Postoperative bowel diet. Diet after bowel surgery: rules and dietary habits, an approximate menu for a week and types of therapeutic diet. Refilling the diet after bowel surgery

As a rule, after the operations, the patient stays in the hospital for 10-14 days. Of which 2-4 days in intensive care, depending on the patient's condition, then transferred to the department of proctology. There you are provided with everything you need, a bed, food, toilet, IVs, procedures and, of course, supervision of a surgeon and nurses. If necessary, the time of stay in the hospital can be extended with the consent of the heads of the department doctor. Since after the operation, each organism recovers in different ways. Many people have a fever after bowel surgery. There is no need to be afraid, the body gives a signal that changes have occurred in it with which it is trying to fight (inflammation, infection, viruses, bacteria), however, the temperature must be monitored and reported to the surgeon. As a rule, the temperature after bowel surgery lasts a couple of days (2-3 days), within -37 - 37.5 C. The doctor does not have the right to let you go home if you have a high fever.

What can you eat after bowel surgery?

The diet after surgery depends on the severity of the surgery. For example, after the removal of appendicitis, the patient can eat a large amount of different foods after 2-3 days, while in patients with intestinal resection (removal of a section of the intestine), the recovery process is difficult, and thus the diet is very gentle.

On the first day after operations, it is allowed to drink only water, and on days 2 - 3 you need to start eating, food is allowed in liquid form (broth, kefir, yogurt, semolina), first you need to eat a couple of spoons, after which they gradually include and other important foods for the restoration of intestinal function (various cereals, baked apples, pumpkin, bananas, crackers). Also, the doctor at the hospital prescribes lactulose (Duphalac) to stimulate the intestines. After you start to have gas and a chair appears (albeit in a small amount, or of a mixed type), then the doctor can safely let you go home, followed by a consultation in 1 month.

It is very important after discharge from the hospital to follow all the doctor's recommendations in order to prevent complications. It is necessary to exclude spicy, sour, highly salty and sweet foods, since after operations the intestinal walls are weakened and inflamed, thereby giving them the opportunity to recover as quickly as possible. And also you can not use cakes, muffins, bread made from fine flour (use bread: gray or bran, so that there is no strong gas formation.

What can you eat after bowel surgery?

Meals after bowel surgery should include cooked or baked food, in crushed form. Personally, for the first month I ate vegetable soups... The diet should include foods that smoothly stimulate the intestines. The recovery time depends on this (someone for a year, and another after 3 - 4 years cannot restore normal bowel function.

After 1 month, you can return to normal nutrition after surgery on the intestines, but foods should be included gradually, observing how the intestines react, so that it learns to digest everything in a new way * (if we are talking about removing a section of the intestine). This list includes: buckwheat, oatmeal, cottage cheese, barley, semolina, rice and barley porridge. Also, do not forget about fruits and vegetables such as cherries, beets, apricots, plums, carrots, apples. In addition to these products, sour-milk products, such as cottage cheese, eggs, kefir, yoghurts with bifidobacteria, fermented baked milk (to restore normal microflora), should also be included in the diet every day. You also need to increase the amount of protein, namely boiled meat from chicken and rabbit. Protein plays an important role in repairing damaged intestinal tissue.

It is important to eat in a relaxed atmosphere, 5-6 times a day, in small portions (1 glass 200 g). And also drink more fluids (2-3 liters per day). In the first couple of months, pain, vomiting, constipation or diarrhea, fever, bloating (flatulence), problems with emptying, weakness, do not be alarmed by this process of rehabilitation. Once every six months (sometimes more often), your doctor will prescribe an irrigoscopy and colonoscopy to monitor bowel function after surgery (passage of barium through the intestines). Based on the results of the intestinal passage, the operating surgeon decides what diet you need to follow and what medications you need to take.

How to restore the intestines after surgery? Many doctors recommend doing acupuncture courses after operations (in order to improve the nervous system). If the tendency to cramps, then the diet should include light food that does not irritate the intestines (kefir, yoghurts, baked vegetables and fruits), but if the reason is intestinal atony, then doctors will advise to increase the intake of fiber (bran, fruits, fresh vegetables).

Constipation after bowel surgery?

