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03 Apr 2006

diet for ulcerative colitis - post colectomy
hi
i have a really different problem, due to a severe bout of ulcerative colitis, i at the time was not responding to the maximum doses of the steroids they were prescribing for me, they decided the only solution was to do a total colectomy (removal of the entire large intestine) leaving behind only a few centimeters of the rectum which they attach to the small intestines to form an internal pouch. the recovery was exceptionally and life continued as normal for 6 years, except for having a lot more bowel movements than before. I was of the impression that the colitis was cured and now we learn to live with a faster digestive tract. However, on leaving the check up for a while out of laziness, they did a colonoscopy 3 weeks back and it turned out that the little part that remained was now infected to owith colitis. what is the best diet to follow for post operative care, as all diets I have found are only for if you have not had the surgery? would they be the same?
i have lost alot of weight, and am struggling to gain again? what would you suggest?
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Expert
DietDoc
DietDoc

01 Jan 0001

Dear Mel
I am so sorry to hear that you ulcerative colitis has flared up again in the remaining part of your colon. Because of the seriousness of this condition and the fact that you have to have another operation, I would urge you to consult a clinical dietitian (check the List of Dietitians on this Website or phone 082-593-0276 or send an e-mail to sscharf@nhcltd.com or look in your local telephone directory or Yellow Pages, to find a dietitian in your area). This is essential because she/he will have to work out how you progress from clear liquids to more solid ones and then on to solid foods and also calculate what additional vitamin and mineral supplements you will require. So please go for a consultation before you have the op so that the dietitian can guide you through this difficult period. The dietitian will also advise how to increase your energy intake via liquid meals and the use of medium-chain triglycerides - but the dosage will have to be worked out using your individual parameters - so that you can gain weight.
Holding thumbs for your op
Best regards
DietDoc
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