Natalia Bogdanova

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This diet is aimed at reducing fermentation processes. The composition of table number 4a is similar to diet number 4, except that high-carbohydrate meals in the diet are sharply limited.

The principles of the diet Table No. 4a

The key goal of diet #4a is reduce fermentation processes in the intestines .

The treatment table is high-protein, provides a gentle diet for the gastrointestinal tract and is different maximum restriction of the amount of carbohydrates (for a day - no more than 20 g of sugar, 100 g of bread, cereals are prohibited).

Approved Products

What foods should be consumed?

• Low fat cottage cheese
• Decoctions of cereals (buckwheat, rice)
• Fish/meat soufflé
• Light broths (fat-free, secondary). Soups from them with cereal decoctions (mucous) or with the addition of mashed meat
• Dishes from (no more than 1 pc / day) - scrambled eggs, steamed eggs (from protein) or soft-boiled eggs
• Garnish - vermicelli
• Rusks - no more than 100 g
• Fish: souffle, steamed cutlets or boiled (piece)
• Curdled milk, kefir (1%)
• From meat: exclusively non-fat varieties, steamed, boiled or in the form of cutlets, soufflé, mashed potatoes, etc.
• Drinks: bird cherry compote, very weak tea, jelly (blueberries, quince), decoctions (rose hips, quince), you can cocoa on the water
• Butter - only and unsalted

Prohibited Products

What foods on diet number 4a should be limited?

• All snacks and preserves
• Sauces
• Bread and porridge
• flour products
• Vegetables and fruits
• All juices and sweets
• Fats and fatty meats/fish
• Condiments, spices and marinades with pickles/smoked
• All carbonated drinks, kvass
• Legumes

How to make a menu for diet No. 4a for a week?

For table number 4a, the approximate menu is as follows:

Option number 1:

Option number 2:

Diet option number 4a for a child:

Menu for 7 days for adults

When compiling an individual menu, you should use the lists of allowed products.

Monday:

1st Breakfast. 1 boiled egg, oatmeal in water, green tea.
2nd Breakfast. Applesauce.
Dinner. Chicken dumplings, buckwheat porridge, herbal tea.
afternoon tea. Quince jelly.
Dinner. Vermicelli with boiled fish, tea.
Before bedtime. A glass of kefir.

Tuesday:

1st Breakfast. Steamed cutlet, steamed omelet, tea.
2nd Breakfast. 100 g low-fat cottage cheese.
Dinner. Liquid semolina, chicken soufflé.
afternoon tea. 1 soft-boiled egg.
Dinner. Fish meatballs, herbal tea.
Before bedtime. Warm kissel.

Wednesday:

1st Breakfast.
2nd Breakfast. Mango pudding.
Dinner. Boiled fish fillet.
afternoon tea. Apple jelly.
Dinner. Cutlets with chicken and steamed rice, green tea.
Before bedtime. Rosehip decoction.

Thursday:

1st Breakfast. Buckwheat porridge on the water, a little low-fat cottage cheese.
2nd Breakfast. Quince decoction.
Dinner. Fish broth with rice and meatballs, rabbit steam cutlets.
afternoon tea. Herbal tea.
Dinner. Curd-buckwheat pudding in a steam bath, a little boiled beef soufflé, green tea.
Before bedtime. Warm kissel.

Friday:

1st Breakfast. Viscous rice porridge, a piece of cheese, tea.
2nd Breakfast. Currant jelly.
Dinner. Liquid semolina, chicken soufflé.
afternoon tea. A decoction of berries, a couple of crackers.
Dinner. Pureed buckwheat in beef broth, bird cherry decoction.
Before bedtime. Rosehip decoction.

Saturday:

1st Breakfast. Rice pudding with egg, a little low-fat cottage cheese, green tea.
2nd Breakfast. Warm decoction of blueberries or currants.
Dinner. Steamed chicken meatballs, mashed buckwheat porridge on the water, jelly.
afternoon tea. Warm decoction of wild rose.
Dinner. Soup in fish broth with oatmeal, fish meatball.
Before bedtime. Berry compote.

Sunday:

1st Breakfast. Softened buckwheat boiled in chicken broth.
2nd Breakfast. Quince jelly and a couple of crackers.
Dinner. Steamed fish soufflé, runny mashed potatoes, herbal tea.
afternoon tea. 1 soft-boiled egg.
Dinner. Rice porridge on the water, tea.
Before bedtime. Rosehip decoction.

Menu for 7 days for children

When compiling a children's menu, you should consider whether the baby is allergic to any products.

Monday:

1st Breakfast. Liquid semolina porridge on the water, scrambled eggs, tea.
2nd Breakfast. Baked apple, mashed cottage cheese.
Dinner. Low-fat meat broth, mashed potatoes, tea.
afternoon tea. A glass of kefir.
Dinner. Stewed carrots, cottage cheese pudding, sweetened tea.
Before bedtime. Kissel.

Tuesday:

1st Breakfast. Oatmeal on the water, low-fat mashed cottage cheese, tea.
2nd Breakfast. Rosehip decoction.
Dinner. Broth with vermicelli, boiled meat soufflé.
afternoon tea. Some crackers, warm jelly.
Dinner. Steamed omelette, buckwheat porridge mashed with water, herbal tea.
Before bedtime. Blueberry decoction.