In the early days, laxatives may be needed, but I and the doctors recommend using natural laxative fruits (prunes, dried apricots, raisins, figs, apples, plums, apricots) because they are safe and also contain a lot of vitamins, microorganisms and macro elements important for strengthening immunity. If these fruits do not help, then lactulose-based drugs are prescribed, Duphalac or to increase the volume of intestinal contents, psyllium seeds Mukofalk or PHYTOMUCIL(psyllium). These drugs are the safest, and do not pose a threat to the intestines and its nerve endings.

If you feel that the intestines are not working after the operation, then you need to include in the diet food that stimulates peristalsis. In case of exacerbations, it is necessary to remove all fresh fruits and vegetables and switch back to boiled and baked foods. You don’t need to give up everything, you just need to learn to know when to stop (you wanted something, for example (a chocolate bar, a cake, we tried a piece, gave the rest to a friend. But every day such a practice is not worth doing).

I was also helped by a healer who developed the gift of seeing and why people get illnesses and helps to heal them. His treatments include various procedures with cabbage, vinegar, oil, salt, honey, everything for external use. And the most important element to which he pays attention is the spine. Since the spine is the pillar of our health. He owns the technique of reduction (manualist). His name is Nikolai Nikolaevich and he lives in Moldova in the city of Falesti st. Moldova 89, tel +373 25924379. Call him, he will advise you. If you live in another country, for example in Ukraine or Russia, then he will look at you from a distance. I promise you, you will feel much better.

Personally, his advice helps me, the whole period after the operations, I keep in touch with him, if necessary, I go to him and he sets the spine, and the pain in the intestines disappears, the stool is normalized. Also, various procedures are aimed at the cause of the disease, and not just the intestine as a separate organ. Before you go for surgery, try treating it. Well, if you did, contact him anyway. I know what pain after bowel surgery is and when medications are ineffective.

In addition to nutrition, there are many other important elements for recovery. You need to learn to be positive, to move a lot (so that adhesions do not form), not to be nervous (since the intestines are already in a state of shock), to realize that there is nothing fatal, you just need to follow all the recommendations of doctors. And also not to close in oneself (communicate, enjoy life, work), find an interesting occupation (vegetable garden, animals, cars) in order to give a signal to the brain that the body wants to live. As looping interferes with recovery and irritates the intestines.

Be healthy! God help you!

Below you can ask your question on this topic!

The main guarantee of successful recovery after surgery on the digestive organs is diet. A properly selected diet contributes to the early restoration of digestion, accelerates tissue regeneration by reducing the load on the intestines. The diet relieves the painful symptoms of flatulence and pain along the intestines, normalizes stool and peristalsis.

General features of the postoperative diet

The menu is selected by the patient himself, the doctor only advises and recommends certain food products for use. The diet should be observed both within the walls of the hospital and after discharge for 1-2 months until the full recovery of peristalsis. It is necessary to return to the usual diet gradually, without abrupt transitions.

Basic principles of the postoperative diet:

  • Hunger during the first and second days after surgery. Parenteral nutrition (intravenous administration of glucose and protein solutions).
  • Exceptionally gentle food for 1-2 weeks after the operation, when the patient is still in the hospital: cereals, pureed soups, mashed vegetable and fruit purees, compotes, fruit drinks and teas.
  • After discharge from the hospital, self-cooking food by steam or by boiling in salted water, followed by grinding it into a mushy consistency.
  • Compliance with the diet for 1 month after discharge.
  • Exclusion of fatty, salty, smoked, fried and irritating foods, as well as spicy, spicy, bitter and sour foods.
  • Avoiding sugary foods and foods that cause gas and bloating.
  • Meals at the same time of day.
  • At least 5-6 meals a day.
  • All meals are served warm.

The main principle of the diet is to restore normal stool, normalize peristalsis and relieve painful symptoms. This facilitates the patient's condition after the operation, relieves the load on the digestive tract. As a result, tissue regeneration proceeds faster, recovery period does not take much time.

