In this surgery, the sphincter or valve between the stomach and esophagus, which is supposed to prevent the backward flow of stomach fluids into the esophagus, is tightened. Powdered drink mixes, such as Kool-Aid and Gatorade (in moderation). You may find you have more energy in the morning or the afternoon. Mildly seasoned salad dressing made with ingredients allowed in the Nissen soft diet. When you increase your activity, pay attention to how your body feels. You may be sore and have some pain in your belly for several weeks after surgery. So just stopping that completely was a bit rough at first. Do not do any strenuous activities, such as jogging or tennis. Take it easy. coffee and tea? You may get oxygen through a thin tube resting below your nose or a mask over your nose and mouth. (Source: High-Fiber Foods: High-fiber foods can be difficult to digest and can delay stomach emptying, increasing the risk of acid reflux. Its important to discuss the potential benefits and risks of surgery with a healthcare provider before making a decision. Chocolates are a happy food for most people. Ice cream, ice milk, frozen yogurt, and sorbet (except chocolate flavor). Untoasted bread, bagels, Kaiser and hard rolls, English muffins. For more information, read the Managing Constipation section later in this resource. Avoid having any foods and drinks that cause discomfort, even if theyre listed in the to Include column. If youre having trouble swallowing, tell your surgeon. Your urethra is the tube your urine (pee) flows through when you urinate (pee). The backwash of acid irritates the lining of the esophagus, which is why you feel the burning sensation. Your feedback will help us improve the educational information we provide. Upper Endoscopy: A tissue sample is drawn from the upper part of the stomach to study the damage to the tissues and make sure it's due to gastric acids. (Source: Alcohol: Alcohol can increase the production of stomach acid and weaken the lower esophageal sphincter, increasing the risk of acid reflux. (Source: Whole Grains: Whole grains, such as brown rice and whole wheat bread, can provide important nutrients and fiber without increasing the risk of acid reflux. All rights reserved. (Source: Peppermint: Peppermint can relax the lower esophageal sphincter and increase the risk of acid reflux. Ditching the chocolate can therefore help kick heartburn to the curb. For more information, read. Nissen Fundoplication. Acetaminophen (Tylenol) and ibuprofen (Advil or Motrin) are examples of over-the-counter pain relievers. They may have you advance more slowly depending on how you feel. Gradually add them back into your diet in small ( cup) portions. They may recommend going back to following a liquid diet while the swelling lessens. As long as you don't stop consuming chocolate, you can't expect the effects of the Nissen Fundoplication surgery to last very long. Thank you! You'll also get a nasogastric tube (NG tube) that will clear your stomach while you're healing from the surgery. Follow your healthcare providers instructions for stopping your prescription pain medication. It can significantly impact a persons quality of life, and if left untreated, it can lead to complications such as esophagitis, Barretts esophagus, and esophageal cancer. Some tests that your surgeon will prescribe are: Once the surgeon has got a clear picture of your condition, they can move on to the surgery. Mildly seasoned cream sauces and gravies. Full Liquid Diet After Nissen Fundoplication Surgery. Before the surgery is done, the surgeon runs some tests to make sure GERD has scaled up to the extent that only surgery can fix it. Youll get pain medication through your intravenous (IV) line. Warm liquids can be easier to swallow. It is a chronic disease that affects the digestive system and can cause various symptoms, including heartburn, regurgitation, difficulty swallowing, and chest pain. Eat these in moderation. When you wake up after your surgery, youll be in the PACU. As a result, you'll constantly feel like your chest is on fire. You can find examples in the Clear Liquid Diet table. Have plenty of gravy/sauce Nissen fundoplication is a surgical procedure used to treat gastroesophageal reflux disease (GERD). Strongly flavored cheeses such as sharp and extra sharp cheddar and cheese containing peppers or other seasonings. We can't decide which one is tastier and which one of these we can possibly say no to. Straws should not be used for drinking. Do coughing and deep breathing exercises. (Source: Chocolate contains theobromine, a compound that has been shown to cause esophageal contractions in some people. Your nurse will give you an incentive spirometer. Why No Chocolate After Nissen Fundoplication? Crackers with nuts, seeds, fresh or dried fruit, coconut, or highly seasoned (garlic or onion-flavored). Fruits with edible seeds, such as berries, kiwi, and figs. Some patients may revert to the use of long-term PPI therapy, or