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 Post subject: Soft foods post-surgery
PostPosted: Sun Nov 18, 2007 1:23 pm 
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Someone recently asked that a sticky topic be placed in this forum for members to post ideas about soft foods and eating post-oral surgery. I think it's a terrific idea, so I'm creating the sticky topic for you. Post away! :D

I also want to remind you that we have some pages regarding soft food suggestions on the main ArchWired site:

Soft Food Suggestions at ArchWired.com

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PostPosted: Sun Nov 18, 2007 2:40 pm 
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Location: berkshire, UK (Braced / BSSO Surgery)
oh thats an excellent link too, never come across that before. if anyone else has some yummy recipes you can suggest would be gratefull :)

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Imagewisdom teeth removed under GA nov07 * Braced 8/2/08 * 2 premolars removed Apr08 * Adjustment 4 rebonding, 4 molar bands & new wire 4/7/08 * 31Jul wire change * 28 Aug last wire fitted and lower powerchain put on. 29th May moulds and x rays. 31st July Surgery date :-)


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PostPosted: Sun Nov 18, 2007 3:52 pm 
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My first and foremost piece of advice to anyone post-op is to make sure that you get plenty of fluids - I was drinking water like crazy the first week, but I am convinced it helped with both the swelling and the bruising.

Beyond that, I think that just about the main thing to remember for that period of time when you're restricted to a liquid/pureed foods diet is that just about any food can be pureed in a blender (if you don't have one, a lot of people here seem to love the Magic Bullet) and diluted with an appropriate diluent. Most savoury foods can be blended with diluents such as broth/stock (vegetable, chicken, beef or fish), whole milk, vegetable juice, tomato juice or puree, V8, pureed baby foods, gravy, or sauces (cheese sauces are a great way to add calories!). Creamed soups can even be diluted with half & half or cream for an added calorie kick if weight loss worries you. Sweet foods, fruits, etc. can be diluted with fruit juice, milk, cream, or yoghurt.

Don't neglect starches and cereals - potatoes, pasta, porridge/oatmeal, cream of wheat, etc. And, again if weight loss is a concern, consider high calorie supplements such as Ensure Plus or Boost Plus (the "Plus" varieties are more calorie-packed). Protein powders are also a good idea to mix into your blenderised meals; powdered milk is an easy way to boost both calories and protein, and could be added to a blended cream soup, an ice cream smoothie, or just about any other blenderised meal. Don't forget foods like eggs, cheese, and especially beans and pulses, which will all be great sources of protein, and which also lend themselves well to being pureed.

Brandyleigh found and shared with us the 8 Weeks Wired site which has myriad ideas for what to eat when limited to a liquid/pureed foods diet. The broader site has many other resources! Check it out!

One thing that can certainly help you get a decent sized meal inside you more quickly when you are limited to liquids/purees is the Zip-N-Squeeze bag. These are currently available only through the Zip-N-Squeeze web site - they are based in the USA, but do ship to other countries.

Image

Once you start to be able to open your mouth a little bit, have baby spoons on hand - they're great. (A baby toothbrush too, for cleanup) I also found that after the first few hours I was comfortable to drink water from a cup, but for the first several days I did personally prefer to use a disposable cup - I didn't feel comfy with a glass against my lips. If you are considering using a baby's "sippy cup" please remove the gasket - sucking is to be avoided for the first couple of weeks post-op. (So regular straws are out too!)

Your options open up massively when your OS clears you for either soft chew or a "fork smash" diet ("fork smash" means mashing each forkful of food with the fork before eating it - means no chewing is necessary). At this stage you can look at the whole range of soft foods - as Lynn mentioned above, there is a soft foods section over on the main ArchWired web site. Whilst you definitely can puree even things like fish, or tender meats, some people don't like to. But there's definitely no reason not to indulge in them once you progress to fork smash/soft chew. Your world will also open up then to things like pancakes or muffins, baked potato (not including the skins), and so forth. If you go out to eat, never be shy to ask for special consideration - for example, two weeks post-op when eating out, I requested the vegetables be very slightly overcooked, so that they would be soft enough for me to manage; generally restaurants are more than happy to oblige, especially if you explain why. Also, in your early post-op days, take along your own silverware when eating out - until you regain sufficient ROM (range of motion) post-op, it sometimes happens that the forks and spoons provided at restaurants might be a bit large for you to use.

For the meat eater, as you start to progress (under instructions from your OS) from the softest foods towards a more normal diet, bear in mind that some cuts of meat are more tender, and that in general some cooking techniques make for more tender meats - meat in curries, stews and casseroles tend to be more tender than grilled or sauteed meats.