What foods can you eat after surgery

After the operation, the following are allowed for use:

  1. Boiled cereals and grain products.
  2. Boiled vegetables in the form of mashed potatoes.
  3. Boiled and baked fruit in the form of mashed potatoes.
  4. Fermented milk products.
  5. Meat broths without spices.
  6. Meat puree (1-2 weeks), then pieces of lean meat.
  7. Dried black bread and crackers.
  8. Berry jellies, jelly.
  9. Boiled and soft-boiled eggs.
  10. Mineral water.
  11. Vegetable juice.
  12. Black or green tea.
  13. Fruit drinks, compotes, decoctions.

What foods should not be eaten after surgery

Irritating (spicy, bitter, sour, sweet) and hot food should not be eaten after the operation. Foods that cause increased gas formation and fermentation, as well as difficult to digest food are excluded from the diet.

After the operation, it is prohibited to use:

  1. Sour fruits and berries.
  2. Preparations for the winter - pickles, smoked products, marinades.
  3. Canned food.
  4. Sweets - sweets, cookies, chocolates, etc.
  5. Mushrooms.
  6. White and fresh bread, pastries.
  7. Nuts.
  8. Cold drinks.
  9. Legumes.
  10. Alcohol.

Important! It is recommended to give up these products for at least three weeks after the operation. It is advisable to maintain such a diet for 2 months.

Features of the diet after bowel surgery for cancer patients

Nutrition alone cannot defeat cancer. The diet is prescribed after the operation, when part of the intestine has already been removed. The menu is selected in such a way as to normalize the patient's stool, while energy value meals must fully satisfy the needs of patients.

A large number of fruits and vegetables, broths, cereals are included in the menu. Meat consumption is limited (no more than 100 g per day of lean meat). The main source of protein is seafood, which is absorbed more quickly and contains a lot of trace elements.

Food is served warm. The nature of the stool and the amount of liquid drunk (at least 2-2.5 liters per day) are monitored daily.

Diet after surgery for intestinal adhesions

Adhesive obstruction is a very common disease of the digestive tract. After surgery for intestinal adhesions, the patient must follow a special diet.

The menu includes exclusively mushy and puree foods. All products are grated, chopped in a blender to a puree state. Coarse food is not recommended to be consumed 1-2 weeks after the operation.

At this time, you need to drink a lot of fluids: teas, decoctions of rose hips or herbs, compotes, fruit drinks. As a dessert, the menu includes jelly and berry jellies. During the diet, stool discharge is also monitored. There should be at least 6-8 meals a day in small portions.

Features of the diet after surgery for intestinal obstruction

In case of intestinal obstruction, a large part is removed small intestine... This is dangerous by the development of malabsorption syndrome, followed by the transition to asthenic syndrome. Therefore, such patients must follow the diet for life.

The menu includes easily digestible food products, difficult to digest food is excluded, since it does not have time to be digested by the intestines. Vegetables, broths and soups, cereals and mashed potatoes are allowed in large quantities. The patient needs to independently monitor the state of the stool and the characteristics of the body's reaction to certain foods, since the digestibility of food in different people different.

Diet after bowel stoma surgery

Stoma is the removal of the blind end of the intestine to the anterior surface of the abdominal wall. This is necessary for the first months after surgery for bowel cancer, intestinal obstruction. In short, any surgery for bowel resection, as a rule, ends with the imposition of a stoma.

This is a temporary measure, however, the stoma causes a lot of inconvenience to the patient. You can learn to live with an open bowel stoma if you follow basic nutritional principles.

The menu is mainly aimed at facilitating the act of defecation, while the patient should not have liquid or too hard stools. The patient is advised to keep a food diary, where he writes down everything that he ate the day before and the reaction of digestion to the meal eaten. Symptoms (flatulence, pain, cramps), the nature of the stool (liquid, hard, mushy) and the amount of food eaten are indicated.

Important! Intestinal stoma nutrition includes a variety of vegetables, fruits, soups, dairy products, and meat. Keeping a food diary, the patient himself adjusts the diet, depending on the body's response to the dish. For constipation, the menu includes beets, prunes, plums. For diarrhea, cereals.

Important video: Diet after bowel surgery

Ready menu for a week in the postoperative period

In the hospital, the menu is drawn up by a dietitian together with the attending physician. At this time, it is not recommended for the patient to carry additional dishes, since they can cause unpleasant symptoms in the operated person. After the discharge, the menu is made by the patient himself, having previously consulted with the attending physician.

