Time to Read: About 10 minutes This information will help you maintain your nutrition after your bowel surgery. Your bowels are your small intestine and large intestine (colon). They help your body absorb nutrients from the foods you eat and liquids you drink. When a part of your bowel is removed, the part that’s left can adapt. It does this by absorbing the nutrients and liquids that would’ve normally been absorbed by the part that was removed. This means that parts of your bowel can be
removed without having a major impact on your nutritional health. However, it takes time for your remaining bowel to adapt. For some time after your surgery (typically a few months), your body may not absorb nutrients, liquids, vitamins, and minerals as well as it did before your surgery. It’s important to remember that everyone’s body heals differently so recovery time can be different from person to person Short bowel syndrome is a set of symptoms that happen while your remaining bowel adapts after your surgery. You can reduce these symptoms by following the guidelines in this resource. People with short bowel syndrome may have: Follow these guidelines while your bowel is recovering. You can also use the sample menu, located at the end of this resource. Eating small, frequent meals will put less
stress on your shortened bowel. Small meals help control your symptoms and are easier for your body to digest and absorb. Chewing foods well will help break down food for easier absorption (the way a substance enters your body) by your body. It will also help prevent foods from causing a blockage as they pass through
your intestine. Drinking large amounts of liquids with meals pushes your food through your bowel more quickly. This means that you may not digest or absorb enough nutrients. Your meals should be: For example, it’s okay to have butter on toast or mayonnaise on a sandwich, but it’s better to avoid very high-fat foods such as deep fried foods. You can use artificial sweeteners like Splenda® or Sweet N’ Low®. However, limit your intake of sugar-free candies or cough drops that contain sugar alcohols such as sorbitol, xylitol, mannitol, and isomalt. Taking large amounts of these may have a laxative effect (make you have a bowel movement). Sometimes, having part of your bowel removed can make you lactose intolerant. Lactose is
a sugar that’s found in dairy products. It can cause symptoms such as gas, cramps, and diarrhea. These symptoms usually begin within the first 30 minutes of eating or drinking a dairy product. If you had your ileum removed
and have an intact colon, you may need to limit high oxalate foods in your diet. Oxalate is a substance found in many foods and can cause kidney stones. If instructed by your healthcare provider or dietitian, limit foods and drinks that are high in oxalates, such as: Your doctor or dietitian will discuss this diet with you, if it’s necessary. After your surgery, you may find that fiber, especially insoluble fiber, is hard to digest.
Insoluble fiber is found mainly in whole-grain and bran products. It doesn’t break down in water and your body can’t break it down, so it makes stool (poop) more bulky. Soluble fiber is usually tolerated better because it breaks down in water and can be broken down by your body. It also helps slow digestion. Foods with soluble fiber include:
*Check with your doctor before taking any fiber supplements. Many foods contain a mixture of both soluble and insoluble fibers. Use the list below as a guide.
VegetablesYou will probably have trouble digesting raw vegetables after your surgery. Start by eating small amounts (½ cup) of well-cooked vegetables from the “Usually Well-Tolerated” column in the table below. Be sure to chew them well. If you can tolerate the cooked vegetables, you can try small amounts of them raw. Avoid vegetables that cause gas or discomfort.
Vitamin and Mineral SupplementsYou’re probably not eating some of the foods you did before your surgery. To make sure you get all of the vitamins and minerals you need, it may be a good idea to take 1 multivitamin each day. The multivitamin should have the recommended daily allowance (RDA) for vitamins and minerals. You may also need more of specific vitamins or minerals. Ask your doctor or dietitian what you should take. Examples include:
Oral rehydration solution
Oral rehydration solution recipes (World Health Organization)
Liquid nutritional supplements
Fortified Milk Recipe
This makes about 4 servings of fortified milk. Nutritional value for every 8-ounce serving if mixed with:
Food Diary GuidelinesKeeping a food diary is a helpful way to find out what foods are best for you. Keep a food diary with the following information:
If you have an ileostomy or colostomy, it’s also helpful to record your output from your stoma. Measure the amount of stool in your bag for 1 week. Measure it each time you change or empty the bag. Then, if it’s about the same each day, measure it once a month for 1 or 2 days. Write down the amount of output and bring this information with you to your appointments. If you see a change in the consistency of the stool, measure it more often and tell your doctor. Back to topContact InformationBack to topSample Menu 1
Sample Menu 2
Which patient would likely need teaching regarding dietary sodium restrictions?Dietary sodium restriction is commonly recommended for patients with heart failure to prevent fluid retention, exacerbation of symptoms, and hospitalization for acute decompensated heart failure. However, less than half of patients successfully follow the recommendation [1, 2].
Which defining characteristics would be seen in a patient with a deficit in the volume of fluid?An elevated blood pressure and bounding pulses are often seen with fluid volume excess. Decreased blood pressure with an elevated heart rate and a weak or thready pulse are hallmark signs of fluid volume deficit.
What food should be suggested to be included in the diet of a patient who is taking a potassium wasting diuretic?You need a proper balance of potassium for your heart, muscles and nervous system to function properly. Some diuretics cause your body to lose too much potassium. High potassium foods include potatoes, bananas, oranges, prunes, raisins, apricots peaches, tomatoes, Brussels sprouts, spinach, dried beans, peas and nuts.
Which therapy would be prescribed for a patient with circulatory overload?Diuretic therapy
Diuretics, especially loop diuretics, remain a valid therapeutic alternative for relieving symptoms and improving pathophysiological states of fluid overload such as congestive heart failure and in patients with AKI.
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