Diet for hernia - proper nutrition before and after surgery

Diseases of the gastrointestinal tract are widespread in all age groups. Stress and improper eating habits play a significant role in this: when getting ready for work, many people do without breakfast in the morning, and at lunch they hastily eat several dishes at once, since there will be no time to have snacks before dinner. In the evening, a voluminous dish of potatoes with mushrooms, pizza or pies suddenly enters the stomach. All this does not contribute to the health of the digestive system. Consequences: gastritis, stomach ulcer, chronic pancreatitis, hiatal hernia (HH).

Main symptoms of hiatal hernia

A hernia rarely behaves unnoticed by the “owner”. Usually it manifests itself quite clearly.

The patient feels:

  • pain in the epigastric region;
  • heartburn;
  • belching sour;
  • frequent bloating.

Sometimes heart rhythm disturbances and breathing problems may occur. All this is due to the characteristics of the disease: with a hernia, part of the organs that should normally be located in the abdominal cavity are displaced into the chest through an enlarged hole in the diaphragm. Among diaphragmatic hernias, the most common is hiatal (when the stomach and lower parts of the esophagus are displaced into the chest cavity). It has a second name - axial.

It can be congenital, but often develops in old age due to weakening of the ligaments that support the internal organs, as well as due to acquired diseases, in particular gastritis with high acidity, when the contents of the stomach are constantly thrown back into the esophagus and irritate it. Pregnancy, especially multiple pregnancy, contributes to the development of a sliding hernia, since the internal organs are compressed by the growing uterus.


Treatment of hiatal hernia is carried out in two ways:

  • surgical;
  • conservative.

The first is rarely resorted to, because the disease can usually be corrected with the help of medications and the establishment of a proper diet.

In the diet menu for hiatal hernia, 2 factors play a role:

  • refusal of prohibited products;
  • adherence to food intake.

The diet for a hiatal hernia mainly includes foods recommended by nutritionists and for people without diseases - with minor exceptions. The basis is a healthy diet, that is, minimizing heavy, fatty and spicy foods that linger in the stomach for a long time.

Dietary salads for the New Year: recipes without mayonnaise

In nutrition for a hiatal hernia (when a sample menu is drawn up), doctors pay attention to the timing of meals. You should remember the basic rules:

  1. You can't skip breakfast.
  2. Meals should not be three times a day, as we are used to, but at least five to six times a day.
  3. During each snack, approximately the same amount of food should enter the stomach.
  4. You can't eat too much at one time.
  5. You cannot take a horizontal position immediately after eating; you must first do some business, take a walk.
  6. The last meal is no later than 2-3 hours before bedtime.


When determining your diet, you must remove from the menu foods that cause flatulence or other discomfort after consumption. It is necessary to ensure that after meals, bowel movements are smooth and do not cause difficulties. All this is necessary to promote optimal bowel function.

A doctor will provide assistance in adjusting your diet! He will tell you which products to avoid in order to achieve better results.

You should avoid eating three hours before bedtime. Otherwise, intra-abdominal pressure will increase, which will negatively affect the development of a hernia. In no case should overeating be allowed, as this disrupts the functioning of the gastrointestinal tract and negatively affects metabolism. Excess weight is a negative factor influencing the development of protrusion.

Authorized and recommended products include:

  • Yoghurts;
  • Soups, broths;
  • Raspberries and pears have a positive effect on the state of the digestive system after removal of a hernia;
  • If the operation has not yet been carried out, then special attention can be paid to whole grain crops;
  • Eating porridge is encouraged;
  • To replenish protein reserves in the body, tofu or fish is recommended;
  • All vegetables and fruits. If some are too hard, like an apple, then you can first grate them on a coarse grater. This will avoid difficult swallowing and difficult digestion.


The nutrition menu must be varied so that all the beneficial substances and vitamins enter the body. This diet food cannot be called strict, so if you really want a piece of chocolate, you can eat it.

The main thing is not to abuse it!

