Table No. 4 is indicated for acute intestinal diseases and exacerbations during the period of ongoing diarrhea. The goal of the diet is to provide the body with the necessary nutrients without irritating the intestines or causing fermentation in it. Table No. 4 refers to strict medical diets. It is prescribed for 2-5 days during periods of exacerbation of dyspeptic disorders, chronic intestinal diseases and after operations.
Table No. 4 assumes a sufficient amount of protein in the diet, but a reduction in carbohydrates and fats to the lower limits in order to reduce intestinal inflammation and prevent damage to its mucosa. To do this you need:
- Reduce portion sizes.
- Eat 5-6 times a day.
- Boil or steam all foods.
- Take food in liquid, semi-liquid, or ground form.
- Exclude foods that cause fermentation in the intestines (fresh vegetables and fruits, sweets, legumes and coarse cereals, milk).
- Avoid foods that stimulate bile secretion (spices, sauces, snacks).
- Avoid cold and hot foods (calorizer). The food should be warm.
On diet No. 4 they limit, add,. According to new WHO rules, the amount of salt in the average person's diet should not exceed 5 g.
Restrictions on diet No. 4 apply to all foods that can mechanically, thermally or chemically damage the intestinal mucosa, cause fermentation processes and increase inflammation. This:
- All flour and bakery products, except those permitted;
- Soups with fatty broth, with vegetables or cereals;
- All types of fatty meat, fish and poultry;
- Ready meals: snacks, semi-finished products, canned food, smoked meats;
- Coarse cereals: pearl barley, barley, millet and all types of legumes;
- All fresh vegetables, fruits, berries;
- All types of sweets, confectionery, carbonated drinks.
- Flour products: stale white bread, white bread crackers.
- Meat and fish: Lean parts of veal, beef, chicken or turkey, minced and cooked into steamed cutlets, soufflés or meatballs. Low-fat varieties of fresh fish, steamed or boiled in water.
- Eggs: 1-2 eggs per day, soft-boiled or steamed into an omelet.
- Dairy products: pureed cottage cheese, fresh calcined cottage cheese.
- Cereals: rice, buckwheat or oatmeal, boiled and ground.
- Vegetables and fruits: in the form of purees or decoctions.
- Oil: vegetable, butter for dishes.
- Drinks: tea, cocoa, water coffee, diluted juices, jelly, decoction of rose hips, currants, blueberries.
Table No. 4a
Table No. 4a is indicated for colitis with a predominance of fermentation processes.
The composition is the same as in diet No. 4, but they sharply limit foods and dishes containing large quantities of carbohydrates (porridge; bread no more than 100 g per day; sugar no more than 20 g per day); increase the protein content through meat dishes, pureed cottage cheese, etc.
Meals on diet No. 4a are fractional, but the portion size is smaller and the calorie content is lower than on No. 4. Table No. 4a is prescribed for the period of exacerbation of colitis, so the duration of such nutrition is 2-5 days, and then the patient is transferred to another medical diet.
Table No. 4b
Table No. 4b is indicated for chronic colitis in the stage of fading exacerbation. It is prescribed to patients whose intestinal diseases are accompanied by disorders of the stomach, biliary tract, liver or pancreas. The goal of the diet is to restore intestinal functions and the digestive process in case of non-acute disorders.
- The nutritional rules are the same as on diet No. 4, but the following products are added to the composition:
- Flour products: white bread, yesterday’s baked goods, savory cookies, dry biscuits.
- Soups: cereal soups with weak fish or meat broth, broth with meatballs.
- Cereals: heavily boiled or pureed porridge, except millet, barley, pearl barley, in water with the addition of 1/3 milk.
- Vegetables and fruits: boiled and steamed vegetables, pureed. Boiled and chopped cauliflower, carrots, and potatoes are recommended. Ripe sweet fruits without peel are allowed. If the dynamics are positive, you can include a small amount of ripe tomatoes.
- Dairy products: mild cheese, kefir, yogurt. You can add milk, cream, sour cream to food, and also prepare sauces based on sour cream. Béchamel sauce and dairy desserts with grated fruit are allowed.
The basis for the diet is the composition of table No. 4. Add , . Meals 4-6 times a day. Food is served warm.
Table No. 4b
Table No. 4c is indicated for acute intestinal diseases during the recovery period as a transition to a balanced diet; chronic intestinal diseases during the period of attenuation of exacerbation, as well as outside exacerbation with concomitant lesions of other digestive organs.
The diet is prescribed to provide adequate nutrition in case of some insufficiency of intestinal function, which will help restore the activity of other digestive organs. This is a physiologically complete diet with a slight increase in protein content and moderate limitation of mechanical and chemical irritants of the intestines, excluding foods and dishes that increase fermentation and putrefaction in the intestines, sharply increase its secretory and motor functions, secretion of the stomach, pancreas, and bile secretion.
The basis of the table consists of products from diet No. 4 and 4b, but now it is allowed:
- There is slightly dried or yesterday's bread.
- Add finely shredded cabbage, green peas, beets, young beans, chopped vegetables and well-boiled cereal to soups.
- Cook meat and poultry chopped, not minced, and bake fish.
- There are crumbly porridges and small pasta.
- Prepare sauces using fish or weak meat broth.
- Add oranges and tangerines, sweet fruits and berries within 200 g per day, and finely chopped greens to your diet.
- Marshmallows, marmalade, marshmallows.
Food is prepared uncut, steamed, boiled in water or baked. You need to eat small portions 5-6 times a day.
In addition to following the rules of nutrition for intestinal disorders, you need to drink - an average of 1.5 liters per day (calorizator). You should also promptly adjust your diet in case of intolerance to certain foods. A doctor should prescribe a diet and vitamins based on the patient’s tests and diagnosis.