Wednesday:

1st Breakfast. Viscous rice porridge, quince jelly.
2nd Breakfast. Apple curd puree.
Dinner. Steamed codfish cakes, sweetened tea.
afternoon tea. Berry broth and a couple of crackers.
Dinner. Pureed buckwheat porridge, 1 poached egg.
Before bedtime. Rosehip decoction.

Thursday:

1st Breakfast. Buckwheat pudding with cottage cheese, pureed apple, tea.
2nd Breakfast. Quince jelly.
Dinner. Vegetable broth with semolina and quenelles, steamed chicken fillet meatballs.
afternoon tea. Fruit jelly.
Dinner. Rice porridge on the water, beef soufflé, herbal tea.
Before bedtime. Rosehip decoction.

Friday:

1st Breakfast. Rice soup with croutons, tea.
2nd Breakfast. 1 softened egg.
Dinner. Pureed buckwheat porridge on the water, fish meatballs.
afternoon tea. Tea with crackers.
Dinner. Veal soufflé, pureed rice porridge, herbal tea.
Before bedtime. Quince jelly.

Saturday:

1st Breakfast. Cottage cheese pear pudding, liquid semolina porridge on the water.
2nd Breakfast. Rosehip decoction.
Dinner. Softened boiled fish fillet, slimy oatmeal.
afternoon tea. Rice broth.
Dinner. Pureed buckwheat in beef broth, beef soufflé, herbal tea.
Before bedtime. Warm kissel.

Sunday:

1st Breakfast. Vegetable puree soup, mashed low-fat cottage cheese.
2nd Breakfast. Berry jelly.
Dinner. Vegetable broth with semolina and meatballs, steamed fish cakes.
afternoon tea. A glass of kefir.
Dinner. Steamed omelet, liquid semolina on the water, herbal tea.
Before bedtime. Rosehip decoction.

Reviews of nutritionists

- For a week on diet number 4a, there are clearly established rules: a minimum of carbohydrates and more proteins. That is, cereals, rolls and pasta - we exclude. You can only gluten-free crackers (do not get carried away). Or just dry bread. The diet, of course, is meager, but the diet is usually prescribed for a period of about 5 days. No concentrates - this applies to soups and cereals. The result will be irritation of the gastrointestinal tract and deterioration. Sweet curds, yogurts and fruits are also “give to the enemy” - they aggravate fermentation processes.

- Diet number 4a should be taken very carefully. Compliance with the recommendations is a guarantee of quick relief of the condition. In addition to the basic recommendations, remember the nuances: for example, frozen meat (and fish too) cannot be used. Only fresh and non-greasy. From the "fatty" also avoid fatty cheeses and cottage cheese. With eggs - carefully, 1 piece per day - behind the eyes. From drinks, I would personally recommend only jelly, weak tea and water.

- There are a lot of dietary restrictions. Difficult diet. But a week can be tolerated, especially since in this state the appetite is rarely high. Separately, I will mention cereals and pasta / flour products: they are not recommended categorically. Including dumplings, pizzas and pies, in general, all pastries and even pasta casseroles. Anything that may contain wheat flour is out of the way. The exception is dried crackers. It is important to remember: the Pevzner 4a diet is an exclusively therapeutic diet, it is prescribed by a doctor. It should not be used for weight loss (as many people like to do) without consultation and taking into account chronic diseases (heart, for example).

Diet 4 for bowel diseases is positioned as one of the options for clinical 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 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 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;
• cooking products is allowed exclusively by boiling and steaming;
• under a complete ban are solid foods, thick, hot, cold food.

Diet Types #4

Table number 4 is divided into three subspecies - 4A, 4B, 4C. The main difference is the food package.

This variant of therapeutic nutrition is prescribed in the acute period of the disease. The dietary menu is monotonous and excludes many products. Recommended for compliance within two to five days. Energy value - 1600 Kcal.

Table 4B is prescribed during the period of exacerbation of chronic pathologies of the gastrointestinal tract - in 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 completion of the acute period of intestinal disease. It is used as a transition from the treatment table to the general one. Energy value - 3140 Kcal.

Indications for appointment

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

Allowed grocery basket

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

• Already dried (the day before yesterday) wheat bread, homemade crackers. Permissible rate for 24 hours - no more than 200 grams of the product. Additionally, dry biscuits (biscuits) are allowed.
• Mashed porridge. They are the basis of the patient's diet. Semolina, white rice, buckwheat, oatmeal are allowed. Prepared either on water or low-fat (removed) broth from under the meat.
• Butter. Use only 50 grams per day.
• Soups. When cooking, you need to take the removed (second) from under the fish / meat. For filling, cereals are taken, a minimum of vegetables, boiled meat puréed or processed with a blender / meat grinder, dumplings, eggs, meatballs.
• Meat. Only dietary varieties are allowed - veal, beef, chicken breast, turkey, rabbits. Before cooking, the skin is necessarily removed and the tendons are cut out.
• Steamed cutlets, meatballs, dumplings. When collecting minced meat, bread must be replaced with semolina or boiled rice. It is allowed to cook meat pate by adding a minimum amount of salt.
• Low-fat fish. Serving in the form of a whole boiled / steam piece is allowed. If the chopped version, then it can be dumplings, cutlets, meatballs. Boiling 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 interfere in soups (rich egg flakes are obtained), soufflés.
• Low-fat mashed cottage cheese. Used to make casseroles and soufflés.
• Vegetables. It is allowed to use only in pure form, adding a small amount when cooking soup. Volumes are minimal.
• Fruits - apples (fresh, in the form of puree), kissels (blueberries, bird cherry, dogwood, quince, pears), fruit drinks.
• Juices from sweet berries (previously diluted with boiled water in equal proportions). Grapes, plums and apricots are prohibited.

