What diet if the gallbladder is removed. Diet before and after gallbladder removal: what you can eat and drink, and what you can’t. What happens if you break the diet

Nutrition after removal of the gallbladder is different from that which was before surgery. The patient should know what to eat, because the operation affects the digestion process, there is no place for bile to accumulate and the metabolism is disturbed. The first month, from the first days, you need to carefully monitor your diet so that there are no unpleasant consequences and digestion normalizes.

What foods can you eat and what can't? This question worries all people who have undergone surgery. Indeed, in the absence of a gallbladder, only proper nutrition will help to recover. The diet should be started in the first days after surgery.

Consider the features of eating food at first and a month and a half after laparoscopy.

In the postoperative period, when removing the gallbladder, it is very important to eat small portions, but often.

It is necessary to develop a regular mode of eating food so that bile flows out during meals and does not stagnate in the ducts.

The most restrictive diet for people who have undergone cholecystectomy falls on the first day. In order not to overload digestion, you can not even drink water.

• A day after laparoscopy, it is allowed to drink water and rosehip tea. Three days later, low-fat kefir, herbal tea, chicory or dried fruit compote are allowed. At this time, you can try low-fat broth or soup, as well as mashed potatoes.
• On the fourth day, boiled vegetables, meat and fish are allowed. A serving of a dish should not be more than 200 g, and you need to eat up to 8 times a day. Do not eat anything two hours before bedtime. All meals must be at room temperature.
• After five days, the patient can eat wheat bread crackers (no more than 100 g per day), as well as cereal porridge. If there is no stool disorder, you can use fermented milk products. In the first week after cholecystectomy, it is important to avoid constipation, so as not to strain the abdominal muscles, it is also worth giving up fresh fruits, vegetables and rye bread.
• A week after the operation, the patient can gradually switch to diet No. 5, which must be strictly adhered to for three months. In the absence of complications during this period, you can expand the menu. You can try stewed pureed vegetables and white bread crackers. To diversify your regimen, you can try cottage cheese casserole, meatloaf, bio-kefir or yoghurt prepared with sourdough, macaroni and cheese, egg omelet.

Important! The first two weeks, all dishes must be grinded. If there are no problems with digestion, after this time, you can eat cooked dishes.

Expanded Diet

Two months after laparoscopy, the patient must follow diet No. 5, while maintaining the diet, eat fractionally up to eight times a day.

Diet after gallbladder surgery is mandatory throughout life, of course, the menu can be gradually expanded and diversified, including new dishes.

You can eat such foods: chicken, rabbit, lean veal, raw vegetables and non-acidic fruits, eggs (no more than one per day), whole milk. Dishes should be prepared by stewing or baking. To prepare vegetable salads, you can use vegetable oil or sour cream; no fats of animal origin can be included in the diet. You can drink compotes from dried fruits or non-acidic varieties of berries, herbal tea, a decoction of chicory or rose hips will also be useful. You need to drink up to 2.5 liters of fluid per day.

It is worth noting that it is chicory and rose hips that help in the first year to recover after surgery.

No fatty, spicy or fried foods. You can forget about them for life, and not just in the first year.

Diet after removal of the gallbladder, which diet for weight loss provides for the exclusion from the diet of fats of animal origin, as well as overeating. At the same time, there is a serious difference between them, because you must strictly follow all the recommendations and diet throughout life, because this is the key to successful recovery and recovery after surgery.

The diet during the removal of the gallbladder in the first year is aimed at adapting a person to life without a gallbladder. During this period, the digestion process normalizes. A year later, only some food restrictions will remain.

A diet with a removed gallbladder is effective for losing weight, because excess fats and cholesterol are not deposited in the body.

In the first year, you should try to eat more food rich in protein and fiber, because this helps to normalize the digestion process. To do this, you need to eat more lean meats, raw vegetables (carrots, celery or sauerkraut), as well as fruits (bananas, apples, pears). You can eat yesterday's bread made from wheat or rye flour.

Wheat bran is rich in fiber and can be added to cooked meals. Bran also reduces the likelihood of stone formation and normalizes bowel function.

Shchi, beetroot soup, vegetable borscht, cereal soups are allowed for the first course. As second courses, cereals on the water, pasta are suitable, as a side dish - meat cabbage rolls, meatballs, steamed fish, vegetable salad or stewed carrots with zucchini.

A few months after laparoscopy, if there is no swelling or diarrhea, the use of whole milk, cottage cheese, casseroles from it is allowed. You can eat honey, marmalade, jam and jam. They will replace chocolate and sweets, which cannot be eaten for the rest of the life after laparoscopy.

Important! A diet after removal of the gallbladder is mandatory in the first year, because at this time, due to the restructuring of the digestive organs, patients often develop a complication in the form of pancreatitis.

For a quick recovery after the operation, after three months it is recommended to undergo a health improvement in the sanatoriums of the cities of Essentuki or Borjomi.

Approximate menu for the week

You need to make a menu for a week in such a way as to provide the body with fiber and proteins in the right amount and at the same time contribute to the dilution of bile.

It is necessary to expand the diet gradually, introducing one new product every four to five days, if there are no painful sensations or digestive disorders. Thus, during the year only those foods that can not be eaten, in general, will remain banned.

What menu is suitable after the operation?

1st day.

For breakfast, buckwheat or wheat porridge, tea with milk, hard cheese are suitable.

Lunch should be hearty. Borscht, vegetable salad, dried fruit compote or tea with chicory.

For an afternoon snack, you can drink a rosehip broth with a slice of wheat bread.

For dinner, steamed fish, vegetable stew of zucchini, carrots and cauliflower, as well as tea with cottage cheese casserole are suitable.

At night it is useful to drink a glass of kefir.

2nd day.

For breakfast, milk vegetable soup, grape or apple juice.

For lunch, porridge, a salad of tomato and grated carrots, a slice of yesterday's rye bread.

For an afternoon snack, you can eat raisins or dates, as well as drink tea with chicory.

For dinner, pasta with meat, a boiled egg, steamed carrots or celery and a baked apple.

3rd day.

For breakfast, oatmeal, milk and bread.

For lunch, fish with boiled potatoes, vegetable salad, bananas.

For dinner, borsch, cabbage rolls with meat, cottage cheese casserole with tea.

4th day.

For breakfast, an omelette with a slice of bread, tea with milk.

For an afternoon snack, hard cheese with dates.

For lunch, porridge, boiled chicken, steamed vegetables, dried fruit compote.

For dinner, fish (cod, catfish), potatoes with butter are suitable. Very rarely you can afford seafood (boiled mussels, shrimp or squid), because they are rich in protein.

5th day.

For breakfast, cereal soup, fruit juice or compote.

For lunch, pasta with milk sausages, fresh cabbage salad, tea with chicory.

For dinner, beetroot or cabbage soup, meat cutlets with chopped cabbage, kefir.

6th day.

For breakfast, milk porridge, fruits (apples, grapes, bananas).

For lunch, meat broth, egg, steamed vegetables, baked apple.

Mousse with fresh fruit is suitable for an afternoon snack.

For dinner, baked potatoes in uniform, meatballs, vegetable soufflé with carrots and beets, hard cheese, berry compote.

7th day.

For breakfast, buckwheat porridge, cottage cheese with sour cream and tea with milk.

For a snack, fruit puree, for example, from a banana, is suitable.

For lunch, vegetable soup, steamed chicken with vegetables, dried fruit compote.

For dinner, potatoes, steamed chicken meatballs, cottage cheese soufflé with dates, tea.

We offer recipes for:

1. Chicken meatballs with vegetables. For cooking, you need to take 300 g of chicken, small carrots and onions, 100 g of zucchini. Twist all the ingredients in a meat grinder, form meatballs from the minced meat, and cook them in a double boiler for 25 minutes.
2. Vegetable milk soup. For cooking, you need to take milk and water in a ratio of 1: 1. After boiling, take rice, onions, potatoes and greens. Cook until soup thickens.

This sample menu is also suitable for weight loss.

The diet after removal of the gallbladder helps to normalize digestion and create a diet, as well as unload the body from food that is difficult to digest.

The basic principles of nutrition for people who have undergone cholecystectomy are as follows:

• a balanced, frequent and varied diet;
• all dishes must be boiled or stewed;
• the daily caloric content of the consumed products should not exceed the needs of the body, because this leads to the accumulation of cholesterol;
• meat, fish and dairy products must be present on the menu;

The gallbladder plays an important role in the human digestive system. It accumulates fluid produced by the liver, then is released to break down and absorb fats after eating. In the intervals between meals, bile accumulates in the bladder, its concentration increases.

After surgery to remove the gallbladder, the level of bile is significantly reduced, it is regularly excreted into the intestinal tract. And this affects the breakdown and absorption of fats and fat-soluble vitamins. A person is able to help his body with the help of proper nutrition, affect the quality of absorption of fats. If proper nutrition is present, after a while the body gradually adapts to new conditions. Fatty foods are easier to digest.

Features of the operation

Medical interventions such as gallbladder removal (cholecystectomy) are common. The reason for the operation is mainly cholelithiasis, the causes of which are:

• increased consumption of fats and carbohydrates against the background of a reduced level in the menu of fiber, fruits and vegetables;
• hypodynamia;
• excessive body weight.

The diet after gallbladder surgery should be based on a specific eating pattern. Today, operations to remove the gallbladder are performed using laparoscopy, without making incisions on the body. Manipulations are carried out under general anesthesia. The duration of the rehabilitation period depends on the method of surgical intervention, the consequences after the procedure, concomitant ailments, and the general well-being of the patient.

After a laparoscopic intervention to remove the gallbladder, only pinpoint marks from punctures can be seen on the patient's body. After such an operation, the patient recovers quickly. If the operation is performed in the traditional way, the patient is in a hospital for at least 14 days, and his ability to work is restored after a month. If cholecystectomy was performed using laparoscopic equipment, the patient is in the hospital for 5 days, the ability to work is restored after two weeks.

After the operation to remove the gallbladder, you should refrain from eating for three days, you can only drink clean water. Then the diet gradually expands, but the food should be dietary, the amount of fat is limited to the maximum. Before surgery, if it is not an emergency, the doctor will usually recommend reducing the intake of fatty foods in the weeks leading up to the procedure. The diet after surgery to remove the gallbladder should be balanced, saturated with all the necessary vitamins and minerals.

Often, doctors do not prescribe a special diet, but there are general recommendations for everyone regarding what can be consumed after cholecystectomy:

• food should be fractional - often and little by little;
• simple proteins (poultry and fish meat) are introduced into the diet;
• fat-free foods, vegetables, fruits, grain products are introduced;
• it is necessary to look at the composition of each product, the fat content in it should not exceed 3 grams;
• you can gradually increase the level of fiber in the diet;
• Pure milk and coffee are not allowed.

Nutrition rules after surgery

Two hours after the operation to remove the gallbladder, the patient can make light movements, for example, move his limbs, lift and bend them, raise his head, roll over on his side, and do breathing exercises. Overdried lips are moistened with gauze, previously dipped in boiled water. After 6 hours, rinsing of the oral cavity is prescribed hourly with a decoction of chamomile and sage.

Depending on the patient's well-being, after a day he is allowed to sit on the bed, lower his legs to the floor, it is recommended to perform breathing exercises. Even a day later, if there are no unpleasant consequences after the removal of the gallbladder, the patient needs to drink clean water without gas or an unsweetened rosehip broth. After a day, a person can get out of bed, leaning on a support. Gymnastics, based on the repetition of inhalations and exhalations, is needed constantly. Relatives or those who are close to a person should knead his limbs, chest, back. Massage is carried out continuously, with a frequency of three hours.

Two days after cholecystectomy, you can drink unsweetened tea, kefir with zero fat content, or jelly made from dried fruits. Based on the condition of the operated, a few days after the operation to remove the gallbladder, it was time to expand your diet. The doctor advises to use apple and pumpkin juice. Mashed potatoes, fruit juice jelly, tea are allowed. Food should come fractionally - a little bit, but often. Then it’s good to add grated soup to the diet with the addition of low-fat sour cream or butter, boiled low-fat fish, and protein scrambled eggs.

After another 5 days, stale bread and crackers are introduced into the menu. 7 days after the operation, a person can include in the diet homogenized, pureed cereals, cottage cheese with a low percentage of fat, grated meat (rabbit, veal, chicken). Fish fillet puree, vegetable puree, kefir, yogurt are already allowed. Water should be drunk about one and a half liters per day.

After a week of following such a diet, you can diversify the diet, but the food should remain low-fat, unsweetened, non-acidic (at least another month and a half). The diet includes boiled meat, fish and vegetables. It is also advisable to cook dishes for a couple. It is better to eat the following dishes:

• steamed cutlets from lean meats or fish;
• protein omelet;
• steamed meatballs and meatballs;
• soups on vegetable broths;
• mashed potatoes with a small amount of milk;
• steamed cottage cheese puddings;
• grated porridge;
• fruit jelly;
• fresh unsweetened juices;
• vegetable stew;
• herring, previously soaked in milk.

After a month and a half, it is allowed to add vegetable soups to the diet, once every 7 days - a chicken egg, it is no longer necessary to grind cereals, but they should not be rough, you can boiled chicken, veal, cow's milk, boiled sausage. It is important to remember that the serving size should not exceed 200 grams, but you need to eat often - up to 8 times a day. If a person is not able to draw up a diet on his own, the diet is agreed with the doctor.

The patient is warned that some time after cholecystectomy, the body gets used to the new state, it learns to function differently. A person may feel bloating, cramps, sometimes diarrhea or constipation occurs. In most cases, the digestive system gets used to the new conditions a month after the operation. But you will have to forget about fried food for good.

There is no need to be afraid of the consequences of the operation, as before, you can lead a normal life. It is necessary to notify your attending physician about any changes in your condition; perhaps, if unpleasant symptoms appear, the doctor will correct the diet. As before, the liver copes with the function of producing bile, but its concentration is now less.

The operation to remove the gallbladder is a fairly serious intervention in the smooth functioning of the digestive system. If it is performed on time and professionally, then soon after the surgical intervention, the consequences of the inflammatory process will completely disappear, and all functions of the digestive tract will also normalize. Nutrition after is important, since getting rid of an organ does not mean guaranteeing the complete absence of stones in the future. If you do not follow a diet, then stones can form again, but now they will appear in the bile ducts.

Postoperative risks

The gallbladder is an accessory organ of the digestive tract that serves to store bile produced by the liver. As needed, it is ejected through the bile ducts into the duodenum and serves to digest food. If the formation of bile does not occur properly, then favorable conditions are created in the body for the formation of calculi (stones).

The following factors contribute to their formation:

• long breaks between meals and an incorrectly composed diet;
• inflammatory processes caused by infectious diseases that affect the biliary tract;
• eating foods with high cholesterol levels, which negatively affects metabolism and contributes to its violation.

Even after a successful operation, some problems in the body still remain, a person cannot immediately switch to the correct diet. Too much animal fat in food, bad eating habits, overweight - all this leads to the fact that in the very near future, calculi will begin to form again, but now directly in the ducts that they used to clog with themselves.

The postoperative period is a time of stress for the body, so it is important to follow the nutritional rules prescribed by a specialist.

Important: the normalization of the digestive process is the best and fastest way to recover from gallbladder surgery.

The vast majority of people experience the same problems in the postoperative period.

indigestion

The composition of bile has a very concentrated structure; inside the gallbladder, the secret becomes even more saturated with acids and enzymes. In cases where this organ is removed, there is simply nowhere for bile to accumulate, as a result of which it is thrown directly from the liver into the duodenum.

This means that when it is released, its quantity and composition change. Therefore, the digestive system may simply not be able to cope with a large amount of food, especially if it is saturated with animal fats. The enzymes that make up bile are not able to process them all in time and completely, therefore, dysfunction of the digestive system occurs. Its consequence is pulling pains in the abdominal cavity, nausea, vomiting and stool disorders. That is why the diet after gallbladder removal should be balanced.

Re-formation of stones

The main reason for the formation of stones is a change in the composition of bile, which leads to its stagnation and, as a result, other negative consequences. This reason will not disappear even after surgery, therefore it is extremely important to avoid fatty foods, lead a sedentary lifestyle and rarely eat, as this will lead to the formation of new stones in the ducts and the liver itself.

Bloating and flatulence

These unpleasant symptoms often occur in people who have undergone surgery to remove the gallbladder. They appear as a result of active influence on the mucous membranes of the intestinal microflora, which becomes unfavorable due to the composition of bile. It ceases to be able to fight various pathogenic microorganisms that initiate the processes of fermentation and putrefaction in the intestines. If you eat "heavy" and fatty foods, then a person will be able to create even more favorable conditions for their development and only aggravate his condition.

Bloating is one of the surest signs of problems in the intestines and nearby organs.

How to adjust your diet after surgery

The main reason for the formation of stones, as already mentioned, lies in metabolic disorders. Adjustments to this process must be made by changing the diet. By choosing the right products, you can protect yourself and prevent the development of new stones.

It is necessary to make changes in the daily diet with the obligatory consideration that the body equally requires almost all vitamins and minerals, the question lies only in their quantity.

• Fats. The resulting stones are thickened cholesterol, which is found in large quantities in animal fats. When reviewing nutrition, you should try to reduce its concentration to the lowest possible level, excluding foods such as egg yolk, liver, oily fish and meat. At the same time, it is important to strike a balance, because unsaturated fats, on the contrary, are useful, since they lead to the fact that the bile becomes more liquid, as a result, the formation of calculi is not possible. Products containing them include oils - olive, corn, sunflower, linseed.
• Carbohydrates. Carbohydrates are an important component, but we will not allow their overabundance. Those carbohydrates, such as those found in most cereals or confectionery, make bile thicker and more viscous, and this is great for stimulating the process of stone formation. In turn, easily digestible carbohydrates are found in sugar and foods with a high content of it. They do not have a similar effect on bile, but at the same time they lead to other sad consequences. For example, to obesity or metabolic disorders.
• Squirrels. Protein food is necessary for the body in order to stimulate the renewal of liver cells and generally normalize its work. A lot of protein is found in lean meats and fish, cottage cheese or egg whites.
• Various vitamins. In the case of vitamins, increased attention should be paid to those elements that support the liver and contribute to its regeneration. To do this, it is desirable to ensure that the food is saturated with vitamins of groups B and K, as well as complexes with a high content of ascorbic acid.

Vitamins are a great way to saturate the body with everything useful.

What is needed for proper nutrition

Proper nutrition after surgery will help to avoid many problems. So, what can you eat after gallbladder removal:

• you need to drink as much mineral water as possible, containing alkali in its composition. Thanks to magnesium salts, bile will become more liquid, as a result of which its stagnation can be prevented;
• it is recommended to exclude caffeinated drinks and strong tea from the diet. The enzymes contained in them help to reduce the biliary tract and stimulate hepatic colic;
• don't make yourself feel hungry. Experts have long proven that fasting (a rare meal) leads to stagnation of bile, which is responsible for the digestion of foods. If a person does not eat anything, then bile becomes unnecessary. At the same time, it begins to accumulate uncontrollably inside the gallbladder, and after its removal - in the bile ducts, which ultimately leads to its compaction and the formation of stones;
• breaks between meals should not be too long. Usually, the human digestive system needs rest - this is about 7-8 hours (night sleep time). If, for example, you have a late breakfast or an early dinner, you can significantly increase the risk that stones will appear in the future. Almost every person with gallstones is someone who rarely eats breakfast;
• excess weight should not be allowed, as it stimulates the formation of stones. Statistics say that stones are 6 times more likely to form in people who are overweight. In a particular risk group are women over 40 years of age (overweight);
• It is not recommended to completely avoid fat. Many people believe that the postoperative diet should contain only fat-free foods, but this opinion is erroneous. The fact is that fat is necessary for the digestive system, since it is he who provokes the bile ducts to release secretions. If there are no fats, then there will be no need to remove bile from the ducts, as a result of which it will begin to stagnate, gradually crystallize and turn into new stones. However, it is important to strike a balance here - 1-2 teaspoons of vegetable oil per dish will be enough;
• you need to drink more liquid, as it will help reduce the density of bile. It is recommended to drink at least 1.5 liters per day, making sure to gradually bring the volume to the optimum (30 ml per 1 kilogram of body weight);
• alcohol in the postoperative period is a bit of a controversial issue. Strong drinks, of course, are prohibited, but many experts argue that a small amount of red wine will do the trick. This will improve blood flow and provide nutrition to the walls of the organs with all the necessary vitamins, minerals and other useful elements.

Nutrition after gallbladder removal daily

The importance of diet in the postoperative period is difficult to overestimate. For a person who has had a cholecystectomy, dietary changes should take effect as early as the first day after gallbladder removal. Nutrition, as a rule, is very strict, since overloading the digestive tract can nullify all efforts for a speedy recovery.

Important: on the first day after the operation, it is forbidden to drink even plain water, so you need to be patient.

One day after surgery, you can drink water, rosehip tea also has a beneficial effect. After three days, it is allowed to eat compote from dried fruits, low-fat kefir, herbal tea. Along with this, you can eat mashed potatoes, low-fat soup or simple broth (in small portions).

Fluid intake should be dosed, its excess in this case can be as harmful as the lack of it.

Starting from the fourth day, you can eat lean meat and fish, as well as boiled vegetables. It is important to ensure that each serving does not exceed 200 grams by weight, while eating 7-8 times a day. It is not recommended to eat 2 hours before going to bed.

Five days after the operation, it is allowed to eat cereals from various cereals. If the microflora of the stomach is not disturbed and dysbacteriosis is not observed, then you can gradually start eating fermented milk products - cottage cheese, low-fat kefir. Fresh fruits and vegetables, as well as rye bread, are contraindicated. All these foods can cause constipation, which will lead to overstrain of the abdominal muscles.

A week after surgery, the patient is recommended to switch to diet No. 5 (a diet for people with a variety of liver diseases). It must be adhered to for three months and ensure that the deviations are minimal (or even better not to allow them at all). If during this time no deviations were recorded, then you should begin to gradually introduce variety into the diet. You can eat vegetables, stewed or boiled, crackers. In order to make the menu more saturated and not so monotonous, you can try to eat yogurt or biokefir, cook and eat cottage cheese casseroles, egg scrambled eggs, meat rolls (again from lean meat), macaroni and cheese.

Important: during the first two weeks after the operation, all cooked dishes must be ground to a state of gruel. If there are no problems with digestion during this time, then you can eat everything in the form in which it was cooked.

Diet after laparoscopy

If this particular method of removing the gallbladder was chosen by the specialist, then the diet after the operation to remove the gallbladder will not be so tough. In particular, liquids can be taken already in the first hours after the operation. After 12 hours, the doctor may recommend small portions of liquid soups or jelly.

On the 2nd day after surgery, it is already possible to drink liquids without any restrictions, and the food should be light and also in small quantities. Starting from the third day and beyond, you can switch to a normal diet in strict accordance with diet No. 5.

Inna Lavrenko

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The gallbladder, like other internal organs, is subject to various kinds of pathologies, the treatment of many of which, alas, is possible only surgically.

The operation to remove the gallbladder is called cholecystectomy, and, like any other surgical intervention, causes serious stress in the body.

The gallbladder is usually removed in the following cases:

1. with stones in the gallbladder (if the biliary sludge formed during stagnation of bile (as a result of cholestasis) causes the formation of large stones, which cannot be removed in any other way);
2. with blockage of the bile duct by a gallstone;
3. with a polyp in the gallbladder larger than 10 millimeters;
4. with an acute form of cholecystitis (inflammation of the walls of the gallbladder that occurs during stagnation of bile);
5. with chronic cholecystitis of the calculous type;
6. in the presence of tumors;
7. in case of suppuration and gangrene;
8. in case of violation of the integrity of this internal organ;
9. if this body ceases to function.

Previously, cholecystectomy was performed exclusively by the traditional abdominal method. This technique is still practiced now (especially in emergency cases), however, the removal of the gallbladder by laparoscopy is mainly practiced (gallbladder laparoscopy is a minimally invasive surgical intervention performed with a special laparoscopic instrument through small (about centimeter) punctures in the abdominal cavity). This minimally invasive intervention is monitored by a video camera. When the gallbladder is removed by laparoscopy, the patient is minimally injured, which minimizes the risk of complications after the operation, and also significantly reduces the rehabilitation period.

However, no matter what surgical method is used, the patient with the removed gallbladder needs to adjust his lifestyle based on the new conditions of existence. First of all, it concerns the diet and diet. Products after removal of the gallbladder, which can and cannot be consumed, as well as nutritional features after removal of the gallbladder - we will analyze further.

Diet after cholecystectomy - nutritional features in the absence of a gallbladder

The regimen and diet after the gallbladder is removed (as, indeed, with cholecystitis, and with bile stasis, and with stones in the gallbladder) are prescribed in the dietary recommendations, which are called "Treatment Table No. 5" (diet number 5) . After the removal of stones from the gallbladder and the organ itself, the process of digestion of food is disrupted, since bile has nowhere to accumulate and concentrate, and it constantly enters the intestines, regardless of whether there is food in the gastrointestinal tract or not. More liquid hepatic bile breaks down fats less effectively, and its aggressiveness can cause inflammation of the intestinal mucosa. In this regard, it is very important not only to eat healthy dietary foods, but also to follow a certain diet and eat only those foods that are allowed in order to ensure the most efficient bile flow and avoid congestive processes in the bile ducts (cholestasis).

Features of nutrition after surgery to remove the gallbladder (in the early days)

At this time, the medical staff of the hospital monitors the proper nutrition of the patient, but no one will force you to eat right. Therefore, the patient must take the nutritional requirements with all seriousness and understanding, otherwise the effect of the operation will be close to zero.

Menu after gallbladder removal (first month after gallbladder removal and a week after surgery)

1. First day. During the first day after the cholecystectomy was done, you can neither eat nor drink. Only wetting the lips with a wet swab is allowed. After six hours, you can start rinsing the mouth with herbal infusions or decoctions, but without swallowing. Intervention day - the first 2 hours of complete rest, the patient is not allowed to eat and drink water. In extreme cases, you can wipe your lips and mouth with a damp swab.
2. During the second and third days, you can gradually give the patient an infusion or decoction of wild rose after removal of the gallbladder or clean non-carbonated warm water. The daily volume of liquid during these two days should not exceed one liter. You can’t eat yet, but you can (and even need to) start getting up and walking.
3. Three days later, on the fourth day, fruit compotes or jelly can be introduced into the patient's diet. Also at this time, you can give low-fat kefir after removal of the gallbladder or unsweetened types of yogurt. The daily cumulative rate of fluid increases to one and a half liters. You can't eat solid food.
4. Starting from the fifth day after the intervention, you can add a small amount of mashed vegetable puree to the diet. If it becomes completely unbearable to endure hunger, in order to improve the psychological state of the patient, it is permissible to give him one hundred grams of unsalted crackers dried from white bread.
5. On the seventh day, the main table number 5 comes into force. Its main principle is based on fractional nutrition, the essence of which is the frequent (five to seven times a day) consumption of small portions of diet food (necessarily at regular intervals). Such nutrition allows for the most efficient breakdown of food products and the most optimal bile flow. All food on days from the seventh to the tenth should be pureed, cooked either by boiling or steaming, the temperature of the dishes should be warm.
6. The use of solid food is allowed from the tenth day, but all other recommendations should be followed for at least a year.

It is generally accepted that these requirements are typical for abdominal cholecystectomy. After laparoscopy of the gallbladder, the requirements remain, only the timing of the expansion of the diet, which is determined by the doctor based on the results of the operation, changes. Food after removal of the gallbladder (laparoscopy or laparotomy) does not depend on the method of the operation and the diet is the same for both cases. Nutrition after removal of the gallbladder for the first month is the most limited. After a month and a half, the diet expands, but the first 3 months the diet is quite strict.

Experts recommend that a person without a gallbladder (as well as patients with pathologies of this organ and with stagnant bile) follow such a regimen and diet throughout life, although doctors in some cases were allowed to occasionally indulge in forbidden dishes if the patient feels well on over a long period of time. The key word here is “occasionally,” as the diet itself will remain the main nutritious diet. Is it possible to eat certain foods after removal of the gallbladder - only the attending physician decides.

What to eat and what not to eat on this diet. Food List for Cholecystectomy Patients

As mentioned above, all dishes must be cooked either steamed or boiled. Allows you to make casseroles. You will have to forget about fried, spicy and fatty dishes on the menu. The following types of products are also banned:

• all kinds of sauces, spices and spices;
• any kind of mushrooms;
• canned, pickled products and semi-finished products;
• fast food;
• fatty meat (pork, beef, lamb, duck and goose) and fatty fish, as well as broths based on them;
• sweets;
• muffin;
• ice cream;
• coffee;
• strong tea;
• chocolate;
• legumes (beans, peas, lentils, etc.);
• sour fruits and berries;
• some types of vegetables with a high content of essential oils (for example, radishes);
• carbonated and alcoholic drinks;
• other harmful products with a removed gallbladder.

The list of products that are allowed to be consumed by diet No. 5 after removal of the gallbladder:

• lean dietary meat (veal, chicken, turkey);
• low-fat types of sea and river fish;
• vegetable oils (in limited quantities);
• sweet fruits and berries (including in the idea of ​​compotes and freshly squeezed juices);
• vegetables (except prohibited), both raw and cooked (mashed potatoes, casseroles, steamed vegetables, soups, etc.);
• fiber-rich cereals (buckwheat, semolina, rice, pearl barley, oatmeal), as part of soups or cereals;
• soups with vegetable broth;
• watermelons;
• still mineral water;
• low-fat dairy products (kefir, yogurt);
• cottage cheese;
• one egg per week;
• other diet foods low in cholesterol and heavy animal fats.

A nutritionist or attending physician will help you to make a diet in the absence of this remote organ, based on the individual characteristics of your body. This will help to remove stagnant bile from the body and normalize the digestive process for many years to come.

Treatment table number 5 - everything is not as sad as it seems. Sample menu after gallbladder removal

In fact, the 5th table menu after gallbladder removal can be both varied and tasty. Next, we will give some recipes for removing the gallbladder. The recipes are quite simple, but they allow you to create a very diverse menu when removing the gallbladder for every day. It is worth noting that the recipes for dishes with stones in the gallbladder or cholecystitis are no different from those that we give below. There are delicious dishes with such food.

Preparing breakfast food

Curd paste

To prepare such a paste, you need to take 100 grams of cottage cheese, a tablespoon of sour cream and a teaspoon of sugar. Mix everything well (you can then pass through a sieve). On the basis of such a paste, it is possible to cook a lot of dishes by adding salt and herbs, dried fruits or berries instead of sugar. This curd product can be eaten as a separate dish, or you can spread it on yesterday's white bread and put a piece of boiled veal or chicken. A healthy and tasty sandwich is ready - eaten and full.

Semolina porridge

Mix semolina in the amount of two tablespoons with a glass of milk diluted with water (3/4 milk and ¼ water). Add a teaspoon of butter and sugar to taste (but not more than a tablespoon). Cook until thick and cool to a warm temperature. You can eat in this form, you can - with berries or fruits.

Protein omelet

Since the egg yolk is banned, we take three egg whites, 30 grams of milk, a little salt and butter. Proteins are mixed with milk and whipped with a whisk or blender. In general, this omelette is best steamed, but if there is no double boiler, you can also cook it in a pan (preferably with a non-stick coating without oil). Prepare any vegetable salad - and an excellent breakfast is provided to you.

"Lazy" dumplings

We take one package of cottage cheese (250 grams) and two tablespoons of flour. Add a tablespoon of sugar and one egg white. Salt and mix thoroughly. From the resulting mixture we sculpt dumplings and boil them in boiled water. Very tasty with sour cream.

Diet lunch recipes

Vegetable oatmeal soup

We take two hundred grams of potatoes, two tablespoons of oatmeal or cereal and one carrot. Add a little salt and five grams of vegetable oil. We cut the vegetables into small pieces, pour half a liter of water and put on the stove. As soon as the vegetables are half cooked, add the oatmeal, and then cook for another five minutes. Salt to taste is best at the end. For taste, you can add a little butter and herbs.

Chicken soup puree with vegetables

We will need 150 grams of boiled chicken, one carrot and vegetable broth, as well as celery (root), parsnips, herbs, five grams of vegetable oil and a little salt. We put finely chopped vegetables in the broth and cook until half cooked, and then put the chicken (preferably breast). After that, salt, add oil and wait until it boils. Then put everything in a blender and beat. Very tasty with white crackers, grated cheese, herbs and sour cream. For such soups, you can use cauliflower or Chinese cabbage, potatoes, broccoli, and so on. The method of preparation does not change from this.

Fish quenelles

We take 200 grams of minced white fish fillet, two tablespoons of milk, one egg and a piece of yesterday's white bread. Soak the bread with milk and wring it out, after which we add it to the minced fish. Then mix the mixture with egg white and add some salt. Then we sculpt balls from this mixture and cook in water or vegetable broth. If you want not quenelles, but cutlets, then from such minced meat they can be cooked either steamed or in the oven.

Veal cutlets or quenelles

They are prepared similarly to the previous dish, and the following are used as ingredients for minced meat: 200 grams of lean veal; a piece of yesterday's white bread; 100 grams of low-fat cottage cheese; milk for soaking bread; one egg white. Weld - get quenelles. Cook for a couple or in the oven - there will be tasty and healthy cutlets.

Dinner should be light, so there is nothing better to eat in the evening than a salad. Here are some simple healthy recipes:

Vegetable salad with dietary meat

To prepare such a salad, we need three hundred grams of lean chicken or veal, three potatoes, a couple of fresh cucumbers, one egg, some green peas and sour cream. We pre-boil meat or poultry, potatoes and eggs too. Then we cut everything into small pieces (along with cucumbers) and mix, adding peas. Season with sour cream and - a tasty and healthy salad is ready. For lovers of spicy taste, we recommend adding a little sweet apple and herbs.

The vinaigrette

We take boiled potatoes, boiled beets and carrots, some green peas and herbs. All ingredients (except peas, of course) cut into small pieces and mix. Then add herbs and vegetable oil (no more than one tablespoon). That's all - bon appetit.

Vegetable salad of new potatoes with herbs

Cool the boiled young potatoes and cut them into cubes. Next, add pre-cut fresh tomatoes and cucumbers and sprinkle with dill. Mix, add salt and season with vegetable oil (one tablespoon). Tasty, healthy and satisfying.

All of these salads can be eaten with stones in the gallbladder, and with polyps of the gallbladder, and with other pathologies of this organ.

How about without sweets? Dessert menu

Despite the fact that diet No. 5 prohibits sweets, it still contains not only healthy, but also delicious sweet desserts. And tasty and healthy natural honey after removal of the gallbladder will help you do without sugar if you add it to tea and other dessert dishes.

Here are a few recipes that will help satisfy your sugar cravings:

orange jelly

We squeeze orange juice, for each glass of which we take two teaspoons of sugar and ten grams of gelatin. If you do not want the pulp to be in the jelly, strain the juice through a sieve. Gelatin must first be poured with 50 milliliters of cold water and allowed to swell for half an hour. We add sugar in the indicated proportions to the juice and heat it on the stove to a temperature of 70 to 80 degrees. The main thing is that the juice does not boil. Then add gelatin and mix well. After that, pour the homogeneous orange mass into molds and set to harden in the refrigerator. You can also make jelly from any other types of berries or fruits.

Apricot mousse

We take half a kilogram of fresh apricots, a tablespoon of sugar and 10 grams of gelatin. You can, but not necessarily, take another box of cardamom (for an amateur). We prepare gelatin in the same way as in the previous recipe. We bring the washed pitted apricots in a blender to a puree state, add sugar and crushed cardamom in a mortar. The resulting mixture is heated to 80 degrees, avoiding boiling. Then put the gelatin and mix thoroughly. Pour into prepared small glasses and put in the refrigerator.

Cottage cheese casserole flavored with berry sauce

We will need:

Beat the cottage cheese in a blender and add the rest of the ingredients (you can also put dried fruits). We mix everything well. Then grease the pre-prepared form with oil and lay out the finished mixture. Bake in the oven for forty minutes.

Berry sauce is prepared very simply: beat any sweet berries or their mixture in a blender and add sugar to taste.

If you add carrots, pumpkin and dried fruits to casseroles, you get several different dishes. Delicious with sour cream. You can add some honey.

Diet number 5 diet provides for frequent fractional meals at regular intervals (in small portions). Based on this requirement, the daily menu can be as follows:

• First breakfast (8:00):

1. cottage cheese - 150 grams with a handful of raspberries and a dessert spoon of low-fat sour cream;
2. dried fruits compote;
3. biscuits.

• Second breakfast (11:00):

1. rice porridge (you can use bran after removal of the gallbladder);
2. a piece of yesterday's bread;
3. orange jelly;
4. rosehip decoction.

• Lunch (14:00):

1. vermicelli soup;
2. a piece of boiled turkey;
3. vegetable puree;
4. white crackers;
5. jelly.

• Afternoon snack (17:00):

1. cottage cheese casserole;
2. dried fruits compote.

• Dinner (20:00):

1. a piece of boiled chicken;
2. mashed potatoes;
3. vegetable salad;
4. white bread crackers;
5. green tea.

Frequently Asked Questions About Allowed and Prohibited Foods

1. Is it possible to eat sausages after gallbladder removal?

Undesirable, especially smoked and pork. It is forbidden to use sausages because of their high fat content. Some nutritionists say that you can eat low-fat milk sausages, but it is better to refrain from such food after all.

1. Is it possible to eat seeds after the removal of the gallbladder, otherwise I click them almost constantly?

Fried - no. In raw form, you can eat them in limited quantities no earlier than 2 months after the operation, while limiting the use of other vegetable fats.

1. Can nuts be eaten after gallbladder removal?

It is possible, but - not earlier than one and a half months after the operation and preferably - in limited quantities and with honey (preferably walnuts), while limiting the use of other fats.

1. Can I drink kefir after gallbladder removal?

Not only possible, but even necessary! Just make sure that its fat content does not exceed 2.5 percent. It is especially useful to drink a glass of kefir before going to bed, so drink it at night.

1. Can I have milk after gallbladder removal?

Yes, if there is no individual intolerance. The fat content of the dairy product should be no more than 2.5 percent. Milk can provoke diarrhea, in which case it will have to be discarded.

1. Is it possible to dumplings after removal of the gallbladder?

Is it possible to eat dumplings after removal of the gallbladder - the question is ambiguous. Many experts agree that if the dumplings are self-made, high-quality flour and low-fat dietary filling were used, then such a dish can be eaten from time to time. Purchased dumplings should not be eaten, because they contain fatty minced meat.

1. Is it possible to have a liver after gallbladder removal?

Yes, if it is chicken or beef (only stewed; it is better if it is ground into a liver pate (not purchased!)).

1. Is it possible to drink tomato juice after gallbladder removal?

Only freshly squeezed and in small quantities. In general, you need to be careful with tomatoes. They can only be eaten fresh and without the skin. Ketchups, tomato paste, tomato-based sauces, as well as pickles and marinated tomatoes are not allowed.

1. Can I eat beets after gallbladder removal?

1. Why can't chocolate be eaten after gallbladder removal?

Chocolate is not allowed because it contains a lot of sugar, as well as an excess amount of carbohydrates that accumulate in the body in the form of fat.

1. And what about seaweed after such an operation?

Seaweed after removal of the gallbladder is allowed for use, but it all depends on its type. If it is canned, then such products are allowed no earlier than a year after the operation. If it is dry or frozen, then one and a half months after the resection of the bladder.

1. Is it possible to cottage cheese after removal of the gallbladder?

Need! This product (with low fat content) is great for proper nutrition after cholecystectomy.

1. Can you eat cucumbers after gallbladder removal?

Yes, but only - fresh and with pre-skinned. Good to add to salad.

1. Sauerkraut after removal of the gallbladder - is it possible or not?

Definitely - no. All fermented foods cause fermentation processes in the intestines, and this after cholecystectomy is completely undesirable.

1. Corn after removal of the gallbladder - is it possible or not to eat it?

The answer is yes, you can. And corn stigmas are an excellent tool for the prevention of stone formation in the bile ducts.

1. Is persimmon allowed after gallbladder removal?

It cannot be eaten after the resection of this organ due to its high viscosity, which greatly complicates its absorption by the body.

Not earlier than one and a half months after the operation, in limited quantities.

Nutrition when removing the gallbladder is no different from the diet recommended for other pathologies of the biliary system (for example, with stones in the gallbladder). As you can see, there is nothing wrong with following a diet after gallbladder removal. Show your imagination, and your menu will be not only useful, but also very diverse and tasty. Eat right, do not forget to take a set of prescribed medications and be healthy!

Removal of the gallbladder is a serious intervention in the digestive tract. But performed according to clear indications, it contributes to the normalization of functions disturbed by the inflammatory process and compaction of stones. Proper nutrition ensures its long-term effect. After all, removing the gallbladder does not mean at all that you will protect yourself from the formation of stones in the future. Without a proper diet, they can re-form, but already in the bile ducts.

Risks after surgery

The gallbladder is an auxiliary organ in the digestive system. Bile is not formed in it, but only accumulates, and at the time of food intake it is thrown into the duodenum. If the function of bile formation is impaired, conditions arise for the formation of stones (calculi).

Their education is facilitated by:

• stagnation of bile due to improper diet with long breaks between meals;
• infectious diseases of the biliary tract, provoking inflammation;
• metabolic disorders due to an incorrect diet with high cholesterol levels.

As a rule, a complex of problems leads to the formation of stones. And after the operation, some of them remain. Incorrect eating habits, a diet rich in animal fats, excess weight and associated metabolic disorders contribute to the further formation of stones directly in the liver ducts.

A proper diet after removal of the gallbladder ensures the correct absorption of products, normalizes digestion, protects against the formation of new stones and other problems in the digestive tract.

Consider the characteristic problems of the postoperative period.

indigestion

Bile takes part in digestion in a concentrated form. Produced by the liver, it accumulates in the gallbladder, where its composition becomes more saturated, enzymatically active. If there is no gallbladder and there is nowhere to accumulate, bile in small volumes constantly flows out of the liver and enters the duodenum.

At the same time, not only its composition changes, but also its quantity. Therefore, the digestive tract cannot cope with "heavy" fatty foods, as well as with its large volume. After a plentiful meal or the use of "forbidden" foods, digestive disorders occur. They are manifested by heaviness in the abdomen, pulling pains, nausea.

Re-formation of stones

For the first time faced with stones in the body? The main reason for the appearance of stones is a violation of the composition of bile, which leads to its stagnation and further negative consequences. Some time after the operation, the cause of the disease does not disappear. Large and rare meals, eating fatty foods, a sedentary lifestyle will support your liver in the formation of new stones. You can not overeat, especially eat fatty foods at night.

Flatulence and bloating

These problems often accompany people in the first months after surgery. It causes their growth of unfavorable intestinal microflora, which was previously oppressed by bile saturated with enzymes. Weakened and not concentrated, it is no longer so active against pathogenic microflora, which causes the processes of decay and fermentation in the intestines. By "helping" pathogenic bacteria with certain types of food, you contribute to the aggravation of the problem.

“Compliance with the principles of a healthy diet is the most important dietary rule after gallbladder removal surgery,” comments a gastroenterologist, candidate of medical sciences Alexander Myasnikov. - Vegetables and fruits, less meat and more fish, instead of regular dairy products - low fat, this is what you can eat. Traditionally, doctors recommend frequent and fractional meals.

Diet principles after gallbladder removal. What food is good after surgery

“Stone formation is caused by metabolic disorders. They need to be corrected with the help of the diet, - says dietitian Lyudmila Denisenko. “By choosing the right products, you can avoid post-operative problems and prevent new stones from forming.”

The composition of the diet should be adjusted taking into account the body's need for the main components of nutrition.

• Fats. Calculi consist of cholesterol, which is present in large quantities in animal fats. The volume of its consumption should be reduced as much as possible by excluding fatty, cholesterol-containing foods from the menu: liver, fatty meats and fish, egg yolk. At the same time, valuable unsaturated fats in the diet should be preserved, as they contribute to the dilution of bile and prevent stone formation. We are talking about vegetable oils such as sunflower, corn, linseed, olive.
• Carbohydrates . The most important component of the diet, but their choice should be approached deliberately. The fact is that the carbohydrates contained in pastries and cereals stimulate the acidification of bile, which serves as an additional factor for the formation of stones. Easily digestible carbohydrates contained in sugar and dishes with it (marmalade, jam, marshmallow) do not have such an effect, but contain too many "empty calories" that stimulate weight gain and metabolic disorders.
• Squirrels. Sufficient intake of protein food in the body is necessary to normalize the functioning of the liver, stimulate the renewal of its cells. Complete protein is found in egg whites, cottage cheese, lean fish and meats.
• Vitamins. Particular attention in nutrition after surgery to remove the gallbladder should be given to vitamins involved in the functions of the liver. To support its regeneration, it is necessary to consume foods or vitamin complexes containing ascorbic acid, vitamins of groups B and K. Include complexes with retinol in the diet. Its deficiency contributes to the crystallization of bile.

The daily diet should include the main food groups in the following proportions:

• 25 percent protein- easily accessible, well-digestible dishes from meat, poultry, fish, dairy products;
• 25 percent fat- unsaturated vegetable oils, a small amount of animal fats from dairy products;
• 50 percent carbs- the right "slow" carbohydrates from cereals, vegetables and fruits, in a small amount from simple sugars.

“Cholelithiasis is extremely rare in vegetarians,” says dietitian Lyudmila Denisenko. - And also in people who often consume legumes, oranges and nuts. There is no consensus on why these particular foods reduce the risk of stone formation. Perhaps the reason for this is fiber, and perhaps vegetable proteins. They are known to thin cholesterol and prevent the formation of dense fat clots.”

Eating Rules

Also, proper nutrition after gallbladder removal should be based on the following principles.

• Drink alkaline mineral water. The magnesium salts contained in it alkalize bile and prevent its stagnation.
• Avoid coffee and strong tea. Caffeinated drinks stimulate the contraction of the bile ducts. After using them, you are likely to experience discomfort from hepatic colic.
• Don't starve. It has been proven that diets with a sharp restriction of the volume of food consumed and low levels of fat provoke stone formation. This is due to a decrease in the need for bile in digestion. It accumulates, stagnates in the gallbladder, and in its absence - in the ducts, thickens and crystallizes. The risk of stones during fasting increases by forty percent.
• Don't take long breaks between meals. It is safe for a healthy person to rest the digestive system for eight hours, that is, during the night's sleep. If a person has an early dinner and a late breakfast, the risk of stone formation increases. In the vast majority of cases, they are found in people who prefer to skip breakfast. After the operation, the rest period for the digestive system should be even less - no more than five to six hours. In this case, your body will be able to produce enough fatty acids that can dissolve cholesterol.
• Watch your weight. Excess weight is a stimulating factor for stone formation. According to statistics, overweight people are six times more likely to suffer from this disease. Even an excess weight of ten kilograms doubles the risk of gallstone disease or recurrence of stone formation. Particularly susceptible to the disease and its recurrence are overweight women over the age of forty.
• Eat fat. It is believed that the menu for every day of the diet after removal of the gallbladder may include exclusively low-fat foods. This opinion is wrong. The complete exclusion of fat, on the contrary, stimulates the formation of new stones. Fat is needed by our digestive system to encourage the biliary tract to release bile. When there are no foods in the diet that require bile to break down, it stagnates and thickens. Consume vegetable oil daily, at least in three meals during the day. Add at least two teaspoons to meals.
• Avoid alcohol. Alcohol consumption is another controversial dietary factor. On the one hand, it is necessary to take care of the health of the liver, and on the other hand, alcohol reduces the risk of stone formation. According to studies, alcoholic beverages in small quantities reduce the risk of recurrence of the disease by forty percent. “You need to be careful with alcohol, but you can use it little by little,” says dietitian Lyudmila Denisenko. “Half a glass of red wine a day will only do you good.”
• Drink water. A sufficient volume of water in the body reduces the density of bile. Drink at least one and a half liters a day, gradually bringing this volume to the recommended - 30 milliliters for every kilogram of your weight.

The diet after removal of the gallbladder is sparing, but containing a sufficient amount of food. Its calorie content is 2500-2900 Kcal per day, which is adequate for the energy needs of an adult man. The total volume of products should be divided into small portions and consumed throughout the day. There can be 5-7 such meals, and the maximum break between them is no more than six hours.

Daily diet

The diet after removal of the gallbladder is determined by the period that has elapsed since the operation.

In a week

How much after the operation can not eat? The operation under general anesthesia excludes the possibility of eating in the first 12 hours. The menu for the week is determined by the attending physician, in accordance with general recommendations.

• First hours. It is forbidden to drink liquids and any food. To reduce thirst, it is only allowed to wipe the lips with a damp sponge or rinse the mouth.
• On the second day. A diet of 0a is recommended, including liquid and jelly-like dishes: low-fat meat broths, mucous cereal decoctions, fruit jelly, jelly,.
• On the third or fifth day. Expansion of the previous diet with slimy cereal soups on vegetable broth, liquid porridge from, oatmeal, rice cereal, steam protein omelet, soft-boiled egg.
• On the sixth day. Transfer of the patient to diet 5a, which should be followed for a week. It includes lean meats, poultry and fish, stewed or steamed, low-fat dairy and lactic acid dishes, boiled and steamed vegetables, milk soups. Menu after removal of the gallbladder by laparoscopy. Is it necessary to follow a diet after the operation

During laparoscopy, the diet after removal of the gallbladder will be less rigid by the day. Smaller surgical intervention in the body, as a rule, excludes a complex and lengthy rehabilitation period.

• First hours. The patient is allowed to take liquids, not allowed to eat solid food.
• After 12 hours. Choice of food according to the doctor's recommendation. Liquid food is allowed in a small volume (jelly, soup).
• On the second day. Reception of liquids without restrictions, light food in small quantities is recommended. Eat lean boiled meat, fish, steam omelet, broths, cottage cheese, fruits.
• On the third day and beyond. It is allowed to switch to normal nutrition in accordance with diet 5. The patient is recommended to adhere to "table 5" throughout his life.

Your task during this period is not to load the digestive tract with food. He needs to adapt to new working conditions. In addition, you should eat foods that will stimulate bowel activity and prevent the risk of constipation. The latter are especially dangerous in the postoperative period, as they entail the risk of divergence of fresh sutures.

Recipes for this period are extremely simple. They include only two or three components. On the third day after the operation, vegetable souffles are allowed, which serve as a good prevention of constipation.

Cooking

1. Grate a medium-sized carrot or beetroot on a fine grater.
2. Put in a saucepan, cover with hot water and simmer until soft.
3. Transfer to a baking dish, add a tablespoon of low-fat milk and beaten white of one egg.
4. Bake in preheated oven for 20 minutes at 180 degrees.

Steamed, boiled or stewed vegetables should form the basis of your diet in the future. Try to cook a variety of dishes from them, and you will see how rich your menu will become.

A week later

At this time, the body only reconfigures the functions of digestion. Therefore, it is now especially important to avoid disruptions in the work of the digestive tract. As a rule, a person is already at home, so it is possible to cook a variety of dishes and carefully introduce new foods into the diet.

• Boil, steam, stew food. It is forbidden to fry in a pan, under the grill. Cook meals in a slow cooker, double boiler, oven.
• Eat foods that are the right consistency for you. It is not necessary to grind or puree it unnecessarily.
• Eat 6-7 times a day. This will help your body digest food more efficiently.
• Eat at the same time. Train your body to produce bile at a certain time. In view of the fact that she has nowhere to accumulate and "wait in the wings", she should be provided with the possibility of immediate use.
• Eat dinner two hours before bed. Early dinner and a long break in food during sleep contribute to the retention of bile in the ducts and the formation of stones.
• Keep track of food temperature. Dishes must be warm.

During the first two weeks, fresh vegetables and fruits are prohibited. The reason is their irritating effect on the digestive tract.

Therefore, include the following dishes in the menu for the week:

• milk soup;
• cottage cheese casserole with egg white;
• steamed meat soufflé;
• chicken breast roll baked in the oven;
• yogurt and kefir with lactobacilli;
• liquid cereal porridge;
• protein omelet;
• low-fat cheese (curd).

These dishes are equally well suited for a child and an adult in the first month after surgery. Despite the seemingly limited menu, you will be able to cook and consume a wide variety of dishes and products. For example, try making milk and vegetable soup.

Cooking

1. Pour milk and water into the pan in equal proportions.
2. Add chopped vegetables after boiling: onions, carrots, potatoes.
3. Pour the washed polished rice.
4. Boil until the components are ready.
5. Salt.

Sweets are not prohibited during this period. Along with weak tea, you can use natural jelly, marshmallows or marshmallows.

In a month

“The diet after a month of removal of the gallbladder is aimed at further restoration of the body,” says dietitian Natalia Semennikova. “In the normal course of the process, you can gradually expand the list of dishes, using only allowed products in it.”

In fact, the current diet will remain unchanged after 2 months and after 6 months. It is based on dietary table number 5 (), recommended for people with impaired liver and biliary system.

You should remember the list of prohibited foods and avoid them.

• Fatty meats. Under the ban lamb, fatty beef, pork, duck. Salt is not allowed.
• Rich meat broths. Low-fat poultry broths are allowed.
• fried foods. For digestion, they require a high concentration of bile, which your digestive tract can no longer produce.
• Ice cream and other cold foods, including drinks. Cold can provoke a spasm of the biliary tract and the occurrence of pain.
• Spicy spices and dishes with them. Cause active secretion of bile and disruption of the digestive process.
• Confectionery with margarine, butter. Cakes, pastries with cream are prohibited.
• Carbonated drinks. The carbon dioxide they contain irritates the digestive tract.

Eat protein dishes: lean chicken meat, cottage cheese in the form of a casserole, meat soufflé with egg white. Such foods stimulate the thinning of bile, which reduces the risk of recurrence of stones.

• soups on vegetable or lean broth;
• boiled meat;
• steam or stewed vegetable side dishes of zucchini, carrots, cabbage, beets;
• boiled potatoes in pieces or mashed with a small amount of low-fat milk;
• stewed low-fat fish;
• boiled seafood - squid fillet, mussels;
• cheese casserole;
• fruit desserts - marmalade, marshmallow.

Boiled meat, especially cooked without spices, seems insipid. But it is not necessary to use it only in this form. We offer you a recipe for veal baked in foil.

Cooking

1. Rinse the veal fillet, put in a container.
2. Pour in whey and leave overnight.
3. Shake the meat, rub with salt, wrap in foil.
4. Bake for 2 hours at 180 degrees.

Thanks to soaking in whey, the fillet will acquire softness and a particularly delicate taste. Eat it with a vegetable side dish.

In three months

As a rule, after 3 months, the diet includes the entire set of allowed foods. According to reviews, during this time, eating habits and preferences have time to develop, due to which the original “restrictions” turn into a way of life and nutrition.

Your digestive tract is used to the new working conditions. Of course, all prohibited foods remain the same for you. But you can afford fresh fruits and berries. Gradually try strawberries, raspberries, peaches, apricots, avoiding sour foods and preferring sweet ones. In the summer, eat watermelons - they are especially valuable to you.

During this period and in the future, you can consume a sufficiently large number of dishes without fear.

Table - Diet options 3 months after gallbladder removal

meal	Products, dishes
Breakfast	boiled or mashed potatoes; cereal porridge (rice, oatmeal, buckwheat, wheat, barley); vegetable salad, vinaigrette; steam protein omelet; steamed meat or fish; a cheese sandwich
Lunch	Baked apple; unsweetened fruits; berries; nuts; dried fruits (raisins, dried apricots, prunes)
Dinner	The vinaigrette; vegetable salad; vegetable soup, borscht; soups meat, fish, with meatballs; boiled, baked meat, fish; vegetable side dishes stewed from cabbage, zucchini, carrots, pumpkins, beets, potatoes
afternoon tea	Yogurt; biokefir; curdled milk; milk with biscuits; fruit or berry jelly; unsweetened fruit
Dinner	Cottage cheese casserole; steam protein omelet; casserole of vegetables and cereals
Before bedtime	Yogurt; curdled milk; biokefir; fruit juice; unsweetened fruit

• weak tea;
• milk;
• tea with milk;
• rosehip decoction;
• fruit juice;
• dried fruits compote.

Pay special attention to dairy products in your diet. Biokefir, yogurt with a high content of lactobacilli will help in the normalization of intestinal microflora, disturbed in the absence of concentrated bile.

If flatulence or bloating persists, see a doctor. The specialist will recommend you preparations containing bifidobacteria and prebiotics that will help maintain the correct intestinal microflora.

A diet after removal of the gallbladder is the only way to maintain health and teach the body to live in new conditions for it. Understanding the value of proper nutrition will allow you to create a correct and healthy diet. It will include most of the products that you are used to seeing on your table, but probably in a different processing. And eating in small portions, the correct drinking regimen and the rejection of spicy, sour foods will protect against discomfort and pain.