How do I eat after digestive tract surgery?

Posted by Teresa, Volunteer Mentor @hopeful33250, Jul 9 12:10pm

Perhaps you have had surgery for chronic diverticulitis, cancer of the digestive tract, a Whipple procedure, bariatric surgery, or maybe even gallbladder surgery. Surgeries of the digestive tract typically alter the way our bodies process food as they change our digestive landscape. I discovered this after my second surgery on the upper digestive tract. After this surgery (and nearly a week in the hospital), well-meaning friends brought me food, which I certainly appreciated. However, the food they brought me were salads, fresh fruit and vegetables, cream-based soups, and casseroles. All of which made me feel terrible. It turned out my problems stemmed from what I was eating. So, what should I have been eating instead of these foods? It was a time of trial and error for me. I spent a lot of time finding which foods were “safe” and which foods were “triggers” and would cause digestive difficulties.

After major surgeries of the digestive tract, many hospital systems have a registered hospital dietitian meet with you before discharge and provide instructions on the best way to eat. This was not my experience. I did, however, request a referral to a dietitian several months after surgery.

Let's sit around the table and share our tips on the eating plan that worked best for you after your surgery and talk about the kinds of foods that were (and still are) the easiest to digest. We are all different in our responses to surgery, but we will undoubtedly find common ground.

I look forward to learning together. Share your ideas, recipes or cooking methods that have helped you.
Here are a few questions to get us started:
- If you have had a consultation with a dietitian, what did you learn?
- What foods did and didn't work for you?
- What about the quantity of food at each meal, as well as the timing of meals?
- Have your cooking methods changed?
- Do you still use spices the same way?
- Have you kept a food diary to track any foods that might be triggers for digestive difficulties?

Interested in more discussions like this? Go to the Digestive Health Support Group.

I have short gut syndrome. I only have 2ft of my small intestines. I had a small bowel obstruction in 2019 and had 2 surgeries to fix the obstruction. For the first year,I was eating soft well cooked easy to digest foods and low fiber foods. I drink fluids with sodium and glucose (sugar) in them to help with absorption. Plain water doesn't absorb enough in my body. Now I am able to eat what I want to eat but it needs to be low fiber. I chew my food well. Small meals several times a day. I drink one Boost plus a day to help with weight gain. I am needing to gain weight but it hasn't happened very easily with short gut syndrome. I weighed over 140 lbs. in 2019 now I weigh under 115 lbs. I have been getting constipated alot lately which isn't good for short gut syndrome. People with short gut syndrome should have soft stools or diarrhea but not formed stools that is a sign of constipation.
I had my gallbladder removed also in 2019 but haven't noticed any problems with that.

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Profile picture for cj16 @cj16

@lilbear About 8 months I started feeling better but still eat half of what I used to eat. Now,Greek plain Yogurt with berries and soups are my go to along with protein chix,fish,tuna,eggs,nuts lots of veggies . Protein drinks plant based(Vega berry) fruit helped me at first but I don’t drink them now. No dairy with lactose, I am lactose intolerant. I still eat small meals,no fat or meat because it Bothers me. I enjoy eating morefoods now and eat slowly and chew.,chew,chew.I walk daily and take a probiotic which helps a lot. 🤸‍♂️💕

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@cj16 thanks for the suggestions not sure what’s going to work for me yet! I’m really nervous to try new things!

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Profile picture for lilbear @lilbear

@cj16 how long did it take to get better?

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@lilbear About 8 months I started feeling better but still eat half of what I used to eat. Now,Greek plain Yogurt with berries and soups are my go to along with protein chix,fish,tuna,eggs,nuts lots of veggies . Protein drinks plant based(Vega berry) fruit helped me at first but I don’t drink them now. No dairy with lactose, I am lactose intolerant. I still eat small meals,no fat or meat because it Bothers me. I enjoy eating morefoods now and eat slowly and chew.,chew,chew.I walk daily and take a probiotic which helps a lot. 🤸‍♂️💕

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Profile picture for Teresa, Volunteer Mentor @hopeful33250

It is so good to read your post, @cj16, and to hear how you managed foods after surgery. I was also told that protein was most important and to add in other foods groups as I could tolerate them. The small portions are also very helpful.

How long ago was your surgery? Have you been able to increase the portion size yet?

