DIET PLAN FOR POST GASTRO SURGERY

POST-GASTRECTOMY

• AVOID DAIRY PRODUCTS FOR 1ST WEEK OF SURGERY EXCEPT CURD

• DO NOT LIE DOWN AFTER FOR MINIMUM 1 HOUR

• DO NOT MIX SOLID WITH LIQUIDS

• AVOID CREAM, SODA, FATTY FOOD, BUTTER, REFINED SUGAR, SWEETS

• AVOID SOFT DRINKS, ALCOHOL

• ANY FOOD SUPPLEMENT CAN BE INCLUDED AS PER DISEASE CONDITION

• COOK FOOD PROPERLY SO THAT IT WILL TAKE LESS TIME TO DIGEST WITH LESS OIL (COLD PRESSED MUSTARD OIL). AVOID REFINED OIL

POST ILEOSTOMY (COLECTOMY)

• HIGH FIBRE DIET

• WATER 3-4 LITR /DAY

• AVOID EXCESS ONION GARLIC, CAULIFLOWER, RADDISH

• ADD COCONUT WATER, FRUITS JUICES

• CLEAN UP THE STOMA CONTENT AFTER IT GET FILLED UP 100 ML TO PREVENT LEAKAGE

• CONTACT STOMA CARE PERSON FOR FURTHER QUERY

POST CHOLECYSTECTOMY AND PANCREATITIS / GASTRITIS / CONSTIPATION (IBS)

• AVOID CREAM, SODA, FATTY FOOD, BUTTER, REFINED SUGAR, SWEETS, BIRI PRODUCTS (IDLI, SUJI, DOSA)

• NON-VEG FOR 10 DAYS IN POST CHOLE (EGG WHITE AND SMALL FISH CAN BE TAKEN WITH LESS GRAVY) AND 1 MONTH IN CASE OF PANCREATITIS

• AVOID CHICKEN/MUTTON/ ONION GARLIC PASTE CURRY

CONSTIPATION / PILES / ANAL FISSURE

• WATER 3-4 LIT/DAY

• HIGH FIBER (INCLUDING FRUITS, VEGETABLES MORE THAN 500G PER DAY) → APPROX 1 BOWL PER MEAL (LUNCH /DINNER)

• AVOID ONION /GARLIC (EXCESS), RADDISH IN SALADS

• AVOID CREAM, SODA, FATTY FOOD, BUTTER, REFINED SUGAR, SWEETS

• AVOID SPICY, OILY FOODS

• TAKE FRUITS ONLY IN EMPTY STOMACH NOT AFTER FULL MEALS LIKE IN MORNING OR EVENING SNACK TIME

• 1 BOWL MIXTURE OF FRUITS (APPLE, GUAVA, ORANGE, GRAPES, WATERMELON, PAPAYA)

POST OP PATIENTS

LAPAROSCOPIC CHOLECYSTECTOMY / APPENDECTOMY / HERNIA REPAIR / LIVER-PANCREATIC SURGERY WITHOUT BOWEL SURGERY

• LIQUID DIET ON DAY 1

• SOFT DIET ON DAY 2 ONWARDS

• AVOID DAIRY PRODUCTS, IDLI, UPMA, BIRI PRODUCTS, FATTY FOOD OR EXCESS OIL

• FOLLOW THE DIET PLAN AS PER CONSTIPATION DIET

• HIGH PROTEIN AND HIGH FIBRE DIET

ALL POST SURGICAL PATIENTS’ GENERAL ADVICE

• ITCHING AROUND SURGICAL AREA is due to the stickers and adhesives

  • Consult doctor if there is redness or swelling around wound area

• MEDICATIONS

  • Take the prescribed oral medicines on a timely basis

  • In case of unavailability of a particular medicine, contact the nearest pharmacist for the alternative with same composition

  • In case of any doubt, please contact on the number given below

• FOLLOW UP

  • Usually 10 days after discharge date

  • On this day stitch removal is done unless there is any specific instruction by doctor

  • (Time, date, place will be conveyed to you or you can discuss as per your and doctor’s convenience / availability)

• WOUND CARE

  • After stitch removal, take proper soap bath whole body and over wound

  • After cleaning, apply ointment Neosporin over wound and leave open for next 5 days

  • Clean the body area around wound with soap related to stickers (as these may cause future infections)

  • For any wound related query, please contact your doctor/dresser (number given below)

