods from your diet. Give your preference to boiled, baked, stewed and steamed dishes. It is also strictly forbidden to sauté flour and vegetables;
• Cold food is prohibited. Eat only warm or moderately hot food;
• Follow the table. To draw up your diet, use the table that contains complete list products available and prohibited for consumption;
• Spices only in ready meals. Add greens and spices from the category of permitted already in ready-made dishes, and not during their preparation. Especially this rule applies to salt;
• Increase your fiber intake. Add more fruits and vegetables to your diet. It is advisable to use grated vegetables so that it is easier for the digestive organs to assimilate them;
• Increase your intake of pectins and lipotropics. Pectin removes toxins accumulated in the body, and lipotropic amino acids improve cholesterol metabolism. Rich sources of pectin are: apples, apricots, plums, beets, currants, etc. Lipotropic substances are found in protein products: cottage cheese, beef, eggs, soy, fish;
• Proteins and carbohydrates are the main source of energy. You should not reduce their consumption if it is normal, but the amount of fat in the diet should be reduced to 80 g per day by adding Omega-3 to your menu fatty acid;

These are, perhaps, the basic rules of the Table No. 5 diet, following which you will be able to maintain your health in good condition. As you can see, the diet is no different strict prohibitions and restrictions, so its use should not become something burdensome for you. The main task of the diet is to establish the system and unload the digestive organs.

Indications

This diet is usually prescribed by a doctor to people with the following diseases of the gallbladder, liver and biliary tract:

• Hepatitis (out of the exacerbation phase);
• pancreatitis;
• Cirrhosis of the liver;
• Chronic gastritis and colitis;
• cholecystitis;
• Gastroduodenitis;
• Gallstone disease (out of the exacerbation phase);
• After removal of the gallbladder (recovery period), etc.

If you have diseases associated with the digestive organs, the issue of prescribing a diet must be agreed with your doctor.

Contraindications

• Acute stages of gastritis and colitis;
• Acute stage cholelithiasis;
• Acute stage of hepatitis;
• Other cases determined by the attending physician;

What is possible, what is not? Product table

In order to make it easier for you to make a weekly diet and paint your menu, we have compiled a summary table for you that will answer 2 main questions: what you can and cannot eat. Please note that products from the prohibited section are completely or partially excluded from your diet. The allowable amount of consumption of products from the list of prohibited items should be determined by your doctor.

Product group	What can you eat with a diet table number 5	What not to eat with a diet table number 5
Dairy	Low-fat kefir, milk, yogurt, curdled milk, low-fat cottage cheese, low-fat non-spicy cheese. Sour cream as a dressing in small quantities.	Kefir (from 2.5%), fat cottage cheese, fat milk, cream, fermented baked milk, fatty hard cheeses, fermented baked milk, ice cream, fatty sour cream.
flour products	Yesterday's bread, dried; lean pastries (biscuits), dry biscuit.	Fresh pastries and bread, puff pastry, pancakes, fried pies, donuts.
Meat and poultry	Lean meats: rabbit, veal, beef. Lean poultry without skin: chicken, turkey. Boiled milk sausage. Lean ham, tongue.	Fatty meats: pork, lamb. Fat bird: duck, goose. Salo, animal fat. Sausages, smoked products, canned meat. Offal: heart, liver, brains. Meat broths and soups from them.
Fish and seafood	Lean fish: perch, carp, hake, tuna, pollock, pike, walleye, cod. Red oily fish: salmon and salmon in small quantities. Seafood in small quantities.	Oily fish: beluga, stellate sturgeon, trout and others. Fish caviar: black and red (it is very oily). smoked, dried, salted fish, canned fish. Fish broths and soups from them.
Eggs	No more than 1 pc. per day in the form of an omelette, steamed or soft-boiled. Or you can have a lot of egg whites, they have no fat.	Hard-boiled, fried eggs are not allowed.
Cereals and pasta	Buckwheat, preferably green, rice, oatmeal, semolina, muesli. Durum wheat pasta.	Barley, yachka, millet, corn grits. Legumes: peas, beans, chickpeas, beans.
Vegetables	Boiled beets, potatoes, carrots, zucchini, pumpkin. Fresh cucumbers, tomatoes, lettuce. Beijing cabbage, cauliflower, sea.	Mushrooms. Sour and bitter greens: sorrel, parsley, dill, spinach, rhubarb). Parsley and dill are allowed as an additive to the finished dish. Eggplant, white cabbage, radish, asparagus, garlic, any onion. All vegetables canned and pickled.
Fruits and berries	Sweet apples as in fresh, and baked. Banana, no more than 1 per day, pomegranate, prunes, other dried fruits. Sweet berries.	Sour fruits and berries.
Oil	Sunflower, olive, linseed vegetable oils.	Butter (no more than 30 g per day is allowed as an additive to morning porridge).
Sweets	In not in large numbers jam from any fruit and berries. Marmalade, marshmallow, honey	Chocolate, cakes, pastries, chocolate candies, halva, all confectionery.
Beverages	Still mineral water, green tea, dried fruit compote, juices, but not concentrated, rosehip broth.	Coffee, cocoa, soda, any alcohol, strong tea. Any cold drinks.
Seasonings, sauces	No more than 1 tsp salt per day, sour cream and milk salad dressings, vanillin, cinnamon, Bay leaf, carnation.	Spicy and fatty sauces: mayonnaise, mustard, vinegar, ketchup, horseradish, adjika, etc.