It is allowed to use as a drink: herbal teas, rose hips, infusion of bird cherry berries, tea (varieties - green or black), water without gas (no more than 1.5 liters per day).

Prohibited Products

Table number 4 completely excludes the consumption of foods containing fiber in their composition.

The list of prohibited products includes:

• Vegetables. They are allowed to add the product to soups in small quantities and in a mashed state.
• Bread. Whole grain, rye, 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.
• Kashi - millet, yachka, pearl barley, legumes.
• Pasta.
• Fatty broths. They increase intestinal peristalsis and worsen the condition.
• Fatty meats, fish.
• Canned food, salinity 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 cereals and puddings.
• Cocoa, coffee with milk, sweet soda, kvass.
• Sauces, marinades.
• Smoked products, ham, sausages.

These products are able to stimulate the peristalsis of the gastrointestinal tract, provoke bloating.

Sample weekly menu

It is necessary to organize a six-course meal. Be sure to alternate dishes to eliminate monotony.

Monday

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

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

Lunch: soup with rice groats and 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: kissel.

Tuesday

1 breakfast: rice porridge (sweetened) with a piece of butter, crackers, rose hips.

2 breakfast: a few tablespoons of cottage cheese.

Lunch: meat broth thickened with semolina, steamed chicken / turkey minced quenelles, garnish - boiled rice, homemade croutons, jelly.

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

1 breakfast: thoroughly boiled oatmeal with a piece of butter, puréed boiled meat, a little cottage cheese, tea, biscuits.

2 breakfast: fruit puree.

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

Afternoon snack: jelly with biscuit cookies.

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

Late dinner: kissel.

Thursday

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

2 breakfast: jelly with wheat bread dried in the oven.

Lunch: soup with meatballs thickened with semolina, homemade crackers, thoroughly boiled rice groats, garnished with steam minced fish meatballs, jelly.

Snack: rosehip broth, homemade crackers.

Dinner: cottage cheese and 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 meatballs and rice, homemade crackers, minced chicken cutlets (steam), garnished with mashed buckwheat, berry broth.

Afternoon snack: unsweetened decoction of rose hips with biscuits.

Dinner: steam omelette, sweet semolina, tea.

Late dinner: a decoction of dried fruits (apples and black currants).

Saturday

1 breakfast: buckwheat pudding with cottage cheese, baked apple puree, tea.

2 breakfast: pear-apple compote.

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

Afternoon snack: berry compote with biscuits.

Dinner: oatmeal with no sugar butter, soft-boiled egg, black tea.

Late dinner: kissel.

Sunday

1 breakfast: thoroughly boiled oatmeal with a piece of butter and steamed minced chicken / turkey cutlets, a drink, homemade white wheat bread croutons.

2 breakfast: a few tablespoons 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 breadcrumbs.

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

Late dinner: compote of allowed dried fruits.

Recipes

We offer several recipes for dishes that can be included in the menu of diet number 4.

fish meatballs

Components:

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

Cooking:

1. Prepare sticky rice.
2. Pass it at least two times through a meat grinder, adding fish.
3. Mix the oil into the resulting mass, add water and add a little salt.
4. Prepare meatballs from the mixed minced meat and cook in a steam way.

Hake meatballs (steam)

Ingredients: egg, hake fillet - 300 grams; semolina groats - 50 grams; salt to taste. Preparation: Grind the fish through a meat grinder. Put semolina, salt, egg into minced meat. Mix. Form meatballs and steam.

Beef steam cutlets

Ingredients: beef - 710 grams, onion - 1 piece, chicken eggs - 2 pieces, rice flour - 110 grams, salt. Cooking:

1. Grind beef with onions using a meat grinder.
2. Stir in eggs, flour and salt.
3. Knead the composition and place for 1 hour on the shelf of the refrigerator.
4. Cook the formed cutlets in a double boiler for half an hour.

Ingredients:

• eggs - 2 pieces;
• milk - 1.5 cups.

Steam omelet - one of the options for serving eggs

Cooking:

1. Pour milk over eggs and beat thoroughly. Salt.
2. Place the container filled with the mixture into the bowl of the multicooker. Cook in steam mode.
3. You can also use a steam bath.

Buckwheat curd pudding

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

1. Boil buckwheat and grind.
2. Mix it with curd. Put the yolk, sweeten. Mix again and add thoroughly beaten protein.
3. Pour the mixture into a buttered dish and steam.

Diet number 4 for children

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

The child may receive:

• dried wheat bread;
• mucous rice water;
• "second" broths on chicken or beef - they are allowed to thicken with semolina or oatmeal;
• fish, meat dishes cooked in a steam way;
• mashed cereals from buckwheat, rice, oatmeal;
• soups - it is allowed to put chopped meat or meatballs in them;
• steam omelet;
• cottage cheese - can be served in natural form or in the form of a casserole.

Kissel should be prepared only at home, packaged options 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. Baking, soups - cooked with vegetables or milk, smoked meats, sausages, canned meat, 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, cereals cooked in milk. It is allowed to put a little sour cream in the soup.

Therapeutic diet number 4 - a nutrition system recommended for acute / chronic, accompanied by severe diarrhea. Meals are allowed to change at your discretion, but it is important to follow the basic principles of cooking and recommendations for food baskets.