need revision surgery to improve symptom control following recurrent symptoms. The question is, why can't you have chocolate after Nissen Fundoplication? Activity: You will be encouraged to get up and move around immediately after the surgery to prevent blood clots and other complications. GERD is a common condition that affects people of all ages, and its prevalence is increasing worldwide. Why Can't You Have Chocolate After Nissen Fundoplication? Wearing loose-fitting clothing can help prevent the recurrence of symptoms. Smooth yogurt, such as plain, vanilla, and coffee flavors. If youre having trouble with nausea, contact your surgeons office. If you take large pills, ask your primary care provider to change your prescription to a liquid or chewable form. For more information, read the Instructions for Eating and Drinking section later in this resource. Carbonated drinks, such as soda and seltzer. And How to Make It? If youre still constipated after you stop taking prescription pain medications, adding more fiber to your diet can help. She has taught in the public school setting, at the collegiate level and through adult continuing education as well as running several cooking and baking camps for children. The full liquid diet contains anything on the clear liquid diet, plus: Milk, soy, rice, and almond (no chocolate) Cream of wheat, cream of rice, grits. Follow these guidelines to help manage your pain at home. Increase your activities each day as much as you can. After the healing process (1 year or more), you find that you get your appetite back and in alot of cases certain food starts tasting better because of no more acid reflux so you eat more and gain weight. Its OK to get your Steri-Strips or Dermabond wet. After this time, you can try them again in small amounts. A member of your care team will give you more information. If you start having symptoms of reflux after your surgery, call your healthcare provider. Jonathan57679 ABBY90. Redness, swelling, or drainage from your incisions. Chocolate milk, cocoa, or other chocolate-flavored drinks. Please note: You will need extra fluids throughout the day to meet your fluid needs. Serotonin results in the relaxation of the esophageal sphincter, and with that, gastric contents find a way out of the stomach and into your esophagus. Posted by nirolk @nirolk, Apr 29, 2018. If you have an ostomy or recently had bowel surgery, check with your healthcare provider before changing your diet. If you feel like you need to go, though, do not put it off. What Should You Eat After Nissen Fundoplication? Some patients find that their appetite is poor or that foods don't taste well after surgery. But if you're suffering from GERD and are undergoing Nissen Fundoplication, you might have to refrain from chocolates for a while. Its important to avoid constipation after your surgery. Soups with tomato or gas-producing vegetables, such as broccoli, cauliflower, onion, and cabbage. All 25 patients in the follow up study were personally interviewed: 21 consented to an endoscop Our highly-specialized educational programs shape leaders to be at the forefront of cancer care and research. The length of time youre in the hospital after your surgery depends on your recovery. (Source: Quit smoking: Smoking can increase the risk of GERD symptoms and complications, such as esophageal cancer. During the procedure, the surgeon wraps the upper part of the stomach around the lower esophagus to strengthen the lower esophageal sphincter (LES), the ring of muscle that prevents stomach contents from flowing back into the esophagus. In a 2021 study involving 111 people who had laparoscopic Nissen fundoplication, 78.4% said that they would recommend the surgery, while 15.3% would choose not to have the surgery again. (Source: Soft, Easy-to-Digest Foods: Soft, easy-to-digest foods, such as oatmeal and scrambled eggs, can help promote healing and reduce the risk of complications. Limit foods that produce gas. You may have a urinary (Foley) catheter through your urethra into your bladder. Below is a list of all the foods that you should eat after getting the Nissen Fundoplication surgery: Then there are foods that you must not eat after Nissen Fundoplication. Smooth blenderized soups, such as cream of potato or carrot. Thin hot cereals, such as farina, strained oatmeal, grits, Cream of Rice, and Wheatena. This is a normal result of the stress of surgery and manipulation inside the belly your appetite should return in several weeks. As an Amazon Associate we earn from qualifying purchases. A nurse will be keeping track of your temperature, pulse, blood pressure, and oxygen levels. Your Foley catheter will drain urine from your bladder. After Nissen fundoplication surgery, your surgeon will slowly advance your diet through the following stages: A clear liquid diet, generally for the first few meals. Drink 8 to 10 (8-ounce) cups (2 liters) of liquids daily, if you can. After your stay in the PACU, a