Unfortunately, many people around the world suffer from diseases of the digestive system. During the period of their exacerbation, a person cannot eat regular food, he has to dodge and come up with something that does not cause heartburn, vomiting, diarrhea, bloating or other unpleasant symptoms.
But Pevzner at one time developed an excellent diet 4 for patients suffering from chronic gastrointestinal diseases. Diet 4 menus for the week can be compiled independently, guided by the supporting information given below.
What is diet table 4 for a week?
Diet 4 was developed by Dr. Pevzner as one of his 15 diets for “all occasions”, or rather for many diseases. Doctors recommend adhering to this diet for patients suffering from diseases of the gastrointestinal tract during an exacerbation of the disease in chronic stages, as well as for one-time diseases, that is, these can be various poisonings and so on.
Typically, a diet is prescribed for problems with the intestines (the appearance of diarrhea, bloating and digestive disorders). The allowed foods in the diet are selected so that dishes made from them do not cause irritation or other negative reactions of the intestinal mucous membranes, and often food during diet 4 has a certain calming effect on the intestines - it reduces fermentation processes and relieves inflammation.
Diet for children
The child may also experience intestinal disorders and unpleasant problems with diarrhea and bloating. In such cases, pediatricians, gastroenterologists and nutritionists recommend that even children adhere to this particular diet, since it is safe for the child’s body, the choice of products is really large, so for allergy sufferers it is possible to replace what directly causes the allergy, and, of course , in case of intestinal disorders, diet greatly saves patients.
If doctors have prescribed the fourth diet as a method of treatment, then you should not ignore it, and to completely heal your baby’s body, force him to follow the diet. For some moral support, diet with him. Any support from parents is very important for a child.
Features of diet table 4
The main distinguishing features of diet 4 is the presence of liquid food in the diet. To be more precise, the entire table of the fourth diet consists of liquid, semi-liquid or ground food. Meals should occur 5-6 times a day at the same time. Eat small and rationally; you cannot overload the intestines with work, otherwise it will cause pain, discomfort and unpleasant consequences. All dishes must be steamed or boiled in water.
Healthy recipes for diet
Beef broth
Ingredients: lean beef 150 grams, water 1 liter.
How to cook: cut lean beef into cubes (to cook faster and easier to chop), cook in water until tender. You cannot add onions, bay leaves, peppers and other spices to the broth. Boiled meat must be ground.
Cottage cheese casserole
Ingredients: cottage cheese 250 grams, egg.
How to cook: grind the cottage cheese through a sieve, add a pre-washed egg to it, mix thoroughly. Place the mixture in a baking dish (no need to grease with oil!). Bake until done.
Mashed potatoes
Ingredients: medium-sized potatoes (3-5 pieces), boiled water.
How to cook: Boil the potatoes until tender, then chop them using a blender or masher. Pour a little boiling water into the mashed potatoes, stir until the consistency of liquid sour cream.
These recipes are good for every day because they are very easy and quick to prepare.
Menu for the week
Monday
First breakfast: rosehip decoction (glass), oatmeal porridge with water (shallow plate), crackers for tea parties (stale, that is, they must sit for several days before consumption).
Second breakfast: banana puree.
Lunch: steamed chicken meatballs, weak tea (1 glass), mashed potatoes.
Afternoon snack: jelly (1 glass), baked apple.
Dinner: meat casserole, glass of water, pearl barley porridge with water.
An hour before bedtime, you can drink a glass of kefir.
Tuesday
Breakfast: grated cottage cheese, a glass of tea.
Second breakfast: marshmallows.
Lunch: rice porridge with water, chicken cutlet, tea (glass).
Afternoon snack: grated apples.
Dinner: mashed potatoes, turkey meatballs, jelly.
An hour before bedtime, a glass of kefir.
Wednesday
Breakfast: green tea (1 glass), homemade yogurt, applesauce.
Second breakfast: buckwheat porridge in milk.
Lunch: beef broth, crackers.
Afternoon snack: waffle, rosehip infusion.
Dinner: chicken casserole, mashed potatoes, water.
An hour before bedtime, a glass of jelly.
Thursday
Breakfast: homemade beef pate, tea.
Second breakfast: pear puree.
Lunch: millet porridge on water, homemade chicken sausage.
Afternoon snack: crackers, juice diluted with water.
Dinner: chicken broth, cheesecake, water.
An hour before bedtime, a glass of jelly.
Friday
Breakfast: mashed potatoes, tea.
Second breakfast: meat casserole.
Lunch: mashed bananas, apples and pears, green tea.
Afternoon snack: waffles and jelly.
Dinner: grated cottage cheese, green tea.
Saturday
Breakfast: cottage cheese casserole, jelly.
Second breakfast: chicken cutlet.
Lunch: beef broth, mashed potatoes.
Afternoon snack: bun, tea.
Dinner: baked apple, rice porridge with water, green tea.
An hour before bedtime, a glass of kefir.
Sunday
Breakfast: baked fruit, water.
Second breakfast: grated cottage cheese.
Lunch: beef patties, mashed potatoes, water.
Afternoon snack: marshmallows, jelly.
Dinner: chicken broth, pearl barley porridge with water, jelly.
Diet 4 goes very well with the recipes given above. They are great for daily use during similar diets.
Video on the topic
Dietary table 4 for indigestion: steam cutlets and chamomile tea
There are a large number of different diets, the action of which is aimed at restoring the proper functioning of human organs and systems in various diseases.
Nutrition system table 4 reduces inflammation in the intestines, normalizes the activity of the gastrointestinal tract, and provides the body with important nutrients.
What is this - the fourth table, and what products are included in the diet - this article will tell you about it.
Basic principles of diet table 4
Diet number 4 can be prescribed by a doctor if a person suffers from chronic or acute gastrointestinal diseases or diarrhea.
