Diet after removal of appendicitis

Any part of the human body performs its tasks. The indication for appendectomy( removal of the appendix) is its acute inflammation and the danger of spreading to the entire peritoneum( peritonitis).

Appendicitis occurs due to clogged stones, excesses or excessive mobility, abdominal trauma, complication of other inflammatory bowel diseases, impaired nutrition. It is impossible to avoid surgical intervention.

Surgical approaches differ in the classical version of opening the abdominal cavity through a cut in the iliac region to the right and less traumatic laparoscopic method. Diet after removal of appendicitis is a full component of the rehabilitation process. Doctors take the patient's nutrition problems after surgery seriously. The question that can and can not be eaten to the patient is solved individually as he recovers.

What changes in the body are eliminated with the help of rational nutrition?

The recovery period even in an adult does not end with the removal of stitches. In a child's body - lasts much longer due to reduced adaptive abilities. In the first days after removal of the appendix, doctors watch for urination, intestinal peristalsis, body temperature, heart rate, arterial pressure, the state of postoperative sutures.

To completely eliminate the consequences of the disease the body must cope with inflammation with the help of its own immunity and additional medicines. Especially difficult is the process with destructive forms, when the peritoneum is involved in it and there are signs of local or diffuse peritonitis.

These vitamins the person receives from food, they influence the state of immunity

. If the patient has reduced immunity, then one can not expect adequate protection. This is typical for children, the elderly, suffering from excess weight, diabetes and chronic diseases.

Proper nutrition after removal of appendicitis should ensure:

• sufficient intake of protein to provide plastic material to form a dense scar;
• carbohydrates, as the main energy substance;
• fiber and fats for bowel cleansing;
• strengthened drinking regime in combination with broths of herbs that have bactericidal properties in order to remove intoxication and remove the products of disintegration with urine;
• vitamins as a necessary constituent of biochemical processes and immune reactions.

The main requirements for the dietary composition of meals in the diet

Cutting the appendix is ​​accompanied by a violation of the integrity of part of the gastrointestinal tract. Therefore it is temporarily necessary: ​​

• to relieve the stomach and intestines, without disturbing its functioning, there is only allowed food after the operation;
• to ensure shchazhenie with the help of mashed food, puree;
• avoid using any stimulants in the diet to increase acidity( sharp, salted, fried dishes, seasonings, sauces);
• for the prevention of bloating to exclude in the first days of consumption products that enhance gas generation( milk, legumes, cabbage, carbonated drinks);
• to control diet - food should enter the intestines in small portions 6-7 times a day.

The most strict approach to a diet after an operation to remove an appendix in the first week. Expansion of the menu begins usually from the second week, but for a month the patients will have to eat at home only the allowed products. For children, this period increases to six months.

Legumes are useful in nutrition of a healthy person with a composition of plant proteins, but after surgery they negatively affect the intestines.

What kind of diet is recommended for patients after appendectomy?

Weekly diet after appendicitis according to Pevsner's classification includes a sequential transition from the table 0a, 0b, 0c to No. 1.Together they make up a system, also called a surgical diet, in contrast to similar nutritional requirements in peptic ulcer therapy.

From the "therapeutic" diet is distinguished by the possibility of resolving low-fat meat and fish broths, limiting milk. Observance of the indications by the day allows to achieve in nutrition the maximum shudder of the gastrointestinal tract with the preservation of the digestive processes.

The patient can only eat meals in liquid, semi-liquid, gelatinous or wiped form. First, the diet consists of well-assimilated foods with a reduced content of protein, fat and carbohydrates. But with each day of the first week their share increases, while the caloric content increases.

Immediately after delivery of the patient from the operating room, it can not be fed and watered for about 12 hours. This time is necessary for the body to concentrate forces not on nutrition, but on the way out of the narcotic sleep. You can moisten your lips with water and lemon.

Diet 0a is assigned for the first 2 days after the operation to remove appendicitis. It is only for a day: 5 g of protein, 150 g of carbohydrates, 15 g of fat. Salt is very limited. On the third or fourth day, a diet 0b is prescribed, which differs in composition: proteins and fats of 40 g, carbohydrates 250 g, the amount of salt increases.

