Diet 4 for bowel diseases

Contents of

Diet 4 for intestinal diseases is positioned as one of the options for therapeutic nutrition. Recommended for patients with colitis, digestive disorders, dysentery, enterocolitis.

General rules

This type of diet is prescribed to patients during the treatment of digestive system disorders and intestinal pathologies accompanied by diarrhea. Its main task is to eliminate the pathological processes associated with these diseases.

The diet completely excludes dishes that can stimulate the secretory functions of the stomach and activate the work of the gallbladder. Heat treatment includes cooking and cooking steam. Dishes are served in liquid, semi-liquid and wiped form.

General rules of dietary nutrition:

• six meals a day;
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• preparation of products is allowed exclusively by boiling and steam;
• under the complete prohibition are solid products, thick, hot, cold food.

Types of the diet № 4

Table number 4 is divided into three subspecies - 4A, 4B, 4B.The main difference is the grocery set.

Diet 4A

This variant of therapeutic nutrition is prescribed in the acute period of the disease. The diet menu differs monotony and excludes many products. It is recommended for compliance within two to five days. The energy value is 1600 kcal.

Diet 4B

Table 4B is appointed in the period of exacerbation of chronic gastrointestinal pathologies - in diseases of the liver, kidneys, bile ducts, pancreas. Table 4B is physiologically full, so it can be practiced for a long time. The energy value is 2900 kcal.

Diet 4B

The diet is practiced for the first 7 days after the surgery, and after the end of the acute period of intestinal disease. Used as a transition from the treatment table to the general. The energy value is 3140 kcal.

Indications for prescription

Table No. 4 for Pevzner is recommended in the following cases:

• acute period of intestinal disease, accompanied by severe diarrhea;
• severely leaking exacerbation of chronic pathologies.

Authorized food basket

The list of products approved by nutritionists for use in developing the daily menu is quite extensive. It is represented by the following items:

• Already dried( the day before yesterday) bread from wheat, homemade biscuits. The allowed norm for 24 hours is not more than 200 grams of the product. In addition, dry biscuits( biscuits) are allowed.
• Mashed porridge. They are the basis of the patient's diet. Allowed mancha, white rice, buckwheat, oatmeal. Prepared for either water, or fat-free( removed) broth from the meat.
• Butter. Use only 50 grams per day.
• Soups. When cooking, take the removed( second) from under the fish / meat. For filling, grains, a minimum of vegetables, a boiled meat, knels, egg, meatballs, or blender, processed with a blender / meat grinder are taken.
• Meat. Only dietary varieties are allowed - veal, beef, chicken breast, turkey, rabbits. Before cooking, the skin must be removed and the tendons cut out.
• Steamed cutlets, meat balls, knels. When collecting minced bread should be replaced with croup of mango or boiled rice. It is allowed to cook meat pate, adding a minimum amount of salt.
• Fish of low-fat varieties. Feed in the form of a single boiled / steam piece is allowed. If the chopped version, then it can be knellets, cutlets, meatballs. It is allowed to cook or steam cooking.
• Eggs. Norm of 2 pieces per day. Served to the table soft-boiled, in the form of a steam omelet. It is allowed to interfere in soups( rich egg flakes are obtained), soufflé.
• Low-fat, wiped cottage cheese. Used for cooking casseroles and soufflé.
• Vegetables. It is allowed to use only in a grated form, adding a small amount when cooking soup. Volumes are minimal.
• Fruits - apples( fresh, in the form of puree), kissels( blueberries, bird cherries, dogwood, quince, pears), fruit drinks.
• Juices from sweet berries( pre-diluted with boiled water in equal proportions).Grape, plum and apricot are forbidden.

As a drink, it is allowed to use: teas on herbs, dogrose bottles, tea bug infusions, tea( varieties - green or black), water without gas( no more than 1.5 liters per day).

Prohibited products

Table No. 4 completely excludes the consumption of foods that contain fiber.