In the stage of exacerbation of the disease, this method of nutrition is simply necessary, as it helps restore the digestive organs without mechanical, temperature and biochemical effects on the mucous membrane.
For intestinal diseases, you need to eat liquid, pureed foods, in the form of purees.
For an effective result, you must strictly adhere to your diet - eat up to six times a day, in small portions, using only approved foods.
From the menu of a person with a violation of the digestive process, foods that cause increased secretion of gastric juice, fermentation processes in the intestines and increase peristalsis are excluded.
The temperature of the food should not exceed 50°C.
This nutritional system is low-calorie, as it limits the consumption of carbohydrates and fats.
Daily protein intake corresponds to the norms and physiological needs of the body.
The calorie content of the daily diet is 1900-2100 kcal per day. Therefore, the diet is not prescribed for a long period of time. To achieve improvements, you need to follow this nutrition system for about a week.
What products should you use in your menu daily?
What is not allowed: hard, fatty, smoked, fried foods containing coarse fibers.
What you can eat while following this diet: low-fat foods, cottage cheese, some types of cereals and certain fruits.
The table below of foods for diet No. 4 will tell you more:
Allowed |
- Flour products: crackers from wheat bread. - Vegetables: in the form of ingredients for soup and puree. - Meat: lean beef, rabbit meat, chicken breasts, turkey. All without fat and skin, tendons and films. Soufflé, cutlets, meatballs with rice, steamed meatballs. - Fish: 1-2% fat content - pollock, pike, pike perch, grayling. Steamed cutlets, steamed, meatballs, fish souffle. - Soups: with diluted fish or meat broth, low-fat; using rice, semolina, oatmeal and buckwheat, steamed meatballs, grated meat. - Eggs: in the form of a steam omelet, soft-boiled. – Cereals: in the form of mashed porridges. To prepare them, use water and diluted broth. Mucous decoctions of rice, oatmeal and buckwheat. – Dairy products: pureed cottage cheese, 0% fat, curd soufflé. – Fruits: jelly and jelly from bird cherry, pear, blueberry and dogwood. Baked apples. – Drinks: green and black tea, cocoa with water. Vitamin compotes are made from dried currants, bird cherry, and blueberries. – Butter up to 3-5 grams per day (added to porridge). |
Forbidden |
– Cereals: pearl barley, millet, barley, pasta and legumes. – Soups: fatty, rich meat and fish broths. Soups cooked with milk, with the addition of various cereals and pasta. – Meat: fatty meat, sausage and smoked meats. – Eggs: all cooking methods, except steam omelet and soft-boiled eggs. – Dairy products: milk, dairy products, except low-fat cottage cheese. – Vegetables: fresh vegetables. – Fruits: all dried fruits, jam and everything except those allowed. - Honey. - Spices. |
The first day of the diet allows the consumption of only water and tea, wheat crackers and 50 grams of slimy porridge, preferably rice.
Fourth table: sample menu for the day
Breakfast: semolina porridge with water, baked apple, berry juice;
Snack: pear jelly;
Lunch: pureed rice and carrot soup, steamed pollock fillet cutlets, green tea;
Afternoon snack: blueberry compote;
Dinner: cottage cheese casserole with rice, jelly;
At night: chamomile tea;
What to cook for breakfast or lunch and how can you diversify the menu?
Cottage cheese with pear puree, pike perch balls with rice, oatmeal soup with chicken fillet meatballs, rice soup with potatoes and semolina, boiled rabbit - these are only a small part of the dishes that can be consumed on this seemingly modest diet.
If there are indications for compliance with the strict diet that is required for this diet, then you should not neglect it.
The fourth table can be tolerated very easily with regular meals at certain hours.
The diet copes well with diarrhea and normalizes stool, relieves inflammation of the gastrointestinal tract and improves condition and well-being.
The table system 4B and 4B is designed specifically for the postoperative regimen of patients or for people suffering from acute and chronic intestinal diseases. This diet is also indicated in case of intestinal disease with diarrhea syndrome. The dishes allowed in it reduce the load on the stomach and intestines, cleanse and speed up the recovery of the body.
Characteristics of diet table 4B
Dietary meals contain the necessary and sufficiently high amount of protein, but the level of fats and carbohydrates is reduced to normal. The goal of this diet is to “unload” the body as much as possible, so only those products are selected that are completely absorbed.
Key diet rules
Like any food restrictions, the 4 “B” diet contains a number of rules, compliance with which forms the basis of proper dietary nutrition:
- The required amount of water is 1.5 liters per day. Precisely pure water, not tea, milk or juices;
- The amount of salt is reduced to a minimum, that is, no more than 8 grams per day;
- Meals are divided into small parts. You need to eat six times during the day;
- Fried foods should be excluded. Food only boiled or steamed.
Also, in case of intestinal diseases, it is necessary to exclude any products that cause fermentation or putrefactive processes in the body.
Allowed dishes on the menu
Despite the fairly strict restrictions, the 4 “B” diet table provides a wide variety of delicious foods, which can be presented in table form:
- Lean meat, preferably beef, rabbit or chicken. Boiled. Be sure to remove the skin and cut out the tendons. Once a week you can allow yourself a couple of milk sausages, diet sausage or boiled tongue;
- Soft-boiled eggs or egg dishes are allowed no more than one egg per day;
- Low-fat fish can be baked, and a small amount can even be fried. But you can't cook breaded fish. You should also refrain from eating caviar;
- Vegetable soups or soups with lean meats are one of the main dishes of the diet. However, they should be very liquid and unsalted. You can also add cereals to the broth, everything except millet, potatoes, a small amount of pasta or noodles, carrots, cauliflower, zucchini, lean minced meatballs;
- Liquid porridge, with a small amount of sugar, possibly with the addition of honey or jam;
- Vegetables should make up the majority of the diet. It is recommended to consume vegetables steamed, boiled, in the form of jure or various casseroles. The best options are zucchini, potatoes, carrots, pumpkin, a little (no more than one hundred grams per day) well-boiled peas and beets, or ripe tomatoes;
- Fruits should be the main dessert. Fresh or baked apples will be useful. It is not recommended to consume more than one hundred grams of berries, and only ripe ones. Strawberries, raspberries, pears, thoroughly seeded watermelon, peeled grapes. Oranges and tangerines are allowed, but only in small quantities;
- In drinks, it is advisable to opt for compotes, juices heavily diluted with water and plain water. Coffee and cocoa are allowed, with a small amount of low-fat milk;
- In spices and sauces, it is better to limit yourself to cinnamon, dill and parsley, a small amount of vanillin and bay leaf. Suitable sauces include fruit and sour cream.