Diet No. 4 (fourth table) is prescribed for acute or chronic bowel diseases, which are in the stage of a sharp exacerbation, accompanied by severe diarrhea. The purpose of dietary nutrition is to reduce putrefactive, inflammatory and fermentation processes occurring in the intestines, to help normalize the functioning of the gastrointestinal tract and to ensure the necessary intake of nutrients in the body in case of impaired digestion. Therefore, foods that provoke putrefactive and fermentation processes, increase peristalsis (contractions of the walls) of the intestines and contribute to an increased secretion of gastric juice are excluded from the diet.

Due to the reduced content of carbohydrates and fats, diet No. 4 is considered low-calorie, with a reduced energy value, which is about 2000 kcal per day. The content of proteins in the diet corresponds to physiological norms, but the amount of carbohydrates and fats is at the lower limit. The diet is not complete in terms of the content of useful elements, so it is not prescribed for a long time. The optimal period during which it should be followed is limited to five to seven days. Most often, six days are enough to bring the gastrointestinal tract back to normal. In order to avoid an increase in the load on the intestines due to a single consumption of a large amount of food, it is recommended to distribute the daily amount of food in small portions for 5-6 times. Food is served warm - in a liquid, grated or puree state.

Diet number 4 - what foods can you eat

1. Bread, flour products: non-roasted crackers made from thinly sliced ​​wheat bread of the highest grade.
2. Soups: on a weak meat, fish broth (fat-free), with the addition of rice or semolina mucous decoctions, egg flakes, steamed meatballs and quenelles, boiled, grated meat.
3. Meat and poultry: lean and lean varieties of veal and beef, meat of chickens, rabbits, turkeys. Fat is completely cut off from the pulp, tendons, films, skin are removed. Soufflé (from boiled meat), steamed or boiled meatballs, dumplings, cutlets. Instead of soaked bread, boiled rice is added to minced meat, having previously scrolled it twice or thrice in a meat grinder or chopped it with a blender.
4. Fish: fresh fish of low-fat species in a piece or in the form of chopped products - cutlets, meatballs, quenelles, boiled in water or steamed.
5. Dairy products: steam soufflé, freshly mashed cottage cheese.
6. Fats: exceptionally fresh butter, at the rate of 5 g per serving (only in ready meals).
7. Eggs: steam omelet, soft-boiled, for cooking. A total of one or two for the whole day.
8. Vegetables: exclusively in the form of decoctions for making soup.
9. Cereals: only mashed cereals cooked in low-fat broth or water from cereals such as rice, oatmeal, buckwheat and cereal flour.
11. Sweets, fruits, sweet dishes: jelly and kissels from quince, bird cherry, pears, dogwood, blueberries. Pureed raw apples. Limited sugar intake.
12. Drinks: cocoa, black coffee, tea (especially green), decoctions of quince, blackcurrant, wild rose, bird cherry, dried blueberries. If tolerated - freshly prepared juices from fruits, berries, diluted with water, except for plums, apricots, grapes.
13. Spices and sauces: only fat-free broth and butter added to dishes.

Diet number 4 - what foods should not be eaten

1. Bread, flour products: other flour and bakery products other than those mentioned above.
2. Soups: fatty, strong broths, dairy soups, as well as with vegetables, cereals, pasta.
3. Meat and poultry: fatty meat, whole cut, sausages, sausages and other meat products.
4. Fish: canned fish, caviar, salted and fatty fish.
5. Dairy products: whole milk and other dairy products.
6. Fats: other fats and oils.
7. Eggs: Raw, hard boiled and fried.
8. Vegetables: all vegetables in fresh, boiled and other forms.
9. Cereals: barley, barley, millet, legumes, pasta.
10. Snacks: completely excluded.
11. Sweets, fruits, sweet dishes: all dried fruits, in their natural form - other fruits and berries, compotes, jams, honey and other sweets.
12. Drinks: with milk - cocoa and coffee, cold drinks, all carbonated drinks, kvass.
13. Spices and sauces: other sauces, all spices.

Diet number 4 - menu examples

Monday

Breakfast (first): oatmeal porridge, boiled in water, seasoned with butter, soft-boiled egg, green tea.
Lunch: rice soup in meat broth with meatballs, steamed chicken cutlets, buckwheat porridge, quince decoction.
Afternoon snack: jelly, cracker.
Dinner: boiled fish, pureed rice porridge, green tea.
At night: jelly.

Tuesday

Breakfast (first): semolina porridge, boiled in water with the addition of butter and sugar, rosehip broth, crackers.
Breakfast (second): pureed cottage cheese.
Lunch: meat broth with the addition of semolina, steamed chicken dumplings, mashed rice porridge boiled in water, jelly.
Afternoon snack: dogwood jelly.
Dinner: pureed buckwheat porridge boiled in water, poached eggs, green tea.
At night: jelly.

Wednesday

Breakfast (first): boiled in water and mashed oatmeal with butter, mashed boiled meat, crackers, black coffee (without milk).
Breakfast (second): fresh apple (mashed).
Lunch: chicken broth with rice and egg flakes, boiled rabbit meatballs, mashed buckwheat porridge, blackcurrant broth.
Afternoon snack: jelly, cracker.
Dinner: steamed fish quenelles, thin rice porridge (mashed), sweet black tea.
At night: jelly.