Video: allowed and prohibited diet foods Table number 5

Diet menu for every day

We also present an indicative menu for the week for the diet Table No. 5. This table is not a postulate to be followed. It is compiled based on the principles of the diet and the list of allowed foods. It is possible to make adjustments to this table according to your individual preferences.

	Breakfast	Lunch	Dinner	afternoon tea	Dinner
Monday	Oatmeal in milk with dried fruits, black tea	Baked apple	Vegetable soup, baked chicken, dried fruit compote	Long biscuits, rosehip broth	Mashed potatoes, steamed fish cake, green tea.
Tuesday	Buckwheat porridge with boiled beef. Dried fruits compote	Yogurt, apple	Borscht without meat, cabbage rolls, jelly	Low-fat cottage cheese with banana	Vegetable stew with lean meat, fresh cucumber, tea
Wednesday	Rice casserole, tea;	low fat yogurt	Vegetable soup, veal cutlets baked in the oven, fresh salad	Cottage cheese casserole, juice	Durum wheat pasta, fillet chicken breast for a couple
Thursday	Soft boiled egg, applesauce, herbal tea	Kefir, favorite fruit	Cod soup, black bread slice, rice, vegetable juice	Baked apple	Rice milk porridge with a piece of butter, dried bread with butter and cheese
Friday	Steamed chicken cutlets with milk sauce, rice porridge. Apple compote.	Banana	Boiled turkey, mashed peas, a little non-acidic sauerkraut, peach juice	Vinaigrette, tea, cracker	Squid salad and other seafood. Vegetables, bread
Saturday	Semolina porridge in milk with the addition of dried apricots, raisins, prunes, tea	Kissel, inedible pastry	Soup with vegetables and noodles, steam cutlets, rosehip broth	low fat yogurt	Mashed potatoes, boiled meat, kefir
Sunday	Milk oatmeal. Carrot-apple salad. Rosehip decoction	pear or apple	Vegetable stew with chicken pieces, a slice of yesterday's bread, compote	Low-fat cottage cheese	Semolina porridge with milk, a glass of herbal tea

Follow the principles of the 5 Table diet, eat right and be healthy! We hope our article will help you with this!

Health food is mandatory method complex treatment of the patient. 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 a violation of the absorption of substances, is the only way of treatment, one of the main ones - with, gastrointestinal diseases . In other cases, compliance with it prevents complications and progression of the disease. Approved number system diets, which is mandatory for all medical and sanatorium institutions, dietary canteens.

