SURGERY, PRE-OP AND POST-OPERATIVE NUTRITION

by Lawrence Wilson, MD

© January 2010, The Center For Development

 

We receive many requests for information about how to prepare for surgery using nutrition.  Many also want to know what to do or take during and after surgery as well. 

In fact, nutrition can make an enormous difference in surgical outcome.  This is known in a few hospitals that insist that all patients prepare for surgery by taking either certain nutrients or by eating certain foods.

 

WHY NUTRITION IS SO CRITICAL FOR SURGERY

 

Nutritional help is important with surgery for at least four reasons:

 

1. All surgery is an attack or wound on the body, even if it saves your life.  Recovering from wounds always requires extra nutrients. However, for the most part, the surgical community still ignores this research.  This is unfortunate.  In my limited experience with surgical cases, those people who are well-nourished heal far more rapidly and thoroughly than the average person.

2. One is always exposed to many infections during a hospital stay.  Nutritional balancing can help strengthen the body and avoid or reduce the risk of hospital infections.

3. Surgery exposes the body to numerous drugs in most cases.  These often include anesthesia drugs, antibiotics, toxic soap and cleaning solutions, and others.  Nutritional substances can help the liver and kidneys remove these drugs faster and more effectively.

4. Another, rarer risk of all surgery is venous stasis and blood clots, as a result.  Nutritional methods can also be helpful to enhance circulation and perhaps even to thin the blood slightly, if this is desired.

5. Bleeding is a problem for some people during  and after surgery.  Certain nutrients such as vitamin C, zinc, copper and others,  along with herbs such as cayenne pepper, may help prevent excessive bleeding.

6. Some people have difficulty with scarring after surgery.  This is often related to nutritional imbalances, particularly involving zinc and copper.  Balancing body chemistry can often help prevent keloid scarring and actually dissolve some ugly scars.

7. Most hospital food and water is not great.  Also, one should ideally not eat a lot after surgery.  The body mainly needs rest.  Therefore oneÕs nutrient intake is often lower after surgery.  Enhancing oneÕs nutrient intake before surgery is therefore helpful for the body to reduce food cravings and enable the body to just rest peacefully after surgery, in order to hasten healing.

 

PREVENTION IS ALWAYS BEST

 

A person who habitually eats an excellent quality diet will do better, statistically, with any surgical procedure.  This has been shown to be true over and over.  Those who take vitamins generally do better, even if the supplements are quite random.

Those who rest enough do better.  Also, those who go in with an excellent attitude and confidence in their doctors also do better.  So always remember these simple preventive principles.

In fact, of course, if one lives really well, much less surgery would be required.  This is quite obvious to me, though perhaps it is not obvious to many people.  However, taking excellent care of yourself and resting more, for example, along with excellent eating habits is the best surgery prevention possible.

 

NUTRIENTS BEFORE SURGERY

 

To some degree, the body needs more of all the nutrients.  However, a few are so critical and so deficient in large numbers of people, that we will emphasize those in this short paper.

 

Kelp. Kelp functions as a multi-mineral vegetable, basically, that comes in a convenient capsule form. Taking three per day for a week before surgery, at the very least, would get rid of the worst mineral deficiencies in most people.  Taking it for much longer before surgery would be better, at least for a month or two.  This would remineralize the body a little, which is helpful for all stress conditions.

 

Zinc and copper.  Among these are zinc and copper.  Both these are needed to heal wounds of all kinds.  Zinc and copper are needed for the formation of connective tissue, the main tissue used to heal all wounds in the body. 

Zinc, in particular, also helps prevent and treat all infections, as does copper to a lesser degree.  A good zinc dosage for an adult would be 10-20 mg per day for at least two weeks prior to surgery, although any zinc at all is better than none.

A good dosage of copper is 1-3 mg daily before, during and after surgery for both of these.  Beware of multivitamins and multiminerals that just contain a little copper and zinc.  The problem is that other nutrients may compete with and actually interfere with the zinc and copper, especially iron.

