Sunday, April 19, 2015

Dietary Strategies After Gallbladder Removal

Post-Surgical Repercussions

Your liver secretes bile, a digestive fluid that helps break down ingested fats. The gallbladder normally stores and releases bile when necessary to assist fat digestion. After gallbladder removal surgery, the liver continues to secrete bile and release it into the small intestine. The absence of the gallbladder can cause bile release to become erratic, which in turn can provoke pain, discomfort and diarrhea after meals, especially high-fat meals.

Recommended Dietary Strategy

Patients post-surgery are advised to consume small meals throughout the day to help the body through the transition from relying on the gallbladder to assist digestion. Consuming small meals throughout the day encourages the body to create smaller amounts of bile at one time. Compose meals of whole grains, fruits, vegetables and small amount of lean proteins such as nonfat dairy, chicken, turkey or fish. Avoid caffeinated beverages such as soda, greasy foods and very sweet foods, which can lead to diarrhea after gallbladder surgery.

Recommended Fat Intake

Patients are advised to avoid high-fat foods such as fast food, fat-laden gravies and sauces and fried foods. These foods can overtax bile production. Minimize bile production by eating foods with 3 grams fat or less per serving. Although you need to read nutrition labels to be certain of a food's fat content, well-known low-fat foods include fat-free ice cream, plain low-fat yogurt, extra-lean ground beef, egg whites and trimmed pork loin.

Considerations
It is wise to take a probiotic supplement every day to better manage discomfort and pain associated with gallbladder removal surgery, the beneficial bacteria in probiotic supplements can help the body better digest food.  When you schedule a consultation to discuss your condition, we will be glad to recommend probiotics that we have found to be the most effective.

A Caution
Do not use a post-gallbladder removal surgery diet on your own. Speak to your doctor about incorporating this diet into your recovery regimen before adopting it to prevent food-related complications resulting from your surgery.
 

There isn't a set diet people should follow after gallbladder removal because the guidelines depend on the individual.

When the gallbladder is removed, bile is less concentrated and it drains continuously into the intestine. This affects digestion of fat and fat-soluble vitamins. How much of a problem it is varies from person to person. With time, the body often adjusts and becomes better at digesting fatty foods.
The amount of fat eaten at one time also factors into the equation. Smaller amounts of fat are easier to digest. On the other hand, large amounts can remain undigested and cause gas, bloating and diarrhea.
General advice for avoiding problems after you've had your gallbladder removed include:
·                     Eat smaller, more frequent meals. This may ensure a better mix with available bile. Include small amounts of lean protein, such as poultry, fish and nonfat dairy, at every meal, along with vegetables, fruit and whole grains.
·                     Go easy on fat. Avoid high-fat foods, fried and greasy foods, and fatty sauces and gravies. Instead, choose nonfat or low-fat foods. Read labels and look for foods with 3 grams of fat or less a serving.
·                     Gradually increase the fiber in your diet. This can help normalize bowel movements by reducing incidents of diarrhea or constipation. However, it can also make gas and cramping worse. The best approach is to slowly increase the amount of fiber in your diet over a period of weeks.
·                     Be aware that after gallbladder surgery some people find that the following are difficult to digest: caffeinated beverages and dairy products.
Talk with your doctor if your symptoms are severe and don't diminish or if you lose weight and become weak.
Cholesterol is Still Needed for Bile After Gallbladder Surgery

It is very important thing to realize after gallbladder surgery that you still need cholesterol to produce bile which assists with the digestion of regular long chain fats and oils.  Note that short or medium chain triglycerides like coconut or palm oil do not require bile for digestion.  Cholesterol is required for the production of bile and the very foods that have sufficient and healthy quantities of cholesterol are those that are, you guessed it, quite fatty, like liver, egg yolks, cream, and butter.  Avoiding fat altogether after gallbladder surgery is potentially going to compound problems with digesting fat in the long run as you won’t be getting the healthy, unprocessed cholesterol you need to produce bile!

Bitters Stimulate Bile Production After Gallbladder Surgery

Once you are comfortable with the fact that you can and should eat fat after gallbladder surgery and that it is wise to do so in order to provide your liver with the raw materials necessary for bile production, the next step is to “train” your liver to produce the bile you need at the proper times to digest the fats you eat with your meals.  Eating at regular intervals that your body can adjust to can go a long way toward this goal. 

If a regular routine for consuming your fats does not prove helpful after a period of time or you are temporarily off schedule for whatever reason, use of herbal bitters can be used in conjunction.

Bitters are herbal extracts that are rich in minerals.  They are an ancient tonic for stimulating the liver to produce bile.  Traditional Asian cultures have long valued bitters not only for their digestive benefit but also for their cleansing properties which promote increased strength and healing.  A single teaspoon of bitters in a small amount of water in the morning and in the evening should be sufficient to stimulate your liver to produce adequate amounts of bile.

If you still have digestive issues with fats after gallbladder surgery, you can use a bile salts supplement to assist you.  It is always best to encourage the body to do its job unassisted if at all possible.

The important thing to keep in mind is that your need for healthy, unprocessed fats does not change after gallbladder surgery.  You still need these fats for optimal health and so finding a way to consume them comfortably is of paramount importance.  The fat soluble activators A, D, and K2 supercharge mineral absorption into the tissues as well so avoiding fat is the wrong approach.  It will likely contribute to a mineral starved state and other deficiencies and health challenges over time.
Fat is a critical nutrient that you cannot do without and still enjoy vibrant health.  Finding a successful strategy for consuming foods with the fats you need is the best approach after gallbladder surgery – not avoiding them as recommended by conventional medicine.

At Living Proof Institute we have many recommendations that you will find beneficial to help restore your body to optimal vigor and balance, please contact us for a consultation to learn more.



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