Chicken broth after appendicitis surgery. How to eat properly after appendectomy? Diet for Wednesday

The vermiform appendix (appendix) is an appendage of the intestine located in the lower part of the 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 of the 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.

1 Why do you need a diet after appendectomy?
2 Diet features
- 2.1 In the early postoperative period
- 2.2 Second-third day
- 2.3 In the subacute phase
- 2.4 After discharge from hospital

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 the absorption of nutrients in the intestines is severely impaired. In addition, during 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;
rosehip decoction.

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 advised not to add a large number of vegetable oil (sunflower, olive).

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 consists of completely refusing to eat 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 - table No. 1a. It includes a wider range of dishes and is more complete in essential nutrients. The peculiarity of this type of diet is the 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. Cooking 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 (semolina, oatmeal);
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 foods that are too fatty, fried, smoked, and spicy foods. 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 need to be eaten large quantities and focus on well-being. If well tolerated, you can gradually add new products. 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	— Tea or rosehip decoction	Rose hip decoction
2	— Slimy porridge (oatmeal or semolina); - tea	— Water or diluted fresh juice	— Weak broth; — mashed potatoes	— Kissel; - soaked biscuits	Liquid porridge 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

If the patient has suffered a complicated form of pathology, then a strict diet will be required for more than seven days. For example, after removal of phlegmonous appendicitis, you need to eat in this way for up to ten days. This diet therapy allows you to avoid postoperative complications and promotes complete tissue regeneration.

Later, the patient switches to a general diet (table No. 15), but if there is hyposecretory function of the stomach, it is recommended to adhere to table No. 2. If there are concomitant liver disorders, then nutrition after removal of appendicitis involves prescribing diet No. 5.

Diet after appendicitis removal by day, why and how many restrictions you need to adhere to - all about and for health on KrasotaDiet.ru

Removal of appendicitis has long been recognized as one of the safest and easiest operations, which can be easily tolerated by both adults and children. However, errors cannot be ruled out here either: during the surgical intervention itself and in the postoperative period. Therefore, it is so important to know all the rules and stages of treatment of acute appendicitis after surgery - this will help to avoid complications and return to normal routine as quickly as possible.

Treatment after surgery to cut out appendicitis (appendectomy) does not have a specific time frame - it is individual for each patient. How many days does recovery after an appendectomy last on average? Usually this is one and a half to four weeks; for children under 10 years of age, the elderly and obese people, the time increases. Young and slender patients return to their usual rhythm of life much faster.

If no complications arise in the first 3-7 days after excision of the appendix, the patient is discharged, explaining the basic rules for further behavior. It is on their strict adherence that it depends on how many days a person will be able to live a normal preoperative life.

Every day you need to go for a walk fresh air over short distances.
You can go to the pool and play sports only when a scar has formed after appendix removal (up to 2-6 months).
Lifting weights is prohibited for the first 2.5-3 months after appendicitis is removed.
Overweight patients and active sports people are recommended to wear a bandage for 3-7 days after surgery, and for several more months during any physical activity.
Sexual activity is allowed 2 weeks after surgery.

The first day after appendectomy

In the first 48 hours after surgery Patients are not given special treatment - the main emphasis is on restorative measures: physical therapy, diet, and, if necessary, painkillers.

A standard operation to cut out the appendix takes 30-40 minutes, then the patient is transferred to the ward. How many days later can I go home? Official sick leave after an appendectomy usually does not exceed 2 weeks; after 3-4 days of hospitalization, the patient can be released for outpatient treatment.

The most important 24 hours in the rehabilitation process are immediately after an appendectomy. Surgical removal appendix surgery is performed mainly under general anesthesia, and in the first hours after surgery it is especially important to ensure proper recovery from anesthesia. The biggest health hazard during this period is vomiting. To prevent vomit from entering the respiratory tract and causing pneumonia or suffocation, the patient should be placed on the right side at the first urge.

For 12-24 hours after waking up, any food or heavy drinking is prohibited. If there are no contraindications, you can give boiled, mineral water still or weak tea with sugar - 2-3 teaspoons at a time.

Restrictions and prohibitions in the postoperative period

For the first 24 hours after surgery, patients must strictly adhere to strict bed rest. After how many hours can you move and walk? For 8-12 hours you need to lie motionless in bed, then you can sit up and turn around, after 24 hours you can get up and slowly move along the corridors (in consultation with the doctor!).

Eating is allowed every other day, provided that the patient does not experience bouts of vomiting. For the first 8 days, it is important to follow a strict postoperative diet, then you can gradually return to your usual diet.

Elevated physical exercise several days are strictly prohibited, but physical inactivity is also very dangerous - it can provoke constipation, muscle atrophy, pulmonary congestion, impaired blood flow and lymph flow. The ideal solution is a special physiotherapy after acute appendicitis.

Sutures after appendectomy are removed on days 4-8, but only a couple of months after surgery can you swim and engage in athletics (running, dancing, jumping, etc.). When 3-6 months have passed and the scar is fully formed, heavy physical activity is allowed.

Therapeutic exercises after appendicitis

A set of physical therapy exercises (PT) after acute appendicitis is recommended for patients of all ages - this is an excellent prevention of congestion, intestinal paresis, thrombophlebitis, pneumonia and intestinal adhesions. How many days does a physical therapy course last? It is necessary to do gymnastics after appendectomy for the first 3-4 days after the operation, while the patient is on bed rest, then in consultation with the attending physician.

All exercises are performed from the starting position “lying on your back”, the number of approaches is 5-6 times.

