Diet taboos for removal of uterine fibroids

Before flatulence recovers 1 week after surgery, avoid gas-producing foods such as high sugar, whole beans, and ice drinks.； Until the wound is fully recovered 1 month after surgery, stay away from foods and supplements that contain clear exogenous estrogen, and avoid spicy, stimulating, alcoholic foods that dilate blood vessels. ； During the long-term follow-up period after surgery, eat less highly processed foods high in fat and sugar, and avoid supplementing with estrogen products.

I have been following up in the gynecology clinic for almost 8 years, and I have seen too many patients who went to the emergency room because of flatulence the day after surgery. The one who impressed me the most was a 32-year-old girl who had four intramural fibroids peeled off by laparoscopy. After the surgery, her family thought that soy milk was a protein supplement, so she drank three large cups of warm soy milk a day. As a result, she was so bloated in the middle of the night that she couldn't straighten up. She thought it was internal bleeding. A X-ray taken in the emergency room showed gas accumulation in the intestines, and she didn't recover until late at night. Many people have serious misunderstandings about the taboos of beans. Some people think that they cannot eat them because they contain phytoestrogens, which can induce the recurrence of fibroids. In fact, the clinical consensus of Western medicine is that the activity of soy isoflavones is only one thousandth of human estrogen. Normally, drinking a cup of 200ml of light soy milk every day will not reach the threshold of stimulating the growth of fibroids. Instead, they are not allowed to eat them in the early stage after surgery. This is simply because the oligosaccharides of beans are easy to ferment in the intestines and produce gas. Gastrointestinal motility is slow after surgery, which can easily aggravate abdominal distension and discomfort. Of course, some schools of traditional Chinese medicine also have different views. They believe that the qi and blood will be deficient in the first six months after the operation, soybeans have a cooler taste, and patients with sensitive constitutions may drink large amounts of concentrated soy milk for a long time, which may affect the movement of qi and blood. It is recommended that people with weak spleen and stomach who are prone to diarrhea should drink less concentrated soy milk in the first 3 months after the operation and replace it with eggs or lean meat to supplement protein.

To say that what really needs to be blacklisted 100% are actually those things that clearly contain highly active exogenous estrogen - royal jelly, snow clams, purple river car (placenta) products, as well as unknown oral liquids and beauty pills that claim to "reverse aging" and "maintain ovaries". There was a 40-year-old patient who initially recovered well after the surgery. However, after hearing from her best friend that royal jelly nourishes qi and blood, she drank two spoonfuls of it on an empty stomach every morning. After half a year of drinking, she had two small fibroids of about 1cm. The hormone level was found to be twice as high as the normal level. After she stopped and was followed up for a year, the fibroids did not grow again. There is also a controversial point that everyone often asks: Can donkey-hide gelatin and bird's nest be eaten? The point of view of Western medicine is that as long as it is pure donkey hide gelatin and pure bird's nest without added hormones, it is essentially collagen and a small amount of trace elements. As long as you do not experience indigestion or internal heat after eating it, it is perfectly fine to eat it once or twice a week. ； However, some schools of traditional Chinese medicine recommend eating as little as possible in the first three months after surgery. Firstly, donkey-hide gelatin is greasy, and the spleen and stomach function is weak after surgery. Eating too much can easily lead to stagnation. Secondly, some patients with sensitive receptors may be more sensitive to the estrogen-like effects in this kind of food. Eating large amounts for a long time has certain risks. If you really want to eat it, limit it to 10g each time, and don’t just use it as a supplement every day.

Many people ask whether they can eat spicy food or drink ice after surgery. In fact, it is not so absolute, but it is indeed not recommended within 1 month after surgery. Last month, there was a patient from Chongqing. On the 12th day after the operation, he couldn't help but go out to eat Jiugongge hotpot with his friends. A small amount of vaginal bleeding occurred that night. When he came for a follow-up examination, he found that the wound on the vaginal stump was bleeding a little. Spicy food can dilate blood vessels, and the wound that was about to heal was washed open again, which was not worth the loss. The same is true for liquor and hard liquor. Alcohol itself will speed up blood circulation and increase the risk of wound bleeding. It is best not to drink it within one month after the operation. Ice drinks vary from person to person. If you usually like to drink ice, a small sip of ice milk tea a week after the operation will be fine. If you usually drink ice and have diarrhea, just drink warm drinks.

Don’t overdo it. I’ve seen many patients drink white porridge all the time after the operation. After half a month of drinking, the hemoglobin dropped to 90g, which was lower than when they were discharged from the hospital. It was completely unnecessary. After passing gas, you can eat steamed eggs, lean pork, green leafy vegetables, and soft-boiled multi-grain rice as normal. As long as there is less oil and salt, and don't add too many irritating seasonings, you will recover quickly if your nutrition keeps up.

In fact, there are really not that many dietary taboos after myomectomy. Except for those that contain highly active estrogen, which must be banned, others can be adjusted according to your own body constitution. If you don’t feel uncomfortable after eating, you don’t need to completely avoid eating. After all, a good mood after surgery is the "special medicine" for the fastest recovery.