2 months have passed since the gallbladder was removed. Recommendations after gallbladder removal (cholecystectomy)

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General rules

No matter what technique cholecystectomy used - laparoscopy or traditional open cholecystectomy, diet in the postoperative period is the most important component of the treatment and recovery period and the first days after surgery are especially important.

After the operation, it is strictly forbidden to drink any liquid for 4-6 hours. It is only allowed to wet the patient’s lips with water, and a little later (after 5-6 hours) it is allowed to rinse the mouth with herbal infusions.

After 12 hours and until the morning of the next day after surgery, you are allowed to drink every 10-20 minutes still water in small portions (1-2 sips) with a total volume of no more than 500 ml.

On the second day, low-fat kefir, unsweetened tea, and jelly are introduced into the diet (volume up to 1.5 l/day). Serving – no more than ½ glass. Frequency of administration – 1 time/3 hours.

On the third/fourth day, the patient is allowed to eat: semi-liquid mashed potatoes, pureed soups in vegetable broth, egg white omelet, grated boiled fish, fruit jelly and 1 teaspoon of low-fat sour cream. Meals up to 8 times a day, in portions of 150-200 g. From liquids, you can drink juices (apple, pumpkin) and tea with sugar.

On the fifth day, biscuits and dried wheat bread (no more than 100 g) are introduced into the diet.

On days 6–7, pureed porridge (buckwheat, oatmeal), boiled chopped fish and meat, low-fat pureed cottage cheese, vegetable puree, fermented milk products.

On the eighth day after laparoscopy of the gallbladder, depending on the severity and prevalence of symptoms of the main, concomitant or complicating disease, Diets No. 5A, 5P(1 or 4 groups). Alternatively, it is assigned Diet No. 5SH(described in the “varieties” section).

Basic diet after gallbladder removal - Table No. 5 and its variants. In case of severe inflammatory process, an anti-inflammatory option of table 5 can be prescribed for 3-4 days - Diet 5B. Its peculiarity is the limitation of the amount of food taken. The calorie content of the diet is 1600-1700 kcal (55-65 g protein, 40-50 g fat, 250 g carbohydrates).

All dishes are served exclusively pureed without broth or the addition of butter: various types of slimy cereal soups, semi-liquid pureed porridges with the inclusion of a small amount of low-fat milk, jelly, pureed compotes, vegetable juices. Further included in the diet is not large quantities thoroughly pureed steamed meat, boiled fish, low-fat cottage cheese, crackers or dried wheat bread.

Meals after removal of the gallbladder at least 5 times, in fractional portions, about 200 g, without salt, with plenty of liquid (about 2.5 l/day). Next, on days 8-10 the patient is prescribed Diet 5A and then Diet No. 5.

Diet No. 5 refers to physiologically complete nutrition and is intended to normalize the process of bile secretion and reduce the level of cholesterol in the blood. Small and frequent (5-6 times/day) meals are recommended, which promotes the outflow of bile. In order to enhance the secretion of bile, vegetables are introduced in the form of vinaigrette and salads, seasoned with unrefined vegetable oils.

Almost all easily digestible carbohydrates are sharply limited in the diet, since their intake contributes to the development of bile stagnation (sweets, jam, sugar, honey) and vegetables that contain oxalic acid and essential oils in large quantities (sorrel, spinach, citrus fruits).

In order to stimulate bile secretion, the diet includes vegetables, berries and fruits, and chicken eggs (at least one). The calorie content of the diet is 2800-3000 kcal (100 g proteins, 90 g fats, 450 g carbohydrates). Salt consumption at the level of 8-10 g, liquid - 1.5 liters.

With cholelithiasis, concomitant diseases of adjacent areas often occur. internal organs - duodenum, pancreas, biliary tract: duodenitis, cholangitis, pancreatitis, dyskinesia. And often against this background after cholecystectomy develops ( sphincter of Oddi dysfunction), which is accompanied constant allocation low concentrated bile into the lumen of the duodenum with the further addition of pathogenic microflora and the development of inflammation of its mucosa, which leads to pain, digestive disorders and intestinal disorders. These consequences of bladder removal are also corrected by nutrition.

In this case, it is necessary to reduce the process of bile secretion, which is achieved by reducing the amount of fat to 60 g by completely eliminating any solid animal fats and vegetable oils from the diet. Raw fruits and vegetables, fatty meat/fish, smoked foods and spicy dishes onions, radishes, garlic, radishes, strong broths based on meat/fish/mushrooms. The consumption of extractives, easily digestible carbohydrates, coarse fiber, table salt and liquid is also reduced to 1.5 liters per day.

For inflammation of the pancreas after cholecystomy, it is prescribed Table 5P. At the same time, the protein content in the diet is increased to 120 grams and fatty and carbohydrate foods are limited. The total calorie content of the diet is reduced to 2500 Kcal. Avoid hot, sweet, spicy, sour and highly fatty foods that stimulate the pancreas and foods containing a lot of fiber, purine bases and extractives.

After cholecystectomy with hypermotor dyskinesia biliary tract or with accompanying pancreatitis, duodenitis a gentle diet is prescribed (No. 5Sh). It is used for 14-21 days until the pain disappears and dyspeptic symptoms. The patient is then transferred to Diet No. 5.

General characteristics - reduced calorie content to 2000 - 2200 Kcal by limiting the consumption of fats (vegetable oil and also foods rich in cholesterol). The consumption of easily absorbed carbohydrates is also reduced in the diet.

Products containing purines, nitrogenous extractives, coarse fiber. Easily digestible proteins are not limited. The amount of salt is no more than six grams. Food is prepared by steaming or boiling.

Drinking regimen - up to 2 liters of liquid per day. Five meals a day, portions no more than 200 g with one fasting day per week. Chemical composition: 90 g protein, 60 g fat (excluded vegetable fats), 300 g carbohydrates.

If bile stagnation occurs after laparoscopic cholecystectomy due to hypomotor dyskinesia patient for strengthening motor function intestines and stimulation of bile secretion, prescribed lipotropic fat diet (No. 5 L/F). The total calorie content of the diet is about 2600 kcal.

Features of this diet include: increased content fats (50% should be vegetable oils), and reduced content simple carbohydrates(up to 300 g) and a slight increase in protein (up to 100 g). Lipotropic supplements are introduced into the diet protein products(lean meat, egg whites, fish, cottage cheese), wheat bran, refined vegetable oils, vegetables.

Butter dough, whole milk, refractory animal fats, and spices are completely excluded. The consumption of extractive substances (meat/fish broths) and foods containing cholesterol is sharply limited. Food is baked or boiled, oils are added exclusively to prepared dishes, chopping is not necessary.

Authorized Products

Products and dishes allowed after surgery include: cereal/vegetable soups, day-old wheat bread, wheat bread, dry biscuit, cutlets, fish, lean meat (rabbit, beef, lean young lamb), steamed, boiled chicken in pieces, fermented baked milk, kefir, whole low-fat milk, curdled milk, low-fat cottage cheese and dishes based on it ( lazy dumplings, casseroles), mild low-fat cheese, chicken eggs or white steamed omelet (one per day), boiled pasta and cereals (oatmeal and buckwheat), squash caviar, vegetable salads with vegetable oil, herbs, vinaigrette, low-fat ham, doctor's sausage, juices fruits and berries, dried fruits, non-acidic fruits and berries, marshmallows, marmalade, black/green tea, rosehip decoction, still mineral water.

Animal fats and plant origin added to prepared foods.

Vegetables and greens

eggplants 1,20,14,524 squash caviar 1,27,07,497 cabbage 1,80,14,727 broccoli 3,00,45,228 onions 1,40,010,441 carrots 1,30,16,932 cucumbers 0,80,12,815 salad peppers 1,30,05,32 7parsley3.70.47.647radish1.20 ,13,419 iceberg lettuce 0,90,11,814 tomatoes 0,60,24,220 dill 2,50,56,338

Fruits

bananas1,50,221,895apples0,40,49,847

Nuts and dried fruits

nuts15,040,020,0500raisins2,90,666,0264dried apricots5,20,351,0215almonds18,657,716,2645hazelnuts16,166,99,9704prunes2,30,757,5231

Cereals and porridges

buckwheat porridge 4.52.325.0132 oatmeal 3.24.114.2102 rice 6.70.778.9344

Flour and pasta

pasta10,41,169,7337pancakes6,112,326,0233

Bakery products

bran bread7,51,345,2227whole grain bread 10,12,357,1295

Dairy products

kefir 1.5% 3.31.53.641 fermented baked milk 2.84.04.267

Cheeses and cottage cheese

cottage cheese 1%16.31.01.379

Meat products

beef18,919,40,0187rabbit21,08,00,0156

Sausages

boiled diet sausage12,113,50,0170boiled milk sausage11,722,80,0252milk sausages12,325,30,0277

Bird

boiled chicken breast 29.81.80.5137 boiled chicken drumstick 27.05.60.0158 boiled turkey fillet 25.01.0-130

Eggs

hard-boiled chicken eggs 12.911.60.8160

Fish and seafood

flounder 16,51,80,083 pollock 15,90,90,072 cod 17,70,7-78 hake 16,62,20,086

Oils and fats

butter0.582.50.8748 olive oil0.099.80.0898 sunflower oil0.099.90.0899

Non-alcoholic drinks

water0,00,00,0-green tea0,00,00,0-

Fully or partially limited products

If the gallbladder is removed, the diet includes the exclusion from the diet of soups with meat/mushroom/fish broth, solid animal fats (lard, cooking fats), goose, duck, fatty pork, smoked meats, most sausages, fresh bread, canned food, dough (butter, puff pastry), fried or hard-boiled chicken eggs, salted and fatty fish, fried pies, canned fish, whole milk 6% fat, cream, full-fat cottage cheese, sour cream, salted cheese, various seasonings and sauces.

Hardly digestible plant products are limited: all types of legumes, radishes, mushrooms, sorrel, radishes, garlic, green onions, spinach, canned and pickled vegetables. Avoid spicy and fatty snacks, ice cream, confectionery, chocolate, cocoa, alcoholic drinks, sour berries, black coffee.