Here is an example of a ready-made menu for a patient after an abdominal bowel surgery:

Day of weekMenu
Monday

10.00-11.00: Soft-boiled egg and crouton

13.00-14.00: Slime buckwheat soup, compote

16.00-17.00: Baked apple and tea

18.00-19.00: Fish soufflé and compote

The night before sleep: A glass of kefir

Tuesday7.00-8.00: Rice porridge with milk, green tea

10.00-11.00: Baked pear

13.00-14.00: Vegetable puree soup, croutons and compote

16.00-17.00: Berry jelly and fruit drink

18.00-19.00: Curd casserole made from fat-free cottage cheese with the addition of a teaspoon of honey and tea.

The night before: Rosehip decoction

Wednesday7.00-8.00: Buckwheat porridge with milk, green tea

10.00-11.00: Baked apple

13.00-14.00: Lean fish soup, compote

16.00-17.00: Soft-boiled egg, crouton

18.00-19.00: Mashed potatoes with minced meat

Thursday7.00-8.00: Oatmeal with milk, green tea

10.00-11.00: Protein steam omelet

13.00-14.00: Pumpkin puree soup, compote and croutons

16.00-17.00: Baked pear

18.00-19.00: Steamed meatballs, mashed potatoes, rosehip broth

The night before sleep: A glass of fermented baked milk

Friday7.00-8.00: Barley porridge, black tea

10.00-11.00: Soft-boiled egg

13.00-14.00: Chicken soup, compote

16.00-17.00: Baked apple

18.00-19.00: Meat soufflé, jelly

The night before sleep: A glass of kefir

Saturday7.00-8.00: Protein omelet, croutons and tea

10.00-11.00: Berry jelly

13.00-14.00: Slime rice soup, compote

16.00-17.00: Baked pear

18.00-19.00: Steamed chicken cutlet and mashed potatoes, jelly

The night before: Rosehip decoction

Sunday7.00-8.00: Rice porridge, compote

10.00-11.00: Soft-boiled egg, crouton

13.00-14.00: Soup with pearl barley and grated vegetables

16.00-17.00: Skim cheese, Black tea

18.00-19.00: Vegetable stew, jelly

Bedtime Eve: Natural Yogurt

Drink enough mineral water between meals. Dishes should be fresh, cooked just before eating. The menu is adjusted depending on the reaction of the body to a particular dish, as well as depending on the nature of the stool.

In the postoperative period, a special diet is required. What should be the diet after bowel surgery? What can you eat and drink, and what will you have to give up?

Useful information

Any surgical intervention is a serious stress for the body. A particularly difficult postoperative period is observed after tumor removal gastrointestinal tract, as well as after preoperative chemotherapy (serious problems arise in patients who have been deprived of adequate nutrition for a long time). Nutritional deficiency (deficiency of fats, proteins, carbohydrates, minerals, vitamins) is detected in 70-80% of patients with malignant tumors. The most serious factor in nutrient deficiency is the production of bioactive substances by the tumor that affect metabolic processes. But even in the absence of oncology, surgical intervention leads to a noticeable increase in energy requirements against the background of the forced restriction of food intake. After any bowel surgery, it is necessary to adhere to a phased diet that helps to gradually replenish the deficiency of useful elements.

The first stage of the diet

On the first day after the operation on the intestines, it is recommended to adhere to the fasting regime (you cannot even drink). To maintain water-salt metabolism and compensate for protein and vitamin deficiencies, salt, water, proteins, vitamins are administered intravenously (bypassing the digestive tract). If the doctor does not insist on complete abstinence, then the liquid can be drunk 4-5 hours after waking up and restoring the swallowing reflex.

The second stage of the diet

In agreement with the doctor, at the second stage of the diet, it is supposed to eat easily digestible food: dietary mashed soups, broths, steamed omelets, light curd soufflés, well-boiled cereals, mashed potatoes, baked apples in mashed form. The diet prescribed after bowel surgery implies maximum sparing of the digestive tract. Food should not be hot or cold, large portions should not be consumed, it should be eaten fractionally (up to 6 times a day).

