Post-Polypectomy Diet: What to Avoid After Colonoscopy Surgery

Q: Post-Polypectomy Diet: What to Avoid After Colonoscopy Surgery

Hello： 1. <br>You should be able to eat normally, but avoid very spicy foods to prevent irritating the wound. <br>2. <br>A dry throat may be due to dehydration from diarrhea caused by taking a bowel cleanser; you should increase your fluid intake. <br>As for the swollen throat, i

After undergoing a polypectomy of the intestine, I consumed irritating foods?

Hello Dr.
Tsai,
After following your advice, I finally went for a colonoscopy and found that I indeed have irritable bowel syndrome, but I also discovered a polyp that is likely benign, which was removed.
However, I was hungry for three days during the process.
After the treatment, I completely forgot that I should eat a light diet post-surgery, and I ended up eating sausage and stinky hot pot (with a slightly spicy sauce that doesn't irritate the anus).
Additionally, over the past two days, I have started eating regular white rice...
I have only temporarily avoided coffee.
Will this have any impact on my wound? So far, I have not felt any discomfort in my intestines...
My stool remains the same as before, still soft or loose.

I would also like to ask...
after undergoing a painless colonoscopy, my throat felt very dry, and the next day one side of my throat was swollen.
Is this considered a normal phenomenon? (I have already consulted an ENT specialist.)

Niu, 30~39 year old female. Ask Date: 2017/05/11

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: 1.
You should be able to eat normally, but avoid very spicy foods to prevent irritating the wound.
2.
A dry throat may be due to dehydration from diarrhea caused by taking a bowel cleanser; you should increase your fluid intake.
As for the swollen throat, it is likely unrelated to the colonoscopy.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2017/05/11

More Info

After undergoing a colon polypectomy, it is essential to pay close attention to your diet and overall care to ensure proper healing and avoid complications. Here are some guidelines and recommendations based on medical knowledge and practices.

Post-Polypectomy Diet
1. Initial Diet: After a colonoscopy and polypectomy, it is generally recommended to start with a clear liquid diet for the first 24 hours. This includes water, broth, and clear juices. Gradually, you can introduce bland foods such as toast, rice, and applesauce. Avoid spicy, greasy, or heavy foods initially.

2. Avoid Certain Foods: After the procedure, it is crucial to avoid foods that can irritate the digestive tract or increase bowel movements. This includes:
- Spicy Foods: As you mentioned, spicy sauces can irritate the gastrointestinal lining, especially post-surgery.

- High-Fiber Foods: Foods such as whole grains, raw fruits, and vegetables can be hard to digest and may lead to increased gas and bloating.

- Dairy Products: Some individuals may experience lactose intolerance post-surgery, leading to discomfort.

- Caffeinated Beverages: Coffee can stimulate the intestines and may lead to increased bowel movements, which is not ideal after a procedure.

3. Gradual Reintroduction: Once you feel comfortable and your bowel movements return to normal, you can slowly reintroduce a wider variety of foods. However, continue to monitor how your body reacts to different foods. If you notice discomfort, it may be best to avoid those items.

4. Hydration: Staying hydrated is essential, especially if you experience any diarrhea. Drink plenty of fluids, but avoid alcohol and caffeine until you are fully recovered.

Monitoring Symptoms
- Bowel Movements: It is normal to have soft or loose stools after the procedure, especially if you have recently changed your diet. However, if you experience persistent diarrhea or any signs of dehydration (such as dizziness, dry mouth, or decreased urination), you should contact your healthcare provider.

- Pain or Discomfort: If you experience significant abdominal pain, fever, or rectal bleeding (more than a small amount of blood), seek medical attention immediately.

Throat Discomfort
Regarding the throat discomfort you experienced after the procedure, it is not uncommon for patients to have a sore throat following sedation or intubation during a colonoscopy. This can occur due to the insertion of the endoscope or the use of a breathing tube. If the swelling persists or worsens, or if you experience difficulty swallowing or breathing, it is advisable to follow up with your ENT specialist.

Conclusion
In summary, after a colon polypectomy, focus on a bland, low-fiber diet initially, avoiding spicy and irritating foods. Gradually reintroduce foods while monitoring your body's response. Stay hydrated and be vigilant for any concerning symptoms. If you have any doubts or experience unusual symptoms, do not hesitate to reach out to your healthcare provider for guidance. Your recovery is paramount, and adhering to these dietary recommendations will help facilitate a smooth healing process.

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