Legs lie straight on the bed, arms along the body. Flex and straighten the ankle joint of both legs.
Legs straight, arms bent at the elbows. Bend and straighten your fingers into a fist.
Legs bent at the knees, place one hand on the chest, the other on the surgical suture. As you inhale, pull your stomach in, and as you exhale, push it out.
Legs straight, hands raised to shoulders. Alternately perform circular movements with the shoulder joint - forward and backward.
Legs lie straight, hands on shoulders. Bend your knees and straighten them, your heel should slide along the bed.
Legs are together, the left arm is extended along the body, the right arm lies on the stomach, on the surgical suture. As you inhale, raise left hand up, exhale and lower.

The most important diet rules after appendix removal

Treatment after appendix removal primarily involves following a gentle diet. A special treatment menu will reduce the burden on a weakened body, restore and give strength, and also prevent problems with stool and other complications.

To make recovery after acute appendicitis as easy as possible, it is important to follow the rules of the postoperative diet.

You need to eat fractionally: in modest portions 5-6 times a day. This will reduce the load on the intestines, and the patient simply will not have time to get hungry.
For the first 2-3 days after acute appendicitis, no solid food: only liquids, porridge, jelly and puree.
Food should not be ice cold or very hot - this irritates the already weakened intestines.
The basis of the menu is drinks, pureed and steamed food.

All patients are concerned with the question: after how many days can they again eat sweets, fried foods, salty foods, smoked foods and alcohol, and add their favorite spices to food? Doctors definitely recommend completely abstaining from junk food and drinks for 2-3 weeks, and then gradually introducing them into the diet - up to 2 months.

Features of the diet after acute appendicitis

How many days should it last therapeutic diet? It is necessary to return to a normal diet in stages: for the first day after surgery you will have to do without food at all. On the 2-3rd day, the basis of the hospital diet should be liquid porridge, chicken broth, pureed vegetable purees and jelly, rosehip infusion and rice infusion.

Then you can add bread, steamed chicken cutlets, light vegetable soups, steamed omelettes, low-fat sour milk, and fruit after 4-5 days to the menu.

The first three days after removal of the appendix, any solid food, milk, pea and bean soups, potatoes, grapes, fresh cabbage, products with increased content fiber.

For 2-3 weeks you will have to completely forget about alcohol, sausages, sweets and cakes, fatty and smoked foods. Any homemade preparations, marinades and canned goods will also have to be hidden away. It is necessary to give up strong tea, coffee and soda - they are replaced by still mineral water, weak tea, herbal infusions, jelly, fruit and vegetable juices.

After 2-2.5 months, you can completely return to the pre-operative menu and favorite dishes.

Possible complications after surgery

Typically, appendectomy occurs quickly and without serious consequences for the patient, but there are exceptions. Complications, as a rule, arise after surgery with advanced appendicitis with peritonitis, non-compliance with rehabilitation rules in the first days and weak immunity of the patient.

Acute appendicitis can cause the following complications:
Wound infection – pus, formation of inflammatory infiltrate, abdominal wall abscess.
Large blood loss, as a result, interruptions in the functioning of the cardiovascular system.
Peritonitis (inflammation of the peritoneum).
Intestinal adhesions and postoperative hernia.
Respiratory system disorders - bronchitis and pneumonia.
Constipation, bloating, gas and urinary retention.
Intestinal fistula is a hole in the wall of the intestine through which its contents (bile, feces, undigested food) are thrown out.

Fever after appendectomy

An increase in temperature to 38º is a very common occurrence after an appendectomy. It can be a natural reaction of the body or signal possible complications - it all depends on how many days the temperature lasts.

The main causes of fever after acute appendix:

Infection due to non-compliance with sanitary rules.
Damage to internal organs during appendectomy and the development of inflammation.
A sharp decrease in immunity.
Severe blood loss.
Reaction to the installation of a drainage tube.

The norm is to maintain an elevated body temperature for up to 3 days; if the fever lasts longer and is accompanied by severe chills and increased sweating, additional treatment is prescribed.

A course of antibiotics (depending on the causative agent of the postoperative infection).
Antipyretic drugs (aspirin, paracetamol, etc.).
Anti-inflammatory drugs (ibuprofen, etc.).
In emergency cases, additional surgical intervention is required.

Treatment of complications

Serious complications after acute appendicitis occur in 5-10% of all cases and require serious comprehensive treatment. How many days after surgery do such dangerous consequences appear?

Suppuration of the wound, the appearance of infiltrate and abscess usually make themselves felt on the 3-4th day after removal of the appendix. The main symptoms are pain, fever, problems with bowel movements, noticeable swelling in the scar area). Treatment involves novocaine blockades, antibiotics, and physiotherapeutic procedures. If the outcome is favorable, the inflammatory process stops after 2-3 days.

For pulmonary and cardiovascular complications, therapeutic exercises, antibiotics, and inhalations are necessary. For intestinal fistulas, conservative treatment is also used; vacuum therapy is also effective.

The most dangerous consequence of acute appendicitis is peritonitis. It occurs quite rarely and only in destructive forms of the disease. The main symptom is persistent pain after surgery, followed by nausea and vomiting, dry mouth, gas and bloating, and constipation. There is only one treatment in such cases - repeated surgery.

Acute appendicitis is a fairly common disease. If you contact a surgeon in time and follow all medical recommendations in the postoperative period, the recovery process will go as quickly as possible. However, in advanced cases, the disease can cause complications, and how many days the recovery will last will depend only on the correct and complete treatment after surgery.

The appendix can become inflamed in people of different age groups, but most often children experience this pathology. In almost all cases, patients are treated surgically, after which they need to undergo rehabilitation, in particular, switch to a special diet. The diet after appendicitis removal includes a number of restrictions, thanks to which patients quickly return to their normal lifestyle.