Vegetables and greens

canned vegetables1,50,25,530peas6,00,09,060chickpeas19,06,061,0364beans7,80,521,5123spinach2,90,32,022sorrel1,50,32,919

Berries

grapes0,60,216,865

Mushrooms

mushrooms3,52,02,530

Snacks

potato chips5,530,053,0520

Flour and pasta

dumplings7,62,318,7155dumplings11,912,429,0275

Bakery products

sliced loaf7,52,950,9264butter buns7,99,455,5339

Confectionery

cookies7,511,874,9417

Ice cream

ice cream3,76,922,1189

Chocolate

chocolate5,435,356,5544

Raw materials and seasonings

mayonnaise2,467,03,9627

Dairy products

milk 4.5%3,14,54,772cream 35% (fat)2,535,03,0337

Cheeses and cottage cheese

Gouda cheese 25.027.02.0356 Parmesan cheese 33.028.00.0392

Meat products

fatty pork 11,449.30.0489 lard 2.489.00.0797 bacon 23.045.00.0500

Sausages

smoked sausage9,963,20,3608

Bird

duck16,561,20,0346goose16,133,30,0364

Fish and seafood

salmon19.86.30.0142salmon21.66.0-140trout19.22.1-97

Alcoholic drinks

white dessert wine 16%0.50.016.0153dry red wine0.20.00.368vodka0.00.00.1235beer0.30.04.642

Non-alcoholic drinks

soda water0.00.00.0-cola0.00.010.442

* data is per 100 g of product

Diet menu after gallbladder removal (Diet)

Below are some menu options Table No. 5. It can be modified by observing food processing methods and food preparation technology within the list of products allowed for consumption. Meals are 6 times a day, the diet should alternate between protein dishes (beef, turkey, chicken, fish, cottage cheese) and carbohydrate dishes prepared on the basis of various cereals.

Option 2

Option 3

Recipes

Dietary food should be as varied and tasty as possible and include all permitted foods. Recipes for a removed gallbladder can be changed according to your tastes and preferences. The main thing is to follow the cooking technology and use only approved products. Below are some healthy recipes.

Vegetarian oatmeal soup with vegetables

Potatoes, carrots, zucchini, oatmeal or instant cereal, butter/vegetable oil, sea salt.

Prepare broth from finely chopped vegetables. Add oatmeal and cook for another 5-10 minutes. Salt, add herbs and butter.

Any seasonal vegetables (broccoli, carrots, potatoes, eggplants), chicken fillet, herbs, salt, sour cream 10%.

Puree soup with vegetables

Boil chicken with vegetables. Grind the meat. Add sour cream to the resulting broth, beat with a blender until pureed, add salt, add herbs and pieces of meat. Serve with toasted bread and finely grated cheese.

Fish cutlets

White fish fillet, whole milk or cream, bread, egg, salt.

Soak bread in milk. Grind the fish until minced, add squeezed bread, egg white and salt. Mix the minced meat well. Form cutlets and bake in the oven or boil in a steam bath. You can use mashed potatoes or stewed vegetables as a side dish.

Eggs, beef (chicken), milk, butter, salt.

Steamed meat omelet

Boil the meat until tender, pass through a meat grinder. Beat the eggs, pour in the milk and mix thoroughly, add salt. Mix minced meat with whipped mixture. Pre-grease the mold with butter and pour the egg-meat mixture into it. Steam.

Casserole (cottage cheese with berry sauce)

Cottage cheese, eggs, sugar, semolina, butter.

Beat cottage cheese in a blender, add semolina, sugar, eggs, dried fruits. Mix everything. Pre-grease the mold with butter, lay out the prepared mass and bake in the oven for 30-40 minutes. For the sauce, beat any berries in a blender, add sugar. Serve with sauce or jam.

Sour apples, dried fruits, honey, butter.

Apples baked with dried fruits

Wash the apples and remove the core of the apple. Fill the cavity with chopped dried fruits, sprinkle with cinnamon, add a little butter and honey. Bake in the oven until done.

After removal of the gallbladder, you need to practice reasonable physical activity: morning exercises, walking. In the first six months, intense loads on the abdominal muscles are not allowed. In the first month after laparoscopic cholecystectomy You are allowed to lift no more than two kilograms. After 6 months of special restrictions for natural physical activity No.

Many people complain about frequent constipation after surgery. If constipation occurs, we recommend including 6-8 prunes in your daily diet, which should be soaked in a glass of warm water and left overnight at room temperature, covered with a saucer. In the morning, drink all the water and eat prunes (you can do it in two doses).

After the first month, as a rule, the patient’s diet expands, and many patients begin to break the diet, which causes them to make a serious mistake. A diet after cholecystectomy in the first three months is mandatory, since during this period the functional activity of the digestive organs changes.

After cholecystectomy during a lack of food in small intestine the possibility of bile deposition disappears. At the same time, due to the lack of opportunity for its concentration, the properties of bile change, which affects the function of the gastrointestinal tract. It is these features that are taken into account in the dietary program. Therefore, when asked how long to observe this therapeutic nutrition, you can answer: the minimum period is three months.

The consequences of not following a diet after cholecystectomy can be very serious. Most often, the patient develops postcholecystectomy syndrome with all the ensuing consequences.

Generally speaking, after removal of the gallbladder, you cannot neglect your diet. The diet and diet must be changed forever. Of course, over time, many requirements are simplified, but the basic principles must be observed. This will allow you to optimally maintain liver function and bile secretion, normalize the functioning of the entire gastrointestinal tract and prevent the appearance of constipation, bloating, bitterness in the mouth, often found after cholecystectomy.

Many women trying to lose weight are interested in the question of whether it is possible to fast if the gallbladder has been removed. No, therapeutic fasting are strictly contraindicated for persons after cholecystectomy. They desperately need fractional meals. In the absence of a gallbladder, there is no natural accumulation of bile - it constantly enters the intestinal lumen, and during fasting and the absence of a food substrate in the intestine, bile will damage the intestinal mucosa. Fasting is for healthy people.

Reviews from the overwhelming number of patients after cholecystectomy confirm the need and beneficial influence therapeutic nutrition for the gastrointestinal tract. A therapeutic diet allows the patient to recover faster and normalize their lifestyle:

“...I was tormented by cholelithiasis for a long period. During an exacerbation, I went to the hospital, but then the stones increased in size and the colic became unbearable. They performed an operation and removed the bladder with stones. They said that diet when removing the gallbladder by laparoscopy is the most important thing in treatment. And now almost 3 months have passed. Everything has more or less returned to normal, but sharp violation diets (overeating, eating fatty foods, drinking a little) begin various complications. Although I understand that nutrition in the absence of a gallbladder needs to be constantly monitored”;
“... After the removal of the gallbladder, my diet was very strict. A month later I tried to more or less expand it, but I felt bad. The doctor said that it was too early to switch to a common table. And only a year later I was able to start eating normally”;
“... For more than a year I followed the diet needed after surgery - I didn’t eat lard, salads with green peas, tomatoes, any dishes with tomato juice, borscht, radishes. It’s been 3 years since the surgery, I eat almost everything. There is no discomfort or pain - life without a gallbladder is quite normal”;
“... In the hospital, this diet was prescribed. For people with excised gallbladder, this is the solution. So I’ve been sticking to it for two months now. I think I’ll gradually expand it later”;
“... The food is healthy and wholesome, it’s not difficult to sit on it, you can endure it, the main thing for me is that there is no pain”;
“... I cook everything for my husband in a double boiler, I visited the forum and found a lot healthy recipes and advice. Now the food has become varied, and I have taught my children to eat the same way. This is cool";
“... The doctor warned that therapeutic nutrition after cholecystectomy should last 5-6 months, and then you can slightly expand your diet. But I couldn’t stand it for six months and after 4 months I switched to a regular diet, but without fried foods.”

Dietary food includes the most affordable and inexpensive products. Their acquisition is not very expensive. The cost of products necessary to feed a patient for one day of the average menu was calculated and the weekly cost of food was calculated, which varies between 1200-1350 rubles per week.

Dear readers, today I want to return to the very current topic of nutrition after removal of the gallbladder, despite the fact that there is quite a lot of material on the blog dedicated to this very issue. The fact is that they still write to me and ask questions, because this is very important for people who have undergone surgery, since nutrition and diet are the most main factor V recovery period after removal of the gallbladder.

In the comments to articles on the topic of gallbladder removal, people ask their questions, which Evgeniy answers competently and clearly. And I decided to cover the main aspects of nutrition after removal of the gallbladder, as well as collect the doctor’s answers to your questions in one article. Thus, each of you, dear readers, will be able to get the most full information on all questions regarding diet and behavior after surgery to remove the gallbladder.

Is it necessary to remove the gallbladder?

First, let's talk a little about whether the gallbladder needs to be removed. This question, I am sure, worries everyone who, based on the results of the examination, has been diagnosed - cholelithiasis. The upcoming operation cannot but frighten normal reaction any person, and of course, many begin to look for alternative methods of treatment, such as crushing stones or dissolving them with the help of medications.

Crushing stones is not a safe procedure, therefore it is indicated for a very limited number of patients, and is not used often. This method is discussed in the article Crushing gallstones, which you can read if you wish.

Not all stones can be dissolved with drugs, only cholesterol stones. In addition, the effectiveness of this method is determined by many factors, such as the size of the stones, their location, the absence of an inflammatory process, etc. Evgeniy Snegir wrote about all this in detail in one of his articles: How to dissolve gallstones?

Therefore, you need to trust your doctor and understand that stones pose a constant threat of inflammation of the gallbladder and the development of obstructive jaundice, when a stone gets stuck in the bile duct, and this is already a threat to life.

Therefore, it is more correct to perform the operation as planned, when there is no pain, without waiting for serious complications.

Moreover, instead of abdominal surgery Nowadays, laparoscopic cholecystectomy is most often performed; this operation can reduce the length of hospital stay and minimize possible complications and, just as importantly, less traumatic.

But you finally made up your mind, and your gallbladder was removed, giving quite general recommendations stick to the diet for the rest of your life. Is this true?

First of all, you need to understand that everything in the body functions the same as before the operation and liver cells produce bile necessary for normal digestion and cleansing the body of toxins. But if you have a gallbladder, bile accumulates in it and periodically passes into the intestine, and after cholecystectomy, bile constantly flows into the intestine through the bile ducts. Therefore, a certain diet is required that protects the intestines and does not provoke stagnation and increased secretion of bile.

A strict diet is only needed for a certain period after surgery. Over time, the functions of the gallbladder are taken over by the intrahepatic ducts and the common bile duct, and during normal flow postoperative period bile stagnation does not occur, which allows a person to refuse strict diet and go to normal nutrition with minor restrictions. This usually occurs one year after the gallbladder is removed.

Now let's talk about dietary nutrition, which allows the body to adapt to living conditions without a gallbladder and which is the basis for preserving wellness. What can you eat immediately after surgery and during the first month to one and a half months after removal of the gallbladder?

From three days to a week After the operation, a person spends in a hospital under the supervision of medical staff and his nutrition is organized according to all the rules of the necessary diet, but after discharge from the hospital, many questions regarding nutrition usually arise, which we will try to answer today.

The main task in the postoperative period is to prevent stagnation of bile, diluting it with plenty of divided drinks and eating small portions 6 - 7 times a day. It is important to establish a diet by eating at the same time, chewing food thoroughly, and drinking at least 1.5 liters per day in small portions.

