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Pevsner Diet Table 5a – What Can and Cannot Be Used

Table 5a is a therapeutic diet that appointed during the exacerbation of diseases of the biliary tract and liver, occasionally associated with other diseases of the digestive system. Diet 5a is prescribed to facilitate the work of the affected gallbladder, pancreas, or liver.

The menu provided by the dietary Table 5a regimen protects the liver, biliary organs, stomach, pancreas, intestines and duodenum from the effects of many stimuli provoking fermentation, decay, increasing the secretion of bile, gastric juice and elements that can damage the liver.

Strict adherence to therapeutic Diet Table 5a will reduce the burden on the affected organs and speed up the patient’s healing process.

The menu of Diets 5a includes foods that provide a normal daily level of energy value. In comparison with a rational diet, Table 5a reduces the amount of animal fat consumed. The daily level of KBDU eaten should be 2300-2700 Kcal, of which proteins should be 80-100g of fat – 70-80g of carbohydrates – 350-400g. Menu Table 5a allows for sugar intake. The daily rate for this therapeutic diet – 85g. Consumption of salt in cases of biliary tract, liver and pancreas lesions is limited to 8 g per day. Drinking liquid under the regime of the Table 5a can often and a lot – up to 2.5 liters per day. Menu nutritional nutrition Diet Table 5a built on fractional meals up to seven times a day.

Food at the dietary table 5a is served in a shabby or chopped form. In diseases of the liver, pancreas and gallbladder from the patient’s diet fried foods, fatty foods, large amounts of salt, foods containing oxalic acid and cholesterol are excluded. The temperature of the dish at Diet 5a should be medium – between + 15 ° C and + 45 ° C.

What diseases are prescribed therapeutic Diet Table 5a

Medical diet Table 5a is a fairly strict diet recommended by doctors for the following diseases:

  • cirrhosis of the liver
  • acute cholecystitis
  • exacerbation of chronic cholecystitis
  • acute hepatitis
  • exacerbation of chronic hepatitis
  • exacerbation of gallstone disease
  • removal of the gallbladder.

Diet 5a after removal of the gallbladder

The treatment regime of Table 5a is prescribed in the treatment of exacerbation of diseases of the liver and biliary tract, but its also prescribed after laparoscopic cholecystectomy – That is, surgery to remove the gallbladder. The general course of a therapeutic diet after cholecystectomy can last from two months to six months, depending on the complications caused by cholelithiasis or cholecystitis, which led to the removal of the bladder. Diet Table 5a will help the body adapt to changes in the digestive system without the gall bladder.

What kind of food after the removal of the gallbladder provides Diet 5a? First of all – fractional. Diet “little but often“Will help the body more often to remove bile naturally, avoiding stagnation, and daily meals at the same time will adjust the regularity of its allocation. It is important to know: the stagnation of bile in the biliary tract will lead to the formation of stoney. The second important rule of Table 5a is drink plenty of fluids. Doctors recommend taking mineral water without gas. And last but not least, the rule of the diet after the removal of the gallbladder is to exclude all fried foods, whole foods, spicy, salty and sour snacks from the patient’s health menu.

In the first days after the operation to remove the gallbladder, it is best to exclude all solid foods from the menu, drink weak tea and juices diluted with water, which will help to avoid constipation. After cholecystectomy, chopped boiled vegetables, yogurt, and rosehip decoction are gradually introduced into the patient’s diet.

A week after the removal of the gallbladder, Diet Table 5a allows you to begin to replenish the diet with low-fat soups and pureed meat, fish and vegetable products exclusively in the form of heat.

One month after cholecystectomy, you can add more protein foods that thin the bile into the patient’s menu: whole baked vegetables and fruits, cottage cheese casseroles or souffles, lean meat and fish, crustaceans, fresh greens.

Menu for cholecystitis

Diet Table 5a with cholecystitis – that is, gallbladder inflammation – A serious measure of treatment that cannot be ignored, because the quality of nutrition directly affects the work of the affected organ. The inflammatory process will be easier to eliminate, if you reduce the load on the gallbladder.

