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What to eat after cholecystectomy?
Analysis of illness: Hello, after cholecystectomy, more than 90% of patients have basically recovered after operation, but some patients will have some new problems after operation, so it is still necessary to pay attention to the adjustment of diet. Mainly a small number of meals, eat less high-fat, high-cholesterol foods, such as egg yolk, roe, animal liver, brain and intestines. It is best not to eat fried and fried food, and cook as lightly as possible. Such as carrots, tomatoes and other yellow-red fruits and vegetables, fruit juice, hawthorn and so on can be eaten often. Increase the proportion of protein and carbohydrate in food to ensure the calorie demand. Reducing the content of dietary fiber and a diet with less residue can also reduce the irritation to the gastrointestinal tract. Guidance: limit the intake of fat within 2 ~ 3 months after operation, especially don't eat food containing too much animal fat at one time. Try not to eat fat, animal offal, egg yolk and fried food as little as possible. It is not advisable to eat all kinds of fast food with high fat and calorie. It is not advisable to eat spicy food and drink alcohol. Eat less and eat more meals, and eat low-fat semi-liquid foods or soft rice, such as porridge, noodles, bread, biscuits, tofu, egg white, skim milk and low-fat lean meat, and eat less fiber vegetables and fruits. Steaming, stewing and cold salad are all suitable for cooking. Try to use as little animal oil as possible. The control amount of fat can be gradually changed from 20g to 40g every day. After a period of adaptation, you can gradually ingest fatty foods. Three months after operation (1), according to the symptoms and tolerance to fat, it is not advisable to eat too much fat, and vegetable oil should be advocated when cooking. (2) On the basis of meeting the needs of patients, the total heat energy should not be too high. Obese and overweight patients should lose weight. Reduce to the ideal weight. The supply of heat energy should follow the principle of low-calorie diet. (3) Cholesterol intake should be limited. Cholesterol intake should be less than 300 mg per day, and foods with high animal fat and cholesterol, such as viscera, roe and egg yolk, can be selected. (4) According to the normal demand, protein should supply 50 g ~ 70 g protein every day. But we should choose protein foods with low fat content, such as skim milk, egg white, sea fish, etc. (5) Pay attention to the intake of vitamins, especially the supplementation of fat-soluble vitamins A, D, E and K, among which vitamin K is effective in controlling bleeding caused by certain types of jaundice. (6) Avoid irritating or gas-producing foods, such as radishes and onions, smoking and drinking. (7) eat less and eat more meals. Pay attention to drink plenty of water. Although the gallbladder was removed, we should pay attention to prevent new problems: 1. Diarrhea: more common in half a year after operation. There are three reasons: ① because the gallbladder has been removed, unconcentrated bile can stimulate intestinal peristalsis; ② Incomplete digestion and absorption of fat; ③ Operation leads to intestinal dysfunction. These factors can lead to diarrhea, diarrhea more than three times a day. In this case, patients need not be afraid and can reduce food. Do not eat fried (fried) food, and reduce foods containing more cellulose, such as leeks, celery and cereals. You can see a doctor if necessary. After a few months, diarrhea will disappear on its own, because some bile ducts compensate for gallbladder storage and bile concentration. 2. Abdominal pain: Patients will feel discomfort or slight pain in the upper middle abdomen or right upper abdomen, mostly caused by surgical trauma within six months after operation. As time goes by. The above symptoms will gradually disappear. There is also a common cause of abdominal pain, that is, bile flows back into the stomach and stimulates the gastric mucosa. It is persistent, even spasmodic, and sometimes it can vomit bile. This disease can generally be diagnosed by gastroscopy. In addition, the bile duct opening at the "portal" of the duodenum, Oddi sphincter, may twitch or relax after operation, which may cause abdominal pain, but the pain time is short. If the epigastric pain cannot be relieved in a short time, you should go to the hospital for further diagnosis and treatment. In the case of long-term abdominal pain after operation (6 months later), bile duct stones are generally the most common. Although the gallbladder was removed, stones in the original bile duct may not be found during the operation, or new stones may be formed in the bile duct, or stones in the intrahepatic bile duct may move down. At this time, patients often complain about "relapse of old diseases". This kind of abdominal pain is mostly severe spastic colic, which radiates to the back and shoulders. These symptoms appear. You should go to the hospital immediately for further examination, and you can also use atropine and 654-2. To relieve the symptoms. If you are accompanied by sudden high fever, tenderness in the right upper abdomen and obvious increase of white blood cells, you should suspect that it is a bacterial infection of biliary tract and go to the hospital in time. 3. fever: generally, there should be no fever after half a month of surgery. If you have a fever, white blood cells will increase, suggesting that new inflammation may occur at or near the surgical site. At this time, you should go to the hospital as soon as possible. 4. Jaundice: It usually appears after half a year of operation, which can cause obstruction of the bile duct system for various reasons, and some or all bile cannot flow into the duodenum, causing jaundice. At this time, family members often first find that the patient's sclera (commonly known as white eyes) is yellow, and patients can also see that the urine is as black as strong tea, the stool is as gray as mud, and the skin is yellow and itchy. Early postoperative jaundice may be caused by bile duct bleeding or surgical trauma. But the causes of long-term jaundice after operation are more complicated. Generally speaking, bile duct stricture, residual stones or recurrence are the majority, and a few may be caused by hepatobiliary tumors that were not detected before operation. In any case, once jaundice occurs, you should go to the hospital for further examination in time. After cholecystectomy, no matter what kind of operation is adopted, everything is not all right. After the operation, you need to keep close contact with the surgeon and check regularly. Let doctors find postoperative problems in time. And take corresponding measures. Life care: eat less and eat more, avoid high-fat and high-protein diet, cook and stew light and digestible foods rich in vitamins. See a doctor in time if there is any new situation, and make regular follow-up visits.