Thursday

Breakfast (first): buckwheat porridge cooked in water with butter, freshly cooked cottage cheese, soft-boiled egg, bird cherry decoction.
Breakfast (second): quince jelly.
Lunch: vegetable broth with the addition of semolina and meatballs, fish steam cutlets, grated buckwheat porridge boiled in water, fruit jelly.
Snack: rosehip broth with added sugar, croutons.
Dinner: boiled beef (veal) soufflé, buckwheat pudding with cottage cheese, cooked in a water bath, black tea with sugar.
At night: jelly.

Friday

Breakfast (first): rice pudding with egg and butter, with added sugar (in a water bath), mashed cottage cheese, black coffee (without milk).
Breakfast (second): a decoction of dried blueberries.
Lunch: fish broth with fish meatballs and rice, rabbit meat cutlets steamed, buckwheat porridge boiled in water, bird cherry decoction.
Snack: rosehip broth without sugar, cracker.
Dinner: steam omelet, liquid semolina porridge with sugar, boiled in water, green tea.
At night: kissel

Saturday

Breakfast (first): buckwheat pudding with cottage cheese, steamed or water bath, fresh mashed apple, green tea.
Breakfast (second): pear broth.
Lunch: meat broth with egg flakes and semolina, boiled turkey cutlets, rice flour porridge cooked in water, jelly.
Afternoon snack: berry broth, cracker.
Dinner: poached egg, buckwheat porridge, cooked in water, with the addition of butter, pureed, black tea.
At night: jelly.

Sunday

Breakfast (first): meat steam cutlets, rice flour porridge boiled in water, black coffee (without milk).
Breakfast (second): pureed cottage cheese (freshly prepared).
Lunch: vegetable broth with the addition of semolina and beef dumplings, steamed chicken meatballs, buckwheat porridge on the water (ground), fruit jelly.
Snack: Black tea with sugar, crackers.
Dinner: poached egg, rice porridge cooked in water with butter and sugar, green tea.
At night: jelly.

During the time spent on diet No. 4, patients lose several kilograms in weight. Therefore, many who want to lose weight often prescribe it to themselves in order to get rid of excess weight. This cannot be done, because this diet, although low-calorie, is curative, therefore, such a specific and unbalanced diet can disrupt the normal cycle of the gastrointestinal tract in healthy people. Even patients, before being treated with a diet, you need to consult a doctor. At the end of the diet, it is forbidden to immediately start a normal diet, eating hard-to-digest and hard-to-digest foods.

Diet 4 for bowel diseases is shown not only to sick people, but also to those who have undergone surgery on the intestinal tract and are undergoing rehabilitation. Table number 4 provides a specific menu.

When are they assigned?

Table number 4 is shown to people:

• Having an intestinal disorder, accompanied by diarrhea.
• For diseases of the stomach (gastritis).
• With intestinal upset caused by infectious diseases.
• Having diseases of the gastrointestinal tract (colitis, enteritis, duodenitis, etc.).
• With constipation against the background of past intestinal diseases, after the elimination of the pathology, medication.
• After treatment of bowel diseases of any etiology.
• During the period of exacerbation of chronic diseases of the gastrointestinal tract. A therapeutic diet is also indicated for pain in the intestines in chronic diseases, even if this is not an exacerbation, just such a diet helps to support the body.
• In the treatment of intestines surgically in the postoperative period.

In adults and children, intestinal diseases are the most common pathology.

Intestinal obstruction, inflammation of the large or small intestine, inflammation of the stomach wall, disruption of the pancreas - with all these pathologies, diet is indicated. For problems with the intestines and stomach, it is very important to choose the right nutritional option and table number 4 will be optimal. They use it to alleviate the patient's condition and normalize regular stools with a diseased intestine.

One of the main causes of constipation and diarrhea is use of various drugs. To improve bowel function after taking the drugs, you need every day drink a simple remedy ...

Features of the diet table number 4

A diseased intestine is a serious problem and drugs alone will not help to solve it completely. Proper nutrition and treatment with medicines only in the amount will give a good result. With intestinal pathologies, a sparing diet is shown, which allows you to unload the intestines and give it the opportunity to start working actively on its own.

Diet table number 4 has the following features:

• The patient should be fed in small portions of 400 g approximately.
• You need to eat at least five times a day, six meals are allowed. Three meals are always main dishes and a couple more are snacks.
• Food should always be slightly warmer than room temperature, and the same goes for all drinks. Too hot or cold food can disrupt the digestion process, which can adversely affect the functioning of the stomach and intestines if a person has a disease of this group of organs.
• With constipation, such a diet may not help very quickly, and therefore you should first eliminate constipation with medication and only then improve bowel function with proper nutrition.
• All dishes with bowel disease should not be prepared by frying. Cooking, steaming, and baking are allowed.
• All products must be ground or crushed, as well as undergo heat treatment.
• Nutrition at table number 4 is more balanced for eating less fat and carbohydrates, and more protein. This will reduce the calorie content.
• You need to drink two liters of pure water without gas per day to improve and speed up the digestion process.

With bowel diseases, people have to deny themselves a lot, but this does not mean that a person will starve and receive only tasteless food. Consider what you can eat with diet number 4.

Table number 4 is characterized by a large list of non-recommended dishes, as well as products that must be consumed according to certain requirements. The table shows which ingredients and how can be used by a person with a diseased intestine for cooking.