For this reason, we suggest specifically supplementing with the nutrients we mention, although a multiple vitamin-mineral product with a lot of vitamin C is probably far better than nothing at all.

 

Vitamin C.  Another nutrient that is critical is vitamin C.  If just this one nutrient were administered to all surgical patients, even just minutes before the operation, it would help many people heal faster and much more safely.  The dosage can be up to 1,000 mg daily or even more.  This will not cause diarrhea in most people.

Vitamin C is also linked to connective tissue healing.  Indeed, one of the symptoms of scurvy (vitamin C deficiency disease) is bleeding into the tissues, exactly what surgeons to all they can to avoid.  Bleeding is probably the number one cause of surgical problems, with the second being infections.  The order may be reversed for some delicate operations.

Vitamin C, however, helps both problems.  Infections can often be prevented by large doses of vitamin C, as many people know.  It is also a very inexpensive supplement, as are zinc and copper, that can be given orally in rather high doses without side effects.  This makes it a perfect candidate for supplementation before surgery, though it is done very little.  This is a major reason for surgical problems, as most diets today are dreadfully deficient in vitamin C.

 

OTHER NUTRIENTS

 

Vitamins A and D or cod liver oil.  Other nutrients that could be added to a pre-surgical workup are vitamin A and D.  These, also, help the body fight infection, help maintain calcium, a very important mineral needed for wound healing and blood clotting, and these also help the body in general fight stress and maintain balance in the wake of stressful events. 

The recommended dosage of A is about 20,000 iu or more daily.  Start with at least this amount and ideally a week, at least, before your surgery and continue all nutrients for at least three weeks after surgery.

Vitamin D can also be taken in large doses safely.  Take at least 1,000 iu daily for at least a week before and at least three weeks after surgery.

 

Bioflavinoids.  Another nutrient that would be most helpful are called vitamin P or bioflavinoids.  These are needed, along with vitamin C, to strengthen cell membranes, especially those of capillaries that are often cut during surgery.

While other nutrients would also be superb, especially all the trace minerals and a few more vitamins, these are the most critical ones.

Bioflavinoids is a group of nutrients with names such as quercitin, rutin, hesperidan and others.  They are usually sold together and one can take at least 1000 mg daily for a week before and two weeks after surgery.

Colored fruits, vegetables and grains contain many bioflavinoids.  Such foods are blue corn chips, carrots and other orange vegetables, yellow vegetables and others.

 

NUTRIENTS TO BE CAREFUL WITH

 

Certain nutrients, if given in excessive amounts, are not helpful for surgery.  This may be one reason surgeons stay away from all nutrients, though it is a silly reason.  Let us examine these quickly.

 

Vitamin E.  Too much vitamin E can cause more bleeding in some people.  It does this by acting as a powerful anti-oxidant, which is normally a good idea.  During surgery, however, the reaction of the tissues to the knife is such that oxygen is present and this enables the blood vessels to clot. 

Therefore, anything that interferes with this could, theoretically, assist the body as an anti-oxidant and therefore slow the clotting of the wound.  Having said this, a little vitamin E, up to 200 iu/day, is fine and, in fact, recommended.  Higher doses, however, are not useful or helpful.    

 

         Nattokinase.  Another nutrient to watch is the use of nattokinase.  This is eaten in Japan as natto, a very popular food.  It is now sold as the enzyme, nattokinase, in many stores in America and around the world.

Like vitamin E, it is a wonderful  product to prevent or reduce blood clots.  Here again, however, too much would not be helpful during surgery or post-surgically.

If one is taking this nutrient all the time, we recommend stopping before surgery.  If one is not taking it, do not start just before a surgical procedure of any kind, even the removal of a tooth, for example.

The body adapts to all the foods and nutrients we give to it.  However, this takes time, so do not add vitamin E in amounts greater than about 200 iu daily or nattokinase at all just before a surgical procedure.