The third stage of the diet

After 2 weeks, the diet can be slightly expanded. Smoked meats, pickles, pickles, spices, hot seasonings, fatty foods are still excluded. Food should be prepared using gentle methods. It is recommended to boil products in water or steam, stew, bake (all fried is excluded). Do not eat rough and hard to digest food. Limit your intake of citrus fruits, nuts, wheat bran, mushrooms, tomatoes, asparagus, and legumes. Sour fruits, chocolate, ice cream, cocoa, baked goods, fresh baked goods, cold carbonated drinks, and alcohol are excluded. You should eat at the same time (according to the schedule).

It is recommended to introduce into the diet:
Fermented milk drinks
Still water, weak teas
Yesterday's wheat bread, dry biscuits
Lean meats
Fish
Soft-boiled eggs
Steam omelets
Creamy and refined vegetable oil
Well-boiled cereals (with the exception of millet, pearl barley and barley groats, buckwheat-kernel)
Vegetables, boiled in water, steamed, mashed
Soups with vegetables or cereals
Ripe sweet fruits and berries
Fruit and berry and milk jelly, jellies, mousses, mashed compotes, baked apples
Sweet dishes with whipped egg whites
Sugar, honey, jam, jam, marshmallow

After excision of hemorrhoids, a sparing diet is prescribed to the patient in the hospital. Special nutrition allows you to reduce pain in the area of ​​wounds, to avoid relapses of the disease and complications in the form of rectal bleeding, pyoinflammatory processes.

What can you eat after hemorrhoid surgery? The first day was practically nothing. Poor nutrition slows down intestinal motility and delays the formation of feces. It is allowed to drink unsweetened tea, light chicken broth, lingonberry juice, rosehip broth. Natural fruit and berry juices diluted with water are allowed. Immediately after hemorrhoid surgery, milk is excluded. The diet in the following days contributes to:

  • the fastest healing of postoperative wounds;
  • the formation of soft feces that do not injure wounds;
  • the appearance of a regular daily bowel movement.

Diet food helps to avoid constipation, reduce bloating by reducing flatulence in the intestines.

Prohibited or limited

3 days after bowel surgery, the number of meals allowed increases. A strict diet is prescribed that spares the digestive tract from various irritants:

  • thermal - the temperature of ready meals approaches 50 - 55 degrees. Overly hot or cold meals are not recommended;
  • chemical - salty, acidic food should not irritate the mucous membrane of the large intestine;
  • mechanical - ready meals should not contain solid inclusions - coarse fiber, uncooked foods.



Prohibitions primarily apply to plant foods - fresh vegetables pieces - turnips, carrots, rutabagas, fruits with unpeeled peels. The intestines irritate tough meat, tendons, cartilage, poultry skin. You should not eat foods that cause bloating. These are, first of all, legumes, fresh pastries from yeast dough, cabbage in any form. Chemical irritants after rectal surgery are:

  • salted, spicy, pickled vegetables;
  • extractives - strong mushroom, meat, fish broths, meat sauces;
  • some spices - bitter black and red peppers, mustard, adjika, horseradish;
  • vegetables with a lot essential oils- radish, green and onions, garlic, wild garlic, radish;
  • greens - spinach, sorrel;
  • carbonated, alcoholic drinks.

Harmful substances that irritate the intestines are formed when frying meat, fish, vegetables. Therefore, frying food is prohibited.

Allowed

After 4 - 5 days after the operation, a surgical diet or table number 1 is prescribed. 4 meals a day, complete in composition, includes everything necessary for the body useful material... What can not be used in the postoperative period is now known, and what can be eaten?

  • white bread crackers;
  • weak low-fat chicken or meat broth;
  • slimy oatmeal soups in meat broth;
  • steamed omelet, soft-boiled eggs;
  • dishes from boiled mashed meat;
  • liquid porridge - semolina, buckwheat, rice flour;
  • from fats - only butter;
  • dairy products - kefir, a little low-fat milk or cream;
  • drinks - jelly from berries, fruits, tea with lemon, diluted juices.

Diet meals should be tasty and appetizing in appearance. To give the dishes a special aroma and taste, seasonings and spices are used that do not irritate the intestines. These are dill, basil, parsley, caraway seeds, bay leaves. V dietary nutrition cereals are widely used for making viscous cereals, puddings, soups. With exacerbation of intestinal diseases, mucous enveloping decoctions are prepared from rice and oatmeal.