During the exacerbation, it is recommended to exclude solid food from the menu, and start a diet from drinking days: tea alternates with mineral water, dogrose broth diluted with juices. Then products from the therapeutic diet Table 5a are gradually added to the fractional menu: mucous soups and porridges, so far only in a worn and warm form. As the patient relaxes, they allow patients to enter boiled or steam dietary meat, fish, and low-fat cottage cheese into the diet.

Pancreatitis Nutrition

Another disease in which the “lifeline” is therapeutic Diet 5a, is pancreatitis – inflammation of the pancreas. Here, nutrition plays an important role in the removal of severe pain and shaving of the affected organ for early recovery. As in the previous cases, during exacerbation of pancreatitis, it is recommended to exclude all food from the menu for several days, leaving only the most neutral in taste and pressure drinks. After 2-4 days of drinking regime, the doctor will recommend to switch to the diet menu of Table 5a.

Diet Mode Table 5a – Weekly Menu

Medical diet Table 5a, like other Pevzner health tables, has its limitations and absolute prohibitions. Patients with diagnoses of cholecystitis, hepatitis, pancreatitis, and gallstone disease will have to forget about fatty, stringy meat, cold and hot dishes, too salty and sweet foods, spices, canned foods, raw fruits and vegetables. At first, the menu of dishes under Diet 5a will consist of mucous porridges and decoctions with shredded cereals and vegetables, later doctors recommend dieting stuffing, sweet fruits in finished form.

What is possible and what is not?

What can and can not eat with Diet 5a? The treatment menu of the Table 5a may include wheat bread, but it should be yesterday or dry. All other flour products are completely excluded from the patient’s diet.

On the first dish Table 5a doctors advise to cook mashed and slimy soups. It is allowed to cook them in milk and water, in diluted 1: 1 broths.

With this diet, relevant recipes porridge from rice, semolina, buckwheat, millet groats, grated rolled oats, small vermicelli, bulgur, couscous. It is unacceptable to cook porridge from legumes, lentils, barley, corn and barley cereals at the Medical Table 5a.

Table 5a allows in small quantities to use milk, low-fat cottage cheese, sour cream, light cheese, butter in dishes. Excluded fatty, salty and spicy, causing fermentation milk products.

Vegetable dishes in a therapeutic diet, they consist of boiled potatoes, carrots, pumpkins, zucchini, cauliflower and Chinese cabbage, and beets. Excluded from the therapeutic menu are eggplants, rhubarb, sorrel, radishes, spinach, radishes, mushrooms, onions, garlic, bell peppers, asparagus.

Recipes meat dishes when dieting 5a should include steamed and water chicken, turkey, rabbit, veal, beef. All this is served in a stuffy form, it is permissible to make souffles or mashed potatoes. Other types of meat treated with aggressive cooking methods are unacceptable when drawing up the menu of Table 5a during the treatment of cholecystitis of hepatitis, pancreatitis and gallstone disease.

A fish low-fat varieties in the period of compliance with the diet 5a cooked and baked. It is worth choosing
from cod, catfish, pike perch, whiting, hake, pollock, pike, carp. Canned food, caviar, sushi, crab sticks, smoked and salted types of fish – all this is forbidden when dieting Table 5a.

Fruit menu patient includes apples in baked and grated form, pears, sweet berry jams and preserves are rarely allowed to add a little banana, melon, watermelon to the dishes.

Of eggs during the period of liver and biliary duct diseases, you can only cook steam omelets, and add them fresh to the dishes.

The drinks in therapeutic Table 5a, they are limited to herbal, black and green teas, rosehip and chamomile decoctions, kissels and sweet fruit juice, diluted juices with water, and mineral water without gas.

Menu for the week

To facilitate the recovery period after severe diseases of the liver, pancreas and gall bladder, care must be taken to ensure that the nutrition of the patient is as healthy and tasty as the strict medical regimen allows. Recipes for each day of the week with Diet Table 5a should contain all the necessary components for the speedy regeneration of the affected tissues.

Sample menu for the week at Diet Table 5a may look like this:


  • semolina, mineral water
  • baked apple
  • mucous broth on millet porridge with small vegetables
  • white crackers with jelly from non-sour dried fruits
  • mashed potatoes with steam fish dumplings.