Sample food menu for the day:

  • Breakfast: green or herbal tea, low-fat yogurt, porridge;
  • Second breakfast: two apples or two oranges of your choice, a glass of tomato juice. The juice should be fresh and, preferably, without pulp;
  • Lunch: Meat broth, boiled potatoes, baked veal. If desired, you can prepare a vegetable salad;
  • Afternoon snack: at this time you can eat a few fruits and drink a glass of fresh natural juice;
  • Dinner: Vegetable side dish with mushrooms, steamed cutlets or meatballs, vegetable salad, a piece of tofu cheese;
  • Before bed: a glass of low-fat kefir.

It is not recommended to limit yourself in food intake, but do not forget that there should be at least five meals a day. If you really want to eat, then before dinner or lunch you can eat any fruit of your choice.


To eat properly if you have an abdominal hernia, you need to familiarize yourself with some recipes for preparing tasty and healthy food.

  • Diet soup with buckwheat. You will need: one carrot, two potatoes, half a glass of buckwheat, onion, salt. Rinse the buckwheat, add cold water, and put on fire. Add grated carrots, onions and potatoes, cut into small cubes, into the pan. Once the soup begins to boil, reduce the gas and leave to simmer until fully cooked. If desired, you can add a spoonful of pumpkin oil to the plate;
  • Steamed beef cutlets. You will need: beef, white bread, two tablespoons of water, salt. Soak the bread in water, remove fat from the meat. Pass both ingredients through a meat grinder several times, then add water and salt to the minced meat. It's good to knock him out. Form the minced meat into cutlets, place in a steamer bowl and leave for twenty minutes. The finished dish can be poured with previously melted butter. It is recommended to eat with a vegetable side dish;
  • Vegetable stew. You will need: eggplant, tomatoes, potatoes, carrots, zucchini, salt. Pour a small amount of water into the pan. Place potatoes, zucchini, and eggplant in it. Vegetables should be thoroughly washed, peeled and cut into small cubes. Then put carrots and tomatoes, finely chopped, into the pan. Add salt to taste. Any of the ingredients can be removed or replaced with any other vegetable except cabbage;
  • Vegetable salad. To prepare it you will need: beets and carrots. Boil all the vegetables, peel, grate and mix thoroughly, then add salt. If desired, you can season with olive oil.


Recommendations regarding nutrition for abdominal hernia:

  • All food must be fresh. In stores, you should pay attention to the expiration date and avoid purchasing expired products;
  • During the diet, it is recommended to consume more yoghurt. It is recommended to pay attention to their composition. Some manufacturers indicate on the packaging that it is a dairy product. This product contains many unnecessary additives, so it is best not to purchase it;
  • Before going to bed, it is recommended to drink a glass of kefir. It normalizes intestinal function during sleep.

Eating for an abdominal hernia will not get rid of the protrusion. But a proper diet before and after surgery to remove a protrusion will save you from several symptoms of a hernia that negatively affect the general condition of the body.


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Measures to prevent constipation and gas formation with hiatal hernia

With a hernia, due to the displacement of organs, constipation and bloating often occur due to difficulty in moving the food bolus and excessive accumulation of gases.

In order to prevent such phenomena in case of diaphragmatic hernia, the diet must be strictly followed.

The list of prohibited products includes:

  • fatty soups;
  • fried meat (generally any fried foods);
  • salty dishes (cause fluid retention, slow down metabolism);
  • smoked meats;
  • legumes, cabbage (cause increased gas formation);
  • chocolate, coffee (also contribute to increased gas formation).

It is not advisable to drink soda. You should drink alcoholic beverages as little as possible.

An important measure is regular exercise. When the body is involved in active movement, all processes proceed faster, the intestines are cleansed, and the likelihood of constipation is reduced.

If you have a hiatal hernia, include vegetables and fruits in your menu more often. But please note: these products must be heat-treated before they reach your table. This is especially important when following a diet after hiatal hernia surgery in the first weeks. Food should be light, quickly digestible, so that the body is saturated with vitamins and nutrients, spending a minimum of energy on it.

Preventing gastroesophageal reflux

When examining patients with hiatal hernia, it often turns out that they complain of belching, observed mainly after eating. The contents of the stomach are thrown into the esophagus, and since the environment in the stomach is caustic and acidic, the walls of the esophagus are irritated, which explains the unpleasant phenomenon.