Prohibited dishes on the menu
- Butter and puff pastries, fresh or rye bread;
- Soups with fatty broth or with the addition of legumes, rassolnik and okroshka;
- Smoked sausages and any canned food;
- Dairy products;
- Mushrooms and dishes made from them;
- Fried egg dishes;
- Garlic, onion and radish;
- Chocolate, ice cream, cakes;
- Horseradish and mustard, hot sauces.
Approximate menu for the week table 4B
For lunch, low-fat soup with meatballs, some buckwheat, boiled meat and compote for dessert are suitable. For dinner, mashed potatoes, some fish and tea are recommended. At night you should drink a glass of kefir.
On Wednesday morning you need to start with oatmeal porridge, a glass of tea with lemon and an omelet. For second breakfast you should eat cottage cheese. It is better to have lunch with broth, such as chicken broth, mashed potatoes with chicken and compote. Potato casserole and a little milk are good for dinner. Before going to bed, you can drink a glass of yogurt.
Thursday should start with tea, cottage cheese casserole and a small amount of sour cream for it. Cottage cheese is suitable for second breakfast. For lunch, we recommend some vegetarian borscht, rice porridge and compote. You can have meatloaf and mashed potatoes for dinner. Before going to bed - a little fermented baked milk.
Friday breakfast should consist of oatmeal, tea and a piece of milk sausage. For second breakfast - cottage cheese. For lunch, you can treat yourself to jelly, chicken broth and cottage cheese casserole. For dinner, steamed fish cutlets and mashed potatoes are suitable. At night - a glass of yogurt.
On Saturday, boiled noodles with tea and a little mild cheese are recommended for the first breakfast. On the second - cottage cheese. For lunch, vegetarian beetroot soup and buckwheat with meatballs and compote are suitable. For dinner, a little liquid tea and mashed potatoes with meat, before bed - a glass of kefir.
On the last day of the week, it is better to eat rice porridge with butter and drink tea for breakfast. Later - cottage cheese. For lunch, meat borscht, oatmeal and lean meat stew are suitable. For dinner - buckwheat porridge and boiled meat, before bed - a glass of fermented baked milk.
Useful videos
Diet No. 4a (table No. 4a)– a therapeutic nutrition system, recommended for the treatment of acute, as well as exacerbation of enterocolitis with pronounced fermentation processes in the intestines.
The purpose of this therapeutic diet is to reduce fermentation processes in the intestines.
Treatment table 4a is not varied and does not physically satisfy the body’s daily needs, therefore it is prescribed for a period of no more than 5 days, after which it is transferred to or.
Difficult to digest foods, dishes that stimulate secretion, hot and cold, vegetables, and foods that enhance fermentation processes are excluded from the diet. The general principles in creating a diet are similar to those, but carbohydrates are limited as much as possible.
Chemical composition of diet No. 4a:
- proteins 120 g;
- fats 50 g;
- carbohydrates 140 g;
- salt 6 g;
- liquid up to 1.5 l.
Daily intake of diet No. 4a: 1600 kcal.
Diet: 5 times a day.
Indications for use of diet No. 4a:
- acute enterocolitis;
- exacerbation of enterocolitis with pronounced fermentation processes in the intestines;
- any intestinal diseases that occur with a predominance of fermentation processes.
What can you eat on diet No. 4a:
Soups: low-fat meat with the addition of pureed boiled meat or mucous cereal decoctions.
Cereals: only decoctions of buckwheat or rice. It is also permissible to use gluten-free noodles as a side dish.
Vegetables, greens: excluded.
Meat fish: Boil or steam lean types of meat and fish in pieces, in the form of soufflés, cutlets, purees, quenelles, meatballs or meatballs.
Eggs: 1 PC. per day in the form of an omelet, steamed egg white omelet or soft-boiled.
Fresh fruits and berries: excluded.
Dairy products: yogurt, kefir 1%, fresh unleavened cottage cheese (can be calcined), steamed cottage cheese soufflé.
Sweets: jelly (from pear, quince, blueberry or dogwood), sugar (up to 20 g per day).
Flour products: crackers made from premium wheat flour (up to 100 g per day). They can also be replaced with gluten-free breadcrumbs.
Fats: fresh unsalted butter.
Beverages: weak tea (without milk), cocoa in water, decoction of quince, bird cherry, blueberry.
What you can’t eat on diet No. 4a:
- fatty and strong broths, milk broths, soups with cereals and vegetables;
- porridge, legumes;
- bread and flour products;
- fatty types and varieties of meat, sausages, smoked meats;
- fatty fish, salted fish, canned food, caviar;
- milk and dairy products (except those permitted);
- raw eggs, hard-boiled and fried;
- vegetables and fruits;
- strong tea, milk tea, coffee, soda, cold drinks, compotes.
Diet No. 4a (table No. 4a): menu for the week
All dishes are boiled or steamed, and the food is pureed. Eaten warm.
Let's look at a sample 4a diet menu for several days.
Day 1
Breakfast: steamed protein omelet, tea.
Lunch: rose hip decoction.