I was incredibly lazy during my post-op period. I'd had grand plans in the months preceding surgery to cook up a selection of wonderful homemade soups, but as the "big day" drew closer I wanted to think about it less and less. So when the time came I relied on chiller case soups from the supermaket (grocery store):

Image

Generally I would puree the whole tub at once, then microwave and eat just half, saving the rest for later. I'd bought a selection and would not eat the second half of a tub at the next meal (perhaps saving it for the following day) so it gave me plenty of variety. One word of warning: avoid anything with too much tomato in the early days post-op, since tomatoes are pretty acidic and that can sting a little when the incisions are still in the early stages of healing!

I also indulged my sweet tooth with pre-made, fibre-fortified smoothies (I diluted those with whole milk) and puddings (in UK parlence, something more like an Angel Delight or Instant Whip than what you may think of as pudding):

Image Image

Happily for me, my OS allowed me to subsist off a liquid/puree diet only for the first few days post-op, then insisted I try soft-chew. For that stage I mainly enjoyed a wide range of pastas and sauces - it's simply amazing the selection you can find at local supermarkets!

Good luck to all of you who are preparing for orthognathic surgery!


Last edited by Meryaten on Wed Nov 21, 2007 12:57 pm, edited 2 times in total.

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 Post subject:
PostPosted: Sun Nov 18, 2007 5:16 pm 
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Joined: Sun May 06, 2007 4:08 pm
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Location: berkshire, UK (Braced / BSSO Surgery)
Just read through the above and it has definitely helped me, i will be buying some of those zip n squeeze as they seem to make peoples lifes so much easier.

Im thinking the bullet blender sounds good too, i really need to invest in one nearer the time.

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Imagewisdom teeth removed under GA nov07 * Braced 8/2/08 * 2 premolars removed Apr08 * Adjustment 4 rebonding, 4 molar bands & new wire 4/7/08 * 31Jul wire change * 28 Aug last wire fitted and lower powerchain put on. 29th May moulds and x rays. 31st July Surgery date :-)


Last edited by Kerry on Mon Nov 19, 2007 3:34 am, edited 1 time in total.

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PostPosted: Sun Nov 18, 2007 7:59 pm 
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Location: Alaska
I second what Meryaten said. I tried hard to stay away from pre-made products though and eat mostly organic after my surgery. I have posted a bunch of my recipes in a link on my blog, but you can get there from this link if you wish to view them. http://postsurgeryrecipes.blogspot.com/

Hope it helps someone. Oh, and I too think the zip and squeeze bags rock. They were a lifesaver the first week.

Brandy

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PostPosted: Sun Nov 18, 2007 10:21 pm 
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Joined: Mon Oct 22, 2007 1:49 am
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Location: Arizona
I'm so glad this sticky was started. I'm scheduled for upper and lower as well as a septoplasty and turbinectomy on December 12th (the day after my last consult they OS and Ortho got together and changed from upper and genio to a full upper and lower- UGH).

I'm using all the information I'm finding on this and other sites to get as prepared as possible for this event. I' am worried about significant weight loss (I could live with 5-8 pounds but no more). I've actually been taste testing some of the ideas here and some have been pretty tasty.

The magic bullet has already turned into my favorite new toy and today we used it at a friends house to make frozen drinks...who knew a frozen margarita could be so easy to make.

I received my zip and squeez bags and was wondering just how thin does the liquid need to be to get through the bags. The straw seemed very thin on the liquid only bags (the puree bags appeared to be a little bigger). Does it basically have to be about the consistancy of water?

I'm told by my OS I'll be on strict liquid for 3 weeks and then, depending on the healing, no-chew foe 5 more weeks.

Brandy, you and your site have been a great help and I thank you for sharing it with those coming behind you.


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PostPosted: Mon Nov 19, 2007 12:19 am 
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Location: Perth, Australia
i am 2 rocky weeks post upper 3 peice, lower and genio and i have lost a lot of weight, i was 55kg (121 pounds i think) and i lost 6kg (13 pounds) and my surgeon told me off, but i havn't been able to have pureed foods cos i couldn't stomach it, i think my major problem was nausea and the fact that i was never hungry. my surgeon has allowed me to have soft no chew food and i have stoped losing weight and i think that its because despite the fact im not eating as much, im also not doing any exercise, so i havn't needed as much food. but the main thing is my mum makes really good soup and ive made sure i have at least 1 sustagen a day, being lactose intolerant makes the whole process harder. being in australia zip and squeeze was to hard to organise, so the easiest way that i have found (the same after sarpe) was using the smallest teaspoon i could find, and knowing that you are going to spill everything and get stains on it all, but you'll live so long as you get enough in.
good luck


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PostPosted: Mon Nov 19, 2007 1:10 am 
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For those who are lactose intolerant, there are still a bunch of different diluents for pureed foods that I mentioned above. And in addition to those you could also consider soy milk or rice milk.