Therapeutic 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. She is also assigned to chronic colitis with and at chronic without the expressed disturbances. It can be said that this 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 more accurate and detailed description Healing Diets number 5 can be found in Diet Guides. They give a description of the main table and its varieties depending on the stage of the disease (exacerbation, recovery, stable remission). Varieties of diets to some extent 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 action. Steam or boiled dishes from chopped meat and vegetables have a weak effect.

This diet contains a reduced amount of fat (due to refractory and poorly digestible), table salt(6-10 g), limits the consumption of egg yolks and foods rich in purines . Uric acid found in large quantities 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. 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 acids, 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, cream confectionery.

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;
• low-fat boiled, steam fish (piece and in the form of minced meat);
• milk, dairy products, low-fat and semi-fat 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 and without water 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 is a 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.
• Eat dinner 3 hours before bedtime 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, especially with severe pain syndrome, shown 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 not always conservative treatment turns out to be 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 the 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 omelet, 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.

At fatty hepatosis liver, 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 energy value 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 lose 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. The provocative factors of a periodic increase in bilirubin in the blood are infections, overload, taking 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 of 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 are additionally excluded, bell pepper, pickles, sauerkraut, peanuts, sesame, hazelnuts, seeds, citrus fruits, strawberries, apricots, peaches, 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.
• 5R - 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

	Proteins, g	Fats, g	Carbohydrates, g	Calories, kcal
Vegetables and greens
eggplant	1,2	0,1	4,5	24
zucchini	0,6	0,3	4,6	24
cabbage	1,8	0,1	4,7	27
broccoli	3,0	0,4	5,2	28
carrot	1,3	0,1	6,9	32
cucumbers	0,8	0,1	2,8	15
pepper salad	1,3	0,0	5,3	27
parsley	3,7	0,4	7,6	47
iceberg lettuce	0,9	0,1	1,8	14
tomatoes	0,6	0,2	4,2	20
pumpkin	1,3	0,3	7,7	28
dill	2,5	0,5	6,3	38
Fruits
bananas	1,5	0,2	21,8	95
apples	0,4	0,4	9,8	47
Nuts and dried fruits
raisin	2,9	0,6	66,0	264
dried figs	3,1	0,8	57,9	257
dried apricots	5,2	0,3	51,0	215
dried apricots	5,0	0,4	50,6	213
prunes	2,3	0,7	57,5	231
Cereals and cereals
buckwheat (ground)	12,6	3,3	62,1	313
oat groats	12,3	6,1	59,5	342
pearl barley	9,3	1,1	73,7	320
rice	6,7	0,7	78,9	344
Flour and pasta
pasta	10,4	1,1	69,7	337
noodles	12,0	3,7	60,1	322
buckwheat noodles	14,7	0,9	70,5	348
Bakery products
bread with bran	7,5	1,3	45,2	227
whole grain bread	10,1	2,3	57,1	295
Confectionery
jam	0,3	0,2	63,0	263
jelly	2,7	0,0	17,9	79
marshmallow	0,8	0,0	78,5	304
milk candy	2,7	4,3	82,3	364
fondant candy	2,2	4,6	83,6	369
fruit and berry marmalade	0,4	0,0	76,6	293
paste	0,5	0,0	80,8	310
maria cookies	8,7	8,8	70,9	400
Raw materials and seasonings
honey	0,8	0,0	81,5	329
sugar	0,0	0,0	99,7	398
Dairy
kefir 1.5%	3,3	1,5	3,6	41
fermented baked milk	2,8	4,0	4,2	67
Cheese and cottage cheese
cottage cheese 1%	16,3	1,0	1,3	79
Meat products
beef	18,9	19,4	0,0	187
rabbit	21,0	8,0	0,0	156
Bird
boiled chicken breast	29,8	1,8	0,5	137
boiled chicken thigh	27,0	5,6	0,0	158
boiled turkey fillet	25,0	1,0	-	130
Eggs
soft-boiled chicken eggs	12,8	11,6	0,8	159
Fish and seafood
flounder	16,5	1,8	0,0	83
pollock	15,9	0,9	0,0	72
cod	17,7	0,7	-	78
hake	16,6	2,2	0,0	86
Oils and fats
butter	0,5	82,5	0,8	748
olive oil	0,0	99,8	0,0	898
sunflower oil	0,0	99,9	0,0	899
Soft drinks
water	0,0	0,0	0,0	-
mineral water	0,0	0,0	0,0	-
green tea	0,0	0,0	0,0	-
Juices and compotes
apricot juice	0,9	0,1	9,0	38
carrot juice	1,1	0,1	6,4	28
peach juice	0,9	0,1	9,5	40
plum juice	0,8	0,0	9,6	39
tomato juice	1,1	0,2	3,8	21
pumpkin juice	0,0	0,0	9,0	38
rosehip juice	0,1	0,0	17,6	70