For 3 – 5 days You are allowed to drink unsweetened natural juices (apple, beetroot), fruit jelly, mashed potatoes, and slightly sweetened tea. You can already eat a little vegetable soup pureed through a sieve and a vegetable omelette.

On day 5 It is already allowed to add dried white bread to your diet, but not more than 100 grams per day.

On 6 – 7 days You can eat pureed liquid porridge, pureed vegetable soups, unsweetened and low-fat cottage cheese, fermented milk products, lean boiled minced meat, boiled fish, mashed potatoes, egg whites. It is already allowed to add dried white bread to your diet, but not more than 100 grams per day. Do not forget that nutrition and fluid intake are fractional and in small portions, this is very important.

You can drink rosehip decoction, still mineral water, which is recommended by your doctor, dried fruit jelly, sweetened tea, and natural fruit and vegetable juices. The volume of liquid can be increased to 2 liters.

From 8–10 days to 1.5 months you need to continue to follow a gentle diet, all dishes should be boiled or steamed. These can be steamed cutlets, boiled meat and fish, meatballs, meatballs, souffles, milk soups and vegetable broth soups, cottage cheese puddings, casseroles, viscous milk porridges, pureed boiled vegetables, jelly, non-acidic juices. Don’t forget about fermented milk products, which are simply necessary for the intestines. And be sure to drink water, maybe mineral water, I repeat, in consultation with your doctor.

Fresh vegetables and fruits under the strictest prohibition, as they promote bile secretion. It is also excluded rye bread, you can only eat white and always dried or yesterday’s baked goods. Dishes should be neither cold nor hot.

You can read more about nutrition in the first days after surgery and in the first month after surgery in the article Nutrition after gallbladder removal

Diet No. 5, nutrition after removal of the gallbladder from 1.5 months to a year. Recipes. Menu

In the postoperative period, when 1.5 months have passed after removal of the gallbladder, the main task is to eat foods that do not irritate digestive tract and helps dilute bile. Diet No. 5 fully meets these criteria, which you should adhere to.

The main restrictions during this period are everything spicy, fatty and fried.

And if the recovery period goes well, there is no pain or other unpleasant sensations, then the diet can be gradually expanded, but within the recommended diet, still avoiding foods that are strictly prohibited.

It is necessary to exclude from the diet:

fatty meats (pork, goose, duck),
fatty fish,
meat broths,
salo,
sausages,
smoked meats,
canned foods,
salted fish,
offal,
caviar,
mushrooms,
onion, garlic,
legumes,
radish, radish, sorrel, spinach,
mustard, horseradish, pepper and other hot seasonings,
fresh bread, pastries with cream and pastries,
fatty dairy products,
chocolate,
ice cream,
cold drinks,
strong coffee, cocoa,
alcohol.

The basis of the diet should be milk and vegetable soups with the addition of various cereals, crumbly porridges, boiled or steamed lean fish and meat (beef, chicken, turkey), chicken eggs, but not more than one per day. Include dairy products in your diet every day, prepare cottage cheese casseroles, drink kefir, fermented baked milk and fermented milk products enriched with bifidobacteria. As a side dish you can cook boiled potatoes, pasta, vegetable stews, cereals with the addition of a small amount vegetable oil.

You can already afford desserts in the form of marshmallows, marshmallows, marmalade, and maybe a little honey, jam or homemade preserves for tea. You can eat dried apricots and prunes, but in small quantities.

Fresh vegetables and fruits after gallbladder removal

1.5 months after the operation, you can already diversify your diet with fresh vegetables and fruits, gradually accustoming your digestive tract to them. At first, introduce fresh vegetables into the diet in chopped form, no more than 100 - 150 grams before meals. This could be carrots, zucchini, celery, small quantities of sauerkraut, tomatoes. At first, remove the skin from the tomatoes. You can add any non-acidic fruits; peel the apples.

Avoid sour varieties of apples, citrus fruits, and currants; give preference to sweet fruits and berries with delicate pulp. Watermelons are very useful, but it is better not to eat melon during the first year after surgery, it is a rather difficult product to digest.

So, let’s summarize: we exclude forbidden foods from the diet, everything fatty, fried, spicy, we take food warm, in no case hot or cold. We take food 4–5 times a day in small portions, the daily amount of liquid consumed is from 1.5 to 2 liters.

And one more very important condition: introduce new foods into your diet gradually, in small portions, carefully listening to your body’s reaction. And if some product causes you pain or discomfort in the form of bloating, belching, heartburn, it is better to give it up for now or reduce the portion. Even healthy people tolerated differently various products, and after removing the gallbladder, you need to be very careful about your body.

What menu should you create for this time? The blog has two very detailed articles with recipes and recommended menus for this time. All recipes are described in great detail, there are quite a lot of them, you will be convinced that even dietary food can be tasty and varied. These are the articles:

Diet after gallbladder removal
Diet after gallbladder removal. Health Recipes

Very often people wonder if they can afford some alcoholic drinks on holiday. If you do not want to harm yourself, then listen to the advice of nutritionists and give up alcohol for one year after surgery. Only as an exception, 1.5 months after surgery, you can occasionally drink no more than one glass of dry or semi-dry wine on a holiday. Strong drinks are strictly prohibited.

A reasonable question - what can you eat on holidays? After all festive table devoid of dietary dishes, on the contrary, it is replete with fatty, spicy, high-calorie dishes. Of course, it is much easier if you organize the holiday table yourself, then you can always prepare healthy, tasty and safe dishes for yourself, based on our recommendations. You can find many of these dishes in one of the previous articles on the topic of nutrition after gallbladder removal. Holiday menu and recipes.

It is much more difficult when you are invited to visit, then you will have to choose, avoiding prohibited foods if possible. You shouldn’t risk your health, especially since in a year you will be able to eat nutritiously without any special restrictions. Just give your body time to learn how to function without your gallbladder.

Diet and nutrition after gallbladder removal in questions and answers

Dear readers, there are so many questions from readers on the blog, so many comments. And the doctor Evgeniy Snegir, author of the blog Medicine for the Soul, is always in touch with us. Evgeniy, I want to thank you again for such work. No comment goes unanswered.

And the questions usually start like this: “Is it possible after surgery after removing the gallbladder”..., and then comes the question - who cares? I tried to collect in one place the main questions and answers of doctor Evgeniy. I would like to hope that the structure of the answers and questions will be clear to you.

Is it possible to eat soups with meat broth after being discharged from the hospital?

It is better to eat in the first 1.5 months after surgery vegetarian soups, but if you occasionally cook soups for yourself and on weak meat broth, then there won’t be much crime.

Fish and meat baked over an open fire in foil are still more related to kebabs than to dietary dishes. Therefore, it is better to postpone such goodies for a year. As an exception, 1.5 months after the operation you can pamper yourself with them on holidays, but very, very carefully.

It is already possible to bake chicken with vegetables in your postoperative period, just do not add fats, add only water so that the food does not burn and there is no crust.

2. You can already make pots in the oven with approved products, again only with water.

It is better to postpone fatty fish and red caviar for a year. Occasionally, on holidays, 1.5 months after the operation you can treat yourself to a small piece of lightly salted red fish, but nothing more. Crab sticks with a proven reputation can be eaten 1.5 months after surgery.

After 1.5 months from the date of surgery, you can only add egg whites to your food; after that, you can eat whole eggs for a year, but no more than one per day.

Baby food still refers to canned foods that are not recommended during the first year after surgery. Fermented milk products with white bread are quite suitable as a snack.

How long after surgery can vegetable oil be added to food?

Vegetable oil is acceptable 1.5 months after surgery and no more than two tablespoons per day.

It is advisable to completely exclude butter from the diet during the first year of the postoperative period.

You can already try adding sour cream to food, but not fatty, focus on how you feel.

In the first 1.5 months after surgery, the lower the fat content of fermented milk products, the better. Acidophilus is allowed to be taken.

You can now eat baby curds and drink kefir too.

It's been 2 weeks since the surgery, can I eat cauliflower?

Boiled cauliflower you can eat now, fresh only 1.5 months after surgery.

Theoretically, sauerkraut and lecho you can start eating 1.5 months after the operation, but these homemade preparations can cause severe bloating (flatulence), so here you will need to focus on your own well-being. If you tolerate it well, then you eat, if it’s bad, we wait a year.

Is it possible to drink rosehip decoction a week after surgery?

You can drink rosehip decoction and even really need it.

You can now drink compote and dried fruit in peace. Everything will be fine.

You can drink mineral waters; after removal of the gallbladder, Essentuki No. 4, Slavyanovskaya, Smirnovskaya, Mashuk No. 19 are suitable.

Yes, you can. Just be guided by your own well-being, aggravation is possible chronic gastritis or duodenitis. Therefore, if you experience abdominal pain, it is better to stop taking lemon water.

4 months have passed since the operation, can nuts and seeds be added to the diet?

You can eat a little bit of nuts and seeds, just reduce the amount of fat in your daily diet.

A month has passed since the operation, can I eat marmalade?

Considering the great importance of marmalade, you can eat it, but in the first 1.5 months after the operation - a couple of slices and no more than twice a week.

During your postoperative period, it will be safe to periodically consume two tablespoons of delicious jam per day. Marshmallows can be eaten 1.5 months after surgery. Chocolate is not officially recommended during the first year of the postoperative period. But if you really want it, then you can easily allow yourself two chocolates twice a week. Great harm They won’t bring any benefits, but they will noticeably improve your mood.

Is it possible to eat store-bought cookies and cookies with tea?

You can start eating store-bought dried biscuits no earlier than 1.5 months after surgery, but carefully and not every day. A year after the operation, within the framework of reasonable use, there will be no restrictions.

Soups and porridges made from rice are already possible. During the first year after surgery, legumes should be excluded from the diet.

Bran can be added to food 1.5 months after surgery, i.e. in your case already in a week. Theoretically, you can take any according to your taste, but according to the experience of patients, wheat ones are best suited.

You can start eating pancakes 1.5 months after surgery, but be careful; it is advisable not to use a large amount of oil in the recipe. Pancakes made with fermented milk products are very good. Pancakes can be eaten no more than twice a week.

If there is no tendency to constipation in the postoperative period, then you can eat “Extra” oatmeal. If you are worried about constipation, then it is better to cook yourself a full-fledged oatmeal porridge.

I hope that the doctor’s answers will help you resolve your doubts and organize your diet correctly. In addition to nutrition itself, many people have questions about how to cope with nausea, how to get rid of constipation or loose stools after surgery, what to do if skin rashes appear.

Nausea after surgery

17 days have passed since the operation to remove the gallbladder. I stick to the diet, but for the last 2 days I have started to feel a little nauseous during the day. What to do about this and what could it be from?

