06.04.2019

Nutrition after appendectomy by day. Sample menu by day. Sample menu for the week

A medical diet after appendicitis removal solves two problems. First of all, it provides protection digestive tract necessary after surgery. In addition, the correct diet allows the postoperative wound to heal faster, and the patient to avoid sutures coming apart from mechanical pressure. The diet must be prescribed to patients in the postoperative period and must be followed exactly according to the doctor’s recommendations. The speed of rehabilitation after surgery is an individual indicator. In some people, the intestines resume peristaltic movements already on the first day, in others - a little later. One way or another, while there is no peristalsis, food cannot be consumed in the usual way. It is possible to prescribe nutritional mixtures in the form of a dropper, but not food or drink. But usually nutritional drips are avoided, since the patient does not have time to expend a large amount of energy, and the ability to eat is restored quickly enough. There is no normal appetite on the first day after surgery.

The first week of the diet after appendectomy

The first day after surgery is considered very important. As soon as natural peristalsis has resumed, the patient can be prescribed fluids. This is simple water in small quantities, as well as clear liquids - rice water, low-fat chicken broth and fruit compote with a low concentration of extractive substances. But general rule is refusal of food in the first 12 hours after the intervention.

The second day is the beginning of the first stage of the postoperative diet. You can eat only when peristalsis has completely resumed and the natural discharge of intestinal gases has been restored. The main rule for the first three days after surgery is not to eat solid food. All products must be crushed to a puree or resemble the consistency of broth or jelly. This provides mechanical sparing of the digestive tract.

The following products are consumed from the second to the sixth day:

low-fat chicken soufflé. Boiled chicken is ground through a meat grinder with a small amount of broth;
mashed potatoes without adding large amounts of butter, cheese and eggs. Usually, patients are simply served mashed potatoes with a drop of milk;
rice water and viscous mashed rice porridge;
puree from boiled or steamed non-acidic vegetables - zucchini or pumpkin.

It is recommended to eat meals in small portions, eat every 2-3 hours, and drink separately, at least 30 minutes before starting a meal. The patient's condition is carefully monitored; if any dishes cause gas formation or pain in the intestines, they are removed, and the state of the gastrointestinal tract is examined.

At the very beginning of the rehabilitation period, the use of all substances that can irritate the gastrointestinal tract is prohibited. This list includes onions, garlic, all types of herbs and seasonings. Naturally, drinking tea or coffee is not recommended. Some sources indicate that as rehabilitation progresses, the doctor may allow the patient to drink very weak tea or rose hip decoction. But at the very beginning, the main drink is water.

Opinions also differed regarding kefir and yogurt. Foreign sources on rehabilitation after removal of appendicitis indicate that these drinks should be returned to the patient’s diet only from the second week after surgery. Previously, a rejection reaction and various digestive disorders are possible. Domestic sources are not so categorical and indicate that low-fat kefir and yogurt without adding dyes and starch are possible from the very first days.

Diet after appendectomy from 7 to 14 days

During this period, regenerative processes are active. Patients should not forget about drinking regime. Usually recommend 1.5 l clean water per day until physical activity limited. But in some sources you can also find a recommendation to increase free fluid to 2 liters per day. Unlike a regular diet, here it is recommended to drink water strictly separately, warmed to room temperature and very slowly, so as not to increase the mechanical load on the digestive organs.

Drinks are gradually returning to the diet. Usually, patients are recommended to use very weak tea, decoctions of rosehip and chamomile, also in low concentration. The question of taking chicory decoction should be decided strictly individually. Some doctors consider this drink a bad choice because it contains quite a lot of dietary fiber and therefore can interfere with digestion. Others believe that the same dietary fiber helps the gastrointestinal tract recover faster. So if you like chicory, consult your doctor.

Fruit and vegetable juices allowed, but in small quantities, no more than 150 ml, and strictly without added sugar. Naturally sweet juices and mixtures are preferred - pumpkin, pumpkin-pear juice, and carrot juice.

Various fruits are returning to the diet. To prevent constipation, it is recommended to consume boiled carrots in an amount of at least 300 g per day, as well as stewed, baked and poached pumpkin. In addition, the diet may include baked or stewed zucchini. The main thing is not to season vegetables with traditional fatty sauces. If possible, any vegetable dishes should be pureed or puréed. In the second week, you still need to eat soft foods. You can eat potatoes, but not fried, and without cheese and creamy sauces. Usually mashed potatoes are made from new potatoes with a little water and milk. Towards the end of the week, beets may return to the diet, but in small quantities, and strictly in boiled form. It is not recommended to eat vegetables on an empty stomach; it is best to eat them after some protein or cereal dish.

Protein sources are not as varied. Chicken broths and souffles remain in the diet, and soufflés from lean beef and fish and steamed cutlets from these products are also added. Protein portions should be small, no more than 120 g of product yield. Opinions differed regarding sausages and sausages. Older sources from the Soviet period indicate that by the end of the second week after surgery, milk sausages and doctor's sausage can be eaten in small quantities as snacks. New ones do not recommend consuming these products throughout the recovery period.

There is no consensus regarding bread either. Some sources allow up to 60 g of white bread per day, others recommend getting carbohydrates from other sources. In any case, in the second week it is recommended to eat buckwheat, boiled into a soft porridge, the same white rice and oatmeal.

Fruits are gradually included by the end of the second week; these should be soft fruit sweet purees like children’s ones made from peach, pear, and apple. The quantity is small, perhaps up to 100 g.

Eggs and dairy products are also introduced gradually. Cheeses are still prohibited; it is recommended to eat low- and medium-fat cottage cheese, pureed through a hard sieve into a curd soufflé. Eggs are added literally 1 piece at a time, boiled. If the patient suffers from constipation, they are temporarily excluded.

If the patient has vomiting or diarrhea, the diet must be adjusted by a doctor; independent “experiments” are not allowed.

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The importance of proper nutrition after appendicitis surgery is enormous. First of all, because changing the diet allows the digestive system to enter its usual rhythm. While the most gentle attitude towards the gastrointestinal tract promotes rapid regeneration of damaged tissues.

Changing the diet is also important because it can eliminate the likelihood of developing a whole list of complications, namely:

suture divergence, which is possible even after laparoscopy, despite their small size;
peritonitis and the need for repeated surgery, sanitation of the affected area;
slowdown of the recovery process, the occurrence of other diseases of the digestive system.

Exclusively proper nutrition after appendicitis removal day by day will allow patients of any gender and age to recover as quickly as possible.

Peritonitis occurs due to severe intoxication of the body, when some internal organs cannot fully cope with their work.

Connective tissue protects all internal organs abdominal cavity, but when harmful microorganisms or chemicals get on its surface, substances are released that stop this process.

Ingestion of a small amount of irritants is not dangerous, but if this happens constantly and in large quantities, peritonitis occurs. This is a very dangerous disease that can even lead to the death of the patient.

That is why it is very important to seek help from a doctor in a timely manner. The cause of inflammation of the abdominal cavity can be bacteria accumulated in it, various gastrointestinal diseases intestinal tract and fluid entering the abdominal cavity.

Peritonitis can also begin as a result of injuries in which wounds form in the internal organs. It may be a consequence of an unprofessionally performed operation, or a complication of gynecological diseases.

The gangrenous form of inflammation of the appendix of the cecum implies necrotic processes in the tissues of the appendix, which are irreversible. Often, death occurs only in some part of the organ, but sometimes it affects it completely.

In the vast majority of cases, the gangrenous process is one of the stages of acute appendicitis, which develops after a couple of days if the patient does not seek help. In old age, this process can be an independent disease.

If a patient with gangrenous appendicitis does not receive correct medical care, then the process becomes more complicated, turning into a gangrenous-perforating form - perforations form on the walls of the appendix.

At risk are older people due to specific age-related changes in their body and those patients who ignore the symptoms of developing appendicitis. In childhood, the process is most dangerous, since in case of infection it will spread extremely quickly throughout the body.

With the gangrenous type of appendicitis, the tissue of the appendix dies. Dieback can affect either part of the process or affect it completely. If inflammation is accompanied by the formation of holes, then they speak of a gangrenous-perforative form. The purulent contents break through the holes and enter the abdominal cavity.

The pathology refers to purulent types of appendicitis and occurs on the 2nd–3rd day of the development of inflammation. This type is also referred to as the primary gangrenous form, which occurs in older people as a result of impaired blood supply to the appendix - infarction of the appendix.

The risk group traditionally consists of three categories of people:

patients who sought medical help late (on the 2nd–3rd day of inflammation or later);
children because pathological process rapidly spreads throughout their body;
older people, which is due to the characteristics of age-related changes.

Acute gangrenous appendicitis is a type of purulent inflammation vermiform appendix, which is based on irreversible destruction (destruction) of its wall. Therefore, it is classified as one of the types of destructive appendicitis.

Such a diagnosis can be established only after an intraoperative visual assessment of the appendix: against the background of a sharply edematous, loose wall covered with fibrin and purulent layers, areas of dark-colored necrosis are identified.

Any manipulation with a gangrenous appendix ends in its rupture.

Main reasons

To find out the exact provocateur, specialists excise the appendix, after which they evaluate a microscopic specimen of the contents.

As already mentioned, gangrenous inflammation is a consequence of the development of a purulent form of appendicitis, thus, the main cause of the disease is a prolonged inflammatory process. Usually, it takes two days for the disease to develop into this form, but some factors can have a negative impact and significantly speed up this process:

infectious infection;
autoimmune diseases;
disruption of the normal outflow of the contents of the appendage of the cecum.

However, there are also situations where the inflammatory-necrotic process is primary, and factors such as:

old age, when the blood supply system to organs is disrupted due to damage to the walls of blood vessels;
arterial atherosclerosis (the presence of cholesterol plaques on the walls of blood vessels);
thrombosis of the blood vessels supplying the appendix;
congenital form of arterial hypoplasia (narrowing of the lumen) - in this case, appendicitis will most likely manifest itself in childhood.

When blood flow is disrupted, a so-called appendix infarction occurs, which is the impetus for the development of necrotic processes.

Appendicitis, as is known, is an inflammatory process of the appendix (the vermiform appendage of the rectum). The stage of the disease affects the type of appendicitis: it can be catarrhal, phlegmonous or gangrenous. There is only one treatment for any type of disease – surgery.

Inflammation of the appendix occurs in the following situations:

entry of pyogenic bacteria into the appendix through the blood or lymph;
due to inflammation caused by undigested food blocking the lumen of the appendix;
eating seeds or swallowing fruit seeds, small parts from toys that small children swallow.