Lunch: secondary broth with meat puree, cottage cheese.
Afternoon snack: jelly.
Dinner: Steamed chicken meatballs.
Day 2
Breakfast: steamed cottage cheese soufflé, cocoa and water.
Lunch: kefir.
Lunch: fish soup with rice broth, crackers.
Afternoon snack: quince decoction.
Dinner: noodles, steamed cutlets, tea.
Day 3
Breakfast: soft-boiled egg, crackers, cocoa and water.
Lunch: cottage cheese.
Lunch: meat soup, puree from secondary broth, tea.
Afternoon snack: rosehip decoction.
Dinner: fish aspic, tea.
Day 4
Breakfast: steamed cottage cheese soufflé, tea.
Lunch: curdled milk.
Lunch: secondary meat broth with buckwheat broth, crackers.
Afternoon snack: pear jelly.
Dinner: casserole of boiled vermicelli and boiled meat, tea.
Day 5
Breakfast: steam omelette, cocoa on water.
Lunch: rose hip decoction.
Lunch: fish broth with rice broth, crackers.
Afternoon snack: kefir.
Dinner: steamed fish cutlets, blueberry, pear or quince jelly.
Health, peace and goodness to everyone!
Contents:
For what diseases is this diet indicated? List of prohibited and permitted products. Diet modifications - 4a, 4b, 4ag.
Diet 4 (4th therapeutic dietary table) is a diet prescribed for acute or chronic intestinal pathologies with symptoms of severe diarrhea. This menu is recommended for digestive disorders and in the postoperative period. The effect is achieved by choosing products that do not require mechanical processing by the stomach, by giving them a semi-liquid form.
Goal of table 4: reduce the load on the gastrointestinal tract while maintaining the supply of nutrients:
- Protect the mucous membranes from the temperature, chemical and mechanical influences of food to relieve inflammation.
- Eliminate fermentation processes.
- Calm peristalsis.
Treatment table parameters
Diet number 4 for the intestines provides a full amount of macronutrients:
- proteins 90 g, which is the minimum for an adult weighing up to 90 kg;
- fats 70 g- almost 1 g per kilogram of weight, which will help maintain health;
- 250 g carbohydrates- this is almost 2.5-3 g per kilogram of weight for energy supply.
Macronutrients are included in the norms, giving the body the strength to recover from complex diseases of the gastrointestinal tract, without overloading it. However, the diet will be inferior, as it is limited in vitamins, minerals and fiber due to the lack of vegetables and fruits, and dairy products.
Additional daily rules for a therapeutic diet:
- up to 1.5 liters of water and permitted drinks;
- salt dishes moderately - up to 7 g of salt;
- eat 5-6 times.
You need to stick to the plan only five days with transfer to other tables.
What is possible? What's not allowed?
Any treatment table is based on limiting foods that can cause worsening of the condition. The table shows how prohibited foods affect the gastrointestinal tract:
| The product's name | Reason for cancellation |
|---|---|
| Fresh bread, bakery products, muffins | Sugar and yeast cause fermentation |
| Soups with broths, milk, fats, with the addition of vegetables, cereals and pasta | Fatty, strong broths have high enzymatic activity; vegetables and cereals irritate the intestinal walls with fiber. Pasta provokes fermentation |
| Fatty pork, beef, chicken with skin. Semi-finished meat products (sausages, sausages, canned pates, stew). Large pieces of meat | Protein fibers are difficult to digest, fats require the production of enzymes. Additives that enhance peristalsis are used in meat products. |
| Fatty and fried fish, canned food, salted and dried fish, as well as caviar | Fats are difficult to process. Salt absorbs water that the body loses during diarrhea. Canned food contains fats and heavy proteins |
| Milk, kefir, yogurt, cheese | Milk casein takes a long time to digest. Lactose worsens diarrhea |
| Vegetable and butter, nuts, seeds | Overload the digestive tract with fats |
| Hard-boiled and scrambled eggs | Fried and fatty foods increase the secretion of enzymes |
| Vegetables | Irritating effect on the intestines |
| Barley and wheat groats, pearl barley, legumes | Fiber, which is contained in the shell of grains, injures the mucous membranes. Plant proteins in legumes take a long time to break down |
| Fruits, honey, jam, juices, compotes, kvass, candies, cookies, sweets, dried fruits | Sugar is the main source of fermentation, rotting, bloating |
| Cocoa and coffee with milk, latte, soda, hot chocolate | Similar sweet drinks with powdered or fresh milk will cause fermentation |
| Mayonnaise, ketchup, sauces, spicy seasonings | Overload of the gastrointestinal tract with fats, spicy additives, milk proteins, chemical components |
Diet 4 for intestinal diseases is based on limited foods:
- Rusks (200 g fresh), day-old white bread.
- Soups made from non-concentrated broths with boiled and ground cereals (semolina, rice). For satiety, you can add ground boiled lean meat, meatballs, beat and stir an egg.
- Beef and veal without large veins or in the form of cutlets baked without oil. Meat and poultry casseroles, light pates without eggs and vegetables.
- Low-fat boiled or stewed fish. Fish cutlets or meatballs in soups.
- Cottage cheese mashed on a sieve or prepared on the basis of today's kefir.
- Fresh butter is added to porridges and soups.
- Light steamed omelettes, no more than two soft-boiled eggs.
- Rice, oatmeal and buckwheat are thoroughly boiled and pureed in water.
- Vegetable broths are allowed.
- Green and black tea, unsweetened coffee without milk, jelly, decoction of rose hips, blueberries, currants. Apple juice diluted 1 to 2 with water.
- Fine applesauce. Apples baked in the oven.
According to the diet, the weekly menu includes three meals and three snacks.