Nutrition rules

The diet after surgery to remove appendicitis should be prescribed to patients by their attending physicians. Its duration is two weeks, subject to timely surgical treatment. In cases where patients have developed serious complications, the diet after appendectomy should be followed for at least a month.

After surgery, patients are given the following recommendations: And:

For appendicitis complicated by peritonitis, people are advised to drink chamomile decoction, which has natural antibacterial properties.
During meals, you need to consume warm food, so that it will be digested and absorbed by the body faster.
Fractional nutrition is indicated for this category of patients. The number of meals should reach six times per day. People should eat in minimal portions, chewing each bite thoroughly.
It is strictly forbidden to include fried foods in the menu after appendicitis. In the process of cooking, it is necessary to use the following culinary techniques: boiling, steaming.
Every day, patients should drink a large amount of clean water, the daily dose should not be less than one and a half liters. In addition to water, you can drink homemade compotes, herbal infusions, teas, and freshly squeezed juices.
Experts do not recommend adding too much salt to dishes, as well as using seasonings, sauces, ketchups, mayonnaise and other types of dressings to improve their taste.
To make your work easier digestive tract dishes must be pureed or chopped in any way in an accessible way. Thanks to this consistency, the food lump will not cause constipation.
All foods that can cause increased gas formation should be excluded from the diet of patients. In this case we are talking about legumes and milk.
People should not eat foods that contain large amounts of fiber. You should not include in your diet foods that can provoke intestinal inflammation. The list should be replenished with pickled, spicy, smoked, salty, sour, fatty and fried foods.

What fruits, vegetables and other foods can you eat after appendectomy?

The diet after removed appendicitis in adult patients has some features:

The first 12 hours after surgery	The patient cannot eat or drink. This ban is due to the fact that during this time period he will come out of anesthesia. If he is fed or given water, he will vomit, which can worsen the condition. In the case when the patient is very thirsty, he can moisten his lips with a wet cotton swab
Second 12 hours after surgery	To restore strength and relieve inflammation, you can give a person a low-fat broth made from homemade chicken. It is allowed to consume biscuits, weak and unsweetened tea, fruit jelly brewed at home
Second and third days after appendix removal	If there are no complications, a person can introduce mashed potatoes into their diet, boiled in water and without the presence of butter. Experts recommend feeding patients pureed pumpkin or zucchini that has previously been heat-treated. You should diversify the menu with unsweetened low-fat yogurt, light vegetable puree soup, crackers. During this period, it is already allowed to eat chopped dietary meat, for example, turkey, chicken, rabbit.

Starting from the fourth day after removal of the appendix, people can introduce other foods into their diet.

The menu can be varied:

baked apples;
porridges cooked in water, oatmeal, rice groats, buckwheat (to improve the taste, you can add a small slice of butter);
low-fat kefir;
boiled or steamed carrots, which it is advisable to puree;
low-fat boiled or steamed fish (for example, pike perch, pike);
compote made from dried fruits;
boiled dietary meat (a small slice per day is allowed, which should preferably be chopped);
rosehip decoction;
boiled and chopped vegetables, for example, zucchini, potatoes, beets, pumpkin;
low-fat and unsweetened cottage cheese.

peaches;
oranges;
marshmallows;
figs;
strawberries;
dates;
raspberries;
dried apricots;
prunes;
honey and bananas (they should be introduced into the menu with extreme caution).

What is forbidden to eat

This list should be expanded:

pancakes;
scrambled eggs and omelettes;
pancakes made from potatoes;
spices;
salt;
ketchup;
mayonnaise;
black and red pepper;
horseradish;
fatty varieties of fish;
mustard;
mushrooms;
fatty varieties of poultry and meat;
lard;
dried, smoked and salted fish;
tomatoes;
any types of conservation;
garlic and onions that have not undergone heat treatment;
legumes;
borscht;
mushroom, fish soups, fish soup;
homemade milk;
fatty cottage cheese;
dumplings;
sausages, both smoked and boiled;
sweet soda;
fresh baked goods;
pasta;
shrimp;
cheeses;
coffee;
sweets and other confectionery;
jam;
rolls;
ice cream;
persimmon;
condensed milk;
grenades;
nectarines and other very sweet fruits.

Weekly menu

Diet for Monday:

Dry cookies and a glass of tea, without the presence of sugar.
Cup apple juice.
A serving with a minimum fat content of broth made from homemade chicken. One or two crackers. You can supplement your meal with oatmeal or rice porridge cooked in water, to which neither butter nor salt has been added. Cup carrot juice or tea without sugar.
A glass of juice, chamomile infusion or unsweetened tea.
A serving of zero-fat yoghurt and a few biscuits.

Diet for Tuesday:

A bowl of oatmeal porridge cooked in water, without the presence of salt. You can use barley, wheat or buckwheat. A cup of homemade jelly, made from seasonal or frozen berries (fruits), several biscuits.
A glass of juice, unsweetened tea or compote made from dried fruits.
Puree vegetable soup cooked in chicken broth. Shredded potatoes with a grated slice of boiled meat can be an addition to the meal. The taste of dishes should be improved with the help of herbs, for example, parsley or dill. A glass of compote made from dried fruits.
A cup of homemade fruit and berry jelly or natural zero-fat yogurt.
A bowl of porridge cooked in water, made from buckwheat, oatmeal, barley or rice. Neither oil nor salt should be added to it. A glass of zero% fat kefir.