As a rule, nausea is associated with the reflux of bile into the stomach from the duodenum. Frequent small meals and distraction therapy (a slice of lemon in tea) help in the fight against nausea. The drug “Motilium” has proven itself well, but the prescription of any drug must be agreed with a doctor after a direct examination.

Within a year, the body must adapt to new operating conditions after removal of the gallbladder and everything should return to normal.

Try to eat small portions, but often. This will allow the constantly formed bile to bind, which will normalize the stool situation. Rice, buckwheat porridge, and fermented milk products aged more than three days are good in this situation. Bananas and apples also help. Unsweetened apple juice is a good appetite stimulant.

If you don’t want to eat anything at all, then cook yourself at least a light summer vegetable soup, add grated cheese, the white of a boiled egg to taste and a spoonful of vegetable oil. Delicious, easy, nutritious!

At the pharmacy you can buy special nutritional mixtures “Nutridrink”. They have different tastes, there's definitely something you'll like!

Proven recipes from me.

Kalgan - a miracle root for our health
Flax seeds to cleanse the intestines (chamomile recipe with flax seeds).

After removal of the gallbladder, I was tormented by constipation, help! And how long can you take laxatives?

Laxatives cannot be taken constantly, otherwise they can completely unlearn the intestines to work independently.

In the morning on an empty stomach, drink a glass of water at room temperature, then breakfast and go to the toilet.
Digestion requires fiber. Therefore, cook compotes from dried fruits (preferably including prunes). You can already eat vegetables and fruits after heat treatment: baked apples, boiled beets and carrots are good.
Once every five days you can perform a cleansing enema, but not more often, otherwise you can wean the intestines from working on their own. Counter enemas also help: insert 100 ml of boiled water at room temperature with a rubber bulb into the rectum before going to the toilet; you can add one tablespoon of vegetable oil to the water.
For normal operation bowel movement is necessary. Therefore, physical activity is required: regular morning exercises, walking.

A recipe from me, tested in practice - prunes. It needs to be soaked overnight warm water, cover with a saucer and leave at room temperature. In the morning, drink water and eat prunes. Accept in the system. It is enough to soak 6-8 prunes in about a glass or a little more water. Prunes can be eaten in two servings.

Skin problems after surgery

After the operation, my mother developed acne on her face, although she never had any skin problems before the operation. Help please

Over time, everything will return to normal, you must follow the diet and recommended drinking regime. Courses also help multivitamin preparations, for example “Vitrum” or “Alphabet”. Ointments help locally complex impact(“Zinerit”, “Dalacin-T”). They contain antibacterial agents and are used in a course. Skinoren gel is suitable for long-term use. But I still advise you to visit a dermatologist and coordinate the use of ointments and gels with him.

DIET AFTER GALL BLADDER REMOVAL

How to live full life without gallbladder

Find out more...

Behavior after gallbladder removal in questions and answers

In addition to nutrition, many issues are related to behavior in everyday life after gall bladder surgery, the answers to which I collected for you, dear readers, in the comments to the articles. Perhaps they will help many of you overcome difficult period adapt and live a normal and fulfilling life. How to live after gallbladder removal?

It will be possible to swim in the sea and other open waters in a month, but it is necessary to avoid stress on the abs. You can actively swim no earlier than 6 months after surgery. The water temperature should be comfortable so as not to cause spastic contractions of the intestines.

It is not recommended to sunbathe on purpose for the first 6 months; in addition, you should wear a closed swimsuit in the sun (persistent pigmentation may appear in the area postoperative sutures under the influence of the sun). You can only sunbathe for 6 months after surgery.

You can engage in active swimming in the pool six months after the operation. You can simply splash around in the pool without putting much strain on your abdominal muscles within a month after surgery.

In a relaxed tourist mode, you can start riding a bicycle within a month after the operation. But active roller skating and cycling in sports mode are only possible 6 months after surgery, as the risk of developing postoperative ventral hernias is high.

It is possible and necessary to engage in physical exercise after removal of the gallbladder. In the first 6 months after surgery, it is advisable to avoid intense loads on the press As for loads, after laparoscopic cholecystectomy in the first month of the postoperative period, the permissible load is to lift no more than two kilograms of weights. After abdominal surgery in the first month - two kilograms, the second month - four kilograms. In both cases, intense stress on the abs should be avoided in the first six months.

6 months after surgery there are no longer any special restrictions on reasonable physical activity. The only thing worth emphasizing is that professional sports are not always good for health. Therefore, a very balanced approach is needed here.

It will be possible to practice ballroom dancing within a month after the operation, and sports dancing - after six months.

During the first year of the postoperative period, you need to choose the mildest option. In the first 6 months, it is advisable to avoid intense stress on the abs.

Within reasonable limits, you can begin to be sexually active within a week after surgery. For the first 1.5 months, it is advisable to avoid intense sexual intercourse.

Sanatorium - spa treatment perhaps three months after surgery. You can fly by plane.

Special weight loss techniques can be practiced one year after surgery. It will be safe this way. In addition, it should be noted that strict adherence to diet No. 5, which is recommended for those who have had their gallbladder removed, usually leads to weight loss, and if you follow it, your weight problem will gradually go away.

You will have to wait another three months, when six months have passed since the operation.

Yes, you can, just be careful, don’t sit too long, focus on your own well-being.

These are the recommendations from Evgeniy Snegir and me for everyone who has undergone surgery to remove the gallbladder. And remember, the most important thing is your positive thoughts, the attitude that everything will be fine. And, of course, it’s worth sticking to a diet, at least in the first year and a half after surgery. And such food can be tasty and varied. Health to everyone and joys of life.

And for the soul we will listen today F. Schubert. Impromptu. Op. 90 No 3. Performed by David Frey. I really love this pianist.

WHO Child Development Standards: a series of animated online calculators

Monitor your child's development. Compare his height, weight, body mass index with the benchmark indicators developed by WHO experts...

Do you need a diet?

Instead of talking about specific foods and dishes that are supposedly beneficial or harmful after removal of the gallbladder, let's try to find an answer to the fundamental question: “What is the purpose of such a diet, and most importantly, is it necessary at all?”

This question is appropriate. We got rid of a diseased gallbladder, filled with stones and serving as a source chronic inflammation and infections, therefore our health should be better than it was before. Otherwise, why would you have the operation? Why, after removing the gallbladder, should we adhere to a diet that we did not adhere to before?

Cholecystectomy – surgery, during which the gallbladder is removed. This is the most effective way treatment of polyps, cholecystitis, cholelithiasis. Surgical intervention is prescribed if diet and ultrasound treatments do not produce results. The operation also has contraindications: diseases of the heart, kidneys, lungs and liver.

Cholecystectomy is performed through a large incision in the front abdominal wall, under general anesthesia. In this case, the gallbladder is completely removed, the vessels are ligated, the incision site is cleaned, and then sutured. The operated patient is in medical institution from 10 days to half a month, with a good outcome it is restored within a month.

If we talk about a more gentle method, it is laparoscopic cholecystectomy. The operation takes place through a 1 cm puncture in the abdominal wall using an appropriate instrument. The entire process can be observed through the monitor. Postoperative punctures are almost invisible. The patient is discharged after 3 or 5 days, the body’s recovery occurs within half a month.

Is it necessary to remove the gallbladder?

People who suffer gallstone disease, are divided into several groups: patients with manifestations of biliary colic and acute forms of cholecystitis, patients with the presence of stones that do not create discomfort.

Nowadays, surgeons are objective in their opinion that people with an asymptomatic disease and the presence of a medium-sized stone should not have their gallbladder removed. The risk of complications due to 1-2 stones is very low, so patients are recommended to undergo regular ultrasound examinations. abdominal cavity. It is important to adhere proper nutrition and lifestyle.

If a stone remains in the gallbladder for many years, chronic cholecystitis may form, as well as liver disease, pancreas disease, or gallbladder cancer. In case of asymptomatic existence of stones for more than 2 years, the presence of other diseases, or an increase in the size of the stone, the surgeon refers the patient to cholecystectomy.

In case of rare attacks of biliary colic, doctors unconditionally perform a planned operation, since subsequent attacks may develop acute form cholecystitis, diseases of neighboring organs. If you experience an attack of acute cholecystitis - colic for 2-3 hours in the right upper abdomen, medications are ineffective, the temperature rises, the condition is accompanied by nausea or vomiting - immediately call an ambulance.

Surgeons can perform a less traumatic and safer operation using a laparoscopic approach. This does not depend on how many stones are in the gall bladder - many small ones or a single large one - the gall bladder is removed entirely. The operation performed in this way has contraindications, so the doctor can perform an open laparotomy operation.

Why do you need a diet after gallbladder removal?

After surgery, a person is faced with the fact that he needs to follow a diet for the rest of his life; this happens due to the absence of a digestive organ in which bile previously accumulated. The patient should try to avoid stagnation of bile in the ducts. The way out of this situation is to eat frequently. If you start the process of stagnation, stone formation occurs. It is recommended to eat five meals a day in small portions strictly at the same time. Food should be consumed warm, chewing well.

It is important to exclude fried foods from the diet, as they contain substances that affect the secretion of digestive juice, which serves as an irritant to the gastrointestinal tract (gastrointestinal tract). To avoid negative consequences food needs to be stewed, boiled or steamed.

Diet after surgery

In the postoperative period, the patient has a question: what to eat? Let's learn more about the principles of nutrition after gallbladder removal.

The diet from the first days to 1.5 months implies:

A couple of hours after cholecystectomy, the patient can moisten his lips and oral cavity using a tampon soaked in plain boiled or mineral water. After 4-5 hours, you need to introduce rinsing your mouth with a decoction of chamomile (sage), and do the procedure for 3 days in a row. After 12 hours or 24 hours, they begin to drink still mineral water in small sips (unsweetened rosehip infusion), maximum 1 liter per day. As soon as two days have passed after the operation, you can start drinking jelly made from dried fruits without sugar, weakly brewed tea or kefir with a low fat content of up to one and a half liters per day. At one time, a maximum of 150 ml of liquid is allowed every three hours.
Starting from 3-5 days, natural juices without sugar are added to the diet: rosehip, beet, apple; fruit jelly, mashed potatoes and sweetened tea. The volume of fluid consumed is up to 2 liters per day.

Do not forget that meals should be taken at the same time, more than 6 times a day with a serving of 200 ml. It is recommended to eat boiled fish, omelettes without adding yolk, puree soups cooked in low-fat broth; if desired, you can add sour cream or butter, but not more than one teaspoon.

On the 5th day, you can allow yourself a stale piece of bread or 100 grams of crackers.
By the end of the first week after the operation, porridges (buckwheat, rolled oats and wheat) are allowed, but they must be passed through a blender or sieve. Cook porridge in water with the addition of milk (1x1), also introduce sugar-free cottage cheese into the diet; boiled fish, meat (except for pork and lamb) minced in a meat grinder, protein omelet, pureed vegetables and any dairy products.

