High- Fiber Diet - Colon & Rectal Surgery Associates. High- Fiber Diet. Dietary fiber is plant residue that passes through the intestinal tract undigested. Just as there are many types of plants, there are also many types of fiber. Fiber may be soluble (oat bran, psyllium) and form a gelatinous bulk that has cholesterol- lowering properties, or it may be insoluble (wheat and other grains), which adds bulk to the stool. Both are beneficial and important. Function of the Large Intestine The principal function of the large intestine (colon) is to remove excess water from food wastes passing into it from the small intestine. If food passes through the large intestine too quickly for water to be absorbed, diarrhea can result. In contrast, if waste material passes too slowly, too much water is absorbed. This can result in hard stools and the need to strain to have a bowel movement. Importance of Dietary Fiber. Fiber, also called roughage or bulk, is necessary to promote the wave- like contractions that move food through the intestine. APPROPRIATE FOOD TO EAT AFTER COLON RESECTION. I had my colon removed in. Nutrition After a Colon Resection. If you are able to tolerate clear liquids with few side effects, your doctor will likely recommend a soft diet. Large bowel resection is used to treat many conditions, including: A blockage in the intestine due to scar tissue; Colon cancer; Diverticular disease (disease of the. Diet After Colon Resection Surgery. A soft diet typically includes foods such. You may experience bowel problems after colon. Before Surgery for Colon Resection. Before your surgery, you may be asked to follow a special diet to help reduce your discomfort, and should drink plenty of water. High-Fiber Diet and Colon Polyps/Cancer. A high-fiber diet results in a large, soft, bulky stool that passes through the bowel easily and quickly. As fiber passes through the intestine undigested, it absorbs many times its weight in water, resulting in softer and bulkier stools. In order for the process to be successful, adequate fluid intake (8 to 1. Rural Africans, whose diets are rich in fiber, suffer less from digestive tract diseases than Americans do; it is thought this may be partially related to the nature of their diet. Most Americans eat 1. High- fiber foods, such as fruits and vegetables, tend to be low in calories, so weight gain should not be a problem. High- Fiber Diet and Hemorrhoids Hemorrhoids are a collection of small arteries and veins in the anal region. We are all born with a ring of hemorrhoids on the outside of the rectum and a ring just inside the rectum. Hard stools and straining cause hemorrhoids to enlarge, which can lead to bleeding and pain. In addition, hemorrhoidal tissue may protrude through the rectal opening (anal canal). A high- fiber diet results in a large, soft, bulky stool that passes through the colon easily and quickly. A softer, larger stool helps prevent straining, which can help avoid or relieve hemorrhoidal symptoms. High- Fiber Diet in Irritable Bowel Syndrome Irritable Bowel Syndrome, sometimes called spastic colon or IBS, is one of the most common disorders of the lower digestive tract. The colon appears normal in Irritable Bowel Syndrome, but it overreacts to various stimuli. The symptoms include altered bowel habits (constipation, diarrhea or both alternately), abdominal pain, cramping and spasms. Acute episodes can be triggered by emotional tension and anxiety, specific foods, and certain medications. Increased amounts of fiber in the diet can help relieve symptoms by producing soft, bulky stools and helping to normalize the time the stool takes to pass through the colon. Because the same symptoms occur in other disorders, careful evaluation is necessary to exclude other diagnoses. High- Fiber Diet and Colon Polyps/Cancer Colon cancer is a major health problem. Most colon cancer begins as a colon polyp, a benign growth that in some people may become cancer. Colon cancer is preventable if polyps are removed at an early stage. It is now known that heredity plays an important role in who develops colon cancer, but there are other factors involved as well. Countries with diets high in fiber and low in fat have a low incidence of colon cancer. One theory is that cancer- causing chemicals (carcinogens) in the diet remain in contact with the colon wall for a longer time and in higher concentrations when the diet is low in fiber. A large, bulky stool acts to dilute these carcinogens and to move them through the bowel more quickly. High- Fiber Diet and Diverticulosis Colon diverticulosis occurs when pockets or sacs protrude from the bowel wall. These diverticula occur gradually over time and are due to excessive pressure or spasms within the bowel. These pockets usually cause no problems, but sometimes they rupture and become infected (diverticulitis) or even perforate cause an abscess or peritonitis. A high- fiber diet results in a large, soft, bulky stool that passes through the bowel easily and quickly. Therefore the colon does not need to generate as much pressure to propel stool through it. Diverticula formation may be reduced or even stopped. High- Fiber Diet and Cholesterol As noted above, fiber generally is divided into two categories: insoluble fiber found in wheat bran and cellulose from vegetables and fruits and soluble fiber commonly found in oatmeal, oat bran, guar gum, psyllium seed, fruit pectin and gum arabic. Soluble fiber helps to lower blood cholesterol by binding with the cholesterol (which comes from the liver) and carrying it away in the stool. Oat bran cereal and breads are good sources of soluble fiber. High- Fiber Foods. High- fiber foods can be found in several food groups. Legumes: The bean family excels in fiber, especially the soluble, cholesterol- lowering type. They include kidney, pinto, navy, lima and baked beans. Whole grains: Wheat bran and oat bran are present in a variety of cereals and breads. The label should say that the bread contains whole wheat or whole grain. Plain wheat bread may lack