	Permitted	Strictly prohibited
Bread and flour products	Wheat bread in the form of homemade croutons lightly toasted	All other flour products, rich and puff pastry
Soups	Only on a weak broth, with dietary meat and mucous decoctions from cereals	Fatty broths with the addition of vegetables, frying, fatty fish and meat, pasta
Meat and poultry	Chicken, rabbit, turkey, veal, beef boiled or baked	Fatty meats, sausages
A fish	Pieces and chopped lean fish	Salted, fatty fish, caviar, as well as canned food
Eggs	1 soft-boiled egg a day, egg white steam omelette	Raw or hard boiled egg, scrambled eggs with yolks
Dairy and dairy products	Cottage cheese with the lowest percentage of fat, well grated	Yoghurts, sour cream, whole milk, fatty cottage cheese, curds and curd mass
cereals	Rice, buckwheat, semolina, oatmeal	Millet, barley, barley

People with diseased intestines who adhere to diet No. 4 are contraindicated in the use of:

• spices.
• All kinds of sweets (honey, jam, sweets, packaged jelly, etc.).
• Products with the addition of preservatives and dyes.
• Carbonated water, coffee, strong tea, undiluted juices, alcoholic beverages.
• Marinades and pickles.
• Fruits and berries.
• Vegetables.
• Hard cheese and melted.

At table number 4, it will be useful for patients to include the following products in the diet:

• Decoctions from vegetables.
• Kissels, diluted juices, pure water.
• Rice broth.
• Mucous porridge.
• Teas and herbal preparations.
• Applesauce from non-sour apples.

Products should be well combined with each other and constantly replace each other so that the patient's diet is balanced, and not monotonous.

Recipes for table number 4

Many people think that it is very difficult for people with a diseased intestine to prepare a dish according to the indicated diet, but this is not so.

There are some simple recipes that will be useful for diet number 4:

1. Pearl soup. 40 g of pre-washed barley should be thrown into 600 ml of low-fat meat broth. On the stove, the soup is boiled over low heat, stirring all the time, until the barley is well boiled. The soup is cooled to a temperature slightly above room temperature and given to the patient.
2. Meatballs from meat and fish. The meat is thoroughly ground in a meat grinder and mixed with boiled rice groats. To prepare meatballs, you need to take minced meat, where five parts are meat and 1 part rice. Meatballs are molded and steamed.
3. Semolina. For 50 grams of semolina take 5 grams of sugar and cow's butter. Semolina is poured into boiling water (one glass) with salt and sugar and stirred. The fire is turned on and the porridge is cooked for 25 minutes. Then a piece of butter is added.
4. Blueberry compote. Only dried berries are suitable. 20 grams of blueberries are poured with boiling water (1 cup) and sugar is added as desired. Put on fire for 25 minutes and boil all this time. Remove the compote from the stove and let it brew for three hours.

These dishes are prepared very quickly, and you do not need a lot of ingredients. But such dishes are very useful for people with diseased intestines, they help not only to facilitate the consumption of food, but also nourish the body, allowing the intestines to independently adjust the digestion process.

Video

Weekly menu for bowel diseases

The table for a week for the patient should be varied, since the same type of food will not give the body all the necessary vitamins and minerals that the intestines need so much after an illness.

Sample menu for table number 4:

Monday:

• For Breakfast: rice porridge, crackers or biscuits, jelly.
• Second breakfast: pureed cottage cheese, weak tea.
• At lunchtime: barley soup, minced meat, diluted apple juice.
• Snack: a glass of jelly or compote, homemade crackers.
• Dinner: steamed omelet, rice porridge, tea.

Tuesday:

• In the morning: oatmeal, a little mashed cottage cheese, jelly.
• Second breakfast: soft-boiled egg.
• Lunch: buckwheat porridge with fish, tea or herbal decoction.
• Snack: croutons with jelly.
• Dinner: fish or meat dumplings, compote.

Wednesday:

• For breakfast: rice porridge, pureed apple, tea.
• Snack: jelly.
• Lunch: soup with semolina, meatballs, compote.
• Second snack: blueberry compote and biscuit cookies.
• Dinner: buckwheat porridge with pieces of meat.

Thursday:

• Breakfast: rice porridge, cocoa, biscuits.
• Second breakfast: currant jelly.
• Food for lunch: buckwheat soup, meatballs, tea.
• For an afternoon snack: jelly with crackers.
• Dinner: vegetable broth, fish dumplings, jelly.

Friday:

• Breakfast: steam omelette, steamed chicken cutlets, tea.
• Snack: crackers, jelly.
• At lunchtime: pearl barley soup, chopped chicken pieces, tea.
• Afternoon snack: pureed cottage cheese, jelly.
• For dinner: semolina, biscuits, tea.

Saturday:

• In the morning for breakfast: cottage cheese pudding, compote.
• Second breakfast: applesauce.
• Lunch: chicken meatballs, buckwheat soup.
• Snack before dinner: soft-boiled egg, tea.
• Dinner: oatmeal, grated apple, jelly.

Sunday:

• Breakfast: buckwheat porridge, jelly with crackers.
• For the second breakfast: unbuffed biscuits, tea.
• Lunch: meat broth, buckwheat porridge, compote.
• Afternoon snack: baked apple.
• For dinner: potato salad with pieces of chicken meat, jelly.

Such a diet is approximate and a person with intestinal diseases can independently select dishes from allowed foods.

The diet should be balanced, it is important for the patient to eat no more than 3 kg of ready meals per day.

What drink is good for intestinal pathology

People with diseased intestines need not only to eat the right food, but also to drink herbal infusions and fees.

Very good helps to remove inflammation from the intestines and improve the functioning of the digestive tract helps:

• Chamomile tea made from natural herbs.
• Hypericum infusion for those who have normal, not high blood pressure.
• Melissa decoction.
• Decoction of blueberries.
• Fennel decoction.