You should drink liquid 150 ml per dose, up to 2 liters per day. To reduce the secretion of bile, we exclude foods containing fats and essential oils from the diet.

After a week, 10 days and up to a month and a half, the patient needs to adhere to a gentle diet. Eat boiled fish and meat, steamed cutlets, omelet without yolk, meatballs, meatballs, vegetable soups, mashed potatoes or vegetables, stewed zucchini or carrots, cottage cheese casserole, pureed porridge with milk, jelly, juice.

What to eat after gallbladder removal

Products consumed after surgery should not contain substances that will irritate and affect the excessive production of bile juice. When preparing dishes, use products high in pectin and lipotropic substances. Pectins cover the mucous membrane of the digestive tract, thereby preventing the penetration of harmful substances. They also have a beneficial effect on intestinal function and have a healing effect. Lipotropic substances promote the active breakdown of cholesterol and prevent it from depositing on the walls of blood vessels.

In the diet therapeutic diet must be present high content fiber. It has a good effect on intestinal function, preventing constipation, flatulence and fecal deposition.

It is important to consume fermented milk products, they contain calcium, animal protein and live bacteria that have a positive effect on intestinal microflora.

Authorized products:

It is important to eat in moderation and alternate intake of permitted foods. Dishes should be varied, add to taste bay leaf, cinnamon, cloves, dill, parsley and vanilla.

From the above, we already know that we steam, stew or boil all our food. Also important when preparing food:

Salt, add oil to a minimum;
Wash and clean the ingredients well;
The products required for preparing the dish must be finely chopped;
Food should have a soft and liquid consistency;
Before going to bed, you should drink a glass of kefir;
Drink at least 2 liters of liquid during the day;
Before meals, drink a glass of mineral water;
Each meal should be 3 hours apart;
Process sweet and sour fruits and do not eat them fresh.

For breakfast or dinner, it is recommended to eat cottage cheese, kefir or yogurt. You can add fruits, stewed carrots or steamed pumpkin to them. At lunch and afternoon snack, it is advisable to eat porridge, fish, meat, but no more than one serving of each product during the day. Will be useful fasting days, with the exclusion of meat from the diet. To cleanse the bile ducts, it is recommended to eat watermelon and melon. From vegetables, eat less fibrous ones, and also eliminate the consumption of sour sauces and gravy.

We do not ignore the fact that food should be baked, boiled, stewed, and all other methods of heat treatment are not acceptable.

Prohibited products:

Firstly, these are products containing essential oils and extracts that irritate the gastrointestinal tract:

Pepper, horseradish and mustard;
Sorrel, onion, garlic, radish;
Smoked products;
Mushrooms;
Salted, pickled foods and hot sauces;
Rich broths.
The diet should not contain refractory animal fats (goose, lamb, duck, pork, fatty beef, sausage, lard and smoked meats);
Mayonnaise;
Products containing cocoa;
Sweets: cakes, pastries, chocolate and candies;
Legumes, wholemeal bread;
Alcohol and carbonated drinks.

What vegetables and fruits should be present in the diet

As for fruits, after surgery only processed fruits are introduced into the diet. Over time, they begin to eat the most common fruits that grow in vegetable gardens, having previously peeled them. A exotic fruits It’s better to start eating after 3 months of rehabilitation. The berries can be frozen for the winter and made into compotes.

It is recommended to stew vegetables at first; a week after the operation, you can make salads and vegetable juices. The most beneficial are carrots and beets; they should be included in the diet daily. The tomatoes are first scalded and the skins removed. Cabbage, zucchini and cucumber have a beneficial effect on intestinal function. It is also necessary to consume fresh greens daily.
Is it possible to drink alcohol?

Alcohol is the main culprit in disrupting the normal functioning of the gallbladder. Alcohol promotes stagnation in the bile duct. Affects this great content dyes and preservatives. Even weak alcoholic drinks in the form of beer can cause serious damage to the liver.

On holidays it is better to limit yourself to a glass low alcohol drink and then if your digestive system has come into normal functioning. As for food, it is better to limit yourself, wait for one year, and then allow yourself to gradually consume foods from the prohibited list.

Diet No. 5

Involves recipes for dishes prepared from approved products that do not irritate the gastrointestinal mucosa.

Menu for the day:

Breakfast: porridge, egg white omelet and tea;
After 3 hours you can eat crackers, bran or cookies with juice;
Lunch: vegetable soup, boiled breast or steamed cutlet, grated boiled carrots, compote or jelly;
Afternoon snack: apple;
Dinner: steamed fish, mashed potatoes, salad (apple, carrots), tea with milk. An hour before bedtime, drink a glass of kefir.

Questions and answers on nutrition and post-operative problems

Let's consider the questions of people who have undergone cholecystectomy and are learning to eat healthy.

Eggs, meat and fish

Is it possible to eat fish and meat cooked in foil over an open fire?

You can eat a little bit after a month and a half, but it’s better to wait a year, since meat prepared in this way can be called kebab.

Dairy products and fats

After what time can butter be introduced into the diet?

Oil is allowed to be added to prepared dishes, but in the first year it is better to abstain from it.

Vegetables and fruits

When can you start eating sauerkraut?

Everything here is individual, if after a month and a half you try cabbage and you don’t experience bloating, then it’s okay, if it’s not tolerated well, put it off for a year.

Drinks

Can I have lemon water?

You can, but if you have stomach pain, stop.

Seeds

Can I have sunflower seeds?

It is possible, provided that you reduce the amount of fat consumed in your daily diet.

Dessert

Flour, cereals and bran

Can I have pancakes or pizza?

You can do it once a week if you cook it with approved products and reduce the amount of oil.

Postoperative nausea

I've been feeling nauseous for 2 days now, what should I do?

I advise you to eat small meals and drink tea with lemon. If this does not help, you should resort to medication after consulting your doctor.

Normalization of stool

In the morning, a glass of warm water on an empty stomach, add fiber-rich vegetables, prunes, boiled carrots and beets to your diet. Do an enema once a week and lead an active lifestyle.

I'm worried about loose stools, how can I normalize them?

Eat 5 times a day, be sure to include rice, buckwheat porridge, baked apples and fiber in your diet.

Skin problems

After surgery, rashes and pimples appeared on the face, how to deal with it?

Drink more fluids, drink a complex of vitamins, use acne-drying gels and ointments, but only with the permission of your doctor.

Questions and answers about the patient’s behavior in everyday life

Is it possible to swim and sunbathe?

Swim in warm water and sunbathe only six months after the operation.

I want to go rollerblading and cycling, is it allowed?

When will it be possible to practice yoga, dancing and physical education?

Yoga and dancing in six months, and physical education should be daily.

I want to start doing a stomach vacuum, is it possible? 3 months have passed since the operation.

Wait the same amount of time, only then introduce the vacuum.

You can learn about the rules of dietary nutrition after removal of the gallbladder in the following video:

And in conclusion, it is important to follow the above recommendations on nutrition and lifestyle, then your body will recover much faster due to the absence of irritants. In a year, you will be able to afford a little of the products from the prohibited list. And physical education and walks fresh air will improve the general condition of your body.

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Gallbladder 08/07/2016

Dear readers, today I want to return to the very current topic of nutrition after removal of the gallbladder, despite the fact that there is quite a lot of material on the blog dedicated to this very issue. The fact is that they still write to me and ask questions, because this is very important for people who have undergone surgery, since nutrition and diet are the most important factor in the recovery period after removal of the gallbladder.

In the comments to articles on the topic of gallbladder removal, people ask their questions, which Evgeniy answers competently and clearly. And I decided to cover the main aspects of nutrition after removal of the gallbladder, as well as collect the doctor’s answers to your questions in one article. Thus, each of you, dear readers, will be able to obtain the most complete information on all issues related to diet and behavior after surgery to remove the gallbladder.

Is it necessary to remove the gallbladder?

First, let's talk a little about whether the gallbladder needs to be removed. This question, I am sure, worries everyone who, based on the results of the examination, was diagnosed with cholelithiasis. The upcoming operation cannot but frighten, this is a normal reaction of any person, and of course, many begin to look for alternative methods of treatment, such as crushing stones or dissolving them with the help of medications.

Crushing stones is not a safe procedure, therefore it is indicated for a very limited number of patients, and is not used often. An article is devoted to this method, which you can read if you wish.

Not all stones can be dissolved with drugs, only cholesterol stones. In addition, the effectiveness of this method is determined by many factors, such as the size of the stones, their location, the absence of an inflammatory process, etc. Evgeny Snegir wrote about all this in detail in one of his articles

Therefore, it is more correct to perform the operation as planned, when there is no pain, without waiting for serious complications.

Moreover, instead of abdominal surgery, laparoscopic cholecystectomy is now most often performed; this operation can reduce the length of stay in the hospital, minimize possible complications and, what is also important, is less traumatic.

Why do you need a diet after gallbladder removal?

But you finally made up your mind, and your gallbladder was removed, giving fairly general recommendations to stick to a diet for the rest of your life. Is this true?

A strict diet is only needed for a certain period after surgery. Over time, the functions of the gallbladder are taken over by the intrahepatic ducts and the common bile duct, and during the normal course of the postoperative period, bile stagnation does not occur, which allows a person to abandon a strict diet and switch to a normal diet with minor restrictions. This usually occurs one year after the gallbladder is removed.

Now let's talk about dietary nutrition, which allows the body to adapt to living conditions without a gallbladder and which is the basis for maintaining good health. What can you eat immediately after surgery and during the first month to one and a half months after removal of the gallbladder?

Diet and nutrition in the first days after surgery to remove the gallbladder up to 1.5 months

On day 5 It is already allowed to add dried white bread to your diet, but not more than 100 grams per day.

Fresh vegetables and fruits are strictly prohibited, as they promote bile secretion. Rye bread is also excluded; you can only eat white bread and it must be dried or yesterday’s baked bread. Dishes should be neither cold nor hot.

You can read more about nutrition in the first days after surgery and in the first month after surgery in the article

Diet No. 5, nutrition after removal of the gallbladder from 1.5 months to a year. Recipes. Menu

In the postoperative period, when 1.5 months have passed after removal of the gallbladder, the main task is to take food that does not irritate the digestive tract and helps to dilute the bile. Diet No. 5 fully meets these criteria, which you should adhere to.

The main restrictions during this period are everything spicy, fatty and fried.

It is necessary to exclude from the diet:

fatty meats (pork, goose, duck),
fatty fish,
meat broths,
salo,
sausages,
smoked meats,
canned foods,
salted fish,
offal,
caviar,
mushrooms,
onion, garlic,
legumes,
radish, radish, sorrel, spinach,
mustard, horseradish, pepper and other hot seasonings,
fresh bread, pastries with cream and pastries,
fatty dairy products,
chocolate,
ice cream,
cold drinks,
strong coffee, cocoa,
alcohol.