  • steam omelette of two proteins, chamomile decoction
  • apple and banana puree
  • vegetarian decoction with rice
  • salad of grated carrots and beets
  • steamed meat pudding, buckwheat.


  • grated hercules with sweet berries, green tea
  • carrot puree with honey
  • cream soup of cauliflower, potatoes and chicken
  • berry juice dry biscuits
  • rice patties with ground beef, baked zucchini.


  • rice porridge on the water in half with milk, sweet jam, black tea.
  • omelette with chicken breast
  • cod ear with vegetables mixed with water
  • white croutons, jelly from seasonal fruit
  • cottage cheese soufflé, pasta on water, minced meat stewed with vegetables.


  • buckwheat porridge with butter, dogrose infusion.
  • cottage cheese casserole with apples
  • pumpkin soup puree
  • grated salad with sweet fresh apples and fruits
  • mashed potatoes, a piece of boiled fish, carrot-beet salad.


  • dietary cottage cheese with honey and strawberries, chamomile decoction
  • potato-egg salad
  • diluted chicken broth with meatballs
  • yesterday’s bread, squash caviar, jelly
  • rice, turkey steam dumplings, beetroot and carrot salad


  • sweet pumpkin soup with semolina, dogrose infusion
  • milk noodles, cottage cheese pudding, green tea
  • rice broth vegetable soup
  • pear jelly, dry biscuits.
  • steamed meatloaf, baked potatoes with carrots and cauliflower.

Recipes for baby

Pevsner Diet Table 5a is prescribed not only for adults during exacerbations of liver and gallbladder diseases, but also children from three years. This strict dietary table is recommended for small patients for a short time as a mode of sparing of the affected digestive organs, after which the doctor will transfer the child to a more complete medical table.

Menu for children with diet Table 5a contains the same prohibitions and tips as for adults, so parents who want to help the child get better will have to learn how to refuse sweets, snacks, pizza, burgers, fried fries, and other dishes. which are so popular with many young people. To brighten up the recovery period, you need these recipes for a child with Diet 5a.

Recipes for a child with a diet of 5A:

Cottage cheese souffle with apples

Cottage cheese souffle with apples


  • Cottage cheese – 600g
  • Semolina – 100g
  • Apples – 600g
  • Egg – 4 pcs
  • Butter – 60g
  • Sugar – 120g
  • Vanillin – to taste.

Apples and cottage cheese grate. Melt butter, beat with yolks, sugar and vanilla, add to apples. Squirrel whip until foam, pour into the curd mass, mix. Preheat oven to 180 degrees. To bake a form for baking, to pour in the future a souffle. Send bake for 30 minutes.

This recipe is a sweet dish for children with Diet. Table 5a is suitable as a breakfast for a person with lesions of the gallbladder, pancreas or liver, as well as a snack for the whole family.

Pumpkin Chicken Cream Soup

Pumpkin Chicken Cream Soup


  • Pumpkin – 800 g
  • Chicken fillet – 500 g
  • Potatoes – 400 g
  • Carrots – 150 g
  • Chicken Broth – 0.5L
  • Water – 0.5 liters
  • Butter – 30g
  • Unsalted cheese – 50 g
  • Salt, pepper – to taste.

Boil chicken until cooked. Peel vegetables, chop finely. Heat oil in a saucepan with a thick bottom, put carrots, leave to stew for 3 minutes, pour broth from the breast and water. Send potatoes and pumpkins to the pan, cook until ready. Grind chicken fillet separately with a small addition of broth, send it to the pan, and grind the contents of the pan to a state of mashed potatoes. Finely grate cheese, add to dish.

The first dishes in the menu Diet 5a – the main part of the therapeutic nutrition for diseases of the liver, gallbladder and pancreas, so it is simply necessary to diversify the patient’s lunch meals.

Turkey Steam Pudding

Turkey Steam Pudding


  • Turkey fillet – 300g
  • Semolina – 30 g
  • Egg – 1 pc.
  • Butter – 40g
  • Water – ½ tbsp.

Boil fillets, mince twice. Beat the egg, pour the semolina into it. Mix the ingredients, mix, put in a greased form, send steamed or in a slow cooker.

Meat pudding is a good alternative to fatty meatballs or kebabs under the strict dietary regime of Table 5a.

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