Breakfast options:
- oatmeal (either grated or instant) in water with butter, soft-boiled egg;
- semolina in water with butter, crackers (stale bread);
- oatmeal and boiled chicken in the form of pate with a little butter, a piece of stale bread;
- casserole of buckwheat and fresh (homemade) cottage cheese in breadcrumbs with egg;
- casserole (soufflé) of rice without milk with eggs and butter, crackers;
- steamed chicken cutlets with butter and egg, rice on water.
Lunches:
- low-fat chicken broth with semolina, grated buckwheat in water, steamed chicken cutlets;
- soup with meatballs and rice, boiled and grated buckwheat with steamed cutlets;
- light broth with rice and chicken soufflé with eggs and butter in the oven, toasted bread;
- steamed fish cutlets, grated buckwheat porridge, light vegetable broth with semolina;
- steamed turkey cutlets, ground rice in water, broth based on turkey fillet with breadcrumbs;
- soup in a light broth with ground beef and buckwheat, rice with a steamed cutlet.
Dinners:
- steamed omelette, semolina porridge;
- buckwheat and cottage cheese casserole with egg;
- soufflé made from rice, eggs and chicken;
- baked fish fillet and rice porridge;
- steamed turkey (or fish) cutlets, buckwheat porridge;
- buckwheat porridge and two soft-boiled eggs.
Snacks:
- biscuits without sugar;
- white bread crackers;
- jelly or jelly without sugar;
- grated cottage cheese with baked apple;
- grated fresh apple.
Jelly is prepared from dogwood and quince, and jelly is made from pears and blueberries without adding sugar. Green tea, coffee, decoctions of rosehip, currant, quince and bird cherry diversify the drinking regime and the vitamin composition of the diet.
Specialized diet options number 4
Fermentative dyspepsia occurs against the background of digestive disorders caused by a lack of enzymes, diet failures, excess coarse fiber and simple carbohydrates, and problems with peristalsis. Modified diet 4a.
Its goal: to limit the intake of substances into the body that irritate the intestines and provoke fermentation. Calorie content of the “calming” diet - 1600 kcal due to the predominance of protein and a reduced amount of carbohydrates, which have basic requirements. You need to stick to the table no more than five days due to the monotony and scarcity of the food set.
- Steamed omelette, semolina porridge with water and tea.
- Calcined cottage cheese.
- Meat puree soup, steamed meatballs and jelly.
- A glass of rose hip decoction.
- Fish aspic, boiled vermicelli and tea.
- A glass of kefir.
- White bread crackers, about 10 g of butter in porridge and no more than 30 g of sugar are acceptable during the day.
Chronic moderate inflammatory processes make adjustments to food recipes for every day. Diet 4b does not irritate the gastrointestinal tract, namely it prevents fermentation, increased secretion of bile and gastric juice. The menu recommended for complex diseases of the intestines, pancreas, liver and stomach consists of an expanded list of products:
- about 200 g of day-old or dry bread;
- soups with light (second) meat or fish broths with ground cereals, meatballs and finely chopped vegetables;
- boiled lean fish and meat or in steamed cutlets;
- boiled and grated starchy vegetables: cauliflower, potatoes and carrots;
- sweet berries and ripe fruits;
- fresh tomatoes with a good reaction to them;
- dairy products in dishes, fresh cottage cheese and kefir;
- within 15 g of butter without salt per meal;
- no more than two eggs per day, soft-boiled or in omelets, casseroles;
- cinnamon, fruit sauces, cheeses, pates and jellied dishes in small quantities, homemade sauces with broths and parsley;
- up to 100 g of fresh berries per day, baked apples, jelly and fruit jelly, except melons, plums, apricots and watermelons;
- green and black tea, coffee and cocoa with milk, fruit juices diluted with water up to 150 ml;
- less than 50 g of sugar per day, including in prepared foods.
Diet 4b recipes exclude fatty meat, poultry, fish, fresh fruit, baked goods, fatty broths and heavy cereals (millet, pearl barley), soda and chilled drinks, sweets and cappuccino:
- For breakfast, mashed potatoes with boiled fish and rice pudding.
- Fresh cottage cheese for a snack.
- For lunch, rice soup with mashed carrots, meat and buckwheat casserole, apple or quince jelly.
- For an afternoon snack, an egg white omelette and rosehip infusion.
- For dinner, carrot puree with lean beef cutlets.
- Before bed, cottage cheese or kefir.
Diet 4 for intestinal diseases in remission
The expanded menu for the week involves a transition to a nutritious diet based on boiled, steamed or baked dishes. Restrictions apply to foods that increase fermentation and flatulence:
- fried and fatty meat;
- rich broths;
- fresh vegetables and fruits;
- cereals with a high fiber content;
- legumes;
- soda;
- fresh bread and pastries.
You can treat yourself to marshmallows, marshmallows or Turkish delight.
Gluten-free menu (diet No. 4ag)
Celiac disease, or the absence of a certain protein in the intestinal mucosa, prohibits grains containing vegetable protein - gluten. Nutrition is developed with a predominance of animal protein and dairy foods, and the requirements depend on the stage of treatment. In case of complete exhaustion, intravenous administration of glucose and fructose is indicated. After vomiting and diarrhea stop, a strict diet is introduced for 8-10 months, and then foods with gluten are gradually included in the diet.
- stew, boil and grind;
- peel the skins of vegetables and fruits;
- completely give up grapes;
- exclude coarse fibers (apples, legumes, raw cabbage);
- do not give mushrooms;
- exclude store-bought milk;
- You can use homemade dairy products if you are not lactose intolerant;
- sweets to increase calorie intake.
List of available products on the 4ag diet:
- rice, corn, soybeans, tree nuts;
- vegetables, including potatoes;
- fruits other than dates and bananas;
- corn and rice flour;
- meat and fish, caviar;
- buckwheat in small quantities;
- vegetable oils;
- homemade sour cream, cream and butter, cottage cheese and cheeses;
- sugar, honey, homemade jam;
- tea and ground coffee;
- homemade pates, store-bought seaweed, canned corn.
