Diet 4: allowed and prohibited foods

Diet 4 is used for acute and chronic intestinal diseases during periods of frequent heavy diarrhea and sudden disturbances in the normal functioning of the stomach, with difficult and painful digestion in adults and children .

Appointed for a period of no more than 5 days.

What can't you eat?

The diet limits the consumption of fats and carbohydrates to the lower limit of the physiological norm.

1. Products that have an irritating mechanical and chemical effect on the intestinal mucosa are excluded from the diet. Anything fried or baked is prohibited. All foods containing coarse dietary fiber should be excluded. In addition, foods containing acid should not be eaten. For example, citrus fruits and products with vinegar. Carbonated drinks also irritate the mucous membranes.
2. Dishes made from foods that enhance the processes of fermentation and putrefaction in the intestines are also unacceptable on this diet. These products include legumes, large amounts of protein, sweets and flour.
3. Products that stimulate increased bile secretion, gastric and pancreatic secretion, as well as substances that irritate the liver are also excluded.
4. All sauces, spices, and snacks are excluded.
5. All dishes are boiled or steamed. Products are accepted in ground form.

Chemical composition and calorie content of diet 4

The recommended daily calorie intake is 2100 kcal.
The daily diet contains 100 g of proteins, 70 g of fats, 250 g of carbohydrates. The amount of free liquid is 1.5-2 liters, table salt 8-10 g. The total weight of food should not exceed 3 kg. The diet should be fractional, 5-6 times a day. It is important to observe the permissible food temperature: for hot dishes - from 57 to 62 degrees, for cold ones not lower than room temperature.

What you can eat - list of recommended foods

1. Bread and bakery products. Rusks from the highest grades of white bread, thinly sliced, only dried.
2. Soups prepared in a weak low-fat meat or fish broth with the addition of mucous infusions, steamed or boiled meat or fish dumplings, meatballs, egg flakes, boiled and pureed meat. The meat is added together with the mucous broth.
3. Meat and fish dishes. Steamed or boiled in water meat and fish cutlets, dumplings, meatballs, soufflé from boiled meat or fish. For cooking, meat should be low-fat, without fascia and tendons (beef, chicken, turkey, rabbit, skinless poultry). Minced meat is passed through a fine grinder 3-4 times. Fish is allowed only low-fat varieties, without skin (pollock, haddock, cod, pike perch, pike, carp, etc.).
4. Porridges and side dishes. Puree porridges in water or low-fat meat broth: rice, oatmeal, buckwheat, semolina. All legumes and pasta are excluded, except noodles.
5. Egg dishes. Eggs in limited quantities. If well tolerated, it is allowed to eat soft-boiled eggs and in the form of steam omelettes, no more than 2 pieces per day.
6. Sweet dishes, sweets, fruits, berries. Sugar up to 40 g per day, jelly, jelly from blueberries, bird cherry, ripe sweet pears, apples, quince.
7. Milk and dairy products. Freshly prepared cottage cheese, precipitated with calcium or kefir salts, natural or in the form of a steam soufflé. All other dairy products are excluded.
8. Beverages. Tea, black coffee, water cocoa, rosehip, blueberry, bird cherry decoction.
9. Fats. Butter, in limited quantities (do not fry, add 5 g per serving to prepared dishes).

Diet 4b

This diet is indicated for acute and chronic intestinal diseases during exacerbation, as well as when they are combined with damage to the stomach, liver, bile ducts, and pancreas.

General information

The diet contains physiologically complete amounts of proteins, fats, carbohydrates with a salt limit of 8-10 g of salt. Moderate limitation of mechanical and chemical irritants of the mucous membrane. Products that increase fermentation and putrefaction in the intestines, as well as strong stimulants of gastric and pancreatic secretion, substances that irritate the liver, are excluded.

All dishes are steamed or boiled and consumed in pureed form.

Chemical composition and calorie content of diet 4b

Daily calorie content is 3000 - 3500 kcal. The recommended amount of protein is 100 - 120 g, fat 100 - 120 g, carbohydrates 400 - 500 g. The amount of free liquid is 1.5 liters. The weight of the daily diet is about 3 kg.

The diet is split (5-6 times a day), but at least 4 times a day.

The temperature of hot dishes should be from 57 to 62 degrees, cold - not lower than 15 degrees.

Recommended Products

1. Bread and bakery products. Wheat bread, yesterday's bread, dry bread, sponge cake, dry biscuits, 1-2 times a week a limited amount of well-baked savory buns or pies with boiled meat and eggs, rice, apples, jam, marmalade, cheesecakes with cottage cheese. The dough is only yeast with the addition of milk and kefir, sugar, eggs. It is strictly forbidden to add any oil to the dough.
2. Soups are prepared in a weak, low-fat meat or fish broth with well-boiled various cereals, noodles, meatballs, dumplings, and finely chopped vegetables (potatoes, carrots, zucchini, pumpkin, cauliflower).
3. Meat and fish dishes. Lean or low-fat meat (beef, veal, rabbit, chicken, turkey), skinless poultry, chopped boiled or steamed beef, lean fish (pollock, cod, haddock, hake, navaga, pike perch) in pieces or chopped boiled or steamed.
4. Vegetable dishes and side dishes.
   Potatoes, zucchini, pumpkin, carrots, cauliflower, green peas (in small quantities if well tolerated) boiled and pureed, steamed vegetable soufflés made from pureed vegetables. White cabbage, beets, turnips, radishes, sorrel, spinach, onions, garlic, and mushrooms are excluded. If tolerated well, a small amount of raw ripe tomatoes is allowed.
5. Egg dishes. Whole eggs no more than 1 piece per day in dishes, dishes made from egg whites, steam omelettes, soft-boiled eggs. If well tolerated, up to 2 pieces per day.
6. Sweet dishes, sweets, fruits, berries. Jelly and mashed compotes, jellies, mousses, soufflés, preserves and jams from sweet varieties of berries and fruits (except melons, apricots, plums), baked apples, pears, quince, marmalade, marshmallows, marshmallows, butter fudge. With good tolerance, a small amount (100 g) of sweet berries in raw form (strawberries, wild strawberries, raspberries). Apple, mango, strawberry, tangerine, orange juices mixed with hot water.
7. Milk, dairy products and dishes made from them. Milk only in dishes, no more than 200 g per day. Sour milk drinks, kefir, acidophilus, yogurt, acidophilus milk, fermented baked milk if well tolerated, mild cheese, non-acidic sour cream as a seasoning for dishes, no more than 15 g per dish, non-sour cottage cheese, lazy dumplings, steamed or baked curd puddings.
8. Sauces and spices. Allowed are bay leaves, dill, parsley leaves, cinnamon, cloves, milk bechamel sauce with the addition of a small amount of sour cream, and fruit sauces.
9. Snacks. Jellied fish, veal, chicken, turkey (without skin), mild cheese.
10. Beverages. Rosehip decoction, natural tea with milk or 10% cream, coffee with milk or weak black.
11. Fats. Only butter (do not fry), add to prepared dishes and give in its natural form with bread, no more than 10-15 g per serving, depending on tolerance.

Diet 4c

The diet is used for acute and chronic intestinal diseases during the period of fading exacerbation and recovery. In addition, when the stomach, liver, bile ducts, and pancreas are involved in the disease.

The calorie content and chemical composition are the same as diet 4b.

The recommended products are also identical to diet 4b.

This diet, in its main characteristics, corresponds to diet 4b with the difference that the products are not ground, but are prepared and consumed in unground form.