Post-surgical diet for uterine fibroids

Written by Yan Qiao
Obstetrics and Gynecology
Updated on September 02, 2024
00:00
00:00

Before passing gas after a myomectomy, we must avoid foods that produce gas, such as milk and soy milk, and only consume small amounts of water and clear soup. Once the patient has passed gas, they can be advised to eat easily digestible foods, such as congee and noodles. After the patient has had a bowel movement, they can resume a normal diet, but it should be light and avoid irritating foods, such as those high in oil, salt, and spices, as well as some stimulating beverages. After discharge, it is recommended that the patient eat more vegetables and high-fiber fruits, and avoid gas-producing foods, which typically include legumes, sweet potatoes, potatoes, and so on.

Other Voices

doctor image
home-news-image
Written by Sun Shan Shan
Obstetrics and Gynecology
1min 5sec home-news-image

What should I do about uterine fibroids?

Uterine fibroids first require examining the location and size of the fibroids. Uterine fibroids can be classified into subserosal fibroids, submucosal fibroids, and intramural fibroids. If it is a submucosal fibroid, no matter the size of the fibroid, it is necessary to promptly perform a hysteroscopic submucosal fibroid surgery. If the submucosal fibroid is large, it may be necessary to perform a hysterectomy through abdominal surgery. For intramural and subserosal fibroids, if the fibroid's diameter exceeds five centimeters or if the fibroid is growing rapidly, surgical treatment is recommended at that time, because there is a chance of malignant transformation in uterine fibroids, which ranges from 0.2% to 0.3%. Therefore, once such a situation occurs, surgical treatment is required.

doctor image
home-news-image
Written by Wang Jing Hua
Obstetrics and Gynecology
55sec home-news-image

Do uterine fibroids have a genetic component?

Uterine fibroids indeed have a certain hereditary quality, similar to some other tumors or diseases, with a definite familial genetic component. However, the condition of uterine fibroids varies from person to person and is also related to acquired factors such as estrogen levels. The majority of uterine fibroids are simply carried, with the incidence in the population reaching over 20%. Many people with uterine fibroids do not need to worry about them, and no surgery is required, as regular check-ups are sufficient. After menopause, some fibroids may shrink and gradually disappear on their own. Some uterine fibroids during the reproductive years will ultimately require surgery, and there is also a small chance of needing surgery after menopause.

doctor image
home-news-image
Written by Shen Li Wen
Obstetrics and Gynecology
58sec home-news-image

Uterine fibroid examination items

When suspecting that a woman has uterine fibroids, the first step is to perform a routine gynecological examination by opening the vagina with a speculum. This is necessary because some women's uterine fibroids are located on the cervix; at this point, it is possible to see an increased size of the cervix and the fibroid may be visible protruding from the cervix. Moreover, during the bimanual gynecological examination, one may find that the uterus is enlarged and irregularly shaped with localized protrusions. Generally, the mobility is quite good. Additionally, some auxiliary examinations can be combined, such as the most common transvaginal ultrasound or pelvic abdominal ultrasound. For suspected submucosal uterine fibroids, a hysteroscopic examination can also be performed for diagnosis.

doctor image
home-news-image
Written by Sun Shan Shan
Obstetrics and Gynecology
1min 11sec home-news-image

Uterine fibroids are classified into several types.

Uterine fibroids are classified by location into two types: myometrial fibroids and cervical fibroids. Based on the relationship between the uterine fibroids and the muscular wall, there are three kinds of uterine fibroids: intramural fibroids, subserosal fibroids, and submucosal fibroids. Intramural fibroids, primarily located within the uterine wall and enclosed by a muscular layer, are recommended for surgical treatment once the fibroid's diameter exceeds four centimeters, as they tend to grow rapidly. Similarly, subserosal fibroids grow towards the peritoneal surface of the uterus and are on the exterior of the uterus. If subserosal fibroids also exceed four centimeters in diameter and are accompanied by menstrual changes, surgical treatment is advised. Furthermore, submucosal fibroids, regardless of their size, require timely surgical intervention due to their association with heavy bleeding and a high risk of anemia.

doctor image
home-news-image
Written by Wang Jing Hua
Obstetrics and Gynecology
56sec home-news-image

Do fibroids cause stomach pain?

Uterine fibroids, if merely present and not too large, generally do not cause abdominal pain. If there are symptoms of abdominal pain, it is necessary to check whether there is pelvic inflammatory disease by examining if there is tenderness in the uterus and adnexal areas. Uterine fibroids, if accompanied by adenomyosis, can also cause abdominal pain, particularly progressive dysmenorrhea symptoms. Therefore, if there is abdominal pain, it is essential to first perform an ultrasound to understand the specifics of the uterine fibroids, whether there are other masses in the pelvic area that might be twisted, and also to check for inflammation, the presence of an intrauterine device, etc.