And, whilst we're about it, tofu would be an excellent soft-chew option.


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 Post subject:
PostPosted: Mon Nov 19, 2007 1:13 am 
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Location: Perth, Australia
the other thing that really works is lactose free milk, never used to drink milk so i could avoid the horors of soy but it was unavoidable, however lactose free tastes the same as 'regular' milk, my mum will even drink it in her tea and not taste the difference


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PostPosted: Mon Nov 19, 2007 1:57 am 
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Now I never heard of that!

Btw, no problem with lactose here, but I did try soy milk for a while for its health benefits and managed to find one brand that I did find quite enjoyable on cereals :)

Don't forget too that soy milk has the added benefit of protein when you're trying to get a complete diet post-op :)


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PostPosted: Mon Nov 19, 2007 3:40 am 
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Location: Germany
I'm with Meryaton: drink loads, and puree your normal food. :)

Basically, I reverted to how I used to cook when the children were very small: cook the family meal as normal, then take a portion out and bung it in the blender, with extra liquid if necessary.

Then one day someone was eating toast and it smelt so delicious I got a craving for cheese on toast. I didn't try putting toast in the blender :wink: but I dug out this recipe which I hadn't used for years:

Cheese Pie

Ingredients:

2oz fresh breadcrumbs
3oz grated cheese
1 egg, separated
7 fl. oz. milk

Place the egg yolk and the milk in a saucepan and bring to the boil. Remove from the heat and stir in the cheese and breadcrumbs. Leave to stand for 10 minutes.

Whisk the egg white and fold into the mixture. Turn the mixture into a pie dish and place under the grill for 5 - 10 minutes.

With a bit of imagination the result tastes like cheese on toast without the crunch - although if you leave it under the grill too long the cheese does form a crust so watch out for that. Otherwise the consistency is fairly stodgy. If you can eat mashed potato you should be ok with this. (Hope the British quantites make sense to all.) Guten Appetit! :D


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PostPosted: Mon Nov 19, 2007 10:25 am 
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That sounds pretty yummy!


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PostPosted: Tue Nov 20, 2007 9:07 am 
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Location: North Carolina
I am 4 weeks post op and have 4 more weeks of no chew. Here is a list of some things I have been eating.
Oatmeal, cream of wheat, grits, pancakes, scrambled eggs, tuna salad (subways tuna salad in a bowl is easy to eat), cream soups, sweet pot casserole, mash pot, baked pot, the inside of beef and bean barrito with sour cream, stoffers lasagna, biscuts and gravy, angel hair pasta with pesto, alfredo, marinara, pudding, jello, fish (salmon & Tilapia), egg salad,
rice, chicken and dumplings (chix must be very well shredded). yogart,
Vanilla Adkins protein shakes are very good bledded with frozen fruit. Bananas and peaches are my favorite.
Hope this helps. I will cont. to look for more suggestions from you all.


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PostPosted: Wed Nov 21, 2007 7:37 am 
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One more easy product you might want to try is Campbell's Soup-At-Hand. It's the soup in the taller, kinda grip-shaped container - they've got a Blended Vegatable Medley that was so good to me those first few weeks post op, and a Velevety Potato that was very good as well. Their easy, just pop in microwave, pour in your Zip-N-Squeeze and enjoy.


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PostPosted: Wed Dec 05, 2007 10:10 am 
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shani wrote:
the other thing that really works is lactose free milk, never used to drink milk so i could avoid the horors of soy but it was unavoidable, however lactose free tastes the same as 'regular' milk, my mum will even drink it in her tea and not taste the difference


I've been lactose intolerant for over 10 years and I drink Lactaid milk regularly. Lactose-free milk is slightly sweeter tasting than regular milk, but other than that there is no real difference. Here in the US, you can find it under the brand name Lactaid, or even as the "store brand" labeled "lactose free." Once you get used to it, you really don't notice anything at all. It is available in fat-free, 1%, 2%, and whole milk. They do make Lactaid ice cream, but I rarely see it in stores.

In a pinch, you could always drink regular milk but then take a Lactaid tablet afterwards. Lactaid tablets contain lactase enzyme (the enzyme your body can't make enough of, if you are lactose intolerant). They are available in most drug stores and supermarkets.

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