Author: Sorting Last Post on Top Message:
EELPIE Posts: 2,700
4/12/14 4:15 P

Welcome back!! Hope you have a speedy recovery ;)

4/12/14 3:53 P

No worries Becky. I certainly did not take your suggestions as a nutritional assessment because I didn't give you any important information that you would need to properly assess me. I just was curious about it in general, and your answer was very helpful. Thank you :)

4/12/14 3:07 P

300-600 calories is an estimate of what would put you at weight maintenance.

When calculating nutritional needs at the hospital the formula asks for height, weight, age, gender, activity; ---but also for the medical issue (minor surgery) as one of the choices. With all those factors, you can see why I am just providing suggestions and referring you to your doctor---plus I can not legally "nutritionally assess" you via the computer. I was giving you ideas of things to talk about with your doctor.

Hope this helps--
Your SP Registered Dietitian

4/12/14 2:34 P

Thanks everyone for all the great responses and the nice welcome back :)

Eating extra protein following surgery makes a lot of sense. Repair those muscles. I can't remember if the hospital mentioned that.

I'm just trying to maintain my weight and heal well. 4 days post op my appetite returned and I am hungrier than I was at the hospital, although not as hungry as I normally am. But I'm laying around which I don't normally do so it makes sense I wouldn't be as hungry as normal.

I'm really trying not to lose muscle mass. I have been taking l-glutamine to try and help prevent muscle wasting while I can't work out. Only easy walking for me for a while. I am also taking vitamin C, fish oil, magnesium and collagen along with my vegetables, meats and fats.

300-600 calories. Interesting. So I guess in theory I get to eat like I'm still working out then ;) I won't eat just because though, I only eat when I'm hungry. Eating clean is super important as always. Indigestion is not an option at this point, it's too painful.

I'm off to make some salmon for lunch emoticon

4/12/14 1:16 P

I don't have any direct experience, but after my dad had heart surgery his doctor told him to eat a lot of protein to help with healing. Trying to lose weight after major surgery sure doesn't seem like a good idea; at least eat at maintenance level. I hope you feel better soon.

ICEDEMETER Posts: 1,181
4/12/14 11:51 A

Nice to see you back!

When I had my open hernia repair at the end of November, I was still eating in weight-loss ranges. My surgeon advised me to increase to maintenance range or slightly higher, and to make sure that I included a minimum of 100g protein each day. We also discussed maintaining a higher-than-average fibre intake (40-45g per day) and increased fluids, to avoid any possible constipation issues (I also avoided all prescription pain relief since they all cause me constipation - I alternated ibuprofen and acetominophen instead). Since I have issues with iron levels, I also had to increase my iron intake to compensate for the blood loss during surgery.

He basically told me to "eat to my hunger", and not worry about what the scale said for a minimum of 8-12 weeks. I ended up eating at the top of my maintenance range, including the 100g of protein, and still lost just under a pound per week on average during the few months after surgery.

Hope your surgeon is helpful to you in answering the question as to what is right for *you* - and that you're feeling better soon!

RUSSELL_40 Posts: 16,826
4/12/14 11:19 A

I have never heard that, and I have had a hernia, gallbladder, burst appendix, and 2 ICD's put in my chest.

Of course, I DID eat slightly higher. All I did was rest, and eat after every one of these surgeries except the gallbladder one, which for me was minor surgery. I was walking laps 4 hours after surgery, and went home same day. I even kept to low carb, since I never ate at the hospital.

The other ones though, especially my inguinal hernia, which was a 5.5 hour surgery, put me out of commission for weeks. I had trouble walking for 2 weeks after hernia surgery because of swelling, so basically lay on my back, watching TV, and praying I didn't have to go to the bathroom. My brother cooked my meals.

My 2 ICD's were probably the easiest surgeries after the gallbladder, but I spent 3-4 days afterwards relaxing, and ate off plan, because my only goal at that point, was getting better, and back to work. So I didn't " diet " following surgery. Within a week, I was back on plan, and back to work.

I would ask your doctor, and follow what he/she says, and if they have no post- op dietary recommendations, I would just eat what you want till you make it through the pain, and immobility. Not meaning you should eat banana splits, but if you want an extra serving of chicken and broccoli, have it. Your body is repairing itself, so make sure it has the tools.

This is interesting. After my surgeries, no one told me to eat more, but it makes sense. Let me know if doctor concurs with eating more food, and if so how long after. I have a few surgeries coming up.. battery change/new ICD in '16-'17, and probably a heart valve replacement at around the same time.

Hope your hernias start to feel better soon. Mine hurt for weeks, but I was 330, almost too heavy for them to allow for the surgery. It made moving around a chore. Being fit has to have helped a lot, and while I don't look forward to anyone cutting on me, I hope by weighing a lot less, it makes recovery easier, and faster. Hopefully, it does so for you now.

4/12/14 9:59 A

Hi, this is Becky--
You are correct, calorie and "protein" needs increase following surgery.

I usually suggest for folks who are trying to lose weight---to go into "weight maintenance mode" following surgery, for about 3 weeks or more (based on the surgery, healing time, and doctor's recommendation). So would adding about 300-600 calories to your plan--bring this about??? Would it be more for your particular plan? Remember too that you are probably not as active as you were prior to surgery---so that is why the extra calories may not be as high as expected.

Also---your SP protein range is already slightly higher (than actual need) to maintain muscle mass and promote satiety during weight loss---this extra protein amount also works well following general surgery.

Sometimes a doctor will also recommend a multivitamin-mineral supplement.

Because all medical situations and medical needs differ--do check with your doctor.

Your SP Registered Dietitian

4/12/14 8:47 A

A question for the resident RD Becky or those that have any insight.

I had open hernia surgery last week to fix three hernias of varying sizes.

I have read (online) that caloric need increase after surgery. My question is by how much?

Page: 1 of (1)  

Other Diet and Nutrition Topics:

Topics: Last Post:
Recipe Help 6/29/2015 2:41:08 PM
Nutrition Tracker and Nutrient Recommendations 7/11/2015 6:48:59 PM
confused 1/30/2015 11:25:04 AM
Water 3/8/2015 8:12:36 AM
Desperately Seeking Answers 5/12/2015 4:25:17 PM