Corrective diets

Operations to remove hemorrhoids have to be done by patients with concomitant diseases. In such cases, an individual diet is prescribed after surgery to remove hemorrhoids, adjusted by the attending physician. The standard medical nutrition is taken as a basis, in which the necessary changes are made. As a quick example, 3 common diseases are given:

  • diabetes;
  • gout;
  • anemia.

At diabetes mellitus disrupted carbohydrate metabolism. Sweet dishes, white bread, semolina are excluded from the daily menu. Organized 5 - 6 meals a day with a 3-hour break between meals.

With gout, a violation of protein metabolism occurs. To remove extractives from meat and fish, products are pre-boiled. Meat broths are being replaced by vegetable vegetarian soups. Meat and fish are limited, replaced by fermented milk products, egg dishes.

With prolonged hemorrhoidal bleeding, anemia may develop. To increase blood hemoglobin, the diet after hemorrhoid surgery involves the inclusion of foods high in iron in the menu. Of the permitted products, there is a lot of it in oatmeal, millet, dried apples, egg yolk, rose hips.

Features of cooking

After surgery to remove hemorrhoids, the diet is prescribed individually. Its composition, duration, cooking conditions are determined by the volume of surgery, the presence of concomitant diseases and postoperative complications (if any). The following are general guidelines for preparing dietary food that will be gentle on the digestive system after surgery. Ready meals, before getting on the table to the patient, undergo special processing:

  • steamed;
  • boiled;
  • stew;
  • baked in the oven.

During the recovery period after the operation, solid, dense products that have undergone heat treatment are wiped through a sieve, crushed in a blender, and rolled through a meat grinder. Passing on vegetable and animal fats is prohibited. Instead, vegetables are stewed in a small amount of weak meat broth or vegetable broth. Butter is added to ready meals.

Cereals, vegetables, meat are well cooked. Lean meat is used - lean poultry, rabbit, veal. Before cooking, the food is chopped in one of the ways listed above. Chops, dumplings, meatballs, meatballs, casseroles, beef stroganoff are prepared from minced meat.

Fruit - compotes, jelly, mousse, jelly. Peeled apples in small quantities can be prescribed individually. Bread and baked goods are best eaten the day after baking. When it is possible to return to the usual way of life and the usual diet for a person, the proctologist allows the doctor.

Example of a day menu

A properly composed menu is one of the conditions for a quick recovery. After the patient is discharged home after surgery, nutrition should be organized so that there is no constipation. The desired effect is achieved by consuming a large amount of herbal products. The postoperative menu looks something like this.

3 breakfast options

  1. Vegetable vinaigrette and a portion of boiled fish, tea with a little milk.
  2. Buckwheat porridge with butter, beet salad with prunes, green tea with a spoonful of honey.
  3. Low-fat cottage cheese with 10% sour cream, vegetable and fruit puree, tea with rhubarb jam.

3 lunch options

  1. Fresh tomato salad with vegetable oil, oat soup on chicken broth, beef stroganoff with mashed potatoes, dried fruit compote.
  2. Boiled carrot salad with apple, milk soup made from well-boiled buckwheat, rice or oatmeal, veal stewed with vegetables, apple juice.
  3. Boiled beet salad with chopped walnuts, rice soup from chicken offal, boiled veal with baked vegetables, berry compote.

Dinner options

After the operation, the menu includes pumpkin porridge with millet and butter, bell peppers stuffed with a mixture of meat and rice, fish baked with vegetables, drinks: fruit and berry juices, rosehip decoction, berry liquid jelly.

During the day, yesterday's white bread made of 2 grade flour or a stale unsweetened bun is served at the table. At night it is allowed to drink a glass of yogurt, kefir. In the afternoon snack, baked fruits, curd soufflé, rice casserole with fruits and vegetables are given.

Three stages of the diet

Indications for bowel surgery:

  • Oncological diseases (if part of the rectum is removed, the patient has to use a colostomy bag).
  • Injured intestine.
  • Ischemia.
  • Injuries.
  • Hemorrhoids, cracks in the colon or small intestine.
  • Acute inflammation.
  • Diverticula (bowel protrusion).
  • Paraproctitis, etc.