Wheat, oats and barley, as well as products containing them, are dangerous for people with celiac disease:
- flour, bakery products;
- canned food and sauces;
- beer and vodka;
- carbonated and packaged drinks;
- instant coffee 3 in 1;
- chewing gum, chips;
- industrial dairy products.
Intestinal diseases almost always disrupt the functioning of adjacent organs of the digestive system. Following the principles of proper nutrition, as a rule, helps to keep symptoms under control and not lead to complications.
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 accompanying these diseases.
The diet completely excludes dishes that can stimulate the secretory functions of the stomach and activate the functioning of the gallbladder. Heat treatment involves cooking and steam cooking. Dishes are served in liquid, semi-liquid and pureed form.
General dietary rules:
- six meals a day;
- preparation of products is allowed only by boiling and steaming;
- Solid foods, thick, hot and cold foods are completely prohibited.
Diet types #4
Table No. 4 is divided into three subtypes - 4A, 4B, 4B. The main difference is the food set.
This therapeutic nutrition option is prescribed in the acute period of the disease. The diet menu is monotonous and excludes many foods. It is recommended to be observed for two to five days. Energy value – 1600 Kcal.
Table 4B is prescribed during the period of exacerbation of chronic gastrointestinal pathologies - for diseases of the liver, kidneys, biliary tract, pancreas. Table 4B is physiologically complete, so it can be practiced for a long time. Energy value – 2900 Kcal.
The diet is practiced during the first 7 days after surgery, as well as after the end of the acute period of intestinal disease. Used as a transition from the treatment table to the general one. Energy value – 3140 Kcal.
Indications for use
- acute period of intestinal disease, accompanied by severe diarrhea;
- severe exacerbation of chronic pathologies.
Allowed food basket
The list of products approved by nutritionists for use when developing a daily menu is quite extensive. It is represented by the following positions:
- Already dried (day before yesterday) wheat bread, homemade crackers. The permissible norm for 24 hours is no more than 200 grams of product. Additionally, dry cookies (biscuits) are allowed.
- Puree porridge. They are the basis of the patient’s diet. Semolina, white rice, buckwheat, and oatmeal are allowed. They are prepared either in water or in fat-free (skimmed) meat broth.
- Butter. Use only 50 grams per day.
- Soups. When cooking, you need to take the removed (second) one from under the fish/meat. To fill, take cereals, a minimum of vegetables, pureed or processed with a blender/meat grinder, boiled meat, dumplings, eggs, meatballs.
- 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, meatballs, quenelles. When collecting minced meat, bread must be replaced with semolina or boiled rice. It is allowed to prepare meat pate by adding a minimum amount of salt.
- Low-fat fish. Serving in the form of a whole boiled/steamed piece is allowed. If it is a chopped version, then it can be dumplings, cutlets, meatballs. Cooking or steam cooking is allowed.
- Eggs. The norm is 2 pieces per day. Served soft-boiled, in the form of a steam omelette. It is allowed to be mixed into soups (you get hearty egg flakes) and soufflés.
- Low-fat pureed cottage cheese. Used for making casseroles and soufflés.
- Vegetables. It is allowed to be used exclusively in pureed form, adding a small amount when cooking soup. The volumes are minimal.
- Fruits - apples (fresh, in the form of puree), jelly (blueberries, bird cherry, dogwood, quince, pears), fruit drinks.
- Juices from sweet berries (previously diluted with boiled water in equal proportions). Grape, plum and apricot fruits are prohibited.
As a drink, it is allowed to use: herbal teas, rosehip uzvar, infusion of bird cherry berries, tea (green or black varieties), still water (no more than 1.5 liters per day).
Prohibited Products
Table No. 4 completely excludes the consumption of foods containing fiber.
The list of prohibited products includes:
- Vegetables. They can be added to soups in small quantities and pureed.
- Bread. Whole grain, rye, bran, cereal. It is difficult to digest and can injure the mucous membrane.
- Fresh pastries, pancakes/pancakes. They provoke the processes of fermentation and rotting.
- Jam, honey, jam, dried fruits, sweets. During the day you are allowed to use 50 grams of granulated sugar.
- Porridge – millet, barley, barley, legumes.
- Pasta.
- Fatty broths. They contribute to increased intestinal motility and worsening of the condition.
- Fatty meats and fish.
- Canned food, pickles and fish in particular.
- Whole milk, cream, sour cream, cheese. May cause increased 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 meats, ham, sausages.
These products can stimulate gastrointestinal motility and cause bloating.
Sample weekly menu
It is necessary to organize six meals a day. Be sure to alternate dishes to avoid monotony.
Monday
1st breakfast: oatmeal with a piece of butter, a soft-boiled egg, a drink.
2nd breakfast: pureed apple (fresh or pre-cooked in the oven).
Lunch: soup with rice cereal and the addition of minced meatballs, homemade croutons, buckwheat with chicken cutlets (stewed in water or steamed), apple-pear drink.
Afternoon snack: jelly with biscuits or homemade croutons.
Dinner: semolina (without adding granulated sugar), a portion of boiled fish, a drink.
Late dinner: jelly.
Tuesday
1st breakfast: rice porridge (sweetened) with a piece of butter, crackers, rose hip broth.
2nd breakfast: a few spoons of cottage cheese.
Lunch: meat broth thickened with semolina, steamed dumplings of minced chicken/turkey, side dish - boiled rice, homemade croutons, jelly.
Afternoon snack: an apple baked in the oven and chopped in a blender.
Dinner: egg, buckwheat porridge, drink.
Late dinner: compote of allowed dried fruits with biscuits.
Wednesday
1st breakfast: thoroughly boiled oatmeal with a piece of butter, a pureed piece of boiled meat, a little cottage cheese, tea, biscuits.