Fresh vegetables and fruits after gallbladder removal

So, let’s summarize: we exclude forbidden foods from the diet, everything fatty, fried, spicy, we take food warm, in no case hot or cold. We take food 4–5 times a day in small portions, the daily amount of liquid consumed is from 1.5 to 2 liters.

And one more very important condition: introduce new foods into your diet gradually, in small portions, carefully listening to your body’s reaction. And if some product causes you pain or discomfort in the form of bloating, belching, heartburn, it is better to give it up for now or reduce the portion. Even healthy people tolerate different foods differently, and after removal of the gallbladder you need to be very careful about your body.

Alcohol after gallbladder removal

What can you eat on holidays?

Diet and nutrition after gallbladder removal in questions and answers

Meat, fish products, eggs

Is it possible to eat soups with meat broth after being discharged from the hospital?

In the first 1.5 months after the operation, it is better to eat vegetarian soups, but if you occasionally cook soups with weak meat broth, then there will not be much crime.

Is fish and meat baked in foil over an open fire fried and prohibited? And when can all this be introduced into the diet?

Fish and meat baked over an open fire in foil are still considered more like kebabs than dietary dishes. Therefore, it is better to postpone such goodies for a year. As an exception, 1.5 months after the operation you can pamper yourself with them on holidays, but very, very carefully.

Please tell me, is it possible to bake chicken and turkey with vegetables in the oven if only 9 days have passed since the operation? Is it even possible to cook permitted foods in pots or is it too early?

It is already possible to bake chicken with vegetables in your postoperative period, just do not add fats, add only water so that the food does not burn and there is no crust.

2. You can already make pots in the oven with approved products, again only with water.

Please tell me when it will be possible to eat red caviar, fatty fish and crab sticks?

When can you eat sushi and rolls?

How long after surgery can I eat whole eggs?

After 1.5 months from the date of surgery, you can only add egg whites to your food; after that, you can eat whole eggs for a year, but no more than one per day.

Is it possible to use meat baby food in jars as a snack during the postoperative period?

Baby food still refers to canned foods that are not recommended during the first year after surgery. Fermented milk products with white bread are quite suitable as a snack.

Fats and dairy products

How long after surgery can vegetable oil be added to food?

Vegetable oil is acceptable 1.5 months after surgery and no more than two tablespoons per day.

When can you add butter to food?

It is advisable to completely exclude butter from the diet during the first year of the postoperative period.

Is it possible to gradually add sour cream to food a month and a half after surgery?

You can already try adding sour cream to food, but not fatty, focus on how you feel.

A week has passed since the operation, please tell me what fat content of fermented milk products can be consumed and is it possible to drink acidophilus?

In the first 1.5 months after surgery, the lower the fat content of fermented milk products, the better. Acidophilus is allowed to be taken.

A week ago, my gallbladder was removed via laparoscopy. Can I now eat Tema and Agusha children's curds (they have 4-5% fat content) and drink 3.2% kefir? I suffer with bowel movements, there is no urge at all.

You can now eat baby curds and drink kefir too.

Vegetables and fruits

It's been 2 weeks since the surgery, can I eat cauliflower?

Boiled cauliflower can be eaten fresh only 1.5 months after the operation.

When can you start eating sauerkraut and homemade lecho?

Theoretically, you can start eating sauerkraut and lecho 1.5 months after the operation, but these homemade preparations can cause severe bloating (flatulence), so here you will need to focus on your own well-being. If you tolerate it well, then you eat, if it’s bad, we wait a year.

Drinks

Is it possible to drink rosehip decoction a week after surgery?

You can drink rosehip decoction and even really need it.

Is it possible to drink dried fruit compote immediately after being discharged from the hospital?

You can now drink compote and dried fruit in peace. Everything will be fine.

What mineral waters can you drink after gallbladder removal?

You can drink mineral waters; after removal of the gallbladder, Essentuki No. 4, Slavyanovskaya, Smirnovskaya, Mashuk No. 19 are suitable.

1.5 months have passed since the operation, I feel good, I am on a diet. Can I take lemon water now?

Yes, you can. Just focus on your own well-being; an exacerbation of chronic gastritis or duodenitis is possible. Therefore, if you experience abdominal pain, it is better to stop taking lemon water.

Nuts, sauces

4 months have passed since the operation, can nuts and seeds be added to the diet?

You can eat a little bit of nuts and seeds, just reduce the amount of fat in your daily diet.

How long will it take to season food with soy sauce?

Desserts

A month has passed since the operation, can I eat marmalade?

Considering the great importance of marmalade, you can eat it, but in the first 1.5 months after the operation - a couple of slices and no more than twice a week.

Three weeks have passed since the operation, can I eat jam, marshmallows, and chocolate?

During your postoperative period, it will be safe to periodically consume two tablespoons of delicious jam per day. Marshmallows can be eaten 1.5 months after surgery. Chocolate is not officially recommended during the first year of the postoperative period. But if you really want it, then you can easily allow yourself two chocolates twice a week. They won't do much harm, but will significantly improve your mood.

Cereals, bran, flour dishes

Is it possible to eat store-bought cookies and cookies with tea?

Is it possible to eat pizza during the first year after surgery?

Is it possible to eat soups and porridges made from rice and peas on the 8-9th day after removal of the gallbladder?

Soups and porridges made from rice are already possible. During the first year after surgery, legumes should be excluded from the diet.

38 days have passed since the operation, I read that bran is useful, can I use it now?

When can you eat pancakes? Or will we have to forget about them now?

Is it possible to cook “Extra” oatmeal 1.5 months after surgery?

Nausea after surgery

17 days have passed since the operation to remove the gallbladder. I stick to the diet, but for the last 2 days I have started to feel a little nauseous during the day. What to do about this and what could it be from?

I have aversion to food, nausea, a sour or metallic taste in my mouth, and problems with bowel movements. Maybe you can recommend something to increase your appetite?

Within a year, the body must adapt to new operating conditions after removal of the gallbladder and everything should return to normal.

At the pharmacy you can buy special nutritional mixtures “Nutridrink”. They have different tastes, there's definitely something you'll like!

Proven recipes from me.

(chamomile with flax seed recipe).

Normalization of stool after gallbladder removal

After removal of the gallbladder, I was tormented by constipation, help! And how long can you take laxatives?

Laxatives cannot be taken constantly, otherwise they can completely unlearn the intestines to work independently.

In the morning on an empty stomach, drink a glass of water at room temperature, then breakfast and go to the toilet.
Digestion requires fiber. Therefore, cook compotes from dried fruits (preferably including prunes). You can already eat vegetables and fruits after heat treatment: baked apples, boiled beets and carrots are good.
Once every five days you can perform a cleansing enema, but not more often, otherwise you can wean the intestines from working on their own. Counter enemas also help: insert 100 ml of boiled water at room temperature with a rubber bulb into the rectum before going to the toilet; you can add one tablespoon of vegetable oil to the water.
Movement is necessary for normal bowel function. Therefore, physical activity is required: regular morning exercises, walking.

A recipe from me, tested in practice - prunes. It should be soaked overnight in warm water, covered with a saucer and left at room temperature. In the morning, drink water and eat prunes. Accept in the system. It is enough to soak 6-8 prunes in about a glass or a little more water. Prunes can be eaten in two servings.

After the operation, despite following the diet, frequent loose stools bother me. Tell me how to deal with this?

Frequent meals are necessary (4 to 5 times a day) in order to bind the bile that constantly enters the intestines.
Fermented milk products aged more than three days help (fresh ones, on the contrary, have a laxative effect).
Eat rice, rice and buckwheat porridge.
Fiber is essential, baked apples are very good.
In the postoperative period, you can undergo a course of treatment with drugs containing normal intestinal microflora (Linex).

Skin problems after surgery

After the operation, my mother developed acne on her face, although she never had any skin problems before the operation. Help please

Over time, everything will return to normal; you must follow the diet and recommended drinking regimen. Courses of multivitamin preparations, for example “Vitrum” or “Alphabet”, also help. Ointments with complex effects (“Zinerit”, “Dalacin-T”) help locally. They contain antibacterial agents and are used in a course. Skinoren gel is suitable for long-term use. But I still advise you to visit a dermatologist and coordinate the use of ointments and gels with him.

Behavior after gallbladder removal in questions and answers

In addition to nutrition, a lot of questions are related to behavior in everyday life after gall bladder surgery, the answers to which I have collected for you, dear readers, in the comments to the articles. Perhaps they will help many of you overcome the difficult period of adaptation and live a normal and fulfilling life. How to live after gallbladder removal?

When can you start swimming in open water after surgery? Is it possible to sunbathe? Does water temperature matter?

It is not recommended to sunbathe on purpose for the first 6 months; in addition, you should wear a closed swimsuit in the sun (persistent pigmentation may appear at the site of postoperative sutures under the influence of the sun). You can only sunbathe for 6 months after surgery.

Tell me, how long after the operation can I go to the pool for swimming?

Can I ride a bike or rollerblade after gallbladder removal surgery?

Is it possible to exercise after removal of the gallbladder and what physical activity is acceptable?

It is possible and necessary to engage in physical exercise after removal of the gallbladder. In the first 6 months after surgery, it is advisable to avoid intense stress on the abs. As for loads, after laparoscopic cholecystectomy in the first month of the postoperative period, the permissible load is to lift no more than two kilograms of weights. After abdominal surgery in the first month - two kilograms, the second month - four kilograms. In both cases, intense stress on the abs should be avoided in the first six months.

When can I start ballroom and sports dancing?

It will be possible to practice ballroom dancing within a month after the operation, and sports dancing - after six months.

4 months have passed since my gallbladder was removed, is it still possible to do yoga?

During the first year of the postoperative period, you need to choose the mildest option. In the first 6 months, it is advisable to avoid intense stress on the abs.

Is it possible to be sexually active after surgery?

Within reasonable limits, you can begin to be sexually active within a week after surgery. For the first 1.5 months, it is advisable to avoid intense sexual intercourse.

When after surgery is it permissible to undergo sanatorium-resort treatment and is it possible to fly by plane?

Sanatorium-resort treatment is possible three months after surgery. You can fly by plane.

Is it possible to take weight loss medications 4 months after gallbladder removal?

3 months have passed since the operation. Can I do anti-cellulite massage and vacuum in the abdominal area?

You will have to wait another three months, when six months have passed since the operation.

2 months have passed since the operation, I feel good, can I go to the sauna?

Yes, you can, just be careful, don’t sit too long, focus on your own well-being.

And for the soul we will listen today F. Schubert. Impromptu. Op. 90 No 3 . Performed by David Frey. I really love this pianist.

