How to solve abdominal distension after gastric cancer surgery?

Hello, let me tell you first, what are the complications after gastric cancer surgery:

What are the symptoms of postoperative recurrence of gastric cancer?

1, indigestion, abdominal pain, vomiting, hematemesis, melena and other common digestive tract symptoms;

2. It is found that the health status has obviously declined recently;

3. There are not only some common digestive tract symptoms in life, but also the trend of aggravation.

For gastric cancer, the common symptoms of recurrence are some upper abdominal discomfort, such as mild stomach pain and heavy feeling. Sometimes my heart aches faintly. These symptoms are similar to some gastritis and may be temporarily relieved. If the lesion occurs in the antrum of the stomach, the function of the duodenum may change, and rhythmic pain may appear, which is similar to the symptoms of ulcer, and it is easy to be misdiagnosed as duodenal ulcer and delay treatment.

How to nurse after recurrence?

1, diet health care

The main goal of diet should be to satisfy the taste of patients and meet the basic calorie needs of the body. Give high-calorie, high-protein, vitamin-rich and digestible foods, and avoid moldy, pickled and smoked foods. It is advisable to eat less and eat more meals, and choose the cooking methods that patients like to increase their appetite. Chemotherapy patients often lose appetite and should be encouraged to eat more.

2. Psychological care

Whether to inform the patient of the condition needs to be judged as appropriate. The principle is to keep patients positive and optimistic. Family members should not worry too much, but should give patients a good mental outlook, show more consideration and care to patients, and let patients show more self-confidence.

3. Exercise health care

After the treatment, patients can take appropriate physical exercise, but don't be overworked. The correct nursing method for patients with gastric cancer is aerobic exercise, such as playing Tai Ji Chuan, doing exercises, walking and jogging. Doing these physical exercises can not only enhance your immunity, but also breathe the fresh breath of nature, which is very beneficial to the rehabilitation of diseases.

4, strengthen the observation of the disease.

Prevent infection and other complications. The changes of vital signs, abdominal pain, abdominal distension, hematemesis and melena were observed, and the improvement of symptoms and signs before and after chemotherapy was observed.

How to prevent postoperative recurrence of gastric cancer

1. Fasting after operation, drinking a small amount of water, 4-5 tablespoons each time, every 2 hours 1 time, 5 days after the recovery of intestinal peristalsis, anal exhaust and removal of gastric tube. If you return to normal after operation, you can eat a low-fat semi-liquid diet for two weeks after operation. The protein content meets the normal requirements and the fiber content is very low.

2. The patient's diet is based on the principle of self-feeling and no discomfort, and the diet content is based on the principle of low slag, gentleness and digestibility. Eat from less to more, from thin to thick, and gradually adapt. Chew slowly when eating, in order to reduce the burden of residual stomach, generally it is better to eat 5-6 times a day. At the same time, pay attention to avoid too sweet, too salty, too thick diet, such as nausea, bloating and other symptoms after eating, should suspend eating.

3. 2-3 weeks after operation, some patients may have symptoms such as palpitation, nausea, epigastric discomfort, dizziness and sweating. After eating sweets (such as milk and sugar, etc. ), generally lasting 15-30 minutes, can relieve itself. In order to prevent this from happening, if you want to eat sweets, you should eat a moderate amount of digestible salty food at the same time and control the eating speed.

4. Patients can have soft meals after discharge. Staple food and side dishes should be nutritious and easy to digest. Do not eat foods that stimulate flatulence, such as cold food, fried food, hot and sour food, etc. Patients should chew slowly, eat more fresh vegetables and fruits, avoid high-fat foods and pickled products, supplement mineral iron and vitamins in moderation, avoid alcohol and tobacco, and have a regular diet. After 3-6 months of operation, you can gradually return to normal diet according to your physical condition.

5. After gastric cancer surgery, drugs should be used according to the doctor's advice to prevent anemia, and other auxiliary treatments, such as chemotherapy, traditional Chinese medicine treatment and immunotherapy, should be carried out according to the specific situation. More importantly, we must check regularly, such as gastrointestinal fluoroscopy, B-ultrasound, chest X-ray, gastroscope and so on. In order to find the recurrence or metastasis of gastric cancer early.

6, pay attention to write down the food that often causes discomfort, and the taboo must be taboo. The decrease of gastric acid in patients affects the absorption of iron, and some iron supplements can avoid iron deficiency anemia. In addition, patients after total gastrectomy should take folic acid and vitamin B 12 once a year.