2nd breakfast: fruit puree.
Lunch: chicken broth with rice cereal and egg flakes, grated buckwheat porridge, meatballs, fruit drink.
Afternoon snack: jelly with biscuits.
Dinner: minced fish meatballs (you can use hake), garnished with well-cooked rice, sweet black tea.
Late dinner: jelly.
Thursday
1st breakfast: buckwheat porridge with a piece of butter, a soft-boiled egg, a little cottage cheese, a fruit drink.
2nd breakfast: jelly with wheat bread dried in the oven.
Lunch: soup with meatballs, thickened with semolina, homemade croutons, thoroughly boiled rice cereal, garnished with steamed minced fish balls, jelly.
Afternoon snack: rosehip broth, homemade crackers.
Dinner: cottage cheese-buckwheat pudding, meat soufflé, drink.
Late dinner: pear broth.
Friday
1 breakfast: rice pudding, low-fat cottage cheese, tea,
2nd breakfast: berry broth.
Lunch: fish broth with fish balls and rice, homemade croutons, minced chicken cutlets (steamed), garnished with grated buckwheat, berry broth.
Afternoon snack: unsweetened decoction of rose hips with biscuits.
Dinner: steam omelette, sweet semolina porridge, tea.
Late dinner: decoction of dried fruits (apples and black currants).
Saturday
1st breakfast: buckwheat pudding with cottage cheese, baked apple puree, tea.
2nd breakfast: pear and apple compote.
Lunch: broth with semolina and stirred egg, veal cutlets (steamed), garnished with pureed rice porridge, pear compote.
Afternoon snack: berry compote with biscuits.
Dinner: oatmeal with sugar-free butter, soft-boiled egg, black tea.
Late dinner: jelly.
Sunday
1st breakfast: thoroughly boiled oatmeal with a piece of butter and steamed minced chicken/turkey cutlets, a drink, homemade white wheat bread croutons.
2nd breakfast: a few spoons of low-fat cottage cheese.
Lunch: beef broth with meatballs, thickened with semolina, pureed buckwheat porridge with lean fish meatballs, fruit jelly.
Afternoon snack: black tea with homemade crackers.
Dinner: rice porridge with a piece of butter, a soft-boiled egg, a drink.
Late dinner: compote of allowed dried fruits.
Recipes
We offer several recipes for dishes that may be included in diet menu No. 4.
Fish meatballs
Components:
- water – 55 ml;
- rice – 55 grams;
- butter – 15 grams;
- fish fillet – 300 grams.
Preparation:
- Prepare sticky rice.
- Pass it through a meat grinder at least twice, adding fish.
- Stir the butter into the resulting mass, add water and add a little salt.
- Prepare meatballs from the kneaded minced meat and steam.
Hake balls (steam)
Ingredients: egg, hake fillet – 300 grams; semolina grits – 50 grams; salt to taste. Preparation: Grind the fish through a meat grinder. Place semolina, salt and egg into the minced meat. Mix. Form into balls and steam.
Beef steamed cutlets
Ingredients: beef – 710 grams, onion – 1 piece, chicken eggs – 2 pieces, rice flour – 110 grams, salt. Preparation:
- Grind the beef and onions using a meat grinder.
- Mix eggs, flour and salt into the minced meat.
- Knead the mixture and place it on the refrigerator shelf for 1 hour.
- Cook the formed cutlets in a double boiler for half an hour.
Ingredients:
- eggs – 2 pieces;
- milk – 1.5 cups.
Steam omelet is one of the options for serving eggs
Preparation:
- Pour milk over the eggs and beat the mixture thoroughly. Add some salt.
- Place a container filled with the mixture into the multicooker bowl. Cook in “steam” mode.
- You can also use a steam bath.
Buckwheat-curd pudding
Ingredients: buckwheat – ¼ cup, fat-free/low-fat cottage cheese – 155 grams, egg, granulated sugar – 1 spoon. Preparation:
- Boil the buckwheat and grind.
- Mix it with cottage cheese. Add the yolk, sweeten, mix again and add the thoroughly beaten white.
- Transfer the mixture to a greased pan and steam.
Diet No. 4 for children
In childhood, it is prescribed for the development of severe diarrhea. The first day is fasting. The child should drink herbal infusions and teas within 24 hours. Mineral water without gases is allowed. Daily fluid intake is no more than 1 liter. Drinks should be given often, but in small portions, so as not to cause vomiting. From the second day the child is transferred to diet No. 4.
The child can receive:
- dried wheat bread;
- slimy rice concoctions;
- “second” broths made with chicken or beef - they can be thickened with semolina or oatmeal;
- steam-cooked fish and meat dishes;
- pureed porridge from buckwheat, rice, oatmeal;
- soups - you can put chopped meat or meatballs in them;
- steam omelette;
- cottage cheese – can be served in its natural form or as a casserole.
Kissel should only be prepared at home; packaged versions are not recommended, especially for children.
Butter can only be used as an additive to a dish. Allowed drinks are decoctions of blueberries, rose hips, quince fruits and jelly. Baked goods, soups - prepared with vegetables or milk, smoked meats, sausages, canned food, fatty meats, sour cream, milk, vegetables (fresh and cooked), fresh fruits, grape juice are completely prohibited.
The diet provides for six meals a day. Duration – 6 days. Then it can be expanded. It is allowed to introduce a small amount of vegetables - zucchini, potatoes, carrots, cauliflower, pumpkin, small vermicelli, porridge cooked with milk. You can add a little sour cream to the soup.
Therapeutic diet No. 4 is a nutritional system recommended for acute/chronic conditions accompanied by severe diarrhea. Dishes are allowed to be changed at your own discretion, but it is important to follow the basic principles of preparation and recommendations for food baskets.