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 coarse fiber(radish, turnip, radish), and with poor tolerance- white cabbage.
• Cooking fats 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

	Proteins, g	Fats, g	Carbohydrates, g	Calories, kcal
Vegetables and greens
canned vegetables	1,5	0,2	5,5	30
swede	1,2	0,1	7,7	37
peas	6,0	0,0	9,0	60
bulb onions	1,4	0,0	10,4	41
chickpeas	19,0	6,0	61,0	364
radish	1,2	0,1	3,4	19
white radish	1,4	0,0	4,1	21
beans	7,8	0,5	21,5	123
horseradish	3,2	0,4	10,5	56
spinach	2,9	0,3	2,0	22
sorrel	1,5	0,3	2,9	19
Berries
grape	0,6	0,2	16,8	65
Mushrooms
mushrooms	3,5	2,0	2,5	30
marinated mushrooms	2,2	0,4	0,0	20
Nuts and dried fruits
nuts	15,0	40,0	20,0	500
almond	18,6	57,7	16,2	645
Snacks
potato chips	5,5	30,0	53,0	520
Flour and pasta
vareniki	7,6	2,3	18,7	155
dumplings	11,9	12,4	29,0	275
Bakery products
buns	7,9	9,4	55,5	339
Confectionery
confectionery cream	0,2	26,0	16,5	300
shortbread dough	6,5	21,6	49,9	403
Ice cream
ice cream	3,7	6,9	22,1	189
Chocolate
chocolate	5,4	35,3	56,5	544
Raw materials and seasonings
mustard	5,7	6,4	22,0	162
mayonnaise	2,4	67,0	3,9	627
Dairy
milk 4.5%	3,1	4,5	4,7	72
cream 35% (fatty)	2,5	35,0	3,0	337
whipped cream	3,2	22,2	12,5	257
Cheese and cottage cheese
parmesan cheese	33,0	28,0	0,0	392
Meat products
fatty pork	11,4	49,3	0,0	489
salo	2,4	89,0	0,0	797
bacon	23,0	45,0	0,0	500
Sausages
sausage with/smoked	9,9	63,2	0,3	608
Bird
smoked chicken	27,5	8,2	0,0	184
duck	16,5	61,2	0,0	346
smoked duck	19,0	28,4	0,0	337
goose	16,1	33,3	0,0	364
Fish and seafood
smoked fish	26,8	9,9	0,0	196
black caviar	28,0	9,7	0,0	203
salmon caviar granular	32,0	15,0	0,0	263
salmon	19,8	6,3	0,0	142
canned fish	17,5	2,0	0,0	88
salmon	21,6	6,0	-	140
trout	19,2	2,1	-	97
Oils and fats
animal fat	0,0	99,7	0,0	897
culinary fat	0,0	99,7	0,0	897
Alcoholic drinks
dry red wine	0,2	0,0	0,3	68
vodka	0,0	0,0	0,1	235
beer	0,3	0,0	4,6	42
Soft drinks
soda water	0,0	0,0	0,0	-
cola	0,0	0,0	10,4	42
dry instant coffee	15,0	3,5	0,0	94
sprite	0,1	0,0	7,0	29