The diet for a hiatal hernia with high acidity should be designed taking this factor into account. To reduce reflux, you need to include foods in your diet that promote a neutral pH environment.

What can you eat? The diet for a hiatal hernia includes recipes for mucous porridges - they must be present on the patient’s menu. You can prepare rice, buckwheat, wheat porridge. Oatmeal is also good. The main condition is that they must be properly boiled. Boiled turkey and chicken, baked fruits and vegetables are allowed. Lightly brewed tea and dried fruit compote are perfect.

It is important not to go to bed immediately after eating. It is also harmful to immediately start physical exercise as soon as you finish your snack. You need to wait at least 1.5 hours for all the food to be absorbed.

Types of diets for spinal hernia

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Next fact

In case of spinal hernia, nutritionists advise adhering to a diet that combines the intake of sufficient amounts of proteins , the building material of cells, with a caloric restriction in the diet.

Such a diet not only takes into account the needs of connective tissues, but also helps to reduce excess body weight, which aggravates the load on the lumbar segment of the spine.

Despite the fact that a number of express and mono-diets give positive results in the fight against excess weight, they are highly not recommended for spinal hernia, since weight loss in these cases occurs due to the removal of fluid from the body. In addition, due to the presence of a limited number of products in the diet, the body will not receive a complex of components necessary for normal functioning. .

Recommended and prohibited foods on the menu

The daily diet for hiatal hernia will be presented below, and then we will consider recipes for dishes for hiatal hernia that can be included in the menu. In the meantime, let's list the products that should be included in the sample menu.

So, meals for this disease should be small and frequent. Whatever diet seems attractive to you, it should be based on:

  • protein foods (baked, boiled chicken, turkey, fish);
  • puree soups, cream soups;
  • vegetable broths;
  • baked fruits;
  • porridge (preferably with water, but milk is also possible);
  • dried black bread.

Avoid fresh bread (ideally, you should avoid baking altogether), cakes and pastries (they contain a lot of fat), fresh cabbage, pickles and tomatoes, and fried mushrooms. It is worth drinking less kefir with the usual fat content - 3.2%. Instead, switch to low-fat kefir, yogurt, and cottage cheese.

Authorized Products

The diet for gastric hernia includes the following in the diet:

  • Dried wheat bread, white crackers, biscuits.
  • Vegetable soups with the addition of pureed, well-cooked cereals, seasoned with egg flakes/butter.
  • Boiled/rolled veal, turkey, chicken, rabbit (quenelles, cutlets, soufflé) with milk and sour cream sauce.
  • Steamed/boiled/baked dishes from lean white fish.
  • Cereals that do not contain a lot of fiber: buckwheat, oatmeal, semolina, rice. Cook porridge in water or with the addition of milk. Buckwheat/rice porridge is diluted with water to a semi-viscous consistency and wiped.
  • Medium fat cottage cheese, milk, cream, milk jelly, non-acidic kefir.
  • Steamed vegetables with low fiber content (beets, pumpkin, potatoes, carrots, cauliflower).
  • Refined butter/sunflower oil - added only to ready-made dishes, heat treatment is excluded.
  • Sweet fruits in the form of jelly, puree, jelly.
  • Weak tea with milk, mineral water, sweet juices.

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Menu by day for the week

Let's try to create a menu by day for the week. Based on it, you will eventually develop your own, taking into account your own tastes and preferences.

Day of the weekFirst mealSecond appointmentThirdFourthFifth
MondayTea with toast (brew the tea lightly)Cottage cheese with jamCreamy pumpkin soupBaked applesBoiled fish with mashed potatoes
TuesdayTea or cocoa with a sandwich of bread and low-fat cheeseBaked fruitsChicken fillet with pastaBananaStewed fish with herbs
WednesdayEgg, teaThick fruit or vegetable juiceChicken broth, buckwheat porridge with steamed cutletA plate of cottage cheese with jamLow-fat kefir, dried bread
ThursdayRice porridgeTea with dry biscuitsSlimy Broccoli SoupSyrnikiVegetable salad dressed with oil
FridayOatmeal porridge with raisinsBananasFish with riceBaked pear with honeyBuckwheat porridge, optional with milk
SaturdayAn egg, a piece of yesterday's bread, cocoaApple cheesecakeBoiled pasta with steamed cutletMashed Potatoes with TurkeyLow-fat kefir or yogurt
SundayOmeletteBaked potatoes with herbsChicken soupHedgehogsCottage cheese casserole

Be sure to drink at least 1.5 -2 liters of liquid, but not immediately after meals, but after about half an hour. This volume includes juices with pulp, tea, compotes, jelly.