7. Patients after gastric cancer surgery should be prohibited from smoking, drinking, eating moldy food and fasting hard, rough and irritating things. You can take a slow walk and gently rub your abdomen 15 minutes every day, once in the morning and once in the evening, which can help your stomach absorb and digest.

The end of gastric cancer surgery does not mean the end of gastric cancer treatment. In addition to the combination of drugs to consolidate the surgical effect, postoperative care should be strengthened according to the above seven points, which is conducive to better recovery.

Cancer patients often feel full because of excessive diet control, light and boring food, or advocating a dynamic diet. In addition, they may be unable to eat because of intestinal damage caused by drugs or chemotherapy, which may lead to abdominal distension or excessive gas production.

1. Avoid using coarse and fiber-rich foods, such as beans, onions, potatoes, milk and carbonated drinks. ;

2. Avoid eating too much oil, fried food and too sweet food;

3. Don't drink too much soup and drinks at dinner time, and eat less sweets;

4. Don't talk while eating, chew gum by mistake and avoid inhaling too much air;

5. If you have gastrointestinal discomfort such as abdominal distension and abdominal pain, you can cook coarse grains, fruits and vegetables to make them soft and rotten;

6. Get rid of the bad habit of overeating, chew slowly and slowly feel full. After seven or eight minutes full, put down chopsticks and eat three meals at a fixed time to avoid being "hungry".

1. Abdominal distension after gastric cancer is mostly the same as gastritis before operation, which belongs to the performance of remnant gastritis and gastric motility deficiency, so it only needs to be treated by promoting motility! You can use gastric motility drugs: Modine, Eternal Billy, etc! Digestive enzyme preparation: Daji, bite; Chinese patent medicine Su Wei granules, Qi stagnation and stomachache granules, Baohe pills, hawthorn tablets and so on!

2. Postoperative abdominal distension should also be highly suspected of anastomotic cancer recurrence, leading to local obstruction! First of all, we need to improve the pathology and abdominal enhanced CT, and then make the next treatment plan after defining the cause! If small lesions recur, local mucosal dissection (ESD) can still be performed. A wide range of "2cm, recommended surgery!

3. If it is positive for Helicobacter pylori infection, sterilization is recommended, and abdominal distension can be relieved to some extent.

Generally speaking, as long as the defecation is smooth, abdominal distension can be obviously relieved!

Eat less and eat more, in order to keep up and down smoothly. Nowadays, people are lazy. They either eat less or not much, or eat it all at once. If you eat less meals, you will have a stomachache, and no medicine can stop it. Eating too much will lead to long-term abdominal distension, from food accumulation to qi stagnation, and gastric cancer will recur.

Postoperative abdominal distension is a common phenomenon in surgery, and surgeons will deal with it without online help. For surgeons, this is a matter of pediatrics and cannot be too young. Now that you ask, I'll just say, no, don't take it to heart.

Abdominal distension after gastric cancer surgery is generally due to the following reasons:

First, eat too early. I just had an operation, and I usually can't eat for a week. I rely on infusion to preserve nutrition. Because I just had an operation, my stomach function has not fully recovered and I am very weak. If I eat too early, I will have bloating, indigestion and even vomiting.

Second, there is too much congestion after surgery and it cannot be discharged. Just after surgery, there is a lot of congestion in the stomach and abdominal cavity, which is inevitable. If these congestion can not be absorbed or discharged for a long time, it will cause abdominal distension, even fever and high fever. This is also a common clinical situation, which is usually treated by doctors and will be eliminated in a few days.

Third, the side effects of the operation itself. Postoperative abdominal distension is also a problem of the operation itself. As we know, the operation of gastric cancer is basically total resection, or two-thirds resection. For patients, it is a great loss of vitality, the function of the stomach is greatly reduced, and even the whole gastrointestinal tract can not peristalsis. If the gastrointestinal tract does not peristalsis, the food left in the intestine will ferment, produce gas and cause bloating. Therefore, the general doctor will tell the patient's family not to eat for a week, so as not to cause severe abdominal distension. Fart and ventilate to drink water and eat.

Four, 2~3 weeks after surgery, even if you can eat food, you must be close to some digestible and liquid food, and avoid eating hard food, newly steamed hot steamed bread, vegetables, overheated or too cold food. Generally eat liquid food such as noodle soup, fine noodles and rice soup. So as not to cause bloating.

5. If the postoperative abdominal distension is not effective for a long time, it is necessary to dredge the intestines, eat some traditional Chinese medicines for relaxing bowels, such as small bearing gas, drink less and pass through. Or Bupleurum chinense

Eat less and eat more. Gastric cancer belongs to the digestive tract. You need to recuperate your stomach after operation. Eating less and eating more is a good way.