staff member will bring you to your hospital room. Ask them when to start switching to over-the-counter pain medications. Complications include dysphagia, gastric hypersensitivity, abnormal gastric motility, gas bloat syndrome and GERD relapse. High-fat foods include fried foods, fatty meats, and full-fat dairy products. Joined : Feb 2014. (Source: Water: Drinking plenty of water can help promote hydration and reduce the risk of complications. Chili and other entrees made with pepper or chili pepper. Cold cereal (Cornflakes, Rice Krispies, Cheerios, Special K plain, Rice Chex and puffed rice). You may also have Steri- Strips (thin pieces of surgical tape) or Dermabond (surgical glue) over your incisions. I was told the nose bleed was probably because I have a deviated septum. And they've got pretty good reasons for it.if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[250,250],'coachsweettooth_com-banner-1','ezslot_4',124,'0','0'])};__ez_fad_position('div-gpt-ad-coachsweettooth_com-banner-1-0');if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[250,250],'coachsweettooth_com-banner-1','ezslot_5',124,'0','1'])};__ez_fad_position('div-gpt-ad-coachsweettooth_com-banner-1-0_1');.banner-1-multi-124{border:none!important;display:block!important;float:none!important;line-height:0;margin-bottom:15px!important;margin-left:auto!important;margin-right:auto!important;margin-top:15px!important;max-width:100%!important;min-height:250px;min-width:250px;padding:0;text-align:center!important}. Chili sauces, ketchup, barbecue sauce, horseradish, black pepper, chili powder, and onion and garlic seasonings. (Source: Chocolate contains the amino acid tyramine, which has been linked to migraine headaches in some people. This is a stool softener (medication that makes your bowel movements softer) that causes few side effects. If your pyloric sphincter was changed or removed during your surgery, sugary foods and other refined carbohydrates (such as white bread) may cause dumping syndrome. However, it would help if you avoid heavy lifting or strenuous activities for several weeks after the surgery. The skin around your incision(s) is very red. Fried or highly seasoned eggs, such as deviled eggs and Western omelets. A clear liquid diet includes only liquids you can see through. If you think you have dumping syndrome, these tips may help: Call your healthcare provider if you have questions about managing dumping syndrome. Lying down on the painful side can also help. After Nissen fundoplication, it is recommended to avoid certain foods that can put pressure on the LES and cause it to weaken, leading to reflux symptoms. They can also make it easier to swallow foods you eat after drinking them. Depending on the type of surgical procedure you went through (laparoscopic or open), your doctor will suggest to you what you can eat. On the day of your discharge, plan to leave the hospital around 11 a.m. Before you leave, your healthcare provider will write your discharge order and prescriptions. You can use it to help prevent constipation. Canned citrus fruits, such as pineapple and mandarin oranges. Chocolate is high in fat and can delay stomach emptying, increasing the risk of acid reflux. Examples of high-fiber foods include whole grains, nuts, and seeds. However, these symptoms should improve as the swelling decreases and the surgical site heals. Choose liquids such as water, juices (such as prune juice), soups, and ice cream shakes. Something went wrong while submitting the form. roasted chicken (finely ground) with sauce. nissen is done for GERD but not for specific throat Don't Fall! Very coarse cereal such as bran or shredded wheat. Results of the Nissen Fundoplication for Heartburn. Your care team cannot see anything you write on this feedback form. Vanilla and butterscotch pudding (no chocolate or coconut). Chili and other foods made with pepper or chili pepper. (Source: Chocolate can be difficult to digest and sit in the stomach for a long time, increasing the risk of acid reflux. Mildly seasoned cream sauces and gravies. Doing gentle aerobic exercise will also help you gain strength and feel better. And the same goes for 18 Foods Making Your Heartburn Worse. What is Walmart Rollback? Doctors discourage you from eating chocolates after getting the Nissen Fundoplication surgery. The information shared above about the question why can't you eat chocolate after fundoplication, certainly helped you get . There's a good post-fundo diet, often recommended, from UPMC. Fried, highly seasoned, smoked, and fatty meats, fish, and poultry, such as hot dogs, deli meats, sausage, bacon, spareribs, sardines packed in oil, anchovies packed in oil, duck, and goose. This information explains what to expect after your Nissen fundoplication (fun-doe-ply-CAY-shun) or hiatal (hi-A-tul) hernia surgery. One thing is given; you can't return to your regular diet right away! If you have pain in your shoulder, tell your nurse. <p>I had a nissen wrap operation in 1999. Your body is an excellent guide for telling you when youve done too much. Coach SweetTooth.