* data are per 100 g of product

Menu diet number 5 for the week (Meal mode)

The following is sample menu Diet Table number 5. Compliance with it is required 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 under 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 biscuits 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 prepared 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 Diets number 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 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. Can be served with slices 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. Minced meat mixed 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, injected milk sauce, butter (vegetable) oil and egg yolks. 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 omelets have light yellow 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 includes salads from raw vegetables, but when cooking 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). Can be made from green lettuce, introduce 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 children

In children, functional disorders of the biliary system are more common, less often - inflammatory diseases (, cholangitis ). However, functional impairment can cause the development organic pathology liver, biliary system and pancreas. The 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). Recommended fats plant origin 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.

Diet 5 is the know-how of the Soviet scientist and nutritionist M. Pevzner, and she entered the complex of the main 15 types of treatment tables. The table is intended for the treatment of the liver during remission and exacerbations. If you follow the general rules of this therapeutic diet, you can achieve speedy recovery and recovery of the patient.

The purpose of the diet

The diet is prescribed during the period of recovery and exacerbation of such diseases:

• Cholecystitis.
• Cirrhosis.
• Hepatitis.
• Cholelithiasis.

Important! Nutrition, which is the basis of table 5, restores the functions of the liver. It is also suitable for cleansing foam. healthy people because the menu is balanced with reduced amount fats.

Speaking about diet number 5: what is possible and impossible, it is worth highlighting the diet and cooking rules:

• The volume of liquid is 1.5-2 liters.
• The sinewy meat is finely chopped or minced from it.
• Salt is consumed moderately (10 g per day), hot spices and vegetables are excluded.
• cold and hot food excluded from the diet. Food and drink should be slightly warm.
• Prohibited products with purine compounds and oxalic acid, coarse fiber.

Advice! There are no fried foods on the menu of this diet. Boiling fat, and then meat or fish fried in it, deal a huge blow to the liver. Therefore, it is recommended to use stewing, boiling or baking.

The chemical composition of the therapeutic diet

The diet contains 80 g of protein and fats, 400 g of carbohydrates, the calorie content of table 5 of the diet is 2.4-2.8 thousand kcal per day.

Important! Pevzner's menu contains 30% vegetable and 70% animal fats. In European diets for the liver, the ratio is exactly the opposite - 70% vegetable and 30% animal fats.

Therapeutic diet 5 table: what is possible and what is impossible?

The diet menu is rich in nourishing food, which the patient consumes 5 times a day. Pevsner believed that fractional nutrition provides better digestibility, prevents stress on the liver and the possibility of acid heartburn.

List of products that are prohibited:

• Alcohol, carbonated drinks, with the exception of medicinal waters recommended by a doctor.
• Spicy vegetables (radish, radish, garlic, onion).
• Sorrel, spices and seasonings that irritate the esophagus.
• Vinegar and all kinds of fatty sauces.
• Irritating cocoa and chocolate.
• Offal, canned food, fatty meats and fats (lard, lard), mushrooms and legumes.
• Fresh bread and pastries, coffee, strong tea.

Important! Diet 5 implies that all dishes are prepared at home, the bread is dried, and on an empty stomach the patient must drink 1 tbsp. warm water in 30 min. before breakfast.

Diet table number 5 includes the following products on the menu:

• Soup. You can boil it in milk, not strong vegetable broth. Clean weak meat broth eaten without meat, but with vegetables.
• Dairy products. You can eat a moderate amount of lean fermented milk products and hard cheeses, drink milk, kefir and fermented baked milk with a fat content of up to 1%.
• Lean chicken, rabbit, turkey, small amounts of beef and pork. You can also fish (bream, hake, cod, black caviar). After boiling, fish and meat can be baked to be consumed as a separate dish.
• Porridges and pasta of firm grades. They are prepared with water, milk, and are also consumed in the form of pudding and milk soup.