These herbs are great for helping with bowel disease. It is worth drinking different decoctions every day and then the disease will quickly recede, and the rehabilitation period will pass unnoticed and easily.

Why is it necessary to follow a diet?

Diet for bowel diseases is an important part of treatment. Without it, medicines, although they will cope with the disease itself (eliminate bacteria, viruses, improve the state of the intestinal microflora), but the intestine itself will take food for a long time and painfully, since the walls of the mucosa are damaged, peristalsis can also be disturbed.

The diet is needed so that the patient's intestines can gradually start working, and not experience a heavy load every time you eat.

Diet No. 4 just helps the patient to do this easily and without much effort, all products are quickly absorbed by the body and easily excreted by the intestines, since they do not form dense fecal masses. Over time, the intestines are fully included in the work and it will be possible to switch to a normal diet.

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How to switch to a normal diet?

Diet No. 4 should be maintained by patients for 5-7 days. It is not recommended to observe it longer, since the monotony of products will not allow the body to receive all the necessary vitamins and minerals.

You need to introduce new foods gradually every day, adding a couple of new foods in small quantities. If the intestines do not work well after some kind of food, then it is worth temporarily excluding it from the diet and checking how the body began to react.

If everything is fine, and the intestines are working, then you just need to abandon this product. A complete transition to a normal diet can be fully completed in two weeks, but it can be stretched out for a month if the intestines are still weak.

Table number 4 is often prescribed by doctors for diseases of the intestines and other organs of the gastrointestinal tract. People are also shown to follow a diet. If this requirement is not met, then the rehabilitation process will be long, and complications may also appear. Therefore, it is better to eat for several days as the doctor orders, so that later there are no problems with the intestines.

Video: expert advice

If the doctor informed the patient with intestinal disease about the transition to the Pevsner Table 4c therapeutic diet, then full recovery is close. This therapeutic diet is prescribed for remission of acute attacks of intestinal diseases and during the retreat of diseases of the digestive system. Dietary Table 4c provides for minor indulgences in the diet.

The 4v Diet menu is designed to facilitate the patient's transition from a therapeutic to a normal diet after serious diets for intestinal diseases. Doctors recommend Table 4c as a physiologically complete diet, which will help to gradually restore all the functions of the digestive system, which is limited in work during a strict diet.

The diet in the regimen of dietary Table 4c includes a slight increase in proteins. Excluded the use of salt, fried foods, cold and hot. Gradually, solid food is included in the therapeutic diet, but the methods of its preparation are still limited: boil in water and steam, bake. Products with Diet Table 4c need to choose low-fat, non-irritating intestinal walls, limiting as much as possible the possible processes of increased secretion, fermentation and putrefaction.

In what cases is Table 4c prescribed

Therapeutic Diet Table 4c is prescribed after acute attacks or exacerbation of intestinal diseases at the initial stage of remission. Sometimes the disease is associated with ailments of the liver, stomach, pancreas or biliary tract, in which case dietary nutrition according to this principle is also prescribed. The diet is designed to gradually return the digestive organs to their normal working state by feeding them with healthy foods. Most often, Diet Table 4c is prescribed after two to four weeks of a strict regimen of therapeutic Diet 4c.

The Pevzner diet for intestinal diseases provides for a system of fractional nutrition in small portions up to 6 times a day. Products during exacerbations of intestinal diseases can only be served warm.

It is important to remember that when restoring the intestines, products should not contain chemical and mechanical irritants. The amount of spices and salt in the preparation of medicinal dishes on the menu of the Diet Table 4v is minimal. Products during cooking are not treated with oil and smoke.

It is allowed to cook meat products in pieces or in chopped form. Dairy products in the treatment of intestinal diseases are recommended to be used in dishes, and not raw. Fresh fruits, according to the norm of the menu, consume up to 150 g per day.

To fully restore the intestines and get rid of the disease, doctors recommend strictly following the basic principles of therapeutic nutrition of the Table 4c Diet, namely, following the list of what you can and cannot eat.

List of allowed products of the Diet Table 4c:

• From bakery products, a stale product made from wheat flour, slightly stale, is allowed; dry cookies, biscuit. In the menu of Diet 4c for intestinal diseases, there is a healing pie with meat, low-fat cottage cheese, vegetables and fruits.
• low-fat dairy products;
• Mild varieties of cheese;
• Buckwheat, semolina, rice groats with a minimum amount of salt or sugar;
• Soups are prepared without meat in the second broth;
• Lean chicken, turkey, rabbit, beef and veal;
• Low-fat fish: pike perch, blue whiting, cod, hake, pollock, pike, carp.
• Vegetables and fruits on the menu for treating the intestines: zucchini, pumpkin, cauliflower, carrots, potatoes, white cabbage, beets, green peas; apples, pears, strawberries, oranges, tangerines, watermelon.
• Recommended drinks - tea, cocoa, coffee with milk; juices freshly squeezed, diluted with water; decoctions of berries.
• Sauces: low-fat homemade on broths, decoctions and milk.

List of prohibited products of Table 4c for intestinal diseases:

• Fresh wheat and rye bread, muffins and puff pastry;
• Dairy products with high acidity, salty and spicy cheese;
• Barley, barley, wheat groats;
• Legumes in any form;
• Rich meat broths, borscht, cabbage soup, pickles, okroshka, from legumes;
• Sausages, pickles, smoked meats;
• Mushrooms, cucumbers, onions, garlic, spinach, radishes, turnips, sorrel;
• Plums, figs, apricots, dates - also on the medical menu under the ban for bowel disease;
• Juices from plums, grapes, apricots are not allowed for patients with intestinal lesions.