  • If you are staying at remote, then take a picture and send to WhatsApp with discharge summary

DON’Ts

• AVOID ALCOHOL/SMOKING

  • AVOID NON-VEG FOR FIRST 2 WEEKS

  • AVOID SPICY, OILY FOOD, SOUR FOOD, EXCESS ONION AND GARLIC RELATED FOOD ITEMS

  • AVOID DIARY PRODUCTS, CHEESE, FAT, GHEE, CURD, COLD DRINKS, SODA, COFFEE AND TEA

• AVOID BENDING FORWARD AFTER SURGERY

  • AVOID EXERCISE OR STRENUOUS ACTIVITIES (JOGGING / GYMING / WEIGHTLIFTING / LIFTING WATER BUCKETS OR SUITCASE) FOR:

    • 1 MONTH (FOR LAPAROSCOPIC SURGERIES)

    • 3 MONTHS (FOR MAJOR OPEN SURGERIES)

  • AVOID CORE (BELLY) RELATED EXERCISES OR KAPALBHATI (HEAVY OR RELATED TO ABDOMEN OR LIKE BENDING FORWARD) FOR 1 MONTH

  • SIMPLE YOGA OF LIMBS OR BREATHING EXERCISE (PRANAYAM) CAN BE DONE

NUTRITION AND LIFESTYLE

• TAKE WATER 3-4 LITRES PER DAY

• APPROX 500 MG (AROUND 2 SMALL BOWL) OF RAW PLANT DIET LIKE FRUITS (APPLE, POMEGRANATE, ORANGE, GUAVA, CHEEKU, BANANA)

  • AVOID BANANA/PAPAYA IF DIABETIC

• GREEN VEGETABLES: 1 SMALL BOWL IN LUNCH AND DINNER

  • Cook in LESS OIL (MUSTARD OR REFINED OIL)

  • AVOID ONION GINGER GARLIC PASTE FOR CURRY – it causes gas and gastric issues

  • This improves stool and reduces constipation

FOR SPECIAL PATIENTS

• DIABETIC / CARDIAC / HYPERTENSION

  • TAKE LESS SALT (1 G PER DAY)

  • AVOID SUGAR, SWEETS (can take fruits, jaggery, coconut water)

  • TAKE LESS RICE, MORE CHAPATI

  • AVOID MAIDA RELATED FOOD (POORI, PARATHA, BHATURE, SAMOSA, NIMKI, MIXTURE, MOMOS, PIZZA, PANCAKE, SPRING ROLL)

• KIDNEY PATIENTS

  • AVOID COCONUT WATER, FRUIT JUICES

  • CONTINUE ALL PREVIOUS MEDICATIONS UNLESS CHANGED BY DOCTOR

NON VEGETARIAN DIET

• START AFTER 2 WEEKS OF SURGERY

  • With egg white and small fish (simple fried - bhaja, not heavy curry)

  • After 1 month: chicken (limited, less frequent, twice weekly)

• CANCER, PANCREAS, LIVER SURGERY, PILES, IBS PATIENTS

  • AVOID non-veg and onion-garlic curry

  • These slow intestinal motility and cause gas, toxin formation

  • Resulting in insomnia, IBS, anxiety, fear, acidity, bloating

  • Refined oil and non-stick cookware are toxic to bowel mucosa

  • Best: Cold pressed mustard oil / ghee (high boiling point, suitable for Indian menu)

TRAVEL

• CAN TRAVEL:

  • After 7 days of laparoscopic surgery

  • After 2 weeks of open abdominal surgery

  • In emergency, consult doctor

POST SURGERY WORK

• Routine daily house activities okay

  • AVOID INDIAN STYLE TOILET for 10 days

  • Can do normal sitting, sofa, brisk walking in house/garden

  • AVOID OFFICE WORK for first 10 days – to prevent diet, hydration disturbance and stress

  • Physical and mental rest is needed for recovery

  • Recovery takes:

    • 2 weeks (lap surgery)

    • 2 months (open surgery)

FOR ANY QUERY

PLEASE DO NOT HESITATE TO CALL ME AT 7008385416 / 9937326869

WE WILL DO OUR BEST TO MAKE THIS A PLEASANT AND MOST SUCCESSFUL EXPERIENCE.

DR SOUMEN ROYGastro-Liver-Pancreas-GI ONCO specialistConsultant Surgical Gastro & Liver TransplantationApollo Hospital, Bhubaneswar