Diet for Wednesday:

A serving of lightly salted porridge, cooked in water made from wheat cereal. One hard-boiled egg, A cup of unsweetened tea with biscuits or crackers.
A glass of tea or apple juice. Two crackers.
A bowl of chicken broth, with the addition of chopped herbs, or vegetable soup. A serving of lightly salted rice porridge. A cup of homemade compote.
A glass of zero-fat kefir or homemade jelly. A few biscuits.
A slice of boiled or steamed low-fat fish, a portion of wheat porridge boiled in water. A small amount of zero-fat cottage cheese, seasoned with natural unsweetened yoghurt.

Diet for Thursday:

A bowl of porridge made from oatmeal, without the presence of butter. A cup of herbal tea.
A glass of homemade jelly or natural yogurt, a few crackers or biscuits.
Boiled or steamed pureed zucchini (it can be replaced with pumpkin or carrots), steamed chicken fillet cutlet. A cup of apple compote.
A glass of natural unsweetened yogurt.
Stewed vegetables, a small slice of boiled or steamed rabbit or veal. A glass of tea with one marshmallow.

Diet for Friday:

Barley porridge cooked in milk diluted with water, with a small slice of butter. A cup of unsweetened tea with a dried slice of bread or a dry cookie.
Curd and carrot casserole, homemade compote from dried fruits or jelly.
Vegetable or rice soup cooked with chicken broth. Puree pumpkin and some fish cakes (steamed). A cup of unsweetened green tea with a toasted slice of bread.
A glass of zero-fat yogurt or kefir.
A bowl of buckwheat porridge, one steamed chicken cutlet. A cup of tea.

Diet for Saturday:

Curd soufflé or bowl with zero fat content of cottage cheese, with the addition of a spoonful of low-fat sour cream. A cup of unsweetened tea with a dry cookie.
A glass of yogurt or homemade jelly with a minimum fat content.
Chicken soup with boiled eggs and herbs. Boiled or steamed rice with vegetables, a cup of homemade compote.
Two cheesecakes, a baked slice of pumpkin, a glass of zero-fat milk with two cookies.
Baked potatoes with zucchini and a slice of boiled or steamed fish. A cup of herbal tea with a toasted bread slice.

Diet for Sunday:

A bowl of buckwheat porridge, a slice of mild cheese, chamomile tea.
Unsweetened fruit and juice with cookies.
Chicken soup with herbs, with the addition of buckwheat or rice. A slice, boiled or steamed, of lean fish. A cup of homemade jelly.
A glass of minimum fat content of yogurt or kefir.
A slice of cottage cheese casserole, which can be topped with a spoonful of low-fat sour cream. A cup of dried fruit compote with a dried bread slice.

Thank you

The site provides background information for informational purposes only. Diagnosis and treatment of diseases must be carried out under the supervision of a specialist. All drugs have contraindications. Consultation with a specialist is required!

Table of contents

General provisions

After removal appendicitis As with other surgeries, the patient must make some changes to his lifestyle. The purpose of such actions is to prevent postoperative complications. The nature of the changes is determined by the type of operation performed, the age of the patient and his general health indicators before the operation.

The actions that the patient should take after appendicitis are:

physical activity in the first week;
dietary food;
special way of life.

Physical activity in the first week after appendicitis

After removal of the appendix, it is recommended to perform special exercises to prevent possible complications after surgery. Physiotherapy(exercise therapy) helps prevent the development of pneumonia, thrombophlebitis, constipation, and increased gas formation. Also, the goals of exercise therapy include improving general condition patient and stimulation of regenerative processes. Special physical activity is especially necessary for elderly patients, as they are more likely to experience complications. You should start doing some exercises soon after the anesthesia wears off.

Exercises on the first day after surgery

After the anesthesia is completed, the patient is taught to painlessly turn onto his healthy (left) side. To minimize pain, you need to rest your feet on the bed, bending your legs for comfort. Then you should, focusing on your feet and elbows, lift your pelvis and turn it to left side. After this, you should alternately move your legs to this side. Then, placing emphasis on your elbow, you need to lift your right shoulder off the bed. By performing all movements one at a time and slowly, the patient will reduce pain to a minimum when turning over to one side.
Classes on the first day are performed by the patient in a supine position. They should be started 2–3 hours after completion of anesthesia. The complex consists of 5 exercises, the duration of which should be from 3 to 5 minutes. The complex should be repeated 3-4 times daily.

Exercises for the first day after surgery are:

rotation of the feet and their flexion, first alternately, then together;
bringing and spreading the fingers together - first, in turn on the right and left hands, then together on both;
while inhaling, the patient should bend his arms at the elbows and bring them to the shoulders, while exhaling, lower them along the body;
with an inhalation, you need to raise your hands and reach towards your knees, and lower them with an exhalation;
As you inhale, the pelvis should be raised, and as you exhale, lowered; your legs should be bent at the knees and spread to shoulder width.

Exercises on days 2–3 after surgery

Gymnastics at this stage is carried out from a sitting position. In most cases, if the appendicitis was removed using laparoscopy, you can get up the next day. If abdominal surgery has been performed, it is possible to take a sitting position and stand on your feet after 1–2 days. To sit down, the patient must turn to his side, place his hands on the bed, and bring his knees over the edge of the bed. Then you need to lower your legs to the floor and push off with your elbow to sit down.

Exercises for days 2 and 3 after surgery (done while sitting) are:

As you inhale, bring your hands to your shoulders, as you exhale, lower them;
while inhaling, bring your arms forward, while exhaling, bring them through the sides to your knees;
as you inhale, your arms are moved to the sides, as you exhale, your hands are placed on your knees, and your body leans forward;
rotation of the head clockwise, tilting the head left and right;
while inhaling, the patient needs to raise his arms up and reach for them with his body, protruding the chest forward; while exhaling, he should relax and take a comfortable position.