On the fifth day, they switch to table number 1, which includes: protein 90 g, fat 70 g, carbohydrates grow to physiological nutritional standards( 350 g).The volume of once consumed food rises in a week from 100 g to 300. At the same time, a drink of up to 2 liters of liquid is shown.

In order for the food in the intestines to be better absorbed, it must be eaten in a warm form. Too hot or cold temperature irritates the stomach, leading to energy consumption costs for warming.

In the postoperative ward, patients are on the first day, liquid food is given 12 hours after surgery.

. Sample menu for the first week.

. In the in-patient department, a dietician or a dietitian with a special nutrition training is responsible for creating the menu-layout. After a 12-hour period, the first day after the operation with appendicitis, in the opinion of a healthy person, differs almost by a hungry regime, allowed:

• sweetened broth of wild rose;
• slightly sweet, not strong tea;
• strained compote of dried fruits;
• low-fat meat broth;
• rice decoction;
• jelly from berries.

If visitors bring fresh juices, then they are recommended to be diluted 2 times with water and taken a little before drinking. It is forbidden to juice from grapes, vegetables, mineral water with gas.

Food for 2-3 days includes:

• first dishes in the form of mucous soup from cereals or low-fat meat( chicken) broth;
• for the second - prepare liquid and semi-liquid mashed porridge( from oat flakes, rice, buckwheat) on water or meat broth, boiled soft-boiled egg, scrambled eggs, low-fat meat and fish souffles and mashed potatoes;
• for dessert, you can use jelly and mousse of non-acidic berries, cream is usually added to cereals and mashed potatoes.

On the 4th-5th day they go to the diet table 0c. He allows the patient to be added to the food:

• soups in the form of puree with white rusks;
• meat( preferably chicken), fish in the form of minced meat in meatballs, as supplements to soup;
• cottage cheese is allowed fresh, diluted with cream or milk, or in the form of a curd steam casserole;
• kefir, low-fat sour cream;
• from vegetables and apples prepare mashed potatoes( zucchini, pumpkin, potatoes) or baked;
• porridge is allowed to cook on milk;
• tea is bred with milk or cream.

From 6 to 7 days, more dense porridges on the water are connected to the food, raw cheese on dried white bread, dry biscuits, greens are added to broth, low-fat kefir or yogurt. If the patient has appendicitis accompanied by peritonitis, then the transfer to the next stage of nutrition is delayed by 1-2 days. All the features are solved with the doctor.

Characteristics of allowed and contraindicated food

After discharge from the hospital, the temptation to eat something tasty is growing, and appetite appears. But at least 3 more months there are restrictions in nutrition and foods that can not be eaten. We provide a brief overview of the recommendations of nutritionists on the home-based diet of patients.

Meatballs are prepared from meat and fish lean minced meat

Recommended:

• dishes from lean fish, chicken, beef, cooked only by boiling or steaming;
• soups can be prepared on water or low-fat meat broth with cereals( oatmeal, buckwheat, rice) and a mixture of egg and cream, a teaspoon of butter is added to the portion;
• from the second week in soups can be introduced meat minced meat, meatballs;
• after appendicitis you need to eat only wheat dried bread, not more than 100 g per day;
• for a month from meat and poultry it is recommended to cook soufflé, steam cutlets, meatballs, from the second month meat is allowed to be cut;
• from fish of low-fat varieties( cod, blue whiting, hake, pike, pollock) it is better to make minced meat, then soufflé, knels, cutlets;
• porridge in the second week is still given in semi-liquid form, add butter and milk;
• is widely recommended puree from pumpkin, potatoes, zucchini, carrots, with the addition of beets, cream, butter and milk are used;
• for children you can use ready-made vegetable food;
• daily shows the consumption of one egg soft-boiled or in a steam omelette;
• cottage cheese is grated with milk or cream;
• apples are baked, from the second month you can eat fresh;
• from non-acidic berries cook jelly, compote or jelly;
• honey and sugar together should not exceed 50 g per day for an adult person;
• butter is gradually added to cereals and mashed potatoes;
• tea brew is not strong, it is recommended to combine with milk or cream, berry juices, herbs, for drinking remains at all times a useful broth of dogrose.

