I'm really concerned about what I should be eating after my fistula surgery. Could you help me with a diet plan that promotes easy digestion, smooth bowel movements, and supports my recovery? I'm a bit anxious about doing the right things to heal quickly. Any guidance would be appreciated.

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Dr Kareemulla Shaik

General Practitioner

MBBS
0+ Yrs

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To promote easy digestion, passing of stools, and early recovery after fistula surgery, it is important to follow a diet that is high in fiber and fluids. Increase your fiber intake by including foods such as fruits (apples, bananas, berries), vegetables (broccoli, carrots, spinach), whole grains (oats, brown rice, whole wheat bread), and legumes (beans, lentils). Stay hydrated by drinking plenty of water throughout the day. Aim for at least 8-10 glasses of water daily. Include probiotic-rich foods in your diet such as yogurt, kefir, and sauerkraut to promote gut health. Avoid spicy and greasy foods that may irritate your digestive system. Opt for lean proteins such as chicken, fish, tofu, and eggs. Incorporate healthy fats from sources like avocados, nuts, and olive oil. Limit your intake of processed foods and sugary snacks. Eat small, frequent meals to prevent bloating and discomfort. For easy digestion and early recovery, you can also consider taking a stool softener like Docusate Sodium (Colace) as recommended by your healthcare provider. Remember to follow your doctor's advice and gradually introduce new foods into your diet to monitor any adverse reactions.

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Answered 04/07/2025

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My friend had an endoscopy last week and they found a small hiatal hernia with some LAK lesions. They've been dealing with gastric issues for 3 years now antacids haven't helped at all. Is this something that can improve with meditation or lifestyle changes, or is surgery the only option? How serious is this condition?

A small hiatal hernia, especially with some LAK lesions (likely meaning low-grade acute inflammation), may be managed with lifestyle changes and medication, and surgery isn't always the first option. While antacids might not have been effective, other treatments like H2 blockers or proton pump inhibitors could be helpful. Meditation and lifestyle adjustments, such as weight management, can also help manage symptoms.

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I'm dealing with a fissure and it's really uncomfortable. I'm hoping for some advice on how to heal it permanently. Could you suggest any treatments or steps I should take to get rid of this issue for good?

Fissures can be quite painful and bothersome. To help heal a fissure permanently, you can try using a topical ointment called Rectiv. Apply a pea-sized amount of Rectiv 0.4% ointment to the affected area twice daily for up to 4 weeks. Additionally, you can take stool softeners like Colace to prevent constipation and reduce straining during bowel movements. It is also important to increase your fiber intake and stay hydrated to promote regular bowel movements and prevent further irritation.

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