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon. After Your Nissen Fundoplication Information for patients and families Read this information to learn: what a nissen fundoplication is how to care for yourself what problems to look out for who to call if you have any questions What is a nissen fundoplication? Eat small, frequent meals (six to eight per day). Everyones tolerance for food is different. Exercise, if you can. Take small bites and chew your food well to help aid in swallowing and digestion. Low rated: 3. (Source: Avoid trigger foods: Certain foods can trigger GERD symptoms, such as fatty or fried foods, spicy foods, caffeine, and alcohol. Additionally, she has had several articles regarding food published in various magazines. Avoid drinking too much within 1 hour of meals (before and after). Chili sauces, ketchup, barbecue sauce, horseradish, black pepper, chili powder, and onion and garlic seasonings. Try to use the bathroom 5 to 15 minutes after meals. Its best to avoid sugary foods. Follow the instructions on the label or from your healthcare provider. These can cause discomfort. Do not take tub baths until you talk with your surgeon during your first appointment after surgery. If you are experiencing symptoms of GERD, its important to consult your healthcare provider for proper diagnosis and treatment. In chocolate, caffeine and theobromine can also increase GERD symptoms and deem the Nissen Fundoplication surgery useless. Keep using it for 1 to 2 weeks after youre discharged from the hospital. High-fat grains, such as sweet rolls and coffee cake. If you love chocolates and not a day goes by when you don't eat chocolate, you might be most heartbroken right now. Dried fruits, such as raisins, apricots, and prunes. If you do, they will loosen and fall or peel off on their own. Rating: 3 (1945 reviews) Highest rating: 3. Gradually increase the distance you walk. The right question isn't whether you can eat chocolate after getting your surgery done, but it's 'what should you eat after Nissen Fundoplication?'. Peeled mashed, baked, or boiled potatoes. . Examples of alcoholic beverages include beer, wine, and liquor. Your healthcare provider will monitor your pain level, vital signs, and progress on starting oral intake. Constipation can make gas pain worse. Hard candies, such as Life Savers. Its normal to have some bruising and tenderness around your incisions. Drink most of your liquids between meals. Lori has been a Culinary Arts instructor for twenty years. I was allowed coffee, but I agree with smlafleur. To 10 Reasons Why Cant You Have Chocolate After Nissen Fundoplication? Crackers (saltine, butter, soda, graham, Goldfish and Cheese Nips). You should only rely on a soft diet for a few days after the surgery, Take small bites and chew well to prevent the build-up of gas, Drink through a straw to make sure you aren't swallowing any air. Posts : 3. Reflux often occurs if the muscles where the esophagus meets the stomach do not . (Source: Herbal Teas: Certain herbal teas, such as chamomile tea and ginger tea, can help soothe the digestive tract and reduce the risk of acid reflux. To help manage this: Vomiting (throwing up) can weaken or undo your repair. Peeled, mashed, or boiled white or sweet potatoes. Taking too much can harm your liver. An over-the-counter pain reliever will help with aches and discomfort. The Food and Drug Administration considers changing the ingredients in one favorite diet buster: chocolate. Post date: 26 yesterday. By avoiding chocolate after Nissen Fundoplication surgery, patients can help reduce the risk of acid reflux and other complications. Well-cooked soft vegetables without seeds or skins, such as asparagus tips, beets, carrots, green and wax beans, chopped spinach, tender canned baby peas, squash, and pumpkin without seeds. GERD occurs when the muscle at the end of the esophagus, called the lower esophageal sphincter (LES), doesnt close properly, allowing stomach contents to flow back into the esophagus. Certain factors can weaken the LES, such as obesity, pregnancy, smoking, and certain medications. Choose sugar-free options. Doctors discourage you from eating chocolates after getting the Nissen Fundoplication surgery. I understand that I may opt out of receiving such communications at any time. Read What You Can Do to Avoid Falling to learn what you can do to keep from falling at home and during your appointments at MSK. (Source: Avoid lying down after eating: Lying down after eating can increase the risk of GERD symptoms, as gravity is no longer helping to keep stomach acid in the stomach. You can walk outside or indoors at your local mall or shopping center. Carbonated drink, such as soda and seltzer. Knowing what they look like will help you notice any changes later. This is very important if you have an ostomy or have had bowel surgery. (Source: Chocolate can cause various digestive symptoms, including nausea, bloating, and diarrhea, which can exacerbate symptoms of acid reflux. Oops! My body was craving (and missing) the sugar, as it's easy to see I was consuming far too much added sugar throughout the day. Do not crush any pills without talking with your pharmacist first. Diet: After Nissen fundoplication, it is important to follow a strict diet to allow the surgery site to heal properly. Be it a bar of chocolate, a chocolate dessert, or a chocolate shake. Milk, Lactaid milk, soy milk, almond milk, and rice milk. Creamy nut butters, such as peanut butter. Please try again later. Experts say you should avoid chocolates after Nissen Fundoplication surgery. Aerobic exercise is any exercise that makes your heart beat faster, such as walking or climbing stairs. If you had a minimally invasive (laparoscopic) surgery, you may have pain in your shoulder. 3 oz. gastroesophageal reflux disease | GERD | hiatal hernia | intrathoracic stomach | Nissen fundoplication surgery, 0
The result is a 360-degree wrap. Chocolates are a happy food for most people. Take enough medication to do your activities and exercises comfortably. Medications and diet changes often manage Gastroesophageal Reflux Disease, but if nothing seems to work, physicians opt for Nissen Fundoplication. Caffeine also relaxes the LES, making it easier for stomach acid to flow back into the esophagus. The UPMC Digestive Disorders Center cares for a wide range of gastrointestinal (GI) conditions and diseases, from diagnosis to treatment. Soft, moist foods that you do not need to chew too much. If you have questions about your diet, ask to see a clinical dietitian nutritionist. If you have questions about your care, contact your healthcare provider. Well-cooked white rice, barley, and pastas. Walking is an excellent form of exercise. Only take it if youre already constipated. You may need to avoid milk products. Mild cheeses such as American, brick, mozzarella and baby Swiss. Acid reflux can also worsen to form an esophageal ulcer and esophageal cancer in the worst cases. Controlling your pain can help you recover faster. Appointments & Access. Caffeine and theobromine in chocolate are known to increase the symptoms of GERD.if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[336,280],'coachsweettooth_com-large-leaderboard-2','ezslot_6',125,'0','0'])};__ez_fad_position('div-gpt-ad-coachsweettooth_com-large-leaderboard-2-0'); Now, if you've just had Nissen Fundoplication surgery, you should avoid anything that can cause acidity. Sweets move more rapidly and dump quickly into the intestines. Medically Reviewed by Digestive Disorders. Always balance activity periods with rest periods. You can find examples in the Full Liquid Diet table. At first, youll follow a clear liquid diet. Do not travel by plane until talking with your surgeon during your first appointment after surgery. Spread them out over the course of the day and avoid activities that cause discomfort. Initially, you will be put on a clear liquid diet and gradually progress to soft and regular food, depending on your recovery. I've tried all kinds of drugs to help relieve the gas. After undergoing Nissen Fundoplication surgery, its important to follow a diet that promotes optimal healing and reduces the risk of complications. Its common to have trouble swallowing after your surgery. If you have a complicated condition, we can refer you to one of UPMCs digestive health centers of excellence. Taking it when you first have pain is better than waiting for the pain to get worse. A clear liquid diet, generally for the first few meals. Contact your healthcare provider if you have: If you have any questions, contact a member of your care team. Fresh, doughy breads such as sweet rolls, coffee cake, and doughnuts. Some prescription pain medications can make you drowsy (very sleepy). One of your healthcare providers will review them with you before you leave. Well-cooked white rice, enriched noodles, barley, spaghetti, macaroni, and other pastas. Avoid any foods that cause stomach gas and distention. Long-term outlook: Nissen fundoplication is a highly effective surgery for treating GERD, with up to 90% long-term success rates. Unsweetened canned fruits (not in heavy syrup), smooth peanut butter, and oatmeal are examples of foods with soluble fiber. To reduce pain and avoid blockage or other complications you will follow a diet of soft, easily chewed, and easily swallowed foods after the surgery. (Source: Elevate the head of the bed: Elevating the head of the bed by 6-8 inches can help keep stomach acid in the stomach and prevent symptoms of GERD during sleep. This procedure involves laparoscopic repair or keyhole surgery. Patients can help promote optimal healing and recovery after Nissen Fundoplication surgery by avoiding chocolate and other foods that can exacerbate acid reflux. Examples of caffeinated beverages include coffee, tea, and energy