Recommendations from nutritionists

What matters is what food you eat. Be sure to use fresh ingredients for cooking. But the most important thing is adherence to the regime. Never go hungry for too long and never overeat. Failures in diet most often cause increased symptoms of a hernia.

Diet after hiatal hernia surgery

Not all recipes for hiatal hernia are suitable for people who have recently undergone surgery to repair a hernia.

What kind of diet you should follow after hiatal hernia surgery depends on the type of surgery. Thus, after laparoscopic operations (after Nissen fundoplication), the patient quickly returns to his usual diet and lifestyle. After major abdominal operations, one has to endure dietary restrictions longer and later switch from liquid meals to semi-liquid and semi-solid ones.

The diet after removal of a hiatal hernia in the first days is gentle, only broths are allowed. Then soups are allowed, and they should be as liquid as possible, all the products included in them are thoroughly ground. It is important that the body receives more liquid: water, dried fruit compote, weak tea.

Then the patient is transferred to a diet recommended for everyone who suffers from chronic diseases of the gastrointestinal tract in order to prevent relapses. When the menu should be expanded after surgery is decided by the doctor.

Dish recipes

Dishes allowed for hiatal hernia must be tasty! The opinion that medical nutrition is tasteless is a thing of the past. Turn on your imagination and create!

Try making this porridge for breakfast:

Heat the milk in a small saucepan and throw in a handful of oatmeal. When the porridge begins to thicken, add some raisins and your favorite fruit jam, stir and remove from heat. It is better not to salt the porridge or sprinkle it with sugar. Perfectly “supplies” energy at the beginning of a working day, launches the mechanisms of digestion and proper peristalsis!

Here's a banana soufflé recipe to treat yourself to on the weekend:

  • 3 bananas;
  • low-fat cottage cheese (100 g);
  • honey (50 g);
  • 50 g raisins.

Cottage cheese with raisins (first pour boiling water over the dried berries for 20 minutes), mash and chop to form a homogeneous mass. Use a fork to remember the bananas. Mix everything, add honey. Place in the oven for half an hour, setting the temperature to 200 0C.

A hiatal hernia, if the case is not advanced, can be overcome with a diet alone with the addition of medications, without resorting to the help of surgeons. You just need to be patient to completely reconsider your diet and diet. You will have to stick to proper nutrition throughout your life.

Delicious recipes

Eating during a gastric hernia can be not only healthy, but also tasty. The diet allows you to consume a fairly extensive list of foods. At the same time, a person can include even familiar dishes in their diet by excluding just a few ingredients from their recipes. However, before adding new products to the menu, it is important to consult with a specialized physician.

Healthy salad "Olivier"

You will need to take chicken fillet, carrots, potatoes, green peas and natural yogurt that does not contain fruit additives. First of all, the chicken is stripped of membranes and sent to cook until cooked. Vegetables are also boiled, peeling them after cooking. The finished ingredients are cut into small cubes and mixed thoroughly. Salt it a little, then add natural yoghurt. The salad is mixed and served with finely chopped parsley.

Cutlets with egg

You will need veal, bread, low-fat milk, eggs. First of all, the bun is soaked in milk, after which they begin to prepare the minced meat in a meat grinder. Then the already soaked bread is mixed with chopped meat and a raw egg is added. The second is sent to the stove to cook. When it is ready, peel it and cut it into 2 parts. Each of them is wrapped in minced meat, formed into a cutlet and sent to a non-stick frying pan, which is preheated well. It is important that it is forbidden to add vegetable oil. At this time, turn on the oven. When the cutlets are fried on both sides, they are placed in a baking dish and placed in the oven for 15-20 minutes at 180 degrees.

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