There are also a number of exercises that are performed from a standing position. The first attempts to stand on your feet should be made under the supervision of medical personnel or relatives who will help you maintain your balance. After 5 - 10 times the patient can begin to get up without outside help using a chair or bedside table for support.

Exercises for days 2 and 3 after surgery (done standing) are:

bring your hands to your shoulders and do rotational movements forward, then back;
make circular movements with your pelvis, keeping your hands on your belt and without straining your abdominal muscles;
you should sit on a chair and, while inhaling, spread your arms and legs to the sides, while exhaling, bring your legs together, and place your hands on your knees.

When performing any of the exercises, the patient is recommended to wear a special bandage or support belt. The bandage will help prevent deformation of the postoperative suture. In addition to exercises on days 2 and 3, the patient is recommended to walk around the ward. You need to start walking gradually, first using the headboard or other furniture as support.

Exercises from 4 to 7 days after surgery

All exercises of this period are performed standing with feet shoulder-width apart. During exercise, you should control your breathing, inhaling during physical effort and exhaling when relaxing.

Exercises from days 4 to 7 are:

circular movements with the arms (arms bent at the elbows are brought to the shoulders);
movements of the torso left and right (hands on the belt);
rotation of the pelvis in a circle (hands on the belt);
alternate bending and extension of the legs at the knees (palms behind the head);
you need to sit on a chair and get up from it (hands on your belt).

Diet after appendectomy

The diet in this case has 2 goals. The first is to ensure the most gentle effect on parts of the digestive tract. The second is the restoration of lost energy and physical resources after surgery. The entire recovery period of the patient medical practice is divided into three stages (first, second, third). Each stage has separate recommendations for the diet and a list of products that need to be included or excluded from the menu.

What to eat after appendectomy?

The first stage lasts from 1 to 7 days after the operation. For the first 12 hours, the patient must refrain from eating and drinking plenty of fluids. During this period, lips are moistened with a damp cloth, and in case of severe thirst, you are allowed to drink 30 - 50 milliliters of clean water without gases. Over the next 12 hours (unless prohibited by the doctor), the patient is given weak chicken broth or unsweetened fruit jelly. In the next week, feeding a person whose appendix has been removed is carried out according to strict rules and in accordance with the list of permitted and unauthorized products.

Products that can be included in the menu at the first stage include:

cereals – rice, buckwheat, oatmeal;
fruits – apples;
vegetables - pumpkin, zucchini, broccoli, carrots;
meat – chicken, turkey;
fish - hake, pollock, cod.

Despite significant restrictions in choice, the patient's diet should be varied. So, the daily menu must include all types of permitted products. They must be prepared and eaten in accordance with a number of rules.

The nutritional rules for the first rehabilitation period are:

The first meal in the postoperative period is allowed after the first bowel movement. As a rule, this happens on the second day after surgery. For the first meal, the best option would be chicken fillet crushed to a puree in an amount of no more than 50 grams.
For 2 and 3 days, rice cooked in water, oatmeal jelly, and broths made from lean chicken are also allowed.
Starting from day 4, permitted fruits and vegetables are gradually introduced into the menu to provide the body with dietary fiber (fiber). They should be consumed after being boiled or processed in the oven.
To compensate for the carbohydrate deficiency, the diet from days 4 to 7 is supplemented with porridges from permitted cereals, which are boiled in water. Porridges should be well boiled.
Boiled meat and fish should be consumed in small quantities (no more than 50 grams per day). These products will make up for the lack of protein in the body.
All food consumed by the patient during the first period of rehabilitation should be in the form of a paste. To do this, ready-made products are crushed using a blender or meat grinder.
The food temperature should be medium, as too hot or cold food can cause irritation of the gastrointestinal tract.
All dishes are prepared without salt, pepper and other spices.
The patient should eat every 2 to 3 hours. The volume of food for one meal should fit in the palm of your hand folded into a ladle (approximately 100 grams).
A prerequisite for a postoperative diet is to drink enough fluids. The total daily volume of fluid should be at least 1.5 liters. It is necessary to replenish the recommended norm with broths and clean still water. Pure water is drunk half an hour before meals or an hour and a half after a meal.

Prohibited Products
To prevent inflammatory processes and to ensure a gentle effect on gastrointestinal tract In the first seven days after surgery, you should abstain from any sour, salty, sweet foods. For the same purpose, strong rich broths, smoked, dried, fried or baked products are excluded. You should not consume products that can lead to increased gas formation (any legumes, milk and any products made from it, white cabbage). You should also exclude flour products of any type, as they lead to constipation. Sauces such as mayonnaise, ketchup, and mustard are excluded. Under strict ban contains alcohol and any carbonated drinks. Prohibited products also include any food products that are not on the list of permitted ones.

Nutrition after appendicitis removal at the second stage of rehabilitation

The second stage lasts from 7 to 14 days and is characterized by an increase in the activity of all body systems. Therefore, the list of permitted products is supplemented with some items and, accordingly, the list of prohibited dishes changes.

Permitted products and rules of the second stage
Starting from day 7, it is necessary to gradually increase the daily volume of liquid so that by the end of the second stage it reaches two liters. At the same time, you can replenish the norm not only with clean water, but also with some drinks. Gradually, observing the body's reaction, weak black or green tea, chamomile and rose hip decoctions are introduced into the diet. Also, no more than 150 milliliters per day of juices from vegetables and fruits is allowed. By juice we mean drinks prepared independently using a juicer. Industrial juices contain large amounts of sugar and preservatives, which are not allowed during this period. Fresh juice (freshly squeezed juice) can be prepared from pumpkin, carrots, apples, celery.
The basic diet of the second rehabilitation period is based on the rules of the first stage with some additions.