The list of prohibited products includes:

• Vegetables. They are allowed to add the product to soups in small amounts and a grubby condition.
• Bread. Whole-grained, rye, on the bran, cereal. It is difficult to digest and can injure the mucous membrane.
• Fresh pastries, pancakes / pancakes. Provoke the processes of fermentation and decay. Jam, honey, jam, dried fruits, sweets. During the day it is allowed to use 50 grams of granulated sugar.
• Porridge - millet, yak, pearl barley, beans.
• Macaroni.
• Fatty broths. They contribute to increased intestinal peristalsis and worsening of the condition.
• Fatty grades of meat, fish.
• Canned, salted and fish in particular.
• Whole milk, cream, sour cream, cheese. May cause diarrhea. Milk must be diluted with water. It is used only for cooking porridges and puddings.
• Cocoa, coffee with milk, sweet soda, kvass. Sauces, marinades.
• Smoked meat, ham, sausages.

Approximate weekly menu

It is necessary to organize six meals a day. It is necessary to alternate dishes to avoid monotony.

Monday

1 breakfast: oatmeal with a slice of butter, soft-boiled egg, drink.

2 breakfast: a freshly-cooked apple( fresh or pre-cooked in the oven).

Lunch: soup with rice croquet and the addition of meatballs from minced meat, homemade toast, buckwheat with chicken cutlets( stewed on water or processed in a steam way), apple-pear drink.

Snack: Kissel with biscuits or homemade toast.

Dinner: mango( without adding granulated sugar), a portion of boiled fish, a drink.

Late supper: kissel.

Tuesday

1 breakfast: rice porridge-sweetener( sweetened) with a piece of butter, cracker, dog rose.

2 breakfast: a few spoons of cottage cheese.

Lunch: meat broth, thickened with semolina, steam knels from minced chicken / turkey, garnish - boiled rice, homemade croutons, kissel.

Snack: baked in the oven and crushed in a blender apple.

Dinner: an egg, a buckwheat porridge made of buckwheat, a drink.

Late supper: compote of allowed dried fruits with biscuits.

Wednesday

1 breakfast: carefully boiled oatmeal with a slice of butter, a piece of boiled meat, a bit of cottage cheese, tea, a biscuit biscuit.

2 breakfast: fruit puree.

Lunch: chicken broth with rice and egg flakes, grated porridge from buckwheat, meatballs, fruit drink.

Snack: Kissel with biscuits.

Dinner: minced meatballs( you can take a hake), garnished with well-boiled rice, sweet black tea.

Late supper: kissel.

Thursday

1 breakfast: buckwheat of buckwheat with a slice of butter, soft-boiled egg, a little cottage cheese, a fruit drink.

2 breakfast: jelly with dried breadwheat in the oven.

Lunch: soup with meatballs, thickened with semolina, homemade croutons, carefully boiled rice croup, garnished with steaming bitches from minced fish, jelly.

Snack: boiled broth, homemade croutons.

Dinner: cottage cheese, buckwheat pudding, meat soufflé, drink. Late dinner: pear broth.

Friday

1 breakfast: rice pudding, low-fat cottage cheese, tea,

2 breakfast: berry broth.

Lunch: fish broth with fish balls and rice, homemade croutons, minced chicken cutlets( steam), garnished with baked buckwheat, berry broth.

Snack: unsweetened broth from wild rose hips with biscuits.

Dinner: steam omelet, sweet semolina porridge, tea.

Late supper: a decoction of dried fruits( apples and black currant).

Saturday

1 breakfast: buckwheat pudding with the addition of cottage cheese, puree from baked apple, tea.

2 breakfast: pear-apple compote.

Lunch: broth with a manga and a stirred egg, veal cutlets( steam), garnished with mashed rice porridge, pear compote.

Snack: berry compote with biscuits.

Dinner: oatmeal with butter without sugar, soft-boiled egg, black tea.

Late supper: kissel.

