Struggling to Recover After Illness: Nutritional Guidance for Better Health - Nutrition

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Unable to recover after being ill?


I am 153 cm tall and weigh only about 39 to 38 kg.
I previously suffered from gastroenteritis for a month, and despite taking Western medicine, my condition did not improve.
Everything I ate was expelled from my body.
Although I feel a bit better now, I still feel like nothing I eat is being absorbed.
Therefore, I thought about trying traditional Chinese medicine for adjustment, but instead, I ended up losing more weight.
Even taking nutritional supplements causes stomach pain, leaving me increasingly confused.
My gastrointestinal absorption is very poor, so I tried eating smaller meals more frequently, but that also did not help.
What should I do to become healthy and return to a normal weight?

Xiao Tang, 20~29 year old female. Ask Date: 2017/09/27

Dr. Cai Xiuwen reply Nutrition


Hello! After gastroenteritis, the intestines require smaller nutrient molecules for better digestion and absorption.
It is recommended to consume finer-textured foods, such as congee, chicken soup, and fish soup, in small, frequent meals.
Before main meals, you can have small amounts of softer fruits to aid digestion and absorption, aiming for about 6-8 meals a day.
Additionally, using probiotics can help adjust the gut microbiota and gradually improve intestinal health.
Although natural foods may not be high in calories, their nutrients are better absorbed than those from nutritional supplements, so it is advised not to rely on processed tablets.
If you still have difficulty digesting congee, fish soup, or chicken soup, it is recommended to return to the hospital for an evaluation by a gastroenterologist to check for any other issues.
Furthermore, you may consult with a dietitian at a nutrition clinic to discuss your dietary needs in detail, allowing for tailored recommendations based on your condition.
This response is provided by Dietitian Tsai Hsiu-Wen from Nantou Hospital, Ministry of Health and Welfare.

Reply Date: 2017/09/27

More Info


Recovering from an illness, especially one as debilitating as prolonged gastroenteritis, can be a challenging journey. Your situation, characterized by significant weight loss and difficulty with nutrient absorption, requires a multifaceted approach that includes dietary adjustments, medical consultation, and possibly lifestyle changes.

First and foremost, it’s essential to understand that after a prolonged illness, your body may take time to heal and regain its strength. Gastroenteritis can lead to a loss of appetite, malabsorption, and a general feeling of malaise, which can further complicate recovery. Here are some strategies to help you regain your health and normal weight:
1. Consult a Healthcare Professional: Before making any significant changes to your diet or trying new remedies, it’s crucial to consult with a healthcare provider, such as a gastroenterologist or a registered dietitian. They can assess your condition, recommend appropriate tests to evaluate your digestive health, and provide tailored advice.

2. Focus on Nutrient-Dense Foods: Since you are struggling with absorption, it’s vital to prioritize foods that are rich in nutrients but easy to digest. Consider incorporating:
- Lean Proteins: Chicken, turkey, fish, eggs, and plant-based proteins like tofu and legumes can help rebuild muscle and support recovery.

- Healthy Fats: Avocados, nuts, seeds, and olive oil provide essential fatty acids that can help with nutrient absorption.

- Complex Carbohydrates: Whole grains, sweet potatoes, and oats can provide energy and fiber, which is important for digestive health.

3. Small, Frequent Meals: You mentioned trying small, frequent meals, which is an excellent strategy. Eating smaller portions more frequently can help stimulate your appetite and make it easier for your body to digest food without overwhelming your system. Aim for 5-6 small meals throughout the day.

4. Hydration: Staying hydrated is crucial, especially after gastrointestinal issues. Consider electrolyte-rich fluids like coconut water or oral rehydration solutions if you are experiencing ongoing diarrhea or vomiting. Herbal teas and clear broths can also be soothing.

5. Avoid Irritants: Since you’ve experienced stomach pain with certain foods and supplements, it’s wise to avoid irritants such as caffeine, spicy foods, and high-fat or fried foods until your digestive system stabilizes.
6. Probiotics: Introducing probiotics can help restore the balance of good bacteria in your gut, which may have been disrupted by your illness. You can find probiotics in yogurt, kefir, and fermented foods like sauerkraut and kimchi. If you prefer supplements, consult with your healthcare provider for recommendations.

7. Monitor Your Symptoms: Keep a food diary to track what you eat and how you feel afterward. This can help identify any foods that may be causing discomfort or digestive issues.

8. Consider Nutritional Supplements: If you continue to struggle with food intake, nutritional supplements like protein shakes or meal replacement drinks can provide essential nutrients in a more easily digestible form. However, consult with a healthcare provider before starting any new supplement regimen.

9. Patience and Self-Care: Recovery takes time, and it’s essential to be patient with yourself. Engage in gentle physical activity, such as walking, to stimulate appetite and improve overall well-being. Additionally, ensure you are getting adequate rest and managing stress, as both can impact recovery.

In summary, regaining your health after a significant illness like gastroenteritis involves a comprehensive approach that includes dietary modifications, professional guidance, and self-care practices. By focusing on nutrient-dense foods, staying hydrated, and being mindful of your body’s responses, you can work towards restoring your health and achieving a normal weight. Remember, it’s important to seek professional advice tailored to your specific situation for the best outcomes.

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