• In the diet menu table 5 for each day there is a permitted 1 egg per day. It can be added to baked goods, scrambled eggs or boiled.
• Vegetables such as carrots, beets, zucchini. Use in any form.
• Fruits and berries, except for sour fruits. Kissel, jelly, compote are prepared from them, eaten raw and boiled.
• You can eat 70 g of sweets per day, such as marshmallow, marmalade, homemade jam, honey, marshmallows.
• From drinks, homemade kissels, compotes, weak black tea are recommended.
• Fat is not added to food, a minimum amount of low-fat butter is allowed.

Advice! The use of cottage cheese and cheese with a fat content of more than 6% is not allowed.

From this basic set products and dishes are compiled for the diet table 5 menus for every day. The menu depends on the stage and specifics of the patient's condition.

Two menu options

The duration of adherence to therapeutic nutrition is 1 week, the expediency of its further compliance is determined by the doctor.

• Breakfast: egg yolk and hard cheese salad, dried bread, weak tea.
• Second breakfast: baked sweet apple, you can add 1 tsp. honey.
• Lunch: buckwheat porridge, baked chicken, berry jelly.
• Afternoon snack: a glass of milk.
• Dinner: meatloaf, dried bread, baked vegetables.

Option number 2 menu for a week of diet table 5

• Breakfast: rice soup, a glass of weak tea, bread.
• Second breakfast: 100 g low-fat cottage cheese.
• Lunch: meatballs, vegetable salad, tea.
• Afternoon snack: a glass of sweet berries.
• Dinner: mashed potatoes and zucchini, baked pike perch, oatmeal broth.

Important! The last meal is 2-3 hours before bedtime, and after dinner, you can drink a glass of water or jelly.

To diversify the patient's diet, you can cook meals according to the 5 recipes developed for the diet for every day.

Special Recipes:

Zucchini stuffed with chicken

For cooking you will need:

• Chicken breast.
• 2 large zucchini.
• ½ cup rice.
• 1 carrot.

Boil the chicken and twist it into minced meat, cook the rice too, and cut the zucchini in half, clean the middle so that you get a boat. Put rice-chicken mixture in zucchini, add carrots if desired. Bake the dish for 15 minutes. until the zucchini is ready. In the diet menu, table 5, it is given to the patient for lunch, 100 g no more than 2 times a week.

Dessert: steamed curd grandmother

To prepare the dish, you will need 250 g of low-fat cottage cheese, 1 egg, 2 tbsp. l. semolina or flour with bran, 1 tbsp. l. honey or sugar.

Cottage cheese is mixed with egg and semolina, honey is added, rubbing the mixture until smooth. The dish is steamed, having previously decomposed it into silicone molds. It is more convenient to cook such a dessert in a double boiler, setting the mode for 30 minutes.

Advice! If you want to get a casserole with a delicate texture, then it is better to add 1 tbsp. l. semolina.

Diet number 5 allows you to eat such a dessert in the morning, but not more than 70 g per day.

Marshmallow jelly from ripe apricots

For this dessert, you will need 200 g of very ripe apricots, it is recommended to take the Kalirovka variety. Further, the fruits are washed, the bones are pulled out, they are mashed, and the skins can be removed.

After that, the puree is mixed with 1 tbsp. l. sugar and 3 tbsp. l. water is boiled, after 3 minutes. injected protein whipped to peaks and 4 g of gelatin dissolved in water. The resulting mixture is poured into bowls, cooled, the patient is served a dish at room temperature.

This diet, according to patient reviews, allows you to correct the condition, relieving pain and bringing the recovery period closer. The main thing is to follow the instructions correctly, and the menu for every day of diet number 5, allowed foods and the regimen is prescribed by the attending physician.