The main symptoms of appendicitis:

Severe pain, initially spreading throughout the abdomen, and over time localizing in the lower right part and intensifying during coughing. Pain may be concentrated in the pelvic area if the appendix is downward.
Vomiting, diarrhea (and possibly constipation), dark urine and pain when urinating.
Increased temperature, dry tongue.

To avoid serious complications (and more specifically, rupture of the appendix, which provokes inflammation of the entire abdominal region), the disease is treated by excision of the appendix, that is, appendectomy.

After the operation there is a fairly long recovery period, key factor which is diet - since eating familiar daily food can provoke suture dehiscence and further development of peritonitis.

The diet after appendicitis includes the following foods allowed for consumption:

vegetable soups based on potatoes, carrots, beets, onions, herbs. Best of all - in the form of puree soups;
pasta casseroles, vegetables, mushrooms;
water porridge with vegetables - especially those based on buckwheat, oatmeal, and rice;
lean meat and fish (sea);
low fat dairy products, heated to room temperature (so as not to disturb the functioning of the stomach);
strawberries and raspberries, oranges, peaches, pomegranate;
dried fruits and honey;
herbal teas, compote, jelly, rosehip decoction.

From the diet you should exclude pickles and smoked foods, sauces and seasonings, pepper and salt, fish and pea soups, borscht, okroshka, fatty meat broths, fatty dairy products, sweets and flour products.

The formation of gangrenous type occurs with the progression of purulent appendicitis. Lack of help for several days leads to necrotic processes. Under the influence of the presented factors, necrotic processes may occur earlier:

available autoimmune diseases:
the patient’s body is infected;
the outflow of appendix contents is impaired.

However, the primary nature of the inflammation cannot be ruled out. This happens in the following cases:

in old age, when the blood supply to organs is disrupted due to vascular pathology;
with thrombosis and damage to the veins responsible for the blood supply to the appendix;
during the development of arterial atherosclerosis (cholesterol plaques are present on the walls of blood vessels);
if the patient has a congenital narrowing of the lumen of blood vessels (arterial hypoplasia), gangrenous appendicitis may appear in childhood.

In most cases, gangrenous appendicitis is secondary. It develops on the 2-3rd day after the onset of inflammation of the appendix of the cecum, as a result of a late visit to the doctor or an error in diagnosis.

Acute gangrenous appendicitis in children is of great danger. Since their disease develops more rapidly and can lead to serious complications within 10 hours. At the slightest suspicion, you need to consult a doctor and, after confirming the diagnosis, proceed to decisive measures.

There are cases when gangrenous phenomena in the appendix are primary. This happens, for example, in children with congenital underdevelopment of the appendicular arteries, with thrombosis of the blood vessels of the appendix, the appearance of cholesterol plaques on the walls of the intestinal arteries, and with vascular damage in the elderly.

The etiopathogenesis of gangrenous appendicitis is determined by the mechanism of inflammation in the appendix. Risk factors for the development of the primary gangrenous process are:

Senile age and age-related changes in blood vessels;

Childhood and congenital hypoplasia of the appendicular arteries;

Atherosclerotic damage to the walls of the intestinal arteries;

Formation of blood clots in the arteries and veins of the appendix;

These data suggest that the immediate causes of acute gangrenous appendicitis are microcirculatory disorders. Their result is a violation of blood circulation in the appendix and, as a consequence, its necrosis (gangrene).

It also happens that the cause of gangrenous appendicitis is the transition of simple forms of appendicitis (catarrhal and phlegmonous) into destructive ones with inadequate and untimely surgical treatment. In this case, the appendix simply undergoes purulent melting.

Differences in the menu of an adult and a child after surgery

There are no particular differences in nutrition between adults and children after appendectomy. But in any case, it is necessary to remember that the child has a more vulnerable body. The smaller the baby, the weaker his digestive system organs are. It is difficult for them to get used to the load after a difficult ordeal.

In addition, children usually ask for various treats, not understanding how harmful this is in the current situation. Starting from the second week, marshmallows and soaked dried fruits may appear on children’s menus as sweets.

Classification of the disease

Peritonitis is divided into three types: primary, secondary and tertiary. In the first case, the disease is caused by an infection in the body. In this case, the abdominal cavity remains intact and unharmed.

Primary peritonitis is also divided into several categories:

spontaneous childish;
spontaneous adult;
peritonitis in people with active tuberculosis.

With secondary peritonitis, the abdominal cavity is either slightly damaged or a complete rupture of the peritoneal tissue occurs. In this case, the integrity of the organs is violated.

Typically, a disease of this nature is the result of either an abdominal injury or an unsuccessful operation.

Tertiary peritonitis, fortunately, is rare. In essence, it represents a relapse of peritonitis, that is, it is peritonitis that develops after peritonitis. With this disease, very severe intoxication of the body occurs.

Almost all internal organs stop working. A prerequisite for its occurrence may be a severe decline in immunity. This type of peritonitis cannot be treated and the patient always dies.

Experts distinguish several forms of appendicitis depending on the main causes:

primary (develops independently);
secondary (due to non-compliance with medical instructions or incorrectly performed surgery).

In addition, the nature of the course determines the acute and chronic forms of the disease.

Acute phlegmonous appendicitis develops very quickly and occurs in several stages:

In the first stage, a superficial inflammatory process is observed.
With the second, there is inflammation of a purulent nature.
The third stage of appendicitis is characterized by necrotic lesions.

The last stage, which leads to serious consequences, is considered to be rupture of the appendix.

Nutrition for children after surgery

The foods that make up the patient's diet after surgery vary depending on the time that has passed since the removal of the appendix. However, the basic principles accompanying the diet remain unchanged and include the following provisions:

Eat small meals - up to six times a day.
Eat in small portions (no more than 200 ml at a time), giving preference to light grated food: vegetables and meat soufflé, liquid porridges and puree soups.
Avoid inclusion in diet raw foods, stew and boil foods, as well as steam them.
Avoid too cold and hot foods.
Eat a varied diet, including dairy products, cereals, meat, vegetables and fruits in the menu.

The role of fluid in the diet after surgery is very important. If there is a lack of water in the body, dehydration may occur or a malfunction of the gastrointestinal tract may occur. And the entire healing process directly depends on it. What to do? Drink 1.5-2 liters of liquid per day, half a glass at a time, with an approximate interval of three hours.

The duration of compliance with the gentle regimen is also approved by the doctor based on the patient’s health condition. Most often, the diet is canceled after a month from the date of surgery. Until then, try to follow it and eat right.

A child who has undergone surgery to remove appendicitis requires special attention and diet. Provide him with a gentle diet, while all food should be chopped as much as possible and distributed over several meals (5-6 times).

In case of uncomplicated appendicitis, mineral water can be given on the first day, and a small amount towards the end of the day. mashed potatoes. Usually after a week you can eat your usual food, but make sure you don’t overeat.

In case of complicated pathology, when there is purulent inflammation in the abdominal cavity, it will be possible to be discharged from the hospital only after 2-3 weeks.

It is recommended to include mashed potatoes, mashed apples, boiled vegetables, liquid porridge and steamed cutlets in the child's menu. Under no circumstances should a child be allowed to eat pieces of meat or whole fruit. In practice, it is they and other nuts that turn out to be the most dangerous, since the child, without chewing thoroughly, swallows larger portions. But bananas are harmless to a child’s body; they can be given almost immediately after surgery.

How long a child needs to follow a diet is decided only by the attending physician.

Is there a specific diet after appendicitis in children? There are no special recommendations in this case. This means that there is definitely no difference between children and adults. Basically, the diet should be the same. But naturally, adults should give up their bad habits.

As for children, it is advisable to limit the consumption of sweets so as not to further irritate the intestines. In general, the recommendations are similar; you should not eat spicy, starchy, sweet or salty foods. Include in your diet as many healthy and light soups as possible, as well as fruits and vegetables. The fact is that diet after appendicitis is the main component of the rehabilitation process.

Adults should pay special attention to diet after appendicitis in children. A small body will need more time to recover, so it is better for parents to consult a doctor about what is best to give to the child.

Fatty foods should also be completely excluded from the diet. Fruits are allowed, but, again, hard fruits cannot be served; they must be chopped first.

You can introduce ripe bananas into your daily diet - they are nutritious, contain many vitamins and have a pleasant soft consistency. The daily diet after appendicitis removal may also include fermented milk products - of these, yogurt has become the most popular among children.

The first days after surgery, the child may refuse to eat food at all, so you won’t have to be particularly tricky with preparing meals. Let your beloved child eat very little, but nutritious food that contains everything to restore strength.

Recipes by day for children:

thin rice water;
chicken broth without a lot of fat and spices;
some mashed potatoes and sweet, thin jelly;
boiled rice with a side dish made from boiled zucchini;
boiled pureed chicken meat;
mashed potatoes with a small amount of pureed chicken;
pumpkin puree, yogurt (low-fat, no additives), chopped lean meat.

The menu can be changed slightly, taking into account the child’s preferences, the main thing is that it should change daily. It is allowed to include porridges, especially those prepared with milk. If the baby stubbornly refuses such unattractive dishes, you can give more fruit, but you should not forget that they must be chopped.

The diet after surgery in children should be as gentle as possible:

Serve any food in crushed form: in the form of puree, mashed, boiled, steamed;
completely eliminate fatty broths and fried foods;
do not give large pieces of meat and hard fruits;
give bananas - they are ideal for the daily diet;
Give low-fat fermented milk products (mainly yoghurts) daily.

The postoperative diet includes:

porridge;
mashed potatoes;
grated and then evaporated vegetables and fruits (beets, carrots, apples, pears),
steam cutlets,
kefir,
cottage cheese;
cottage cheese casseroles;
compotes of dried fruits;
berry decoctions;
fruit drinks.

If the rehabilitation rules are strictly followed, the child will be able to return to his normal routine (including school) within two weeks.

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If the operation is successful, the little patient is allowed to leave the hospital on the seventh or eighth day. However, this does not mean that upon returning home the child should not continue to adhere to the hospital regime, which is expressed in moderate physical activity. The child’s health status should be monitored by the attending physician for a long time.

During this period it is recommended to replace active games to quiet by adding to the mode nap. You should not avoid short walks outside, because fresh air is only beneficial. During hygiene procedures, it is better to forget about a rough washcloth for a while, replacing it with a soft sponge.

During the rehabilitation period, nutrition after removal of a child’s appendicitis is allowed to adhere to the menu to which he was accustomed even before the illness. However, you should refrain from using:

fried;
fat;
rough food;
semi-finished products;
canned food;
sausages;
carbonated drinks.