Reasons and indications for surgery

Causes of stone formation:

Obesity;
Liver diseases;
Violation of cholesterol, electrolyte and hormonal metabolism;
Diseases of the gallbladder and hepatic ducts;
Various mechanical and functional obstacles to the normal outflow of bile.

Indications for surgery

There are relative and absolute readings for cholecystectomy:

Brief description of the operation

Laparoscopic cholecystectomy in most cases is performed in hospitals - hospitals, clinics, hospitals. Some modern clinics They suggest performing the operation on an outpatient basis, but in this case it is necessary to have an established service for monitoring the patient at home. The patient should not have concomitant chronic diseases, which is most often impossible.

Pain management is an important issue that concerns many patients. This type operations performed under general anesthesia. During anesthesia prerequisite is artificial ventilation.

When performing cholecystectomy, the position of the patient on the surgical table is important. At the beginning of the operation, when carbon dioxide is injected into the abdominal cavity, the patient lies on his back with the head end of the table lowered 10 degrees. This causes the internal organs to shift towards the diaphragm, which makes it possible to safely insert a needle through which carbon dioxide is supplied into the pelvic cavity. After inserting the needle, the patient's position is operating table is changing. The person lies on the table, slightly turned to the left, with a 10 degree inclination of the foot end of the operating table.

Pneumoperitoneum is the introduction of gas into the patient's abdominal cavity.
A needle with carbon dioxide is inserted through the navel, as an absolutely thin place in the anterior abdominal cavity. The abdominal cavity is filled with gas to a pressure of 12 to 15 mmHg, which is maintained during the operation.

The next stage of the operation is the introduction of trocars.

Trocars are metal and plastic tubes whose main function is to hold carbon dioxide in the abdominal cavity.

To perform the operation, 3-4 trocars are used, through which a laparoscope and instruments are inserted into the abdominal cavity.

After entering the tools, the actual main stage surgery - removal of the body of the gallbladder. This happens with the help of scissors, clamps, hooks and a device for applying clips, which are used to clamp cystic duct and artery.

The surgeon pulls the gallbladder upward by the bottom. As a result, he has the opportunity to separate the peritoneum in the area of the organ neck and carefully isolate the duct and artery, onto which clips are applied.

The surgeon then separates the bladder body from the liver using an electrosurgical hook. After separation of the organ, the abdominal cavity is washed, dried with an electric suction, and a drainage (thin tube) is inserted into the location of the gallbladder. This is necessary to prevent the development of infection in the abdominal cavity and prevent the development of infection.

The best way is to remove the organ through the navel, since there is no muscle there. The organ is brought to a puncture in the navel area and brought out along with the trocar located there. The umbilical incision is closed using one single suture. This completes the operation.

Laparoscopy of the gallbladder on video

The first months after cholecystectomy (complications, rehabilitation, medications)

The main advantage of laparoscopic cholecystectomy is the relatively easy postoperative course. The patient experiences minor pain at the sites where the trocars are inserted, as well as in the shoulder girdle due to the injection of carbon dioxide during the operation.

In the postoperative period, the patient spends 2 hours in the intensive care unit, then he is transferred to a regular ward. Over the next 4-6 hours, the patient should not drink, and it is also forbidden to get out of bed. Then the patient is allowed to drink ordinary water without gas in small portions of one to two sips, with a total volume of no more than half a liter. The patient can slowly get out of bed for the first time under the supervision of medical personnel.

The next day, the patient has the drainage removed from the abdominal cavity. This painless procedure, which is performed during daily dressing.

Nutrition of the patient in the first seven days after surgery

Nutrition for a person after cholecystectomy includes:

lean beef and boiled chicken breast;
vegetable soups;
buckwheat and oatmeal porridge in water;
fermented milk products: low-fat kefir, yogurt, low-fat cottage cheese;
baked apples and bananas.

Prohibited for use the following types food products:

fried and fatty foods;
spicy and salty foods;
boiled fish;
sweets, especially chocolate;
strong tea, coffee;
alcohol;
drinks with sugar.

After surgery, a person needs to monitor the regularity of bowel movements. If difficulties arise with this, then you need to do a cleansing enema or take a herbal laxative (senna leaf, kushina decoction).

During the course rehabilitation period there should be no complications. Physical activity may be limited due to possible abdominal pain, which disappears on the second day after surgery.

The patient is discharged on day 3 if the postoperative period passes without complications. Upon discharge, the patient will be given a sick leave certificate (if such a need exists), as well as an extract from the card, which will detail the diagnosis, as well as recommendations on nutrition, physical activity and drug treatment. A sick leave certificate is issued for the duration of your hospital stay for 3 days after discharge, and then it must be renewed by a surgeon at a municipal clinic.

Complications after cholecystectomy

As with any operation, complications are possible after gallbladder removal. Their frequency does not exceed 2-3% of the number of operations performed.

The main complications include:

Trauma or damage to the common bile duct

This can happen due to a number of reasons. Among them, it is worth noting that it is worth identifying anomalies in the structure of the bile ducts, as well as inflammatory changes in acute cholecystitis, as well as changes in the relationships of organs with adhesions in the abdominal cavity. This can also happen due to careless manipulation of instruments in the area of the bile duct.

If damage to the bile duct occurs during cholecystectomy, then in most cases they switch to open surgery and restore both the integrity and patency of the duct. There are situations when, during surgery, damage to the bile duct goes unnoticed. In this case, the patient develops bile leakage into the abdominal cavity or jaundice, so the patient requires urgent re-operation. The percentage of this type of damage does not exceed 1.

Damage large vessels

The consequence of incorrect and careless insertion of trocars into the abdominal cavity is damage to large vessels, which is fraught with the development of severe bleeding. Both vessels located in the abdominal cavity and in the abdominal wall can be damaged. However this complication occurs much less frequently during laparoscopic cholecystectomy than during open operations.

Wound infection

Wound infection and suppuration are the scourge of surgery. Neither antibiotics nor antiseptics provide a 100% guarantee of avoiding this kind of complication. Laparoscopic cholecystectomy has a number of advantages over open surgery, since if infection occurs, it is much easier and with fewer complications.

Damage to internal organs

A typical series of complications during laparoscopic operations. However, it is also quite rare. During the operation, the stomach, intestines, liver, bladder. Various organ injuries are the result of a number of reasons, one of which is careless manipulation of instruments. However, experienced surgeons have a whole series means and techniques to minimize the risk of such damage.

If an organ injury does occur, the main thing is to diagnose it in a timely manner this is what will allow without special effort eliminate complications.

With laparoscopic cholecystectomy, you will never encounter complications such as suture failure or the formation of keloid scars, which are so typical for open operations.

The main drugs used after removal of the bladder

Stimulators of bile production are Osalmid and Cyclovalon;
Reception must be followed ursodeoxycholic acid(300-500 mg before bedtime). The acid is part of Urosan, Enterosan, Hepatosan, Ursofalk.
For replacement therapy, Lyobil, Allohol, Cholenzym are used.

It is advisable that in the first 6 months of the postoperative period, the patient’s recovery process takes place under the supervision of a nutritionist or gastroenterologist.

Life after laparoscopic cholecystectomy

The main thing you should remember when undergoing surgery is that after it you should feel like a healthy and happy person. To do this, you must follow a number of recommendations regarding diet and physical activity.

Diet for laparoscopic cholecystectomy: what is useful and what is harmful

During the 3 months of the postoperative period, patients must follow a strict diet, which was described above. Further, your diet and menu can be gradually expanded. But it’s worth remembering that if your gallbladder is removed, your diet will be your companion for the rest of your life. You can treat yourself to something tasty, but you shouldn’t overuse unhealthy foods.

The main rule is split meals in small portions.

List of products indicated for use:

Fermented milk products: low-fat cottage cheese, kefir with befido additives;
Cereal and milk soups;
Weak broths (fish and meat);
Meat low-fat varieties(beef, chicken, rabbit, turkey);
Eggs in the form of omelettes;
Vegetable oil (no more than 25-30 g per day);
Butter;
Porridge;
Pasta;
Low-fat fish (stewed, boiled, steamed);
Vegetables in raw, baked, boiled form;
Honey, marshmallows, marmalade, dry cookies;
Compotes.
Sweet tea.

List of foods not recommended for consumption:

fatty meats;
fried fish;
mushrooms;
strong coffee;
spinach, onion, radish, garlic;
sour berries and fruits;
cakes, ice cream;
carbonated drinks;
butter dough, pasties, fried pies;
spicy snacks.

After surgery to remove the gallbladder Alcohol consumption and smoking are strictly contraindicated.

Exercising - life in good shape after surgery

Daily physical activity is the key to good health, as well as a guarantee of avoiding bile stagnation. After one or two months, it is necessary to introduce weekly trips to the pool. Regular walking for 30-60 minutes will promote a comfortable outflow of bile, as well as the enrichment of body tissues with oxygen. This is especially important in the formation of normal metabolism and liver activity.

A few days after you start walking, you can introduce morning exercises. Over the next 6-12 months, heavy physical activity is absolutely contraindicated for patients, as this can cause the formation of a postoperative hernia. Intimate life can be resumed 1.5-2 months after removal of the bladder.

A couple of months after surgery, patients can and even need to start skiing. Skiing should be done at a calm pace.

A set of exercises for morning exercises

Place your hands on your belt and place your feet shoulder-width apart. We move our elbows back - inhale, while exhaling we return our elbows to their original position. Eight to twelve repetitions should be done.
Lying on your stomach, place your arms along your torso and legs together. We alternately bend our legs as we exhale, and straighten them as we inhale. You should do six repetitions for each leg.
Lying on your stomach, straighten your legs, left hand along the body, right on the stomach. While inhaling, we strongly protrude the stomach, and while exhaling, we draw it in. The exercise should be repeated eight times.
Lying on your side with your legs straight. Place one hand behind your head, the other on your belt. We bend the leg lying on top - as we exhale, straighten it as we inhale. The exercise should be repeated at least eight (ten) times.
Standing position, place your feet shoulder-width apart and bring your hands to your shoulders. We perform circular movements with our elbows 10 times forward and 10 times back. Breathe freely.

Preventative examinations with a doctor. Follow-up after gallbladder removal

After discharge from the hospital, do not neglect to visit a specialist for preventive examinations. It is recommended to visit a doctor at least once every six months in the first year after surgery, and once a year thereafter.

Attention! If you experience pain or discomfort after laparoscopic cholecystectomy, contact a specialist immediately.

Laparoscopic cholecystectomy is a modern operation to remove the gallbladder, the risk of complications after which is only 2-3%. After the operation, the patient must follow a diet and also perform a complex of gentle exercises necessary for the regular outflow of bile. Regular walks in the fresh air and visiting the pool are very important.