Additions to the second stage diet are:

The volume of a single serving is gradually increased to 150 grams.
Emphasis in daily menu is made for vegetables, which should be at least 300 grams. Advantage should be given to carrots, zucchini and pumpkin, as they prevent constipation.
The list of permitted vegetables and fruits is supplemented by potatoes and peaches. They should be consumed no more than 100 grams per day in boiled form. Towards the end of the second period, beets are introduced into the diet. Any vegetables are not consumed on an empty stomach, but after porridge or a meat dish.
The list of meat products includes lean veal. In addition to meat broths, steamed cutlets or souffles are prepared. The same dishes are prepared from lean fish.
Gradually, in the second stage, some dairy products should be introduced. This can be low-fat cottage cheese, natural yogurt, unsweetened cheese masses.
If there is no constipation, you are allowed to eat one boiled egg per day. You can also eat steamed omelettes.
Soups made from vegetables, cereals, meat or fish are added to broths and porridge-like dishes.

When introducing a new product or increasing the portion, it is necessary to monitor the patient's condition. If he develops vomiting, diarrhea, or constipation, all dietary changes should be discontinued.

Products that are excluded from the menu at the second stage include:

bread (white, rye, bran);
crackers, crackers;
peas, lentils, beans;
hard cheeses, feta cheese, tofu (soy cheese);
milk, kefir, fermented baked milk, cream;
sauces and salad dressings;
meat with a high fat content;
any sausages, even dietary ones;
fish of medium and high fat content;
dumplings and other semi-finished products;
pizza, hot dogs, hamburgers;
pickles and marinades;
coffee, cocoa, chocolate;
baked goods and other confectionery products;
industrial juices, carbonated drinks;
any alcohol.

Some experts recommend including dried bread or crackers in the menu at this stage. These products can be included in the diet if the patient does not have constipation, which is a common occurrence after removal of the appendix of the cecum.

What can you eat after appendicitis at the final stage?

The third, final stage begins on the 15th day after surgery and lasts 3 to 4 weeks. The diet of the second stage is taken as a basis, which is gradually expanded by adding new products and dishes. The portion size is also increased to 200 - 300 grams.

The changes that are made to the menu at the third stage are:

Leafy greens and leafy salads (parsley, dill, iceberg, lettuce, arugula, spinach) are added to the vegetables. Mushrooms (champignons, honey mushrooms, saffron milk caps), any cabbage, and cucumbers are also allowed. Vegetables that can be eaten raw, closer to the end of the third stage, do not need to be subjected to heat treatment (except for cabbage).
The list of fruits is supplemented by citrus fruits (limitedly), strawberries, raspberries, and blueberries, which can be eaten fresh. Dried fruits (prunes, dried apricots, figs) are allowed.
TO meat products lean beef, rabbit, turkey are added. By-products are consumed in small quantities - liver, heart, tongue. It is better to use beef or chicken by-products. Steamed or boiled meatballs and cutlets are prepared from meat and offal. You can also bake whole pieces of meat without allowing a crust to form. In addition to natural meat, the menu may include low-fat boiled sausages (doctor's sausage, chicken sausages, boiled ham).
Gradually, medium-fat fish (mackerel, tuna, pink salmon, herring, herring) are being introduced into the menu. The fish is used to prepare steaks (baked on the grill or in the oven), cutlets or soufflé. You can also prepare fish broth for fish soup or other first courses.
Kefir, butter, skimmed milk, processed cheese, low-fat sour cream, sweet cheeses.
Wheat, millet and pearl barley. In addition to boiled porridges made with water, crumbly porridges made with milk and seasoned with butter are allowed.
Sweets that can be consumed at the final stage include honey, marmalade, and marshmallows. Fruit jellies are also allowed as dessert.
Among flour products, pasta, unsweetened dry biscuits, and dried bran bread are allowed.
Salads from vegetables, fish and meat are added to soups, cereals and pureed dishes. To dress salads, use vegetable oil, low-fat sour cream or yogurt. Various casseroles are prepared from cottage cheese, eggs, and pasta.

Products that should be limited at the last stage
Most products that were included in the category of prohibited products in the early stages, in the final period of rehabilitation, move into the group of those that must be consumed in limited quantities. They can be included in the diet in small volumes (no more than 30–50 grams) starting from 3 weeks.

Foods that should be consumed sparingly include:

hard cheeses, feta cheese;
fatty fish (salmon, mackerel, halibut, sprat);
white bread and other products made from wheat flour;
beans, peas and other legumes;
fruits and vegetables that were not allowed until now;
medium and high fat milk, cream;
coffee, chocolate, cocoa.

Meats with a high fat content, sweets and alcohol continue to be prohibited throughout the third stage.

Lifestyle after appendectomy

To minimize the negative consequences of surgery for appendicitis, the patient must adhere to a number of recommendations.

The rules for quick recovery after appendicitis are:

seam care;
temperature control;
wearing a bandage;
restrictions in sports;
refusal to lift heavy objects;
refusal of sex;
normalization of stool;
complete rest.

Suture care after appendicitis

Seam care is aimed at preventing possible complications and accelerating the process of regeneration of damaged tissues.

Seam care measures are:

dressings;
treatment with antiseptics;
control of possible complications.

Dressings
If a standard operation was performed, then the dressing is done every two days. After operations for appendicitis with peritonitis in abdominal cavity the patient remains drained. Therefore, in such cases, dressings are carried out daily. When removing appendicitis using the open method, there are 2 types of sutures - internal and external. External ones are removed 10–12 days after surgery. Internal sutures are made of special surgical material, which dissolves after 2 months. Until the postoperative sutures are removed, the patient is not allowed to take a shower or other water procedures.