drinks. If you do not eat, this is OK; the most important thing is to drink liquids. Your pyloric sphincter is the place where your stomach connects to your small intestine. Hard or crunchy snack foods, such as popcorn, potato chips, tortilla chips, and pretzels. Gravity can help food move through your digestive tract. Drink fluids with meals to keep foods moist. Sports drinks, such as Gatorade and Powerade. Soft or hard thick pretzels such as sourdough. Eat soft or liquid foods, including yogurt, soup, and pudding. Well-cooked soft vegetables without seeds or skins (asparagus tips, beets, carrots, green and wax beans, chopped spinach, tender canned baby peas, squash, pumpkin). Getting up and walking every 2 hours is a good goal. This is called referred pain and is common. You'll know why very soon! People have pain or discomfort for different lengths of time. Talk with your healthcare provider about your job and when it may be safe for you to start working again. Right now I am on 40 mg of pantoprazole in the morning before breakfast. This should slowly get better over about 6 to 8 weeks. You may still have some pain when you go home and will probably be taking pain medication. If youre a patient at MSK and need to reach a provider after 5 p.m., during the weekend, or on a holiday, call 212-639-2000. Sit up straight while eating. Caffeinated beverages (based on tolerance), Milk, soy, rice, and almond (no chocolate), Strained creamed soups (no tomato or broccoli), Blended, custard style, or whipped yogurt (plain or vanilla only), Vanilla and strawberry-flavored ice cream, Vanilla and butterscotch pudding (no chocolate or coconut), Nutritional drinks including Ensure, Boost, Carnation Instant Breakfast (no chocolate-flavored). Desserts with nuts, seeds, coconut, fresh or dried fruit, peppermint, or spearmint. Department of Thoracic Surgery (734) 936-8857 1 - What does a sample menu look like? GERD stands for Gastroesophageal Reflux Disease, a medical condition where the stomachs contents, including stomach acid and enzymes, flow back into the esophagus, causing irritation and inflammation. Your care team will teach you how to care for yourself while youre healing from your surgery. Eat small, frequent meals. Contents [ hide] National Institute of Diabetes and Digestive and Kidney Diseases: Hospital stay: After the surgery, you will stay there for a few days to monitor your recovery and ensure no complications. Some prescription pain medications (such as opioids) may cause constipation (having fewer bowel movements than usual). (Source: Spicy Foods: Spicy foods can irritate the esophagus and increase the risk of acid reflux. And they've got pretty good reasons for it. Smooth ice cream and sorbet (except chocolate flavor). Sorry, an error occurred. You see drainage that looks like pus (thick and milky). These contractions can worsen symptoms of acid reflux, especially in individuals who have undergone Nissen Fundoplication surgery. You may shower and bathe when the bandages are removed. Posted 2/14/2014 11:01 AM (GMT -8) I had my surgery 2/6/14 and I was sent home on the clear diet. Here are 10 tips to help prevent the recurrence of GERD symptoms: By following these tips and working closely with a healthcare provider, individuals with GERD can help prevent recurrence of symptoms and improve their quality of life. The cocoa powder used in making chocolates is acidic in nature, and it can lead to the recurrence of GERD symptoms after the surgery. For example, choose sugar-free gelatin (Jell-O) instead of regular gelatin. After you get the fundoplication then all the gas that can not be burped now has to go out the other way, causing other issues like diarrhea. Do not have more than cup (4 ounces) of liquids with meals and snacks. (Source: Plant-Based Milks: Plant-based milks, such as almond milk and soy milk, can provide essential nutrients without increasing the risk of acid reflux. For help, watch How to Enroll in MyMSK: Memorial Sloan Kettering's Patient Portal. Your doctor will tell you when to move to the next diet. You should also call your healthcare provider if: Youll have sutures (stitches) inside your incisions to help them heal. Well-cooked hot cereal, such as oatmeal, Cream of Wheat, and Cream of Rice. Then there are some other constituents of chocolate that can lead to increased acidity. If you do not have a MyMSK account, you can sign up at my.mskcc.org. (Source: Caffeine: Caffeine can stimulate the production of stomach acid and relax the lower esophageal sphincter, increasing the risk of acid reflux. The full liquid diet contains anything on the clear liquid diet, plus: Note: Dairy products such as milk, ice cream, and pudding may cause diarrhea in some people just after GI surgery. Esophageal Manometry: The pressure on the esophagus is measured when you swallow. How Can I Pair Chocolate With Wine and Other Foods? Try poaching them, cooking them in a slow cooker (such as a Crockpot), or stewing them.