What to eat after appendicitis

High fat and high protein diet affects the gut microbiome

Within one month of going on a Keto diet, I developed appendicitis.  After the appendectomy, the surgeon said the appendicitis was probably caused by a sudden change to a high-fat/ high protein/ low carb diet. Wow, Keto is that dangerous…

Not only that, but I suffered for a month afterwards with Peritonitis cramps. I was trusting doctors and dieticians, to give me good advice on how to recover from my operation after I went home.

But they didn’t. And no relevant advice came up on the Google Search.

I had to go back to my GP, all he offered was tests, ultrasound, painkillers, anti-spasmodics, i.e.immodium and the like. Drugs! Why did no medical professional possess any common sense advice?

No one with a medical background said: “Ok you have Peritonitis. You lost your friendly bacteria. Your gut is really sensitive right now, so eat like a baby, pure food, like you would after a bout of gastroenteritis”.
Really, how hard would it have been, to say something like this?

Medical professionals are only allowed to cut you up or offer drugs. And we as patients are getting a raw deal when we could have been helped with whole-person advice. There is a huge gap in their profession. What about Food as Medicine?

It took me a few weeks to realise I had to help myself.

Hilary Carlile Alternative Health Consultant advised me this:

“Get some good naturopathic medicine as your gut microbiome will be compromised with all the antibiotics from the operation so your immune system will be “vulnerable”. Your body is also getting used to having no appendix which is the storehouse of the master set of your good bugs for your microbiome. So your body needs some help.”

So the peritonitis was caused by losing the appendix which was the storehouse for the good bugs for my microbiome.

If the appendix is the storehouse, and holds the master switch for the gut microbiome then when you lose your appendix, you also lose your friendly gut bacteria, and your gut has to retrain to manage the store. Bombard the gut too soon with everyday food, and it will revolt. The gut needs time, pure simple food, and probiotics for at least a month, to get over this particular operation.

Therefore if you are in the position I was, don’t go straight back to your usual diet. Or you will get stomach cramps and diarrhoea again. I changed to watery soups and mashed fresh veges, boiled chicken, scrambled eggs. Nothing fried. NO fruit, spices, herbs or rice or bread or tea or coffee, and most definitely gluten-free.  No sugar or flour. Like a Coeliac, eat no gluten or anything out of a tin, bottle or packet. Herbal Tea allowed. And of vital importance, you have to repopulate the gut with friendly bugs so take high-quality probiotics to assist recovery.

I can categorically tell you, the moment I ate pure and fresh – my peritonitis went away with the very next mealtime. Go figure.

So please pass on this info if you hear of anyone with the same issue. I searched on the internet but of those who posted, nobody realised why they were getting cramps after an appendectomy. That is astounding!

Correct treatment: Pure – boiled or mashed vege food, and Probiotics.

After a few weeks, gradually reintroduce normal food again.

What is a Microbiome?

According to Merriam-webster.com Dictionary a Microbiome is:

  • a community of microorganisms (such as bacteria, fungi, and viruses) that inhabit a particular environment and especially the collection of microorganisms living in or on the human body
  • The intestinal microbiome consists of the microorganisms that inhabit the gut.—Clara Abraham et al.,  The New England Journal of Medicine,  19 Nov. 2009
  • Collectively known as the microbiome, this community may play a role in regulating one’s risk of obesity, asthma and allergies. —Carrie Arnold,  Scientific American,  March 2012

Later on, after losing your appendix, you can have compromised ability to fight off some infections that originate in the gut. See this latest video here by Hashem Al Ghali

Top 5 functions of the Appendix

Top 5 functions of the Appendix

Posted by Hashem Al-Ghaili on Saturday, 26 September 2020

Read this latest:

Research has shown Keto diet is a high risk. If you are considering Keto then read this first: https://www.usnews.com/news/health-news/articles/2019-02-20/high-fat-diets-do-no-favors-for-your-gut-bacteria

On this page linked above, Nutritionist Heller said “Fad diets rich in animal fats — such as ‘Keto’ or ‘Paleo’ — over time, are likely to be deleterious to the gut microbiome and subsequently increase the risk of inflammation and chronic diseases,” Heller said.

To keep your microbiome happy and healthy, Heller recommended eating more vegetables, legumes, fruits, grains and nuts, while avoiding processed meats, limiting red meat and cheese, and balancing your intake of fats, carbohydrates and protein.

Results of the study were published online Feb. 2019 in the journal Gut.

Footnote: Nov 2021 – Feb 2022, I tried the keto diet again, because it required the elimination of wheat, sugar and grains, and I was all for that, as it immediately fixed my gas and indigestion. However, Keto also requires elimination of root vegetables, and all fruit except berries. For me, this led to keto flu, cramps tiredness, and inability to even go for a walk. The reason is obvious, if you suddenly withdraw from eating all the healthy natural wholemeal grains, fruit and veges, you are forcing your body into malnutrition. NO NO NO. Don’t do it.

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