The number of meals during the day should be expanded. Thus, a child’s three meals a day turns into five meals a day. At the same time, the size of a single serving is halved to avoid overeating.

Prohibited foods are replaced with dietary ones that are easily digestible by the body:

vegetable soups;
boiled or steamed meat;
low-fat fish, boiled or steamed;
salads with vegetable oil;
fermented milk products;
not very concentrated compotes;
berry fruit drinks.

There are more severe cases when recovery time extends to several months. Young children are especially susceptible to this school age. During the day, the child is at school, and adults cannot monitor what is included in his daily menu.

It is important to remember that the nutrition of an 8-year-old child after removal of appendicitis, like the nutrition of children of other age groups, is a carefully structured diet consisting of steamed and boiled foods. Spicy, fried, fatty and canned foods, as well as other types of foods that are dangerous for children, which were noted above, should be avoided!

Features of pathology in women

Symptoms of abdominal peritonitis can vary. Depending on what caused the disease, its initial symptoms may vary.

But still, there are several symptoms that are characteristic of all types of the disease. Experts will highlight three main stages of disease development.

The appearance of a reactive stage in a person

Symptoms of this stage appear on the first day. It is usually accompanied by severe pain in the area where peritonitis develops. Depending on which organ was affected, the pain may be of a different nature.

For example, if peritonitis develops against the background of a stomach ulcer, then you will feel a sharp pain in the epigastric region. If the cause is a ruptured appendix, you will feel pain in the area underneath. right lung. Over time, the pain will spread to the entire abdominal area.

It also happens that after the first outbreak, the painful sensations disappear or become less noticeable. But everything resumes after a while.

A person suffering from peritonitis is very easy to identify by his face. It becomes pale and acquires an earthy tint. During moments of pain, the face becomes covered with sweat. Dehydration begins and facial features become sharper and sharper.

There are other symptoms that are noticeable to others. So the patient tries to take a more comfortable position in order to somehow relieve the pain. In most cases, this is a pose lying on your side with your legs tucked towards you.

This is due to the fact that he tries in every possible way to protect the stomach from any tension. When examined, such a patient will have a plank abdomen - very tense abdominal muscles. The body begins to dehydrate.

Development of a toxic stage in the body

It starts on the second or third day. Symptoms of peritonitis become less pronounced, while general state getting worse.

Due to dehydration, the brain activity. Body temperature rises to 40-42 degrees, pulse quickens.

Terminal stage or irreversible

If you allow the disease to develop to this stage, then most likely it will end in death. Dehydration has reached critical levels. The functioning of the lungs is disrupted, the pulse begins to disappear.

In some cases, peritonitis may develop against the background of an unsuccessful operation. In 5-7%, this disease develops in women after a poor-quality cesarean section. With this cause of the disease, the probability of death is very high.

A complication of the operation may involve suppuration of the suture, acute inflammation appendages, soft tissue abscess and endometritis. Against the background of all this, peritonitis develops.

There is also a risk of developing peritonitis if you suffer from gynecological diseases, including chronic ones and those acquired during pregnancy. Such diseases include vaginosis with colpitis.

Women under 16 and over 35 years of age are at risk. Peritonitis and sepsis can also be the result of frequent vaginal examinations. It can develop during unsuccessful or prolonged labor.

What should the diet be like after appendicitis in adults and are there any specific recommendations? Of course, only the attending physician can answer this question accurately. But there are certain recommendations that should be followed.

So, in the first days after removal, you need to avoid foods that can cause irritation. You can’t eat flour, it contributes to excess weight. This may cause the seams to come apart. Under no circumstances should you drink alcohol.

Diet after gangrenous appendicitis

Do you know what the diet should be after gangrenous appendicitis? The first step is to eliminate irritating foods. As a first course, you should leave light soups that are full of vitamins. Fish should be excluded; it is advisable that the soup include vegetables.

As for second courses, it can be any porridge except pea porridge. It is not recommended to eat potatoes, they contain increased content starch. If you sort out vegetables and fruits, then in this case you can eat everything except sour ones.

No citrus fruits, cranberries, currants, etc. It is advisable to give preference to bananas, apples and pears. The attending physician should give basic recommendations. A proper diet after appendicitis helps the body recover.

Diet after appendicitis with peritonitis

Whether there is a special recommendations regarding nutrition or diet after appendicitis with peritonitis? In this case, everything is much more serious, so you need to follow a certain diet. It is better to eat light foods that are not capable of causing irritation and contributing to the development of excess weight.

These should be light vegetable soups, but without potatoes. For main courses, it is advisable to choose porridges such as buckwheat, oatmeal and rice. You should not eat sweets, drink carbonated drinks and eat too spicy and salty foods.

Diet after purulent appendicitis

What should be the diet after purulent appendicitis and is it necessary to follow it? Naturally, after surgery it is imperative to follow a diet. It is prohibited to compile it yourself; this issue is dealt with exclusively by the attending physician.

As after any operation, a certain diet must be followed. Yes, no harmful products. The daily diet should include light soups and broths. Puree soups are perfect, but only without potato content.

Dietary nutrition after surgery to remove appendicitis in adults is characterized by a seriously limited diet at the very beginning with a gradual expansion of the menu in the future.

On the first day after surgery, the patient has no appetite due to the fact that the body is in a state of stress. Therefore, it is not recommended to consume food and liquid - it is enough to sometimes wet the lips. After 12 hours, the patient is allowed to eat broth, drink jelly or tea (if condition allows).

On the second and third days after removal of appendicitis, you should switch to 5 or 6 meals a day (fractional meals). The diet should include low-fat yogurt, puree soups with chicken fillet, zucchini and pumpkin, chicken broth, rice.

In order to improve intestinal function, in the first 7 days after removal of the appendix, you can add fruits and berries, vegetables and cereals to the patient’s menu. You can eat lean meat and fish. It is very important to chew food thoroughly, or even better, to give it to the patient in crushed (puree) form. To heal wounds, you need to drink clean water without gas in large quantities.

In the second week after surgery, you can start eating lean soups, thoroughly boiling all the vegetables and chopping them in a blender. A month after the removal of appendicitis, you can introduce beans that were previously prohibited into the menu. Flour and sweet foods can be eaten after 2 months, but in limited quantities.

Symptoms and signs of the disease in adults

Symptoms this state are developing at a rapid pace. The main features are:

thickening of the walls of the appendix and their swelling;
fibrinous layers;
tension of the process.

During diagnosis, contents in the form of pus are observed in the lumen of the appendix.

Most often, the pathology appears in children. In them it is more acute than in adult patients. Accompanied by the following symptoms:

nausea and vomiting;
acute pain in the abdomen (in the navel area, in the lower part and pelvic region, lower back, mainly with right side), worse after coughing, physical activity;
renal colic(with an atypical location of the appendix);
plaque formation on the tongue;
loss of appetite;
temperature increase.

Children with pathology become lethargic and capricious, hold their stomachs and cry a lot. They usually have a fever, unlike adult patients, in whom it may remain normal.

If such signs are observed, you should immediately call ambulance. The patient should not be given analgesics and antispasmodics before her arrival. Applying heating pads to the stomach, as well as any other self-medication, is also contraindicated. A person with an attack of appendicitis is not recommended to eat or drink.

Causes and symptoms of appendicitis, dietary habits after surgery

The main feature of gangrenous appendicitis, which is the result of an acute purulent form, is the presence of specific symptoms that are not typical for other forms of the disease. Thus, due to the necrotic process, they die and nerve endings– at first, the patient feels a decrease in pain, and some do not feel any significant pain at all. Other symptoms may also occur:

frequent and profuse vomiting, which does not alleviate the condition;
manifestations of intoxication of the body - severe weakness, however, body temperature can be either absolutely normal or even low;
the surface of the tongue is covered with a yellowish or whitish coating, the main density of the layer of which is concentrated at the root;
“toxic scissors” syndrome - against the background of a serious condition and normal temperature there is pronounced tachycardia, the heart rate can be twice as high as normal.

If appendicitis occurs as a primary disease, then it is characterized by other manifestations. In such a situation, the pain is pronounced and sharp, but episodic. Serious condition characterized by an increase in temperature, and the abdomen is tense and painful.

It is especially worth noting the specific symptoms of gangrenous-perforated appendicitis:

when a wall rupture forms, the patient experiences a sharp pain that does not stop and gradually spreads throughout the entire abdominal region;
the temperature rises significantly;
heart rate increases;
the surface of the tongue becomes dry, the coating becomes brown;
vomiting becomes continuous;
the stomach is swollen, intestinal peristalsis completely disappears;
no stool;
tension gradually spreads throughout the abdominal cavity.

Signs of gangrenous appendicitis are ambiguous. This makes it difficult to diagnose the disease based on clinical manifestations, since the patient experiences symptoms that do not accurately indicate the development of a gangrenous type.

The patient has the following symptoms:

signs of poisoning: severe weakness, elevated body temperature (sometimes remains normal);
nausea;
one-time or frequent vomiting, which does not bring relief;
hard, tense abdomen - the tension covers the entire abdominal cavity;
lack of intestinal and stool peristalsis;
yellowish tint of the tongue or a whitish coating on it (located at the root of the organ);
dry tongue;
chills.

Another manifestation is called toxic scissors. We are talking about a combination of normal body temperature and increased heart rate(about 100–120 beats per minute).

Features of manifestations in women

In addition to the signs presented, female representatives experience the following symptoms:

Shilovets syndrome. If the patient lies on her back, then pain is clearly manifested in the right iliac region. Painful sensations pass lower when the woman turns over to the other side.
Promptov's symptom. During examination of the vagina, the cervix is grasped with the fingers and oscillating movements are performed. When the appendages become inflamed, the pain syndrome increases, and its absence indicates the development of appendicitis.
Zhendrinsky syndrome. When you press a point located 2 cm below the navel, there is no pain.

Clinical picture in children

Detection of gangrenous appendicitis in children is very difficult. The symptoms are vague, and there is very little time, since inflammation of the abdominal cavity develops faster in childhood. Appendicitis is suspected when:

frequent stool;
lethargy and decreased activity;
pain when pressing on the stomach;
increased body temperature;
sleep disturbance;
lack of appetite;
muscle tension in the right iliac region;

Parents notice changes in behavior:

the child becomes restless, cries for no reason;
the baby presses his legs to his stomach and is often in a similar position;

How to distinguish appendicitis from other pathologies - video

Poor blood supply leads to the death of parts of the appendix. Various autoimmune phenomena and infections aggravate the destructive process. Necrosis affects the nerve endings, as a result - sensitivity decreases, pain becomes weaker.