Treatment with antiseptics
After the sutures are removed, the body is often left with an incompletely healed scar that is not completely covered with epithelium. The wound represents " open door» for the penetration of various infectious agents into the body. Therefore, even after removal of postoperative sutures, it is necessary to treat the skin damaged during surgery with antiseptic solutions.

Treatment of an unhealed scar is carried out until all the crusts disappear from its surface. The procedure is carried out after taking a shower (bathing is strictly prohibited for 2 - 3 weeks after removal of stitches). Hydrogen peroxide (3 percent) and Castellani liquid can be used as an antiseptic. It is recommended to refrain from using iodine, brilliant green and other solutions that stain tissue, because the patient may not pay attention to the onset of inflammation. To speed up regeneration, you can also use ointments or emulsions that contain panthenol or levomekol. Ethnomedicine suggests treating the wound after surgery with sea buckthorn or milk thistle oil.

Monitoring possible complications
A common complication after appendix removal is suture dehiscence. This may occur due to increased physical activity, improper care, or the patient’s weak immunity. In addition to suture separation, an inflammatory process may begin in the suture area due to an infiltrated infection. The sooner treatment is carried out, the less negative impact the developed complications will have on the body. Therefore, the patient needs to examine the wound daily and if any symptoms of inflammation or suture dehiscence are detected, consult a doctor.

Symptoms of complications after appendicitis are:

bloody and/or purulent discharge appears from the wound;
a swelling has formed in the suture area;
the skin on the wound turned red;
pain in the suture area persists 10–12 days after surgery.

Temperature control after appendicitis

Fever after appendix removal is common. In some cases, an increase in body temperature is a natural reaction of the body to surgery. The duration of this phenomenon and its features largely depend on the type of operation performed. Various pathological processes that are complications after surgery can also provoke a high temperature. Therefore, the patient needs to systematically monitor body temperature and, if necessary, consult a doctor.

Temperature after laparoscopy
Removal of the appendix using laparoscopy takes place with minimal negative consequences for the patient. After such operations, the temperature rarely rises. If this happens, it fluctuates at 37 degrees and goes away in 2 to 3 days.

Temperature after abdominal surgery
Removing the appendix using the open method, like any other abdominal surgery, is stressful for the body. Often after such operations, patients are worried about increased temperature, which can reach 37 - 38 degrees. This physiological reaction can last from 3 to 5 days. Then the temperature begins to gradually decrease and returns to normal within a few days.

Temperature after purulent appendicitis
For this type of appendicitis heat patients' bodies are observed even before surgery. Removal of the appendix and purulent contents is accompanied by a high degree of tissue damage and blood loss. Therefore, most often after operations for purulent appendicitis, the patient remains at a high body temperature, which can reach 38 - 39 degrees. It is often accompanied by increased sweating and chills. If the patient’s recovery occurs without complications, his condition returns to normal within 3 to 5 days. In some cases, after phlegmonous appendicitis, the patient remains at low-grade fever (37 degrees) for up to 10 days.

If a patient is given drainage after surgery, in most cases the immune system reacts to this with an increase in temperature. In such cases, normalization of body temperature occurs after removal of the drainage.

When should you see a doctor?
You should consult a doctor because of an elevated temperature if it lasts more than 10 days (regardless of the type of surgery you underwent). You should not try to eliminate this problem on your own using antipyretic drugs. A fever that persists for such a long time, even in the absence of other symptoms, is in most cases a sign of infection. Therefore, it is necessary to eliminate the root cause, and not its consequence, which only a doctor can do.

Another case in which you should consult a doctor is a sudden increase in temperature a few days after surgery. So, the temperature rises to 37 - 38 degrees on the 5th - 7th day after surgery in case of purulent inflammation. At the same time, seals are formed in the seam area.
When the temperature rises on the 8th - 10th day and reaches 38 - 40 degrees, there is a high probability of an abdominal abscess. In this case, the patient experiences severe abdominal pain and chills.

Wearing a bandage after appendicitis

After surgery, patients are advised to wear a bandage (tight bandage). This advice is especially relevant for people who are overweight. The bandage ensures the integrity of postoperative sutures and helps prevent adhesions, hernia and other complications. In addition, wearing a bandage can reduce pain, irritation and stretch marks on the skin.

Types of bandages
The most common type of bandage is a wide belt made of thick material that wraps around the waist. This type of bandage is the best option, since it covers the largest part of the abdomen, while relieving the load from the back and abdominal cavity. In addition to waist models, there are also bandages in the form of high-waisted panties. There are also bandages in the form of elastic shorts with a high waistband. Models in the form of panties or shorts are more comfortable to wear in the cold season.

In addition to the shape, the bandage can also differ in the material from which it is made. The best choice is cotton headbands with the addition of synthetic fibers. Such bandages fit snugly to the body, but at the same time allow the skin to breathe, do not pinch or squeeze internal organs. There are also bandages made of rubberized fabric, which are rigid and recommended for obese patients.

The bandage is secured with Velcro, lacing or ties. When purchasing, it is recommended to try on the product to make sure that it fits well on your figure, and that the fixing elements do not irritate the skin and the seam area.

Rules for wearing a bandage
The bandage, regardless of the model and material from which it is made, is not intended for constant wear. The period during which it must be worn depends on the nature of the operation performed and the general condition of the patient. On average, after removal of appendicitis, the bandage is worn for 2–3 weeks. Immediately after the operation, the product is worn during the day and removed only before bed. During the rehabilitation period, the patient needs to wear a bandage only when he is busy with housework or other types of physical activity.