From fruits and sweets at the end of the month allowed to eat dried fruits( dried apricots, prunes, figs, dates), citrus( oranges and tangerines), peaches, strawberries, raspberries, marshmallows. Caution should be given to honey and bananas because of the individual ability to cause constipation.

It is important to listen to the advice of specialists

For the next six months, the patient will have to get used to failure:

• from fatty meat, sausages, smoked meat products;
• salo and margarine;
• mayonnaise, seasonings and spicy sauces, ketchup, vinegar;
• porridge of beans, peas, beans, lentils;
• soups and salads with cabbage( including borsch);
• tomatoes;
• of salted and smoked fish;
• canned food;
• fried foods;
• pancakes, pancakes;
• products from mushrooms( fresh, salted);
• onion, garlic;
• alcoholic beverages, beer, soda water, strong coffee and tea;
• fatty cottage cheese and sour cream, condensed milk;
• pasta, dumplings, dumplings;
• chocolate, jam, cakes, sweets;
• sweet fruit( grapes, persimmons, pomegranate, nectarine, watermelon);
• ice cream.

It's better to limit salt in the first two weeks. From these products you can make a delicious menu. The disadvantage is reduced calorie content. For fat people it is useful, but lean need to eat more often.

Features of nutrition, if appendicitis was removed by laparoscopic method

A small traumatic operation is nevertheless associated with excision of the intestinal tissues. The restrictions in diet and diet do not differ from the state of the patient with classical appendectomy, but the timing of the transition to a common diet is reduced because healing is faster.

In the first day it is allowed to drink mineral water with the released gas and eat some liquid mashed potatoes. From the second day in the absence of drainage it is recommended to walk. You can eat steamed burgers with a garnish of semi-liquid porridge or mashed potatoes, eat a grated apple.

Before rubbing, you need to clean the apple from the

skin. On the third day after the operation, non-acidic fresh juices, kefir, yoghurt, fruit are allowed in the food. It is recommended to drink a lot: compote of dried fruits, kissel, sweet tea, broth of wild rose, infusion of chamomile. From the fourth day in the soup, add greens, carrots, zucchini. From dried fruits are allowed persimmon, apples, figs, dates, baked apples and pears are useful.

There are general requirements for frequent meals in a warm form( at least 6 times a day), the refusal of alcohol. Strict restrictions for sharp, fried and smoked dishes are set for 2 weeks. In the future, doctors advise gradually to expand the diet.

Try to cook

For a change, here's the Chinese way of cooking rice. The Chinese claim that, thus, all the qualities of cereals are preserved. The ratio of cereals and water is required by volume to keep 1: 1.5.After washing, put a pan on the stove and wait for the boil. Close the lid and leave the medium intensity of the fire. Now check the time.

Chinese technology requires consistently to cook 2 minutes on medium heat, then without removing the lid 8 minutes - on a weak. The rice will be completely ready in 30 minutes, when it stays in a wrapped pan.

Pumpkin porridge is a useful dietary dish. In one saucepan, put the croup of millet + rice evenly, and fill the bay with water 2 times more by mass. Simultaneously, brush 300-400 g of pumpkin( you're lucky if the grade turns out to be sweet).Cut the flesh into cubes. Boil in another pan for 5 minutes and mash with a crust or in a blender.

Then put everything in one container, put butter, mix well, bring it to readiness. To improve the taste, you can add a spoonful of honey to the plate. It is recommended to cook porridge and apple, too, but choose only rice from cereals.

Rice is a good option for patients after bowel recovery

The expansion of the diet in the diet should be carried out gradually. Focus on your health. When there are drawing pains in the field of surgery or other unpleasant symptoms, it's better not to rush, to see the doctor. Do not overeat and heavily load digestion.

It is useful to drink water up to 1.5 liters a day and eat a little 5-6 times, observing the schedule. If a man has an appendix cut out, then one must expect that a complete fusion of abdominal muscles will occur no earlier than 1.5 months.

In the postoperative period there is a risk of formation of a hernia in the rumen area, if the formation is disturbed, the immunity of the patient is weakened. To fully recover and forget about the appendicitis transferred, it is necessary to observe not only the requirements of nutrition, but also the regime. To worsen the condition leads to weight lifting, premature physical work, alcohol intake.