And even if the patient’s body temperature remains normal, severe intoxication continues: nausea and vomiting that does not bring relief, weakness, tachycardia, the tongue is covered with a white or yellow coating. The abdomen is painful and tense.

If the patient is not operated on at this stage, a breakthrough (perforation) of the pus-filled appendix occurs - perforated appendicitis. A person feels a sharp pain that spreads throughout the abdomen. Infection in the abdominal cavity increases intoxication: the tongue becomes covered with a brown coating, and bloating increases. This course of events can cause serious complications, sepsis and death.

Diagnosis and treatment

Diagnosis first pathological condition begins with a medical history and examination by a qualified physician.

The doctor will definitely conduct the necessary physical tests and tests of Voskresensky, Bartomier-Mikhelson, Sitkovsky, Shchetkin-Blumberg, etc., which will help confirm or refute the presence of the disease.

The patient also needs to undergo laboratory tests. If pathology is present, a blood test will show increased amount leukocyte cells.

An ultrasound may be prescribed as an additional examination.

Detection of gangrenous appendicitis is difficult due to the secondary nature of the pathology. The signs are not typical manifestations for the presented form of the disease, and the disappearance of pain in the initial stages makes patients think that there is no problem.

To detect appendicitis, the following diagnostic measures are carried out:

Blood and urine analysis. An increased content of leukocytes and C-reactive protein, an increase in ESR (erythrocyte sedimentation rate) are found in the blood. There are leukocytes and red blood cells in the urine, which indicates pathological changes in the body.
Palpation of the abdominal area. Pressing on the abdominal wall and sharply withdrawing the hand leads to painful sensations. If pain does not occur, then the muscles are examined; if there are minor changes, other diagnostic methods are prescribed.
Ultrasound diagnostics. As a result of the diagnosis, information is obtained about the condition of the appendix and its shape. The examination is difficult in the gangrenous-perforated form, since the contents of the appendix have penetrated into the abdominal cavity, and the contours of the organ are poorly visible in the image.
Radiography. Data is obtained on the structure and shape of the process.
CT scan. Using the method, detailed information about the appendix is obtained.
Diagnostic laparoscopy. The study shows that the appendix is thickened, has a black-green tint, and the tissue is dead.

After interviewing and examining the patient, the doctor prescribes urine and blood tests, performs CT, ultrasound, and laparoscopy. A patient diagnosed with gangrenous appendicitis is prepared for appendectomy. Classical abdominal surgery, during which the inflamed, infected appendage is removed through a 9-12 cm incision and the abdominal cavity is cleaned.

The recovery period after surgery for resection of a purulent appendix requires full and strict adherence to the prescriptions and recommendations of the attending physician regarding:

antibacterial therapy;
pain relief;
detoxification therapy;
blood tests;
prevention of complications;
dressings;
therapeutic exercises, massage, walking.

Treatment

Regarding treatment methods, the patient has no choice - this is only surgery. The procedure is called appendectomy, involves removal of the appendix and can be performed by two methods: conventional resection or a less traumatic method - laparoscopy.

The traditional option involves creating a small incision through which the appendix is removed along with the cecum. The inflamed appendage is bandaged in the area of connection with the intestine, after which it is cut off and sutures are applied.

During laparoscopy, the appendage is cut off without bringing the organs out, that is, a special device with a camera is inserted into the abdominal cavity through several small holes, thanks to which all procedures are performed by the doctor inside the body. The operation in any case involves general anesthesia.

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The presence of any form of appendicitis is an indication for surgery. The operation is also performed for gangrenous type. The appendix is removed using appendectomy. The intervention is performed in several ways:

Classic method. The abdominal cavity is opened, the junction is bandaged, the appendage is removed and sent for laboratory testing. The incision is closed with stitches. If the contents of the appendix enter the abdominal cavity, lavage is performed and drainage is installed.
Transluminal method. The appendix is removed through the natural openings of the patient's body. For this purpose, flexible devices are used, so the operation takes place without opening the skin. Transluminal intervention is rarely used.
Laparoscopic technique. IN abdominal wall punctures are made and the instrument is inserted through them. The patient recovers quickly after this operation, and the risk of infection is minimal.

The importance of a proper diet after surgery

The operation to remove appendicitis is performed under general anesthesia. When the patient regains consciousness in the first hours, side effects of strong anesthesia are often observed: nausea, vomiting, complete lack of appetite, joint pain.

first dose – 100 ml of still mineral water, unsweetened tea or plain boiled water;
second dose – 200 ml of water or chamomile decoction;
third dose – 1 glass of jelly.

Other foods can be introduced into the diet after removal of appendicitis only in consultation with the doctor.

Second day:

first breakfast – 1 tbsp. weak tea without sugar;
second breakfast – 1 tbsp. jelly or chamomile decoction;
lunch - broth from chicken breast, boiled rice, 1 tbsp. carrot or apple juice;
afternoon snack – 1 tbsp. water;
dinner – 1 tbsp. jelly.

The third day:

first breakfast - boiled buckwheat in water, a glass of weak green or black tea without sugar or sweeteners;
second breakfast – 1 tbsp. black tea with chamomile;
lunch - soup of grated zucchini and chicken breast, baked pumpkin or boiled rice, 1 tbsp. water or compote;
afternoon snack – low-fat kefir or 1 tbsp. jelly;
dinner - steamed omelette or buckwheat on water.

Fourth day:

first breakfast - rolled oats, boiled in water, 1 hard-boiled egg, tea;
second breakfast – low-fat kefir or curd mass;
lunch - chicken broth, boiled rice with pumpkin, tea or compote;
afternoon snack - weak black tea, you can sweeten it with a teaspoon of honey;
dinner – low-fat yogurt or cottage cheese.

Fifth day:

first breakfast – buckwheat with water, tea with crackers;
second breakfast – low-fat yogurt;
lunch - rice soup with veal, boiled fish, a piece of rye bread, compote;
afternoon snack - jelly with crackers or biscuits;
dinner - stewed vegetables with chicken or veal, tea with dry cookies.

Sixth day:

first breakfast - oatmeal with water, you can add a small piece of butter, tea with bread and cheese;
second breakfast – low-fat cottage cheese casserole, jelly;
lunch - chicken soup with potatoes (mashed), boiled rice with fish, jelly or compote;
afternoon snack – low-fat drinking yogurt or kefir;
dinner – buckwheat with chicken cutlet, tea.

Seventh day:

first breakfast – low-fat cottage cheese or casserole with dried apricots, green tea with biscuits;
second breakfast – squash and pumpkin puree, jelly;
lunch – veal soup, steamed rice with carrots, compote;
afternoon snack – buckwheat on water with the addition of carrots, tea with dry unsweetened cookies;
dinner - steamed fish meatballs, mashed potatoes on water, you can flavor it with a small piece butter, tea with crackers.

The main goal of the first week of the diet after removal of appendicitis is to restore the functions of the digestive system.

The next two weeks of the diet are a very important stage in the patient’s rehabilitation process. Even with quick recovery and recovery you cannot return to the usual menu.

The second postoperative week of the diet begins with the gradual addition of fruits or steamed dried fruits to the diet. You can add a small piece of butter or a small amount of low-fat cream or milk to your porridge every day.

At the end of the second week of the diet, pasta, spaghetti, and cheese souffle are introduced into the menu. The diet should also include boiled fish and casseroles made from cottage cheese or vegetables.

In the third week of the diet, the menu includes rich foods bakery products without sweet filling, you can start adding a little salt to the dish. But fatty, hot and spicy foods should still be completely excluded from the diet.

In the third week, there is no need to grind food. With normal rehabilitation period The organs of the digestive system are already capable of digesting food themselves.

Doctors recommend starting to introduce all prohibited foods into the daily menu only four weeks after surgery and following the recommended diet, provided the patient is in good health. At the same time, you should carefully monitor the reaction of the body itself.

The duration of the diet that should be followed after surgery to remove appendicitis is determined by the doctor in each case individually, based on the patient’s health condition. Nutritionists emphasize that leaving the diet should be gradual, this will help prevent sudden overload of the digestive system, and they warn that:

overeating or starvation should be completely excluded;
any prohibited types of foods should be introduced into the menu in small portions and separately from permitted dishes approximately 1-1.5 months after surgery and after complete healing of postoperative sutures.

Diet after appendicitis surgery and strict adherence simple rules nutrition will allow you to gradually return to the patient’s usual diet without negative consequences and with the full functioning of the digestive tract.

The main thing you need to learn is that the diet should be balanced and easily digestible. For self-discipline, it is better to record everything on paper so as not to deviate from the system and not harm your health. Recommended products include:

Low-fat broths and vegetable soups are the basis of nutrition.
Porridge: buckwheat, rice and oatmeal. Can be combined with vegetables and mushrooms.
Cream soup is the perfect dinner. You can grind the ingredients in a blender or grind through a sieve.
Fish, poultry or lean meat as a second course.
Garnish: cereals, vegetables, pasta or potatoes.
Fruits and berries. For those who have undergone surgery, citrus fruits, peaches, pomegranates, raspberries and strawberries are recommended.
Milk products. It is important that the products are low in fat.

Don't neglect the liquid. It will be useful to drink plenty of clean water, rosehip decoction, jelly and green tea.

Food should be boiled, steamed or oven-baked.

Based on the above, we can draw the following conclusions:

food should be in liquid or pureed form;
foods need to be boiled, baked or steamed;
eat up to 6 times a day;
drink plenty of fluids.

All salted, smoked, fried, spicy foods, mayonnaise and sauces should be excluded. Also prohibited are fatty fish, meat and dairy products, products that cause gas, baked goods and confectionery.

The diet can include:

light vegetable broths and soups;
porridge with water;
vegetable side dishes and pasta;
low-fat dairy products;
healthy sweets: honey, dried fruits, marshmallows;
berries and fruits;
green tea, rosehip, jelly, jelly.

After a month of following such a diet, you can safely move on to a normal diet. However, in any case, this must be done gradually. It is recommended to add one new product per day to your diet.

As is known, from poor nutrition The liver suffers the most. In order not to burden her with medications after undergoing surgery, it is recommended to follow the diet Table number 5 according to Pevzner.

Diet Table number 5 according to Pevzner after removal of appendicitis implies adherence to the following rules:

On the menu therapeutic diet must prevail protein products, and keep carbohydrates and fats to a minimum;
After removal of appendicitis, the diet “allows” the consumption of dishes exclusively in steamed, crushed or mashed form. That is, any food that puts stress on the body is prohibited;
Compulsory six meals a day, including breakfast, lunch, dinner and three snacks in between. Portions should be small.