Avoiding heavy lifting after appendicitis

Immediately after removal of appendicitis and over the next 2 to 3 months, the patient should not lift objects that weigh more than 3 kilograms. If a standard (without complications) operation was performed and there are no complications, then after the specified period the restriction is canceled. After complicated operations (appendicitis with peritonitis), the restriction on lifting weights is extended for several more months, during which the patient should not lift weights that weigh more than 5 kilograms. It is necessary to adhere to the same recommendations for those patients whose postoperative sutures were difficult to heal or had any complications.

In the future, for six months, all patients should refrain from lifting anything weighing more than 10 kilograms.
It should be noted that not all patients are able to consistently follow recommendations for avoiding heavy lifting. Often a person cannot visually determine how much his luggage weighs and therefore violates the necessary restrictions. To minimize possible risks, if you plan to lift bags, suitcases or other heavy objects, the patient should first put on a bandage.

Restrictions in sports after appendicitis

Limiting physical activity during the recovery period is necessary in order to prevent suture dehiscence and hernia formation. Limiting does not mean completely giving up any physical activity. To return all the resources expended during the operation, the patient must engage in work or sports activities, choosing the type of load appropriate to his condition.

7 to 10 days after surgery, it is recommended to start daily walks in the fresh air. The duration of walks should be at least 30 minutes. Staying in the fresh air strengthens the immune system, and physical efforts contribute to the rapid healing of the postoperative suture.
A walk can be combined with simple exercises that do not involve the abdominal muscles. This can be lateral bending of the torso, flexion-extension of the arms and legs.
After a month, if you feel well, you can start some sports. Patients are allowed to swim in the pool, perform aerobics in water, and practice walking.
You should start taking up more active sports (football, volleyball) after 3 months.
Strength training (using dumbbells, weights, barbells) is allowed six months after surgery.
Before returning to any sports activities, you must obtain permission from your doctor.
If you feel worse sports activities should be stopped.

Refusal of sex after appendicitis

For 2 weeks after surgery for appendicitis, a person should abstain from sexual activity. During sex, blood pressure jumps, and the heart begins to work at an accelerated rate. This can cause overstrain of the abdominal muscles and the development of various complications. The most likely consequences if this recommendation is not followed is a hernia or suture dehiscence. In addition to tension in the abdominal muscles during sex, pressure is placed on the suture area, which inhibits its healing.

Normalization of stool after appendicitis

Many patients experience bowel problems after surgery. This problem is contributed to by limited physical activity, impaired intestinal motility due to surgery, and other factors. Most often, disorders manifest themselves as constipation, the duration of which can reach 7–10 days. The main methods of combating this phenomenon are diet, self-massage of the abdomen and feasible physical activity.

Laxatives
If stool does not come for a long time, the doctor may prescribe a laxative. Such drugs are prescribed in exceptional cases, as they reduce intestinal tone. Some laxatives work by absorbing water from the body, which is not desirable after surgery. The best option is glycerin suppositories, which have a local laxative effect and have minimal side effects.
In addition to pharmacological drugs, there are folk remedies for normalizing stool. If constipation is short-lived, decoctions of chamomile, prunes, and wheat bran can help.

Complete rest

After any surgical intervention, even minimally invasive (low-traumatic) laparoscopy, the human immune system becomes more vulnerable. Weak immunity impedes recovery and can cause postoperative complications. Also, after removal of appendicitis, functionality is often impaired. nervous system due to concerns about health and work. Negative influence A person’s emotional state is also affected by restrictions (in sports, sex, food) that must be observed after surgery.

One of the effective ways to support the nervous and immune systems is a healthy night's sleep. The absence of sleep problems allows the body to recover at night, which has a positive effect on the mental and physical state of the patient. Following some recommendations will help you organize healthy sleep.

Among the rules for healthy sleep are the following:

The recommended daily walks are best done before bed;
two hours before going to bed, you should refuse to eat, and the last meal should include light foods (vegetables, fruits, dairy products);
You should go to bed between 22 and 23 hours, as this corresponds to human biological rhythms;
the optimal time for waking up in the morning is from 5 to 6 o'clock;
the absence of a mechanical ticking clock or a clock with an electronic display in the bedroom will allow you not to control the time and fall asleep faster;
the air in the room should be fresh; for this, the room must be ventilated before going to bed, and in the warm season the window must be left open.

Before use, you should consult a specialist.

Content

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, familiar diet. If the operation went without complications, you need to adhere to a special diet for about 2 weeks. Recommendations on diet are usually given by the attending physician who knows the characteristics of the patient’s illness.

Immediately after surgical removal of the appendix and for 24 hours, the patient is not allowed to eat or drink anything 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 still water as a liquid. It should be drunk after meals (after an hour and a half) or before meals. It is permissible to use 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, complete restoration of intestinal functionality and wound restoration occurs. The diet is gradually expanded to the usual diet. The patient is still advised to give preference light soups, broths, grated 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 fish and meat are prohibited. 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 with a small piece of butter, sweet tea and a piece of loaf with cheese.
Late breakfast: any dry biscuit (biscuit), water or juice.
Lunch: soup with chicken meat, vegetables, braised cabbage, piece rye bread, tea.
Afternoon snack: jelly or yogurt.
Dinner: cottage cheese casserole, dry cookies, tea.

Video: what you can eat after appendicitis surgery

Attention! The information presented in the article is for informational purposes only. The materials in the article do not encourage self-treatment. Only a qualified doctor can make a diagnosis and give treatment recommendations based on the individual characteristics of a particular patient.

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