No one is immune from problems with the digestive system. Even the smallest can be affected by exacerbations of intestinal diseases, and, in addition to medication, for a speedy recovery, you will have to follow a dietary diet and strictly draw up a treatment menu.

Diet Table 4v for children provides for the same relaxations after Pevsner's strict dietary tables as for adults. If the doctor allowed to proceed to this stage, then now the baby can eat some bakery products, drink diluted fruit juices and eat meat not only in the form of minced meat. The rest of the tips are consistent with the recommendations for Table 4c for adults, given the possible intolerance of children to certain products.

The period of adherence to the dietary Table 4c for children is determined by the doctor, depending on the state of health at the initial stage of the disease. It is important to know that the transition from clinical nutrition to a more rational one should be gradual, which means that products that are harder for intestinal processing should not be introduced into the menu immediately.

Menu for the week

An approximate menu for a week with a Diet Table 4c for adults and children is observed according to the principle:

• eating every 2 hours;
• small portions;
• last appointment at 7 pm, given that the lights out at 9-10 o'clock.

Diet Table 4v - menu for the week:

Monday

• semolina porridge on the water, cracker with sweet jam, green tea;
• carrot-apple puree;
• soup on a weak chicken broth with meatballs, buckwheat porridge with steamed chicken dumplings;
• beetroot salad;
• oatmeal jelly, cracker;
• pilaf with boiled meat, green pea salad;
• rosehip infusion.

Tuesday

• buckwheat porridge on water, soft-boiled egg with a teaspoon of sour cream, cocoa;
• milk jelly;
• vegetable broth with rabbit meat, rice patties with meat, cauliflower salad with fresh tomato;
• blueberry jelly, lean bun;
• vegetable stew, steamed carp, cocoa;
• kefir.

Wednesday

• rice porridge with milk, dry biscuits, honey, black tea;
• fresh grated cottage cheese with strawberries;
• cream soup of potatoes, carrots, zucchini, steamed cod cutlets, baked potatoes
• cottage cheese casserole with apples;
• chicken roll with steamed zucchini, buckwheat;
• ryazhenka.

Thursday

• hercules on milk and water, steam omelet, herbal infusion;
• baked apple with honey;
• low-fat veal broth, pilaf with boiled meat, grated carrots with beets;
• pear and apple puree;
• cottage cheese and carrot casserole, egg salad with sour cream;
• rosehip infusion.

Friday

• egg-rice pudding, boiled egg, green tea;
• mashed cottage cheese with pear;
• chicken soup with vermicelli, buckwheat with carrots;
• seasonal fruit jelly;
• salad of potatoes, cottage cheese and turkey fillet;
• kefir.

Saturday

• oatmeal, cracker with honey and a piece of butter, cocoa;
• soft-boiled egg, a spoonful of sour cream;
• beetroot with sour cream, zucchini baked with chicken breast under cottage cheese and sour cream sauce;
• rosehip infusion, yesterday's bread with honey;
• buckwheat porridge, steamed chicken dumplings, grated carrots with beets;
• ryazhenka.

Sunday

• cottage cheese soufflé with pumpkin, croutons, cocoa;
• pear jelly;
• soup with meatballs, veal with steamed vegetables;
• oatmeal jelly, cracker with jam;
• mashed potatoes, steamed cod, cauliflower and fresh tomato salad;
• rosehip infusion.

The duration of treatment of intestinal diseases in this mode is regulated by a doctor and can range from 3-4 weeks to several months, with strict adherence to all recommendations for compiling a dietary menu.

Recipes

For cooking according to the Diet Table 4c at home, the following dietary recipes are suitable.

beetroot

beetroot

Ingredients:

• Beets - 1 pc.;
• Potato - 1 pc.;
• Carrot - 1 pc.;
• Tomato paste - 1 tbsp;
• Lemon juice - 1 tsp;
• Bay leaf - 1 pc.;
• Salt, sugar, dill - to taste.

Recipe:
Boil water. Peel the vegetables, chop them, send them to a saucepan, add some water, bring to a boil. Add pasta, juice, sugar and salt, simmer until tender. Send dressing to the pan to the second part of the water, let it boil. Pour dill, let it boil for 1 minute, turn off the heat, cover with a lid, let it brew.
Such a beetroot is suitable for adults and children in the treatment of intestinal diseases with Diet Table 4c.

Cottage cheese and carrot casserole

Cottage cheese and carrot casserole

Ingredients:

• Carrots - 500 g;
• Cottage cheese - 250 g;
• Semolina - 3 tablespoons;
• Milk - 1 tbsp.;
• Eggs - 2 pcs.;
• Butter - 75 g;
• Sour cream - 1 tbsp;
• Salt, sugar - to taste.

Recipe:
Grate carrots, put in a saucepan over medium heat, pour milk, add oil, simmer until tender. Add grits, cook for 7 minutes, stirring. Remove from fire. Separate the yolks from the proteins, beat, add the yolks to the carrots, mix, let cool. Grind cottage cheese with a blender, add sour cream, send to carrots along with proteins. Send the mixture in a greased form to the oven at a temperature of 200 degrees for 30 minutes.
The casserole provided by the 4v Diet menu is suitable for a dietary breakfast for intestinal diseases.