The following foods are acceptable in the diet after appendicitis removal:

wheat products made from first and second grade flour;
meat and fish baked goods;
pies with apples or cottage cheese;
beef, lamb, pork, chicken, rabbit and turkey meat;
boiled sausages;
lean fish: cod, pollock, crucian carp, salmon, perch, trout;
soups based on cereals and vegetables;
kefir, milk, cottage cheese, sour cream, cottage cheese, cheese;
omelettes;
raw and stewed vegetables: tomatoes, eggplants, zucchini, peppers, carrots, peas, cabbage;
dried fruits: dried apricots, prunes, figs, raisins;
fruits and berries: strawberries, raspberries, apples, peaches, apricots, pineapples, kiwi, citrus fruits;
fruit and berry jelly, compotes and juices, rosehip decoction, tea, coffee with milk;
jelly, marmalade, jam, honey.

Menu by day

The first week of the diet after appendectomy

Monday

Breakfast: a cup of lemon tea with cookies - 2 pcs.;
Lunch: low-fat chicken broth;
Dinner: 200 ml of natural low-fat yogurt.

oatmeal with dried fruits and orange juice;
vegetable puree soup;
buckwheat and kefir.

millet porridge with prunes, berry jelly;
250 g of boiled rice, a glass of low-fat kefir;
oatmeal, a glass of warm milk.

toast, 150 g low-fat cottage cheese and coffee with milk;
pureed cabbage and broccoli soup;
stewed peppers with onions - 150 g, orange juice.

millet porridge with dried apricots, coffee with milk;
200 g boiled chicken meat, tomato juice;
buckwheat porridge, multifruit juice.

cottage cheese with raisins - 150 g and a glass of apple compote;
fruit casserole with low-fat yogurt;
150 g of boiled chicken meat, kefir.

Sunday

toast with honey and a cup of unsweetened black tea;
baked beef with zucchini and pepper - 200 g, cherry juice;
buckwheat, fresh citrus fruit - 250 ml.

Meals for the first 3 days

Recovery after surgery: procedures and remedies

monitoring the patient’s condition: measuring temperature, examining sutures, detecting bleeding, monitoring well-being;
performing body detoxification;
control over the restoration of physiological functions.

According to the doctor's indications, exercises are prescribed. Complexes and classes are selected individually. The following recovery methods are used:

therapeutic exercises;
breathing exercises - develop chest breathing, pay attention to exhalation;
massage - pay attention to the limbs, back and chest.

In addition, medications are used to eliminate pain and prevent the development of complications.

Medicines used in the postoperative period - table

Effect of drugs	Drugs
Anesthesia	Narcotics (for severe pain) - Butorphanol, Promedol, Nalbuphine; non-narcotic analgesics (for mild pain or concomitant diseases during which the use of narcotic drugs is prohibited) - Paracetamol, Tramadol.
Elimination of pathogens	Cephalosporins (Ceftazidime, Ceftriaxone) or Levofloxacin; Amikacin, Ornidazole.
Elimination of toxic substances	Saline solutions; glucose; Rheosorbilact; Xylate; Refortan; Albumen.
Prevention of complications (thromboembolism, ulceration)	Anticoagulants that inhibit the activity of the blood coagulation system and prevent the formation of blood clots - Clexane; blockers of gastric secretion - Omez, Kvamatel.

Diet recipes after appendicitis

Meatball soup

Ingredients:

water – 1.5 liters;
potatoes - 2 pieces;
carrots – 1 piece;
lean minced meat – 200 g.

Bring the water to a boil. Wash the carrots and potatoes, peel them, cut them into cubes and throw them into the water. We form meatballs from the minced meat and place them in water with the vegetables. Cook everything until done.

Do you know any recipes for a diet after appendicitis? There is no need to create something special. The diet should be familiar, but without fatty meat and fish. Carbonated drinks and sugary foods should be excluded. If we are talking about soups, then they should contain only healthy ingredients.

These include carrots, beets, zucchini, peppers and onions. You should wait a bit with potatoes; a high starch content can have a detrimental effect on a recovering body. If we are talking about main courses, then it is advisable to give preference to porridge, but exclude peas.

In fact, there are quite a lot of recipes, but only the attending physician can give his recommendations, which will need to be followed. A diet after appendicitis should help the body recover, and not cause harm.

Here is an example diet menu after appendicitis for one day, which can be used 1-2 weeks after surgery.

First breakfast. Oatmeal, boiled in water, pureed; freshly prepared mashed cottage cheese; green tea.

Lunch. Rosehip decoction.

Dinner. Meat broth with semolina; steamed meat balls; pureed rice porridge with water; jelly made from sweet fruits and berries.

Afternoon snack. Dried blueberry decoction.

Dinner. Buckwheat porridge in water, pureed; steam omelette; green tea.

For the night. Warm jelly.

For example, here are popular recipes for diet dishes after appendicitis.

Steamed meatballs with rice

Grind the beef (100 g) three times, rinse and boil the rice (20 g). Wipe the cooled rice and combine with minced meat, add salt and mix well. Cut the resulting mass into meatballs and steam until cooked.

Pike perch with steamed butter

Steam pike perch fish (120 g) for 35-40 minutes. Melt butter (5 g) and pour it over the finished fish.

Indications

This diet has only one drawback. This diet is not balanced. It cannot be followed for a long time; it is used only under the supervision of a doctor.

There are no contraindications to the diet. However, when prescribing a diet, the doctor studies the patient’s condition and adjusts the menu.

It is important to make it as beneficial as possible for the patient; this requires individual adjustments.

Spicy and chronic form inflammation of the appendix is the main indicator when the appendix is removed. The condition is characterized by pronounced symptoms:

Nausea and vomiting.

Pain syndrome from the source.
Increased body temperature.

In addition to inflammation of the appendix, indications for the use of surgery using a laporoscope are:

Mucocele.
Benign neoplasms, cysts, worms.
Tumors caused by carcinoid lesions of organs.

The operation is possible in the following cases of concomitant diseases:

Diagnostics does not confirm or exclude the inflammatory process. In this case, the operation turns from diagnostic to therapeutic.
Women childbearing age with unclear symptoms that do not allow a clear distinction between the inflamed appendix and gynecological disorders. Medical statistics note that almost half of patients with suspected appendicitis underwent an appendectomy without justification. In this case, the case of adhesions, which occurred as a complication, provoked infertility.
Patients with diabetes and obesity, where a full incision will lead to purulent complication.
Childhood. Due to the minimally invasive method, the occurrence of adhesive disease is minimized.

If there are indications, then there are also contraindications for this surgical intervention:

Kidney disease, liver dysfunction, cardiovascular disease.
Pregnancy in the last months.
Blood diseases leading to poor clotting.

Contraindications include pathologies located at the site of the intended operation:

Increased density of inflammatory products, grouped inside and near the process.
Adhesive processes.
Accumulation of gases in the appendix. When trying to remove it, it can lead to a violation of the integrity of the appendix, touching nearby organs, provoking the development of peritonitis. Also at risk blood vessels and the walls of the intestinal tract.
Peritonitis in advanced form.

Appendicitis with complications: diet features

A patient who refuses to follow a diet complicates the recovery process. Possible development serious complications, posing a threat health and even life. If you do not follow the diet and nutrition regimen, the patient faces:

Complication with peritonitis due to dehiscence of the sutures on the intestinal walls after removal of the appendix.
The occurrence of diseases of the gastrointestinal tract due to complications during recovery, weak immunity, infection with prohibited products. If complications are suspected, repeated surgery, removal of tumors or adhesions is possible.

Compliance with the basics of proper nutrition is shown not only in emergency situations. Even before surgery, patients who eat rationally recover faster and easier than those accustomed to heavy and coarse food. Well, if the appendix has been removed, following a diet will bring a speedy recovery.

bleeding;
sepsis;
collapse;
renal failure;
blood incoagulability;
ultimately death.

All of them require immediate resuscitation.

The second is postoperative. It is less dangerous and usually does not require further surgery.

Such consequences include adhesions, hernias, and intestinal dysfunction. Women may have difficulty conceiving a child.

Phlegmonous appendicitis is fraught with dangerous consequences. If medical care is not provided in a timely manner, the following complications may develop:

widespread or local peritonitis;
perforation of the appendix;
sepsis;
intestinal obstruction;
thrombophlebitis;
purulent inflammation and thrombus formation in the veins of the liver (pylephlebitis);
appendicular infiltrate.

Among frequent consequences Pathological conditions also include destructive changes in the organ, which leads to the development of gangrenous appendicitis.

Phlegmonous-ulcerative appendicitis is also considered a dangerous complication, in which a purulent process develops when the appendage of the cecum is affected by ulcers. Some complications can be fatal.

Thus, phlegmonous appendicitis is a dangerous pathology leading to serious consequences. Its difference from other varieties lies in the development of a purulent-inflammatory process in the absence of destructive changes.

Lack of immediate medical care for gangrenous and gangrenous-perforative types of the disease can lead to extremely life-threatening consequences, such as:

the formation of purulent abscesses in different pelvic cavities;
purulent peritonitis is a large-scale inflammatory process in the peritoneum, which without urgent medical intervention leads to sepsis and death of the patient;
thrombophlebitis of the septic type - inflammation of the walls of the veins with the formation of thrombotic formations.

How appendicitis develops - video

Gangrenous appendicitis is one of the most complex forms of inflammation of the appendix, with a high risk of death. At the first suspicion of the development of a problem, you should consult a doctor, because the only way to treat the disease is surgical intervention and strict rules during the recovery period.

If the diet is not followed after appendectomy, extremely severe and dangerous complications for the patient may develop:

divergence of postoperative intestinal sutures, leading to the development of peritonitis and, as a result, re-operation;
slowing down the patient’s recovery, which is dangerous due to the occurrence of other diseases of the gastrointestinal tract.

If peritonitis is added to appendicitis, the operation to remove it becomes much more difficult. Of course, after such a serious intervention, recovery will be longer and more difficult. The diet for appendicitis complicated by peritonitis should be as gentle and light as possible.

The basic principles of the diet will be exactly the same as for ordinary appendectomy, but with some differences:

Nutrition for peritonitis should be made as rich in vitamins as possible.
Sour vegetables and potatoes are prohibited.
Citrus fruit and sour berries are an essential component of a therapeutic diet.
Preference should be given to fruits such as pears, bananas and apples. They contain a large amount of sugar and are prohibited for ordinary appendicitis.

The patient’s therapeutic diet after phlegmonous appendicitis is compiled exclusively by the doctor based on the patient’s condition and some of his eating preferences. The menu in this situation, as with ordinary appendicitis, should consist of liquid porridges, soups, stewed vegetables and cottage cheese - those products that are enriched with useful substances.

