Post-surgical diet for uterine fibroids

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

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Obstetrics and Gynecology
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What are the symptoms of uterine fibroids?

If the uterine fibroids are relatively small, they generally do not show symptoms. However, submucosal uterine fibroids, regardless of their size, can cause heavy menstrual bleeding and prolonged periods. Intramural uterine fibroids, if protruding into the uterine cavity, can also lead to heavy menstrual bleeding and prolonged periods. If the uterine fibroids are large and press against the bladder in front, symptoms such as frequent urination and urinary urgency can occur. If they press against the rectum in the back, it can lead to difficulty in defecation or a feeling of downward pain. Therefore, if symptoms are present with uterine fibroids, surgical treatment is necessary.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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How to treat uterine fibroids?

Uterine fibroids are the most common benign tumors of the female reproductive organs, consisting of smooth muscle and connective tissue, mostly seen in women aged 30-50. Uterine fibroids can be classified into fibroids of the uterine body and cervical fibroids. Depending on their location, the treatments differ. Fibroids of the uterine body are further divided into intramural fibroids, subserosal fibroids, and submucosal fibroids. In cases of submucosal fibroids, prompt symptomatic treatment is necessary once detected, as these fibroids grow towards the uterine cavity and protrude into it, covered only by the endometrium on the surface. Hence, timely surgical intervention and regular physical examinations are crucial for submucosal fibroids.

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Do uterine fibroids cause bleeding?

When uterine fibroids are large or located under the endometrium, they can lead to bleeding, resulting in increased menstrual flow and even anemia in patients. At this point, patients can consider undergoing a gynecological color Doppler ultrasound to determine the number, size, and location of the fibroids to guide the choice of clinical treatment options. The best surgical option for treating uterine fibroids is a total hysterectomy, which will prevent the recurrence of the disease. However, for young patients who wish to preserve their fertility, myomectomy should be considered, as it can effectively treat the disease while preserving uterine function.

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Obstetrics and Gynecology
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How to recuperate from uterine fibroids?

Uterine fibroids are the most common benign tumors of the female reproductive organs, composed of smooth muscle and connective tissue. Treatment varies depending on the patient's age, childbearing requirements, presence of symptoms, location and size of the fibroids, and their number. For asymptomatic fibroids, treatment is generally not necessary, especially for women nearing menopause. After menopause, fibroids often shrink or gradually disappear. In such cases, it is recommended to follow up every three to six months, or consider pharmaceutical treatment. Medication is suitable for those with mild symptoms, near menopausal age, or those who are not suitable for surgery. If there are complications such as heavy menstrual bleeding, resulting anemia, ineffective drug treatment, severe abdominal pain, or conditions like fibroid torsion or acute abdomen, surgical treatment is recommended.

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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.