For those with removed a gall bladder is your diet about.

 By Tsodikov, doctor of medical science, Agafonova, candidate of medical science.

After surgery is cholecystectomies are bad process left you, you are thought  . But not, in a few having bad feels under right hypochondrium, and in the pit of my stomach. And also with gall /liver / colics having  sickness, icterus by bitterness, dryness in mouth, fat taste, fever, not stable stool  , meteorism.  And all these symptoms are not always tied in damaging for cholagogue ways and surgery, but this condition is uniting of one group is postcholecystectomies  syndrome, or syndrome after cholysectoectomies  . A gall stone always having with cholagogue wrong and mobility function for a common gall duct, stomach, small bowel, thick bowel, but surgery avoiding a patient from pathologic changed gall bladder, but not from a data disease , as inflamed   for gall ways, liver damage and pancreas, but they are  acuting after surgery.

 A cure for patients endured for surgery , a doctor doing by differentially, as from character metabolism processes, as infection staying, of gall stagnation, dyskinesia for gall ways. And patient need to know, that  food will play role and sicked and healed factor in pathology for liver, gall secretion system and other digested organs. A very cold meal causes spasm of pyloric of stomach, reflectory  transferring on gall ducts and sphincters.Hard  fats melted as margarines and extractive substances as strong broths, pepper, beer, wine, syrups, vinegar in dyskinesis for gall ducts increasing theirs spasms, which displaying by attacks with ache in right hypochondrium, and pit of the stomach region. Abundant meal quantity delaying in stomach ,that  prolonging  evacuation period from a stomach ,thus and on secretion period and entering gall in bowel. And these short lists of inadequate reactions of gall ways on a food wrong will convince  in a needing for diet using.

And right away after surgery  is prescribing diet NR  5 a, sparing, that helping  restoring functional condition for liver, decreasing inflammatory process in gall ways and pancreas  gland. First half-two months after surgery  dishes cooking boiling, or stewing rubbing kinds, daily ration on this time are 2300 kcal as 100 gr of proteins, 50-60 gr of fats, 250-280 carbohydrates,salts cooking are 8 gr, free liquid till half l, soups rubbing of vegetables as carrot, cauliflower, tomatoes, cereals of oats, rice, manna, noodles in vegetables decoctions, rusks of millet bread by baked yesterday  cookies Maria by Gullon of unleavened dough.

Sparing diet advices:Meat, fish dishes of non-fat veal, or chicken , fish are cod,pike,perch, ice,hack, of dumplings , stewed cutlets, stuffed by a white egg omelet, meat, chicken and fish rolls, baked puddings of noodles, and vermicelli, with boiled meat , chicken,  and fish eat by pieces, but without skin. And allows one  egg/day or stewed white egg omelet , whole milk enters  if you are endured his ok, curd fatness and unleavened of puddings, soufflé, fromage, like spice or dress.

Vegetables are carrot, squashes, cauliflower, potato, boiled of, stewed, rubbing puddings of carrot, carrots with curd. Fruit, berries are ripe , sweet of compotes rubbing, kisels, mousses, jelly, baked apples without peel, sugar,candies, jam , spreads are limiting.

 Of fats are butter oil, for dishes just cooking. Fruit, berry, vegetable juices diluting drinking in water by half. Useful is hibiscus drink, weak tea, weak surrogate coffee with milk/Inka/.

In 2 months use diet nr 5, as a full value meal, activating compensatory mechanisms, stimulating fermentative, protein-synthesis  processes in liver, cholagogue, as good for organs are affecting and systems involving in pathologic processes in chronic damages of hepato-biliary system.

Calories daily ration increasing on 700-900 kcal, as for fats calculation on 80-100 gr, carbohydrates on 400, free liquid till 2 l.

 Now, is allowing rye bread dried, or yesterday baked, vegetarian or of second broth for 3-4 times/week, of mixed vegetable soups, fresh cabbage shi, rassolnik of vegetables and fresh cucumbers  beet soup or svekolnik, pearl soup, potato with meat balls.

And on the second cook beef stroganoff, meatballs, pilaf  of boiled meat, potato baked pudding with boiled meat, golubtsi stuffed by meat and rice, pies with meat, stewed meat with mixed vegetables, pilaff of rice with fruits, pudding of vegetables and curd, noodles home with meat, rubbing macaronies with raisin, with tomatoes, cheese, vareniki with curd, curd cheesecakes, tvorozniki baked with fromage, curd souffle with apples, not spice cheese kinds, fromage fresh a little bit, creams, jam, honey, rise berries, fruits not sour kinds, baked, raw, apple, strawberry and milk  mousses, oranges, mandarines, grape,plums, strawberry, raspberry, currant, fragaria.