 

PREVENTIVE COLLOIDAL SILVER TO REDUCE SURGICAL INFECTIONS

 

Another area in which nutrition can be so helpful is in reducing surgical infections.  These are so common that in many cases antibiotics and other drugs are given automatically to minimize them.

However, as many readers know, the antibiotics just add another layer of toxicity to the surgery, slowing complete recovery and in some cases causing yeast and other infections that are as bad or worse.

For infections, one can take colloidal silver.  Before a dangerous operation, anyone CAN take colloidal silver as a precaution.  One should not need regular antibiotics, in this case, although most doctors might insist upon it, which is okay.

The dosage, whenever one uses colloidal silver, is about 2 tablespoons daily for a few days, at least, and up to a week or two.  I prefer a good quality commercial silver product, not a home made product, that that is less than 100 ppm, although all of it is good.  If you use the higher dosage than 100 ppm, then take much less, such as a few full droppers daily or perhaps 1 teaspoon or so daily.

 

GIVE YOUR OWN BLOOD BEFORE SURGERY IF THERE IS ANY CHANCE YOU WILL NEED BLOOD

 

If you may need blood, always give your own blood preferably, before surgery rather than using just anyoneÕs blood.  Blood transfusions always carry some risk, especially today when there are many infections in the people.  Blood also carries toxic metals, parasites and other problems at times.  These cannot be filtered out.

Another alternative if blood is needed are some of the other types of blood products, instead of whole blood, when it is possible to use it.

If you may need a lot of blood, try to find a friend or relative with your blood type whom you know if fairly healthy, and ask that person to donate blood before surgery so it is there if you need it.  Donating blood is a wonderful gesture of friendship.  Although it depletes the body a little, it is far better than accepting just any blood from a blood bank today.

 

AFTER SURGERY

 

Diet. Post surgery recovery should also be uneventful if one eats lightly, but very healthfully.  Carrot juice, wheat grass juice and plenty of chicken soup and vegetables should be the main part of your diet.  Do not eat heavily after any surgery.  Also, avoid all junk food, sugar, ice cream, and the like.

Other important things are rest as much as possible, get out in the sun and get as much fresh air as possible without becoming chilled.  Try to sleep with a window open at least a crack, for example, and try to be outside in the sun each day, even if it is only for a few minutes.

 

Drinking water.  Try to have a friend bring in your drinking water, preferably distilled or spring water only.  Hospitals use tap water, which contains fluoride, chlorine and many other toxins.  Be sure to drink plenty of water, rather than eat a lot of food for a few days.  A fast of a day or two is not a bad idea after a major surgery.

 

Quiet, peace and rest. Try to get as much rest after surgery as possible.  Do not allow a lot of visitors for a day or two, and preferably do not allow nurses to wake you up at all hours of the night.  Try to be in a quiet room, preferably with some sunshine.

 

An advocate or helper.  Any time one is in the hospital, if possible have a friend or partner read your chart, talk with the nurses and oversee everything that goes on related to your case.  This is vital, at times.  Hospitals make many mistakes, unfortunately.  This can be giving incorrect medication, or worse.  The causes are overwork, fatigued personnel and general ill health of doctors, nurses and others.  For these reasons, it is very wise to have a friend and advocate hover over the doctors and nurses whenever one must be in the hospital.

 

Removing anesthesia drugs and other toxins from the body.  A very important step after a long operation, or any operation in many cases, is to attempt to remove the anesthesia residue as fast as possible. 

If I had to recommend a single remedy, it would be to use a near infrared sauna daily for at least a year.  If one cannot use a near infrared lamp sauna, then use whatever sauna you can. 

Even a hot tub or hot baths will help remove some poisons.  However, I donÕt like these as much as a sauna because the chemicals from the water will find their way into the body.  Also, the water must be very hot in order to induce sweating.  It is usually much easier to sweat in a sauna.

 

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