Most of the diseases are caused by humans. For example, diverticula are extremely rarely congenital; this is an acquired disease due to difficult working conditions or malnutrition. It goes without saying that nutrition after bowel surgery will change, because your main task is to restore the lost functions as soon as possible. Conventionally, the diet can be divided into three stages:

Stage 1. The postoperative rehabilitation period lasts more than one month, but the first three days are the most important. During this time, doctors recommend parenteral nutrition. If the body accepts food well, liquid and jelly-like meals can gradually be given. At a time, no more than 120 g. You need to eat 7-8 times a day.

Stage 2. Lasts from 4 to 7 days, a similar diet is followed before the operation. The menu can include a soufflé made from chopped lean meat and fish, mashed porridge, low-fat cream. The number of meals is reduced to 6. Be careful with fermented milk products, they can give unwanted side effects(constipation or diarrhea). Consume no more than 200 g of food at a time. If the patient has pain, discomfort, problems with stool, you need to return to the previous stage.

Stage 3. Lasts from 7 to 35-40 days. After a month, part of the intestinal functions is already being restored, and a person may begin to neglect the recommendations of doctors. This cannot be done, since the seams may disperse or the work of the digestive tract may be disrupted. The number of meals can be reduced to 5, consume 250-300g at a time. We still give preference to liquid and puree-like dishes. Prerequisite: watch the stool, the act of defecation should be light and regular.

General information about the diet


The rules for a successful diet:

  • The operational and postoperative period implies the most gentle and easily digestible food.
  • Dishes should be steamed or boiled, and stew occasionally, but not until crisp. Fried and smoked foods are completely excluded.
  • Thoroughly chop and grind food, do not burden the diseased intestines.
  • Meals should be fractional - 5-6 times a day.
  • Do not allow long breaks in the work of the intestines: you need to eat regularly, at the same time - this way you will prevent unnecessary irritation and stretching of the walls.
  • Although the menu is somewhat limited, it should be complete and nutritious.
  • Try to use only natural products without chemical additives.
  • As you introduce new foods, watch your body's reactions. If intestinal functions are normal, the product may be included in the menu. Flatulence, constipation, diarrhea, nausea are signs that the intestines have not yet recovered, continue to follow a strict diet.
  • Do not forget about the drinking regime - at least 2.5 liters of liquid. You can drink still mineral water, herbal teas, rosehip decoctions, jelly, fruit drinks.
  • After discarding mashed food, chew all ingredients thoroughly. Firstly, this is a lesser load on the digestive tract, and secondly, the primary processing of saliva enzymes takes place in the mouth, and the digestion process is accelerated.
  • The body should receive at least 200 g of carbohydrates, 140 g of proteins, 60 g of fats per day. Caloric content - 2400-2800 kcal.
  • You can't go hungry, snacks should be frequent and healthy (vegetable purees, cottage cheese, mousses, compotes).
  • Give up dry water, food on the go and other unhealthy eating habits.
  • Watch the temperature regime of the dish: the best option is 50-55 degrees, for chilled products - 16 degrees.
  • The diet after bowel surgery should be followed for at least 3 months.

Allowed Products:

  • Liquid soups (with cereals, boiled noodles, meat broth).
  • Low-fat varieties of meat and fish (chicken, veal, turkey, hake, pangasius, pike, etc.).
  • Porridge (rice, semolina, oatmeal).
  • White bread croutons.
  • Low-fat cottage cheese.
  • Vegetable juices and fruit compotes.
  • Low-fat cheese.
  • Salt up to 3 g per day, sugar - up to 5 g, butter - up to 10 g.

Gradually, you can introduce vegetables (zucchini, pumpkin, carrots), fruits into the diet (from which fruit drinks, jellies and compotes are first made). Diet dairy products allowed only if there is a favorable reaction of the body. You can drink kefir, yogurt, acidophilus milk.

  • Spicy, salty, smoked dishes.
  • Marinades and canned food.
  • Purchased sauces, including mayonnaise.
  • Sausages.
  • Sweets and pastries.
  • Ice cream.
  • Certain vegetables (cabbage, turnips, radishes, spinach, asparagus, legumes) and mushrooms.
  • Grapes, citrus fruits.
  • Nuts.
  • Fatty fish and meat.