Timely intervention by surgeons reduces the likelihood of complications. Most dangerous conditions occur in the absence of treatment:

Internal bleeding. In this case, a repeat operation is prescribed.
Intestinal obstruction.
Development of inflammation in the abdominal cavity (peritonitis). If it is detected, surgical intervention is prescribed with treatment of the abdominal cavity with antiseptic solutions;
Development of an abscess (suppuration). The patient's body temperature rises and his health worsens. An abscess is also an indication for repeated surgical intervention.
The formation of an intestinal fistula is a hole in the intestinal wall. As a result of the formation of a fistula, the surface of the intestine communicates with internal organs.
Thrombophlebitis of the portal vein. The complication leads to problems with the functioning of the digestive system - the outflow of blood from the organs is disrupted.

Gangrenous appendicitis is dangerous to the health and life of the patient. For children, the condition is the greatest threat, since the pathology develops very quickly. You can avoid the onset of the disease; to do this, you need to visit a doctor when the first signs of appendicitis occur.

If gangrenous appendicitis is operated on before spontaneous rupture of the appendix, then this does not threaten the patient. The only thing that occurs a little more often than with other forms of appendicitis is suppuration of the postoperative wound.

But if the operation is refused, severe consequences develop in all cases:

Perforation of the appendix with leakage of purulent contents and feces into the abdominal cavity;

Self-amputation of the appendix (its complete separation from the cecum);

Purulent and purulent-fecal peritonitis;

Abdominal sepsis;

Multiple abscesses of the abdominal cavity and pelvis;

Sepsis and pylephlebitis (distribution purulent infection into the systemic circulation).

All these conditions are characterized by a progressive and fulminant course and cause extremely severe intoxication with multiple organ failure. Such pathological changes result in irreversible disruptions in the functioning of vital important systems and the death of the patient.

Postoperative prognosis for patients

After the cause of peritonitis has been eliminated, the patient needs specific care.

He must be constantly monitored. The person monitoring the patient should assess the respiratory rate every hour and also take measurements of pulse, urine output, and central venous pressure.

Some medication support and special therapy are needed. A colloidal or crystalloid solution is injected intravenously, which is preheated.

This is done to ensure that the patient’s body temperature does not drop.

Ventilation is provided for three days. Thus, all organs and tissues receive enough oxygen for full functioning. The body is supported with glucose and the intestines are started.

To prevent pain, narcotic drugs are used, which are combined with anti-inflammatory drugs. For example, the patient may be prescribed morphine, fentanyl, ketorolac and others.

Relapses after a properly performed operation are rare. To completely protect yourself from them, you need to adhere to a special diet and lifestyle.

The need to follow a diet

Appendicitis is caused by an inflammatory process that develops in the vermiform appendix of the large intestine. This disease most often occurs acutely and requires urgent surgical intervention.

The period of adherence to the diet after removal of the appendix is from 3 to 4 weeks. The diet has two goals. A gentle diet protects the colon from additional stress. This is the first. Secondly, the pressure on after surgical sutures, and the wound heals better.

The diet for the remaining three weeks after surgery is based on following simple rules. Here they are.

Salt and seasonings are also prohibited in the first month after surgery.
It is wiser to avoid unleavened milk, beans and legumes to avoid the formation of gases.
The average size servings – 200 g.
You cannot add more than two products per day to the menu at the same time.
You can gradually introduce rye bread into your diet.
Honey, low-fat cottage cheese and marshmallows are also introduced in consultation with the doctor.

If the patient ignores the recommendations, does not follow a gentle diet and reduce exercise, this can lead to a number of negative consequences. This is fraught with improper healing of the sutures after removal of the appendix, the development of adhesions and even an inguinal hernia.

The duration of the Table 5 diet according to Pevzner after removal of appendicitis can vary from a week to a month, depending on the degree of healing of the sutures and the physiological characteristics of the person.

Within 12 hours after completion of the operation to remove appendicitis, experts strongly recommend not drinking anything, only moistening the patient’s lips with a small amount of water. Next, over the next two days, try to eat frequent, split meals of low-fat broths and soups.

Usually, after removal of appendicitis, the patient is prescribed bed rest followed by a therapeutic diet for only seven days, since the operation to remove appendicitis is not considered difficult and does not lead to any unpleasant consequences for the human body.

In some cases, if during the above period after removal of appendicitis the sutures are poorly healed, or the patient’s health has sharply worsened, the therapeutic diet is extended until full recovery.

What happens if you break your diet?

Surely you are interested in the question of the consequences of violating the diet rules after appendicitis removal. After all, many, especially children, do not fully understand the essence of this kind of diet and immediately return to their usual diet.

Violation of the therapeutic diet after removal of appendicitis threatens you with deterioration in health, nausea, vomiting, too slow wound healing and other unpleasant health consequences. Therefore, a special postoperative therapeutic diet should under no circumstances be violated, interrupted, or replaced with your favorite foods on the menu.

Diet after removal of appendicitis is a mandatory measure designed to strengthen the immune system after undergoing surgery and a smooth transition of the patient from medical nutrition to the usual one over a certain amount of time. As mentioned above, this can be from a week to a month.

Compliance with the regime. For adults, fractional meals are primarily recommended. Its essence comes down to frequent meals in small portions. It is prescribed to eat at least 5-6 times a day. But at the same time the volume is significantly reduced. This is necessary for the most coordinated functioning of the intestines, so that overflow, bloating, and gas formation do not occur. All this can affect the recovery stage. In some cases, the walls at the surgical site may grow worse. In addition, after the operation the patient must lie in bed. The supine position has a negative effect on peristalsis.
Mandatory heat treatment. After appendicitis is cured, therapeutic nutrition involves eating only boiled and steamed food. In the first three days, food can only be consumed in liquid form or pureed. After three days, you can carefully introduce liquid porridges, purees, souffled foods and omelettes.
Room temperature food. The patient should not eat cold or hot food. All products should be at room temperature. When drinking hot soup or cold water There may be a spasm of the digestive organs. In this case, the seams may diverge or unevenly grow together. Complications cannot be ruled out.
Minimum salt. The maximum daily salt intake is reduced to 8 g per day. A larger amount has a negative effect on the patient’s condition, the blood becomes thicker, the body’s unnecessary breakdown products are retained during digestion, and the healing of incision sites when the appendix is removed slows down.
You can't eat sweets. Fast carbohydrates overload the digestive organs fragile organism. Children should replace sweets with approved foods such as sweet bananas and baked apples.

Refusal of alcohol. It is strictly forbidden to drink alcohol after surgery. Surgical intervention involves antibacterial drugs, and alcohol makes their use useless. In addition, under the influence of alcohol, the process of healing and fusion of the walls at the incision sites slows down.

To recover faster, you need to drink a lot of water. The liquid will help restore, improve metabolic processes. Food is consumed only in small portions.

The patient should lie down and rest a lot. You cannot lift weights or play sports, you can only walk in the fresh air.

You should drink vitamin teas and decoctions; they will fill the body with vitamins and allow you to quickly recover.

Fractional food consumption. About 5-6 times a day. Portions should be small so that after eating a slight feeling of hunger remains. This will help relieve the gastrointestinal tract and prevent the sutures from coming apart.
Cooking should be done by boiling or steaming.
Approved products must have the appropriate consistency. During the first week, food is acceptable in the form of liquid and pureed semi-liquid mixtures. In the second week, you can eat steamed omelettes, purees, soufflés, slimy porridges and soups.
Gradual addition of new products. The introduction of dishes should be carried out in stages, with ingredients previously consumed separately.
The temperature of the food should be 37-38 degrees, since chilled and hot food can provoke spasms of the digestive tract.
Salt intake should be in a minimal amount (no more than 8 g per day). It is better to completely abandon this ingredient for a while. Sodium chloride causes blood thickening, helps retain breakdown products, and slows down wound healing.
Avoiding drinking alcohol is an integral part of the diet, since alcohol inhibits the process of tissue regeneration.

How long the diet lasts is determined by the doctor. This depends on the type of appendicitis, complications after surgery, the method of performing the operation, and the characteristics of the body’s recovery process.

On average, proper nutrition should be strictly followed for several months. This period is reduced if laparoscopy was performed. This manipulation differs from a conventional appendectomy in that the incision is much smaller, therefore, tissue healing occurs faster.

Nutrition after laparoscopy is based on a diet equivalent in restrictions to the diet during conventional surgery.

In general, the duration of dietary nutrition depends on the pace of recovery processes, individual characteristics body. Some people are almost completely able to return to a normal diet within a few weeks after surgery.

In general, it is advisable to adhere to sufficient strict diet During the first month, other products should be gradually included in the diet; there is no need to rush. The body usually has time to recover within a few weeks.

In general, if you follow all the doctor’s recommendations after removing your appendix, complications should not arise. It is worth remembering that dietary nutrition is a fairly important aspect of complete recovery. If you do not follow your diet, the likelihood of complications after surgery increases.

In addition, food after appendicitis should be boiled or steamed. It is recommended to serve dishes only in liquid or semi-liquid form, thoroughly pureed. Later, more solid foods, slimy porridges and pureed meats are introduced. Other dietary features include:

Steps, that is, the menu should be carried out systematically. At certain stages, not only individual products are introduced, but also new dishes.
Temperature readings for food, which should be neither cold nor hot. Any deviation from the warm temperature can provoke vomiting, cramps and other undesirable consequences.
Fluid consumption is up to two liters per day. This not only helps eliminate toxins, but also speeds up the healing process of sutures. It is noteworthy that in case of inflammation, experts insist on increasing the amount of water to three liters.
Consumption of salt and alcohol (especially the latter) is minimized. Salt can be used in quantities not exceeding eight grams per 24 hours, but alcoholic drinks are strictly prohibited.

What can you eat

In order for nutrition after appendicitis surgery to be correct, only healthy and approved foods should be consumed. For example, yesterday's or dried bread, as well as dry cookies (from the third day after laparoscopy).

After laparoscopic removal of appendicitis, low-fat types of fish without skin, porridges such as semolina, rice, and oatmeal are acceptable. In addition, you can eat strained chicken broths, slimy oatmeal and semolina soups. The following will be useful:

soft-boiled eggs, as well as steamed omelette;
low-fat milk from the fourth day, as well as crushed cottage cheese, natural yoghurts;
berry compotes, jelly, souffle, as well as jelly from sweet fruits;
natural species honey and jam, sugar;
unsalted butter and vegetable oil.

Sausage, fatty and heavy meat - goose, duck, pork.
Mushrooms - they contain chitin, which negatively affects the functioning of the intestines.
Mustard, spices, pepper, mayonnaise - these products irritate healing scars.
Sweets, cakes, pastries.
Coffee, soda, energy drinks, alcohol.

Compliance with a dietary diet after removal is a prerequisite for the postoperative period. The recovery time depends on how strictly the diet is followed and the likelihood of complications is eliminated.

Nutrition system after appendicitis removal

The operation to remove appendicitis is one of the simplest surgical interventions. On average, its duration is no more than half an hour.
Despite the short duration of the operation, the recovery stage requires long-term adherence to a certain nutritional system. It is aimed at:

Rapid tissue regeneration of the damaged area.
Reducing the load on the organs of the digestive system.
Restoring the functionality of the gastrointestinal tract.

Dietary nutrition is prescribed immediately after removal of the inflamed appendix of the cecum. The essence given food consists of gradually introducing various food products into the patient’s menu, which replenish the body’s need for all nutrients, vitamins, micro and macroelements.

After surgery, eating any food is strictly prohibited for the first 10-12 hours. During this period of time, it is allowed to moisturize your lips with distilled water.

This is necessary to prevent the occurrence of infection, which can be caused by digestive products that fall on the wound surfaces of the intestine.

The duration of treatment is calculated for each patient separately and depends on the individual physiological characteristics of their body. Diet correction can be carried out exclusively by the attending physician, taking into account the health status of the operated person.

Basic principles of nutrition

After surgery, the intestines are not able to process food at the usual pace. That is why the preparation of a postoperative diet menu should be approached with great responsibility.

On initial stage recovery, you should follow a strict, gentle diet. It reduces the load on the intestines and helps in the recovery of the body. Next, the menu is adjusted by introducing more complex products and dishes into the diet, and the daily calorie content is increased. In this way, the body prepares for the usual nutritional system.

Basic principles of dietary nutrition after resection of appendicitis:

New food products are introduced into the menu gradually in minimal quantities.
Chewing food thoroughly.
Food is consumed in limited quantities.
Strict adherence to the meal schedule.
Food is consumed frequently and in small portions.
The amount of food and its consistency should be appropriate for the days after surgery.
The change occurs depending on the patient's health status.

In the postoperative period, all food is consumed in the form of puree, the first courses are also ground. Basic food preparation technologies are based on boiling and steaming.

One of the features of this diet is drinking large amounts of water daily. Maintaining water balance in the body contributes to a faster recovery process.

In the postoperative period it decreases physical activity, which, in combination with drug therapy, can provoke development. To eliminate them, it is recommended to enrich the diet with foods enriched with fiber.

With the normal course of the recovery period, strict restrictions on food intake gradually begin to be lifted two weeks after removal of appendicitis. In this case, all principles of the diet must be followed until the body is completely restored.

Prohibited foods for consumption after surgery

Dietary nutrition after removal of appendicitis is a fairly strict diet. There is a list of certain products whose consumption is strictly prohibited.

Salt. Its use in its pure form should be completely avoided for a period of 15 days. It is also not recommended to eat any salty foods: dried fish, canned fish, vegetables and meat, barreled and pickled vegetables, fruits.
Spices and hot peppers. All dishes should be bland, since the addition of spices causes additional stress on the gastrointestinal tract.
Smoked meats. Regardless of the smoking method, any product is heavy food for the body, which contributes to its slow digestion. In addition, it contains harmful chemicals that have a negative effect on the wound healing process.
Bean products. I provoke development increased gas formation. As a result, intestinal colic and spasms may occur, which will lead to pain in the area of postoperative sutures.
Durum fruits and vegetables. When partially digested, food residues cause fermentation processes in the intestines. This can cause suppuration of the sutures with subsequent divergence.
Flour products. The high carbohydrate content slows down the process of food digestion and complicates the functioning of the gastrointestinal tract.
Carbonated drinks. They provoke the development of flatulence, which is extremely negative during healing after.
Dairy products with a high percentage of fat content. The presence of a large amount of fats and lactic acid bacteria in their composition provokes the development of the fermentation process in the intestines.

After surgery to remove appendicitis, you should give your digestive organs a rest and allow them to recover on their own. To do this, it is recommended to exclude from your diet all foods that require a long period of time to be completely digested.

Allowed foods

Diet menu for quick recovery after resection of the appendix of the cecum includes a large assortment food products. Among them, nutritionists and attending physicians identify the following essential foods:

Zucchini
Pumpkin
chicken broth
Yogurt

These products should be included in the daily diet of every operated person. This is due to the fact that vegetables are a source of such essential vitamin like retinol. The light fat content of the broth promotes rapid regeneration of damaged tissue. And yogurt is ideal for eliminating nausea.

The menu also includes the following products:

Soups with vegetable broths
Vegetable puree soups
Omelettes from chicken eggs with vegetables
Porridge: buckwheat, coarse wheat
Cereals
Chicken meat
Rabbit meat
Lean types of sea fish
Low-fat dairy products
Bananas
Peaches
Green tea without fillers
Kissel
Compotes
Herbal tea

All prepared meals should be low-fat and served warm. To prepare compotes and jelly, you must use only natural fruits and berries.

Products with high content Fiber should definitely be included in your daily diet. But it is worth remembering that an excessive amount of them can provoke gas formation processes in the body.

Bee honey of any kind, grapes and dried fruits are classified as products that cannot be classified as prohibited. But, their use should be in small quantities and only after consultation with a doctor.

Also, when compiling a list of products that are allowed, doctors take into account the etiology of inflammation. In the presence of purulent appendicitis, the patient’s menu includes the maximum number of products that have an effect and are enriched various vitamins and microelements.

The list of permitted products may be individual and radically different from the generally accepted one. It should be agreed with your doctor, who, depending on your health condition, will allow or prohibit this or that food product.

Menu for the first days after surgery

For two days after the appendectomy, the patient experiences a lack of appetite, attacks of nausea and vomiting. This symptomatology is the result of the body's reaction to anesthesia.

Regardless of the severity of the postoperative condition, it is strictly prohibited to ignore food intake in the first days. This is due to the fact that the body needs resources to restore it.

Menu for the first day. During the day, small quantities of warm sweet tea, compote or fresh fruit jelly are allowed, mineral water without gas in unlimited quantities.

These liquids are the only food that can be consumed on the day of surgery. All other products are introduced into the diet only after consultation with your doctor.

On the second day, the patient’s diet begins to expand. Its basis remains the menu of the first day. Chicken broth, boiled unsalted white polished rice, baked pumpkin and yogurt are also added in small portions. If the body does not accept proteins, the doctor may prohibit the use of yogurt.

On the third day, it is possible to include zucchini or potato puree and freshly squeezed juices with low acidity in the diet. As for protein foods, steam omelet with vegetables and puree from boiled chicken or rabbit meat is allowed.

In the following days, the diet begins to be enriched with light first courses and boiled fish. Cereals, slimy soups and porridges, herbal teas and fermented milk products are also added.

Regardless of the quantity and types of permitted foods, in the first days after surgery, food should be consumed in small portions 5 to 6 times a day. And the amount of water drunk per day should not be less than two liters.

During the first days after appendectomy, the body undergoes a process of restoration of all organs of the system. Therefore, you need to carefully select foods, avoiding heavy foods. A properly formulated diet will significantly speed up the recovery process, starting all organs at the beginning after surgery.

Correct diet in the second and third weeks

The next two weeks after surgery are an important recovery period. Therefore, all recommendations of the attending physician and the dietary nutrition system should be followed unquestioningly.

Despite the noticeable improvement in your health, you should not relax and start eating everything. It is necessary to consume a variety of foods in strictly limited quantities, gradually introducing them into the diet in small portions.

The second week begins with adding vegetables and vegetables to the menu. They can only be consumed in cooked form: boiled, baked, or steamed. Steamed dried fruits are also introduced.

Porridge can be eaten with the addition of a small amount of natural butter from cream. To prepare porridge, you can use low-fat milk.

By the end of the second week, products made from durum wheat are introduced: spaghetti and pasta. An integral part of the diet during this period are fish dishes, steamed meatballs from lean meat, casseroles, and cheese soufflés.

In the third week, you can start eating stale bread, unleavened crackers, crispbread, baked goods without filling, and biscuits. At this stage, it is allowed to introduce salt in a minimal amount. But at the same time, spices and fried foods that irritate the mucous membranes are prohibited.

When eating food in the third week, the need for grinding ready meals disappears in the puree. With normal recovery, the organs of the gastrointestinal tract will be able to independently digest such food.

All prohibited foods can be added in minimal quantities four weeks after surgery. The gradual introduction of such products should be carried out after consultation with a doctor and under his strict supervision.

When introducing new foods, you should carefully listen to your body's reaction. If such foods cause discomfort or pain, you should immediately exclude them from your diet.

The time period for following the dietary nutrition system after an appendectomy is determined by the attending physician. On average, the duration of a therapeutic diet is at least a month.

During this time, all systems of the body reconfigure their pace of activity. Therefore, in order not to dramatically burden the organs, you should gradually exit the diet.

All prohibited foods should be introduced into your diet in separate portions in their pure form.
Legumes are allowed to be consumed no earlier than forty-five days.
Baking, confectionery and chocolate can be included in the diet after the surgical sutures have completely healed.
The daily calorie intake should increase gradually.
Your daily menu should include foods that prevent constipation.
Avoid overeating.

Following the recommendations will allow you to change your eating behavior without experiencing negative consequences. At correct termination diet, the body will gradually adjust to the usual nutritional system, while resuming the full functioning of the gastrointestinal tract.

While watching the video you will learn about the diet after appendicitis.

The main essence of the diet after appendectomy is to eat foods that are easily digestible. This is necessary because when surgical intervention the integrity of the intestines is disrupted, which interferes with the usual diet. Properly selected products promote rapid tissue regeneration and speedy recovery person.

The vermiform appendix (appendix) is an appendage of the intestine located in the lower section cecum. An inflammatory process in its wall (appendicitis) can cause peritonitis with the development of infectious-toxic shock. In this case, the optimal treatment method is surgical removal appendix, that is, laparoscopy and subsequent appendectomy with suturing. In the first days after surgery, increased peristalsis can cause sutures to separate. This is why diet after appendectomy is so important.

In addition, after intestinal surgery, the absorption of essential substances is disrupted. This leads to the development of protein deficiency and slows down tissue repair processes. This is especially true in the case of phlegmonous appendicitis (suppuration of the appendix) or gangrenous appendicitis (necrosis of the appendix).

Why do you need a diet after appendectomy?