Contents of the article:

A diet for removal of the gallbladder is a diet whose goal is to relieve bile flows as much as possible, correct bile secretion, while ensuring the absorption of nutrients by the body in sufficient quantities. To prevent relapse of the disease, it is necessary to adhere to a special diet. The number of meals and cooking technology are adjusted, and the product range is limited.

Features of the diet after gallbladder removal

After cholecystectomy, the body needs restructuring. Bile secreted by the liver used to accumulate in the gallbladder and was released only when food entered the stomach. Since there is now nowhere to accumulate, it constantly drains. If you do not normalize the work of reproduction and excretion, the gastric mucosa will be constantly irritated, and congestion.

The purpose of adaptation is to normalize nutrition after removal of the gallbladder. If you follow all the recommendations, after 1.5-2 months the bile duct will take over its functions and you can return to normal life.

The first day the necessary liquid is administered by drip. On the second day you are allowed to drink on your own, then you begin to return to oral nutrition. On days 5-6 after laparoscopy and on days 9-10 after open surgery, the patient is transferred to table No. 5, specially developed by nutritionist Pevzner for patients with cholecystitis in the stage of remission and compensation.

Principles of diet No. 5 after gallbladder removal:

Fractional food regimen, it is recommended to eat 5-6 times a day, servings are approximately a handful.
Constant time for eating, this “disciplines” the liver and speeds up adaptation. This type of nutrition allows you to develop a habit - bile secretion increases at certain time intervals.
Dinner no later than 3 hours before bedtime.
Products should be crushed as much as possible.
You should not eat foods and dishes that stimulate bile secretion - sour, salty, fatty, carbonated, etc.
Cooking technology: boiling, stewing, baking. It is advisable to stop using a microwave for 1.5 months after surgery.
Dishes are served warm. Hot or cold stimulates bile secretion.
It is advisable to limit the amount of salt to 8-10 mg per day.
There should be no half-raw food in the diet for the first month and a half.

It is necessary to adhere to all recommendations of the attending physician. If necessary, the adaptation period is supplemented with medications that improve digestion and accelerate the excretion of bile.

It takes about a year to adapt to a new state, but some restrictions remain for life.

Allowed foods in the diet after gallbladder removal

When it is recommended to expand the food set, only one type of new food is added every day, and little by little. It is necessary to analyze the patient’s condition and find out exactly how this product acts on the body. If the condition worsens, you need to take a “step back” and return to a leaner diet.

List of permitted products:

Mineral water, alkaline, without gas;
Bakery products - dried white bread, unsweetened cookies and biscuits;
Soups, except mushroom;
Poultry and meat: chicken, turkey, veal, beef, rabbit;
Low-fat fish - trout, pike, sea bass, pollock, hake, cod;
Semi-viscous porridges - oatmeal, buckwheat, pearl barley, rice, barley;
Eggs - whites only;
Oils - a small amount;
Vegetables, fruits, berries and herbs - after heat treatment;
Drinks - lightly brewed chicory tea and coffee, milk and lactic acids, compotes, fruit drinks, juices;
Lightly salted herring soaked in milk, vinaigrette with lightly salted cucumber;
Cottage cheese, soft unleavened cheeses, all reduced fat;
Desserts - jelly, jelly, jam, marshmallows, homemade marmalade, a little honey.

The recommendations are not absolute. If a certain type of food is not accepted by the body, it should be abandoned.

The inclusion of seafood in the patient’s menu should be confirmed with the attending physician or nutritionist. They effectively neutralize bad cholesterol, but accumulate heavy metals and toxins from the environment in which they live. Nutritionists have differing opinions on products of this type.

Prohibited foods after gallbladder removal

The list of prohibited foods is narrowing gradually, much more slowly than the list of permitted foods is expanding. However, there are products whose consumption are absolute contraindications, and you will have to give them up forever, regardless of your health condition.

Such foods include:

Catering dishes - French fries, hamburgers and other fast food;
Butter products with excess cream - cakes, pastries, sweet pastries;
Fatty and fried;
Cooking fat in any form;
Salted caviar.

List of temporary food restrictions:

Fresh bread, sweet pastries, fried dough;
Meat by-products and sausages;
Rich soups and broths;
Mushrooms;
Canned food of all types;
Sausages, with the exception of the above;
Fatty fish - mackerel, red fish, catfish and the like;
Stringy meat and lard;
Spices and seasonings that stimulate fermentation;
Confectionery sweets - lollipops, chocolates and bars, ice cream;
Strong drinks - coffee, alcohol, soda;
Legumes - in beans and pods;
Foods that you have not eaten before, for example, fruits from the tropics.

It is possible to return to these products after rehabilitation, but consume little by little, avoiding overeating. The products included in this list are not healthy. Before you put them back on the menu, you should think about whether you need to do this?

If it contains mushrooms, legumes and vegetables useful substances, then fatty and fried foods stimulate the formation of a fat layer and the accumulation of excess weight. It is impossible to return to full training after removal of the gallbladder. Overweight may provoke a relapse of the disease - due to metabolic disorders, stones in the bile ducts will begin to form again.

The patient's health largely depends on self-discipline and willpower. It is difficult to resist prohibitions, but the patient must realize that violating the recommendations causes a deterioration in the condition. Symptoms of exacerbation: nausea, weakness, heartburn, possible vomiting and constipation.

Menu for nutrition after gallbladder removal

When removing the gallbladder, they switch to the main diet from 2 weeks. Nutritious food- several meals, separate dishes - start from 2 weeks. At this time, the patient is already moving freely, the intestines are working in full. The menu is based on dishes from the Pevzner diet - table No. 5 and 5a.

For breakfast or dinner you can choose from:

A portion of fresh low-fat cottage cheese or casserole.
Cereal dishes - any porridge, except semolina and millet, since these cereals tend to swell in the intestines, and their digestion requires an increased secretion of bile.
Potatoes, except fried. With any cooking method, the vegetable is mashed until pureed.
Protein omelet. You can eat 2 omelettes at one time chicken proteins or from 12 quail.
Minced meat and fish dishes or baked in foil until soft. The fibrous structure of meat will immediately force you to return to a meager diet.
Salads from cooked vegetables - vinaigrette, “winter” without raw onion And egg yolk and the like.
Cottage cheese casseroles and puddings - preferably steamed.

The dishes are not combined into complexes. You can’t eat meat with salad or wash down your food with drinks. For the first 6 weeks after surgery, it is advisable to adhere to separate power supply.

Allowed drinks:

Cup warm milk or lightly brewed black tea with milk;
Freshly squeezed juice from sweet berries or fruits - for the first 2 weeks after surgery it is half diluted with water, then the amount of water is reduced, honey can be added for taste.

Selection of dishes for lunch:

Vegetable soups - knead vegetables before serving;
Lenten borscht without frying, the meat is cooked separately;
Meatball soup;
Milk soups with a small amount of cereal;
Minced meat dishes - meatballs or cutlets;
Vegetable side dishes.

Snacks based on fermented milk drinks and desserts. They are consumed 30-40 minutes after the main meal.

The approximate daily menu is divided into 6 meals:

Morning - cottage cheese casserole with apples or a handful of pureed nuts, tea with milk without sugar;
Snack - 2 crackers with fermented baked milk;
Lunch - a plate of lean borscht with a spoonful of sour cream, chicken fillet with mashed potatoes, berry compote;
Afternoon snack - a portion of jelly, biscuits, yogurt;
Dinner - vegetable salad with the addition of boiled beets as a side dish, seasoned with a spoon of sunflower oil, a piece of fish baked in parchment, tea infused with rose hips;
Before bed, half a glass of milk or kefir.

On a diet baby food from jars are not included. All shelf-stable products contain preservatives.

Recipes for diet after gallbladder removal

A starvation diet has nothing to do with the postoperative diet. The food is varied, the dishes are tasty, the products are fresh.

What dishes can be included in the diet:

Sandwich mince. In a blender, grind chicken meat, 1 blanched tomato, 1 egg white, 1/3 cup yogurt, add a little salt to the mixture. Spread on a piece of dried white bread. The dish is suitable for a snack or second dinner.
Diet soup. Boil 2 potatoes and one tomato until tender, add dried white bread croutons, boil for another 5 minutes, add some salt. Grind in a blender, pouring low-fat cream in a thin stream - half a glass.
Vegetable soup with chicken. Finely chop parsnip root, 1 carrot, several cauliflower florets and half a large potato. Boil the chicken fillet, draining the water twice. Pour the weak prepared broth over the vegetables, cook until tender, then finely chop the chicken meat, approximately 150 g, add to the soup, and blend everything with a blender. Before serving, you can season with grated cheese and sour cream and serve with white bread croutons. The cheese is poured into the soup, which has already been removed from the heat; it should not “dissolve” - melted cheese will irritate the mucous membrane of the digestive tract.
Fish quenelles. A piece of bread is soaked in milk or low-fat cream; raw white fish fillets are ground 2-3 times in a meat grinder so that all the bones are ground. Add squeezed bread and egg white to the minced meat, add a little salt, knead and form small balls. Boil the dumplings in boiling water. Can be served on its own or added to puree soup.
Meat dumplings with cottage cheese. Grind 200 g of veal in a meat grinder, add 150 g of cottage cheese, a piece of bread soaked in milk, the white of 1 egg, and salt to taste. Form dumplings or meatballs and place in a steamer.
Garnish. Boil carrots, pumpkin, potatoes and mix together in a grated form. Combine ingredients according to your taste.
Dessert. Ingredients: 0.5 kg of fresh apricots or peaches, 1 tablespoon of sugar, 15 g of gelatin. Gelatin is dissolved into boiled water, leave for 30 minutes. The fruits are washed, brought to a puree state, and then the puree is heated over the fire, but not brought to a boil. Mix fruit puree with gelatin and pour into molds. You can consume 50 g in portions.
Meat soufflé. You should prepare a foil pan in advance and grease it with butter. Boil the chicken fillet until half cooked, beat it with egg white and a tablespoon of sour cream, put it in a mold and place the mold in a steamer. Cook for 15 minutes.
Cottage cheese casserole. Cottage cheese - 250 g - beat in a blender with the whites of 2 eggs, add a little sugar, semolina - 2 tablespoons, a teaspoon of butter. Mix everything thoroughly, put it in a silicone mold and bake in the oven at 160°C for about 40 minutes. Serve with a spoonful of jam or honey.

After a month and a half, you can add nuts to the daily menu, fresh berries and fruits, vegetable salads, reduce the number of meals to 5 times a day.

There is no need to rush. Digestive disorders are caused not only by the lack of a “capacity” for the accumulation of bile secretions, but also by a decrease in the concentration of specific enzymes necessary for digestion. That is why it is worth adjusting the cooking technology - it should be easily digestible in new conditions.

How to eat after gallbladder removal - watch the video: