First 15 Days (Liquid Period)
What are the Most Important Elements?
The most important element of the liquid period is not to consume any grainy food to prevent the risk of complications. During this period, people should not starve themselves and drink milk, protein drinks or meat/chicken broths as they feel hungry in order to get enough nutrients. Getting into the habit of drinking water is the most important habit to acquire during this period. You don't have to worry about being saturated with just liquid. Because the stomach volume decreases, you will feel full faster.
Breakfast Recommendations
In order to sweeten the mouth of the individual, freshly squeezed fruit juice should be consumed (ready concentrate should not be consumed) or sugar-free and grain-free compote water can be consumed. Care should be taken when choosing fruit. Fruits that increase acid secretion, such as oranges and tangerines, and sour fruits, such as cherries, should not be consumed as they will increase stomach discomfort. During this period, diarrhea or constipation may occur due to changes in nutrition. In cases of constipation, your fruit choice in compotes should be apricots or plums.
Snack Recommendations
Milk, buttermilk and protein powders should be consumed to meet the daily protein need for snacks during the liquid period. Milk may cause gas due to its lactose content, for this reason milk should be prepared as lactose-free or soy milk, and buttermilk should be prepared by diluting lactose-free yoghurt.
Lunch and Dinner
Lunch and dinner in the liquid period. Meat broth, chicken broth or bone broth (without fat) should be consumed with meals. To prevent stomach disorders, tomato paste, spices, oil, lemon, onion and garlic should not be added to meat/chicken broths. Our patients who have difficulty drinking meat/chicken broth can add vegetables that do not cause gas during cooking, provided that they are removed after cooking.
Why Should You Consume Absolutely Grain-Free for the First 15 Days?
There is a risk of leakage in the first 15 days after diabetes surgery, and for this reason it is not right to exercise the stomach of patients. In order to prevent the risk of complications, liquids should be consumed without grains for the first 15 days.
The Importance of Protein Powder
Since a liquid diet is applied for the first 15 days after the surgery, protein powder that should be taken daily during this period is Protein powders are of great importance in supplementing the amount of protein. The amounts of protein powder adjusted by dietitians according to the patient's weight must be adhered to. Since people who have undergone this operation are making a new start in nutrition, they should not neglect their daily protein powder intake, especially for the first month, until they meet their daily needs with nutrition.
Second 15 Days (Mash Period)
What are the Most Important Elements?
The puree period is an ideal process for patients to gain healthy eating habits that they need to practice throughout their lives. Since solid foods, even in puree form, will begin to be consumed during this period, the distinction between solid and liquid begins in this period. During this period, patients learn to control portions, chew food well, and eat slowly.
Breakfast Recommendations
It is important to start with egg white, which is a source of quality protein, for breakfast during the puree period. Soft, not too fatty cheese (light cottage cheese) can be preferred. During the puree period, eggs and cheese should be crushed with a fork and consumed by chewing very well. During this period, it is necessary to move away from old breakfast habits. During this period, raw vegetables such as tomatoes and cucumbers should not be consumed because they have a high cellulose content, which is very tiring on the stomach, and because they take up a lot of space and prevent your protein intake.
Snack Recommendations
Consuming blenderized fruits during the puree period is important to meet vitamin and mineral needs. However, acidic fruits such as orange, tangerine and grapefruit; Sour fruits such as cherries should not be consumed as they cause stomach discomfort. Patients who have difficulty consuming fruit as puree can consume it by blending it with yoghurt or milk, thus increasing their protein intake. Apart from fruit, another important food source that can be consumed as a snack is milk and dairy products. Patients experiencing constipation can consume probiotic yoghurts or probiotic milk during this period.
Why is it important to chew thoroughly?
It is very important to chew thoroughly to avoid indigestion during the puree period. Feeling of choking when swallowing large bites without chewing, cramps Symptoms that reduce the quality of life such as nausea and vomiting are observed. Since people eat quickly without chewing, they reach satiety later, which puts a strain on the stomach's capacity and stitches. However, meals should be eaten very slowly and the fork should be left on the table with each bite. Each meal should last between 30 and 45 minutes.
Lunch and Dinner
During the puree period, purees made with foods with high protein content such as meat/chicken/fish can be consumed for lunch and dinner. During this period, consumption of soups containing egg whites or meat/chicken broth is allowed, except rice, cream and flour soups. Since red meat is more difficult to digest than white meat, you can start with white meat in the first week and switch to red meat in the second week. Since tolerances to some foods may change, it would be healthier to experiment during this period.
Vegetable dishes should be cooked without adding tomato paste, spices, oil, lemon, onion or garlic. To increase the protein content, chicken and minced meat should be added and blended. Vegetable choices are important. Gas-causing or starchy vegetables should not be preferred. Another way to increase the protein content of vegetable dishes is to add egg whites or cheese.
First Month - 30 Days After (Solid Period)
Solid nutrition is started 30 days after discharge. This period is very similar to the mash period in terms of prohibitions. Foods cannot only be blended, but they must be cut into very small pieces with a fork and knife and chewed very well. Tomato paste, spices, oil, lemon, onion, garlic, raw vegetables and nuts should not be consumed until the 3rd month. Meals should always include foods with high protein content, such as eggs, cheese, meat, chicken and fish. Yogurt or cooked vegetables can be consumed alongside them. After the third month, salads can be consumed with meals. During this period, it is very important to differentiate between solid and liquid and it is important to gain habits of eating little and often.
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