Sunday

1 breakfast: carefully boiled oat flakes with a slice of butter and steamed chicken / turkey chops, drink, homemade bread crumbs of white wheat bread.

2 breakfast: several spoons of low-fat cottage cheese.

Lunch: beef broth with meatballs, thickened with semolina, mashed buckwheat porridge with meatballs from lean fish, fruit jelly.

Snack: black tea with homemade bread rolls.

Dinner: rice porridge with a slice of butter, soft-boiled egg, drink.

Late supper: compote of allowed dried fruits.

Recipes

We offer several recipes for dishes that can enter the menu of diet number 4.

Fish meatballs

Components:

• water - 55 ml;
• rice - 55 grams;
• butter - 15 grams;Fish fillet
• - 300 grams.

Preparation:

1. Prepare viscous rice.
2. Pass it at least twice through the meat grinder, adding fish.
3. Mix in the resulting mass of oil, add water and a little add.
4. From the mixed minced meat, prepare meatballs and cook in a steam way.

Hedge beads( steam)

Ingredients: egg, hake fillet - 300 grams;semolina of croup - 50 grams;salt to taste. Preparation: chop the fish through a meat grinder. Put in minced meat, salt, egg. Mix. Form the crocheted and cooked steamed. Beef steamed burgers

Ingredients: beef - 710 grams, onions - 1 piece, eggs for chicken - 2 pieces, rice flour - 110 grams, salt. Preparation:

1. Beef with onion grind with a meat grinder.
2. Mix in minced eggs, flour and add.
3. Knead the ingredients and place for 1 hour on the refrigerator shelf.
4. Cook the formed cutlets in a double boiler for half an hour.

Steam Omelette

Ingredients:

• eggs - 2 pieces;
• milk - 1.5 cups.

Preparation:

1. Eggs pour milk and mix thoroughly. To add.
2. Place the container filled with the mixture in the bowl of the multivark. Cook in steam mode.
3. You can also use a steam bath.

Buckwheat-cottage cheese pudding

Ingredients: buckwheat - ¼ cup, fat-free / low-fat cottage cheese - 155 grams, egg, sugar - 1 spoon. Preparation:

1. Boil the buckwheat and rub.
2. Mix it with cottage cheese. Put the yolk, sweeten Re-mix and insert carefully whipped protein.
3. Transfer the mixture into a buttered form and steam it.

Diet № 4 for children

In childhood, it is prescribed for the development of severe diarrhea. The first day - unloading. Within 24 hours the child should drink herbal decoctions and teas. Mineral water without gases is allowed. The daily intake of liquid is no more than 1 liter. Drink should be given often, but in small portions, so as not to induce vomiting. From the second day the child is transferred to diet number 4.

The child can receive:

• dried wheat bread;
• mucous rice decoctions;
• "second" broths on chicken or beef - they are allowed to thicken with mango or oat flakes;
• fish, meat dishes cooked in steam;
• mashed porridge from buckwheat, rice, oatmeal;
• soups - they are allowed to put chopped meat or meatballs;
• steam omelet;
• curd - can be served in kind or in the form of casseroles.

Butter can only be used as an additive to a dish. Allowed drinks are decoctions of blueberries, dogrose, quince fruits and jelly. Baking is completely forbidden, soups - cooked on vegetables or milk, smoked products, sausages, preserves, meat of fatty varieties, sour cream, milk, vegetables( fresh and cooked), fruit fresh, grape juice.

The diet provides six meals a day. Duration - 6 days. Then it can be expanded. Allowed the introduction of a small amount of vegetables - squash, potatoes, carrots, cabbage, pumpkin, small vermicelli, cereals, cooked in milk. In the soup allowed to put a little sour cream.

Therapeutic diet No. 4 - a food system, recommended for acute / chronic gastrointestinal diseases, accompanied by severe diarrhea. Dishes are allowed to be changed at their discretion, but it is important to follow the basic principles of preparation and recommendations for grocery baskets.