Following a diet in the early and late postoperative period solves several problems at once:

provides mechanical and chemical sparing of the intestines;
restores metabolism in the body;
helps increase immune strength;
improves tissue regeneration at the surgical site.

Diet features

In the early postoperative period

In the first days after surgery, the patient is prescribed diet No. 0a. It involves the complete exclusion of any foods from the diet on the first day. This is due to the fact that the body experiences stress during this period, and absorption in the intestines is severely impaired. nutrients. Moreover, in this period there is a high risk of injury to postoperative sutures on the intestinal wall.

During the first 12-24 hours, the patient is given intravenous electrolyte solutions; drinking is not allowed, but you can moisten your lips with water. At the end of this period, in the absence of contraindications, you can start taking liquid meals:

jelly;
sweetened tea;
unrich broth;

Second or third day

On the second or third day, the diet expands slightly, and the patient can eat the following foods and dishes after surgery to remove appendicitis:

low concentration chicken or fish broth;
decoction of rice or oatmeal;
fruit and berry jelly with potato or rice starch;
juices from fruits and berries diluted one to one with water;
green tea with a little milk.

It should be taken into account that in people with lactase deficiency, the addition of dairy products can cause bloating. Such patients are recommended to add a small amount of vegetable oil (sunflower, olive) to their dishes.

The diet after surgery to remove appendicitis involves frequent and small meals. That is, you need to eat food at least every two hours. Portions should be small, almost half less than what the patient ate before surgery. The patient these days eats without meat and fish.

After surgery to remove appendicitis, you should not eat the following foods:

meat products;
fatty dairy products (sour cream, cream);
pasta;
spicy and pickled;
vegetables with coarse fiber;
cocoa, strong tea, coffee.

The diet for suspected appendicitis may be the same. In this case, the patient is in the hospital under the supervision of doctors, and must adhere to the prescribed diet during the day. A diet for appendicitis before surgery is: complete refusal from eating any food, since general anesthesia will be required. Violation of these restrictions can lead to vomiting during surgery and reflux of gastric contents into the respiratory tract.

In the subacute phase

If the postoperative period progresses well, on the fourth or fifth day the patient is transferred to a gentle diet - a. It includes a wider range of dishes and is more complete in essential nutrients. Peculiarity of this type diet consists of maximum mechanical and chemical sparing of the gastrointestinal tract. Starting from the fourth day, soft-boiled eggs are allowed to be added to the patient’s menu, but no more than one per day.

Dishes that are offered to the patient must be ground or ground. Culinary recipes involve boiling or steaming. You also need to eat all dishes warm; you are not allowed to serve cold foods straight from the refrigerator. The diet should contain the following products:

pureed and liquid soups or broths;
steamed steaks and dumplings made from lean poultry meat;
liquid porridge (,);
steam omelettes;
vegetable purees (potato, carrot);
fruits without coarse fiber and seeds (banana, peaches);
low-fat fermented milk products;
fruit jellies, baked apples;
weak tea, diluted juices without dyes.

Diet after surgery excludes fried foods, fatty meats, foods containing coarse fiber (radish, legumes), and mushrooms.

After discharge from hospital

Even after discharge from the surgical department, the patient will still need to adhere to the diet for some time. Typically, the diet after appendectomy lasts about a month. This diet excludes too fatty, fried foods, smoked foods, spicy food. It is recommended to cook steamed dishes, boiled or baked in the oven without fat.

The diet includes all foods that were given to the patient in the postoperative period. You can also give boiled soft meat, cottage cheese, a small amount of sour cream and cream. Vegetables with coarse fiber, nuts and seeds, smoked meat products, and carbonated drinks are not recommended.

Gradually, the menu is introduced one dish at a time in an unprocessed form. They should be eaten in small quantities and based on how you feel. If tolerated well, new products can be gradually added. The table below shows an approximate diet after appendicitis removal by day, which is suitable for both children and adults.

Table - Postoperative menu by day

Days	Breakfast	Lunch	Dinner	Afternoon snack	Dinner
1	- Weak tea with a little sugar	- Water; - weak tea	- Rice or oatmeal broth	- Rosehip tea or decoction	Rose hip decoction
2	- Slimy porridge (oatmeal or semolina); - tea	- Water or diluted fresh juice	- Weak broth; - mashed potatoes	- Kissel; - soaked biscuits	Gruel without coarse fiber
3	- Liquid semolina with vegetable oil; - biscuits; - tea	- Diluted juice; - cookie	- Puree soup with weak vegetable broth; - cracker; - rosehip decoction	- Low-fat kefir	- Liquid porridge; - steam omelette; - weak tea; - cookie
4	- Porridge with oil (vegetable); - low-fat kefir	- Juice or jelly	- Cream soup; - vegetable puree; - steam cutlets; - bread; - tea or juice	- Kefir or yogurt; - biscuits	- Porridge or vegetable puree; - boiled lean fish
5	- Porridge; - bread with low-fat kefir; - rosehip tea or decoction	- Juice with cookies	- Broth or puree soup; - steamed meat or fish cutlets; - bread; - jelly	- Casserole of pureed vegetables with the addition of cottage cheese; - jelly or juice	- Vegetable puree; - steamed fish cutlets; - tea
6	- Porridge (semolina, oatmeal, from ground buckwheat) with butter; - cookie; - tea	- Juice or tea; - cookie	- Soup with pureed vegetables; - steamed chicken meatballs; - potato casserole; - bread; - jelly	- Yogurt; - crackers	- Casserole made from potatoes and chopped meat; - dried fruits compote; - cookie

Any operation requires a recovery period. For example, removal of appendicitis does not have the best effect on the general well-being and state of the digestive system, so patients need to follow a certain regimen. Following a diet will help reduce the postoperative period and improve the functioning of the gastrointestinal tract.

Proper nutrition after appendectomy

Diet after appendectomy is a necessary part of the recovery period. Thanks to her, it is possible to quickly establish the functioning of the gastrointestinal tract and return to the previous, usual diet. If the operation went without complications, adhere to special regime food is needed for about 2 weeks. Recommendations on diet are usually given by the attending physician who knows the characteristics of the patient’s illness.

Right after surgical removal appendix and for 24 hours the patient is not given anything to eat or drink so that the body’s strength is spent only on recovery. From the second day, special nutrition is prescribed. Patients are advised to eat foods that do not overload the stomach. It is worth thinking through the menu in advance so as not to accidentally eat something that can harm the body. Basic rules of diet after appendicitis removal:

Only pureed, liquid food that is easily digestible by the stomach is allowed. It is recommended to prepare it in a dietary way, for example, by steaming it.
It is necessary to eat often, but in small portions.
It is recommended to drink more fluids (herbal teas, fresh juices, water).

Nutrition after appendicitis in the first three days

On the first day, the patient recovers from anesthesia, his body gradually recovers after the operation. The person experiences weakness, nausea, and lack of appetite. By the end of the day, the doctor may recommend a little chicken broth or sweet jelly. From the second to the third day you need to eat warm food in the form of puree. Portions should be small and eaten without adding vegetable oils. Allowed foods should be boiled or steamed in a slow cooker. The diet for appendicitis after surgery includes:

chicken bouillon;
puree from pumpkin, potatoes, zucchini;
chicken's meat;
boiled rice;
baked apples in small quantities;
jelly, Herb tea, drinking water, natural yoghurts.

What can you eat after appendicitis surgery in the first week?

From day 4 after surgery, the diet expands. All food must be chewed thoroughly and eaten frequently in permitted portions. Dishes containing fiber are added: pureed soups, buckwheat porridge, rice, fermented milk products, lean meat. Soups without frying are healthy. Vegetables must be passed through a blender. What fruits can you eat after appendectomy? To speed up rehabilitation and improve bowel function, from day 4 the menu includes steamed dishes of oranges, peaches, bananas, non-acidic berries, for example, raspberries. A little butter is allowed.

Be sure to drink a lot of boiled purified water. The norm is up to 10 glasses a day, if there are no cardiovascular diseases. It is better to choose as a liquid still water. It should be drunk after meals (after an hour and a half) or before meals. It is permissible to consume dried fruits previously steamed in hot water. The purpose of the diet at this stage is to create conditions for improving peristalsis and wound healing.

Diet after appendicitis surgery in the first month

By the end of the first postoperative month, full recovery intestinal functionality, wound restoration. The diet is gradually expanded to the usual diet. The patient is still recommended to give preference to light soups, broths, pureed vegetables, lean meat and fish. In addition, during the recovery period the following are allowed:

low-fat dairy products;
some sweets (honey, marshmallows);
casseroles with pasta, potatoes;
vegetable and fish omelettes;
fresh fruits (oranges, tangerines);
porridge with water, milk;
drinks (jelly, jellies, green tea, decoctions).

What the diet prohibits after appendicitis

The convalescent menu should not contain foods that can cause intestinal inflammation or flatulence. The diet after removal of appendicitis prohibits spicy foods, spices, salt, smoked foods, and semi-finished products. You cannot eat tomatoes, beans, ketchup, various sauces, or mayonnaise. Flour products, milk, fatty varieties fish and meat. You cannot drink soda, alcohol, eat cheese, or fast food. In addition, solid food is prohibited for several days after surgical removal of the appendix.

Menu after appendicitis removal

So that patients know how to eat during the rehabilitation period, a special diet after appendicitis surgery has been developed day by day. It is very important to follow it to restore the body to its full potential. Sample menu for a patient in the second week of rehabilitation:

Breakfast: oatmeal with water; cottage cheese; green tea.
Late breakfast: a decoction of berries, for example, rosehip.
Lunch: steamed meatballs with meat; meat broth with semolina; jelly.
Afternoon snack: decoction with herbs.
Dinner: steam omelette; buckwheat pureed in a blender.

Sample menu for the 5th day of the postoperative period:

Breakfast: barley porridge with milk, sweet tea.
Late breakfast: casserole with cottage cheese and carrots, berry jelly.
Lunch: chicken broth with buckwheat, boiled fish (low-fat varieties), apple jelly, bread.
Afternoon snack: dietary biscuit, tea.
Dinner: boiled chicken cutlet, wheat porridge, tea.

Diet after removal of appendicitis on day 6:

Start of the day: buckwheat, seasoned a small piece oils, sweet tea and a piece of loaf with cheese.
Late breakfast: any dry biscuit (biscuit), water or juice.
Lunch: soup with chicken, vegetables, braised cabbage, a piece of rye bread, tea.
Afternoon snack: jelly or yogurt.
Dinner: cottage cheese casserole, dry biscuits, tea.

Video: what you can eat after appendicitis surgery

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