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@hopeful33250 sorry just saw this post. Took about a year to feel much better. Still eat half of what I did. Yogurt and soups not creamed soups are my go to . I don’t drink the protein drinks anymore but still eat lots of protein like nuts, eggs,beans,tuna ,fish,shrimp.,grilled chix and lots of veggies. Yes,still eat slowly and chew lots.I don’t drink carbonated beverages or lots of alcohol. Fats and meat bother me as well as acidic foods so I stay clear of them. I take a probiotic which helps and sometimes reflux gourmet if needed. There is hope and when I was struggling I would stare at some foods and was afraid to eat it. Now,if I feel uncomfortable or eat too much I walk it off. Each day is a new beginning. Good luck.🤸‍♂️💕

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Profile picture for cj16 @cj16

Great topic. Most foods were trial and error. I told my doctor I was rarely eating. He said just double up protein drinks. I started with small portions every 2 hours. Applesauce,yogurt, eggs,veggie soups like squash,carrot,minestrone,pastina with butter, sugar and dairy bothered me . Lactose intolerant. Good luck. It does get better. 🤸‍♂️💪👍💕

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@cj16 how long did it take to get better?

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Profile picture for projfan @projfan

Entirely agree, especially with the trial and error. I have migraines, and I've never been able to persist with a trigger diary or app, which is pretty much similar. To make it really work, you need to capture too much data about both the food/beverage intake and symptoms, and even then, you need to move on to trial and error to confirm the statistical results. As annoying as it is and how much time it takes, I found an elimination diet much easier: you start with a handful of whatever foods/drinks you find "safe", and add new foods/drinks one at a time, with at least a couple of days in between each new item.

The virtue of using the FODMAP pattern for me -- aside from determining whether the problem really was FODMAPs -- is that the food pattern came pre-clustered. If you don't cluster somehow but instead do foods entirely one at a time, an elimination diet goes on forever. However, you can create your own clusters to add back in. Start with a week eating only the foods/drinks that you know are "safe", ignoring everything else you care about in your diet -- heck, you can do it with Ensure. Once your system has calmed down, then you can say, hypothetically: "On Monday I'm going to add back in foods with gluten. If I don't react by Thursday or Friday, I'm going to add back in cruciferous vegetables. If I do react by Thursday or Friday, I'm going to have smaller amounts of gluten foods, or just white toast, or whatever, until I nail the gluten food situation down. After that, I'll move on to cruciferous vegetables." (I invented those examples -- you get the drift.)

That way, it's just a day-to-day dialog between your GI tract and specific foods, not something you need to sort out statistically from weeks or months of a diary or an app. Because, ugh.

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@projfan small meals, small snacks….start very slowly and gently, only adding new foods very gradually…at the beginning it is lower fiber to help the body function easier….don’t worry too much at beginning about starches or fats- plenty of time to get that worked out healthier for better blood numbers…it takes patience and learning to listen to your body…choosing things you like can really help…hydrating is key to success….most nutritionists are very eager for patients to get back to ‘’normal’’ and gain weight asap…they wanted me to drink some awful protein drinks- i tried and gave up on that…we are in to a newer normal at our own pace…I’m not trying to gain back every pound I had before…just accepting that I can gain some and that it won’t happen fast…and after a few months I have been able to enjoy a healthier and more varied diet. Wishing you all best of luck !

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Teresa,
Thank you so much for expressing your kind recognition.
It’s uncommon for me in my world to have people who understand the unpredictable balancing act it takes to run my body, especially fueling it up!
Thank you for mentoring us, it’s great when we can help others who are struggling. 🌸

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Profile picture for resilience @resilience

@hopeful33250
Life saving burst ovarian cyst- cut horizontal by gyno then and vertical for exploratory by general surgeon. . Doctor was amazed I lived.
Then scar revision - similar to abdominoplasty. Hemorrhaged after. Two years PT.
History of blockages and hospitalizations for 17 years.
Then adlysis surgery to clean out scar tissue.
Researched different Gastro‘s and got many different opinions. Very important to get a handle on your diet and what affects your digestion. It has to do with how much scar tissue is in your intestines because the tube is narrowed. It’s important not to eat something heavy over and over and over several meals perhaps eat it once or twice and then go back to a soft diet. I have learned the hard way that certain foods can start a blockage. I go to Pelvic physical therapy and I get my facial release deep scar tissue release and dry needling. It’s important to keep the abdominal intestinal area open and get the intestines to slide the best they can
I keep different medications on hand for nausea and Gas and acid. It’s all about having the constriction not allowing food to pass through..

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Hi @resilience

Given all the surgeries you have had, I certainly appreciate your participation in this discussion group. I especially appreciate the way you adjust your eating of "heavy" foods and a "soft diet" as needed.

You have done a great job in facing this problem with diligence and thoughtfulness. I can understand why you chose the name "resilience," as you have demonstrated that well!

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Profile picture for resilience @resilience

@resilience and yes, I made a lot of mistakes. My rule of thumb is chew food very well. Spit it out if you can’t chew it up. No embarrassment no apologies.
Think “ density”
My go to is avocados, and try to have olive oil now n then.

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@resilience Yes, to me the avocados are awesome, and I usually have olive oils in everything!

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Also go to clear diet if blockage starting. Keep things moving that’s key.

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