 Drink are tea with lemon, fruits juices are cherry, apricot, orange, mandarin, vegetable. Butter, olive, sunflower,corn oils adding in dishes as of natural kind.

But somethimes, if patient using diet , is condition worsening, body temperature rising, light stool, fat, sticky, vomiting with gall, after vomiting having relieving, lowering ache in right hypochondrium, nausea stopped. And ,  these are meaning as wrong gall outflow from a common gall duct in small bowel, and about gall stagnation.

And here needing doctor visiting ,, which prescribes diet nr 5 fat for a normalization of a cholagogue, improving mobility function for bowel, rising bactericide effects of gall.  And this is by a full value, physiologic diet with normal containing protein, increasing fats  and same ration are animal and vegetable fats , and limiting carbohydrates simple,as sweets, sugars, hard melting fats, vegetables, fruits are eating more, where fibers of which increasing cholagogue effect of meal, improves bowel motoric, and cholesterol removes from organism.

Ration contains in this diet are: proteins 100-110 gr, fats 120 as ratio by animal and vegetable 1to1, carbohydrates are 400, sugars are 50-60, calorie are 3200-3500kcal, salt cooking 10-12 gr, free liquid on half l, third dishes cooking not sweet, or of xylitor, stevia  , butter, vegetable oil just adding in meal, not for culinary manufacturing.

To data lists of meal adding one time/week a fatness soup meat, vegetarian soups of mixed vegetables, cereals/pearl, barley/, borsh, rassolnik, svekolnik, of vegetable oil cooking. Meat dishes of not fat kinds as veal, chicken, turkey, rabbit as boiled, baked kinds, eggs, dishes of eggs for 1 time/week, fish meal, cereal, flour, macaronis  dishes are same as is  usual diet nr 5.  Vegetables are using for salads cooking, garnishes, cabbage with fromage allowing, baked in milk sauce, golubtsi with vegetables and rice, baked stewed cutlet, meatballs of carrot, apples, with raisin, baked,stewed in milk sauce, roll of carrot and cauliflower, puddings of carrots, dried apricots, carrot, apples, squash, aubergines, pumpkin. Potato baked in fromage, boiled , potato cutlets, baked with fromage sauce and cheese, carrot, beet are stewed with apples, vegetable ragout, carrot, green peas, potato, cauliflower, squash purée, stewed in fromage, oil, tomatoes fresh, stuffed by cheese, rice, fresh cucumbers. Ripe fruits, berries, not sour kinds, raw, baked, jelly of, weak coffee, juices vegetable, fruit. As of snack allowing soaked herring, not fat ham, sausage doctor s, pate meat by home cooking, not spicy cheese kinds, sauces and spices to dishes cook of vegetable decoction, as milk, fromage, berry and fruit sweet sauces , butter oil, melted, olive, corn, sunflower.

 Diet nr 5 fat prescribing on 2-3 weeks , in improving condition a patient and liquidation for signs a gall stagnation a need transfer on usual diet nr 5.

And endure a cholecystectomies are often asking, a how long to keep diet? Does it  for all life? And common prognosis is for all not ability to give, but if within a half-2 years after surgery patient feeling good, thus your doctor will width for products set and dishes and allows slowly transfer on usual food.

But within 2 years after gall bladder removed are for all needing forgetting about cold, fried  dishes, ice cream, mushrooms, chocolate, pastry, creams , garlic, onion, marinades, smoked and eat for 5-6 times/day, and on the same hours! Often, but rubbing meal eating is better, than remedies and giving a normal cholagogue, but before a sleep till 3 hours not eating! As these are all allowing restoring health and avoid a repeating forming stones in bile duct ways.  

Am also endured surgery, but diet prescribed on 10 days! All food as stewed, as curd with kefir warmed, white egg stewed, inka drink with milk or creams, or chicory, for nigh used glass of kefir or tea with rusk piece .Not cold food  for  me, fried, just warm as drinks also. Felt good, surgery too endured awesome!  Sweets are added slowly, much alkokol am not drinking , just wine glass, later added kvas, but infused, stayed just gas removed!