Post-Small Bowel Resection Diet: Foods to Eat and Avoid - Nutrition

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Dietary Guidelines After Small Bowel Resection


My mother had intestinal adhesions that caused a bowel obstruction and volvulus at the end of last month.
She underwent a small bowel resection in the hospital.
Now that she has been discharged, she is unsure about what foods she can eat and what she should avoid.
Therefore, I would like to ask the doctor about this issue.
Thank you.

Ting, 20~29 year old female. Ask Date: 2005/09/14

Dr. Huang Shuli reply Nutrition


Hello! The abdominal wound has healed, and after passing gas and starting to eat, the daily diet should be based on a balanced diet.
It is advisable to avoid consuming tough meats (such as chicken gizzards, duck gizzards, beef tendons) and foods that are difficult to digest, such as fried or oily foods.
Vegetables high in rough fiber should be cooked thoroughly until soft, and it is important to chew slowly to prevent undigested food from leaving excessive residue in the intestines, which could lead to obstruction.
Opt for a low-residue diet that includes tender meats, grains, vegetables, and fruits.
The adult small intestine is approximately 4 meters long, and removing a small segment does not affect nutrient absorption.
Wishing you a speedy recovery.
Answered by Dietitian Huang Shuli from Hsinchu Hospital.

Reply Date: 2005/09/14

More Info


After a small bowel resection, it is crucial to follow a specific diet to promote healing and prevent complications such as bowel obstruction or diarrhea. Your mother’s recent surgery due to adhesions and bowel obstruction necessitates careful dietary management to ensure her recovery is smooth and effective.


Foods to Eat
1. Low-Fiber Foods: Initially, it is advisable to consume low-fiber foods to minimize the workload on the digestive system. This includes:
- Refined Grains: White rice, white bread, and pasta made from refined flour.

- Lean Proteins: Skinless chicken, turkey, fish, and eggs. These are easier to digest and provide essential nutrients without adding bulk to the stool.

- Cooked Vegetables: Soft, well-cooked vegetables such as carrots, zucchini, and squash. Avoid raw vegetables as they can be harder to digest.

- Fruits: Canned or cooked fruits without skins, such as applesauce or ripe bananas, are good options. Fresh fruits should be consumed in moderation and preferably cooked.

- Dairy: If tolerated, low-fat dairy products like yogurt can be beneficial, but some individuals may experience lactose intolerance post-surgery.

2. Hydration: Adequate fluid intake is essential. Encourage her to drink plenty of water, herbal teas, and clear broths to stay hydrated, especially if she experiences diarrhea.

3. Small, Frequent Meals: Adopting a "small, frequent meals" approach can help reduce the burden on the digestive system. Aim for 5-6 small meals throughout the day rather than three large ones.


Foods to Avoid
1. High-Fiber Foods: Foods high in fiber can lead to increased stool bulk and may cause discomfort or obstruction. Avoid:
- Whole grains (like whole wheat bread and brown rice)
- Raw fruits and vegetables
- Nuts and seeds
2. Fatty and Fried Foods: These can be difficult to digest and may lead to gastrointestinal upset. Avoid fried foods, fatty cuts of meat, and heavy sauces.

3. Spicy Foods: Spices can irritate the digestive tract, so it’s best to avoid them until she is fully healed.

4. Caffeinated and Carbonated Beverages: These can lead to bloating and discomfort, so it’s advisable to limit or avoid them.

5. Sugar Alcohols: Found in sugar-free products, these can cause bloating and diarrhea, so they should be avoided.


Monitoring and Adjustments
It’s essential to monitor her symptoms closely. If she experiences any discomfort, bloating, or changes in bowel habits, adjustments to her diet may be necessary. Gradually reintroducing fiber-rich foods can be done as her recovery progresses, but this should be done under the guidance of a healthcare professional.


Conclusion
In summary, after a small bowel resection, your mother should focus on a low-fiber diet, emphasizing easily digestible foods while avoiding high-fiber, fatty, and spicy foods. Small, frequent meals can help manage her digestive load. It’s crucial to stay hydrated and monitor her symptoms closely, adjusting her diet as needed. Consulting with a registered dietitian or her healthcare provider can provide personalized guidance tailored to her specific needs and recovery progress.

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