fiber. One cannot always tell by the color. Some manufacturers artificially color bread brown to make it look more wholesome. Whole fresh fruits: The valuable pectin fiber is found in the skin and pulp. Figs, prunes and raspberries have the highest fiber content. Cooked or stewed fruits: Prunes and applesauce are good choices. Green leafy vegetables: Spinach, celery, and broccoli are good examples. Root vegetables: Potatoes, turnips and carrots are excellent sources. Since fiber can cause rumbling intestinal gas and even some mild cramping, the amount taken should be increased gradually. The goal should be 2. The following are good general rules: Drink plenty of liquids, including water, fruit or vegetable juices (8- 1. Increasing the amount of fiber without adequate liquid will result in hard stools. Because caffeine acts as a mild diuretic, caffeine- containing products should not be considered part of your liquid intake. Eat meals at regular intervals. Get regular exercise. A Dietary Fiber Supplement May Be Helpful. Some people do not tolerate fibrous foods well. Fiber supplements can be a convenient alternative. These products are plant fiber that absorb water and produce the bulk necessary for the digestive tract to perform naturally. If you do not get enough fiber in your diet, you can take a supplement. These fiber supplements, in conjunction with foods, are a readily available way to reach the fiber goal of 2. For more information about dietary fiber,Position of the American Dietetic Association: Health implications of dietary fiber. High- Fiber Nutrition Therapy. Partial Colectomy Procedure, Recovery, Complications. Surgery Overview. Resection is another name for any operation that removes tissue or part of an organ. Bowel resection, also called partial colectomy, removes a diseased or damaged part of the colon or rectum. Bowel resection can be done for many diseases that affect the colon, such as colorectal cancer, diverticulitis, or Crohn's disease. The goal of bowel resection is to take out the part of the colon or rectum where the problem is. If the doctor is removing cancer from the colon, nearby lymph nodes are taken out and tested for cancer. Then healthy parts of the colon or rectum are sewn back together. Bowel resection is done either by opening the abdomen (open resection) or by laparoscopy. What To Expect After Surgery. Bowel resection requires general anesthesia. You may stay in the hospital for 4 to 7 days or as long as 2 weeks after surgery. Sometimes the two parts of the colon or rectum cannot be reattached, so the surgeon performs a colostomy. This creates an opening, called a stoma, on the outside of the body for the stool, or feces, to pass through into a colostomy bag. Usually the colostomy is temporary, until the colon or rectum heals. If the lower part of the rectum has been removed, the colostomy is permanent. When the two- stage operation is done, the time between operations is usually 6 to 1. The recovery time after a one- stage operation or after the final operation of a two- stage surgery is usually 6 to 8 weeks. Why It Is Done. Bowel resection may be done to remove cancer or when the colon cannot function normally because of damage or disease. You may need a bowel resection if you have: How Well It Works. Bowel resection is the most successful treatment for invasive colorectal cancer. Up to 1. 2 out of 1. But another surgery is usually not needed. Some people who have two- stage surgeries may not have the second part of the surgery to reattach the intestine and repair the colostomy. This is often because the intestine does not heal well enough to be rejoined. Surgery is not a cure for Crohn's disease. When surgery for Crohn's is needed, as little of the intestine as possible is removed to keep the intestines working normally. The disease tends to return to other areas of the intestines after surgery. In children, surgery may improve well- being and quality of life and restore normal growth and sexual development. Risks. All surgeries have some risks of infection, severe bleeding, or complications from general anesthesia. Possible problems after a bowel resection include: Scar tissue (adhesions). A leak between the joined sections of the colon. Injury to the bladder, ureters, or blood vessels. What To Think About. This operation does not usually cause problems, even in older people. Age should not be a reason to avoid having a bowel resection. In some cases, bowel resection can be done with a laparoscopy. Laparoscopy for bowel resection usually involves 3 to 6 very small incisions instead of one large one. Recovery time is faster. You and your doctor will think about several things in deciding whether you should have open resection or a laparoscopy. These include: The location and extent of the disease. Your general health. Whether you have scar tissue in the area from previous surgery. Your doctor's expertise and experience. Sometimes a laparoscopic surgery has to be changed to an open resection during the surgery. People who have colostomies need instructions about caring for the collection bag and about dietary changes that can reduce odor and gas. They also need emotional support, because many people find having a colostomy embarrassing. Bowel Disease: Caring for Your Ostomy. Complete the surgery information form (PDF)(What is a PDF document?) to help you prepare for this surgery. References. Citations. Eng C (2. 01. 1). In EG Nabel, ed., ACP Medicine, section 1. Hamilton, ON: BC Decker. Davis BR, Matthews JB (2. Diverticular disease of the colon. In M Wolfe et al., eds., Therapy of Digestive Disorders, 2nd ed., pp. Philadelphia: Saunders Elsevier. Diverticulosis, diverticulitis, and appendicitis. In EG Nabel, ed., ACP Medicine, section 4, chap. Hamilton, ON: BC Decker. Credits. By. Healthwise Staff. Primary Medical Reviewer. Adam Husney, MD - Family Medicine. Specialist Medical Reviewer. Jerome B. Simon, MD, FRCPC, FACP - Gastroenterology. Current as of. November 2.
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