The pureed diet phase is the third of five phases bariatric patients progress through after surgery. We’ve already examined the clear liquid diet phase and the full liquid diet phase. Now, we’re going to continue focusing on hydration and protein, but add in new foods to get your stomach ready for solids. You’ll puree food to the consistency of smooth applesauce and try one new food at at time. During the pureed diet after surgery, it’s important to blend your foods to a smooth consistency without grit or lumps.
Purpose of the Pureed Diet
The purpose of the pureed diet is to get your stomach ready for solid foods. At this point, you’re probably only a few weeks out from surgery, so your stomach is still healing. We need to slowly progress our foods to a regular consistency to prevent blockages and damage to our sensitive stomachs. The pureed diet helps your stomach heal while preparing for more solid foods. You’ll want to continue focusing on hydration, getting 64 ounces of water a day, and protein, getting at least 60 grams of protein per day. Keeping focused on these goals will prevent dehydration and help your stomach heal. It also helps to give you energy.[mailerlite_form form_id=4]
I know the idea of pureeing your food doesn’t sound appealing. However, let me tell you that the best meal I had all year after surgery was a pureed chicken breast. It was heavenly. After a month of liquids, which to be fair are mostly sweet, it was such a relief to have something savory in my mouth. It tasted amazing. It was at that point that I realized the pureed diet won’t be so bad, and I tried different foods. The only one I wasn’t brave enough to try was pureed scrambled eggs, but I hear that it is delicious as well.
Examples of Foods
At this point in your post-op journey, you’re probably craving something different, which is great. Now, you can try things like pureed scrambled eggs, chicken, low-fat refried beans, applesauce
You can also continue any of the liquids from the first two stages, but you want to make sure everything is low-fat and low-sugar. Make sure your liquids aren’t carbonated or caffeinated. Don’t use a straw. The reason these restrictions are in place is because a straw and carbonation can add excess gas to your stomach, which can be quite painful. Caffeine can also cause stomach ulcers, at which you’re a higher risk of developing at this point. It’s important to stick to these guidelines.
Tips for the Pureed Diet
In order to puree your food, use an equivalent amount of liquid to solid food. So, if you’re blending four ounces of chicken breast, add four ounces of chicken stock to the blender. Some good liquids to add are water, beef, chicken or vegetable stock, milk and the liquid from canned vegetables or fruit. Try one new food at a time to determine tolerance. Sometimes you can’t tolerate foods immediately. However, try again in a few weeks to see if you can tolerate that food.
You’ll want to eat two to three ounces of food over 30 to 45 minutes. Go slow. Savor the food. Put your spoon down between bites, and wait at least 30 seconds before getting your next bite. It helps to have a stopwatch or timer next to you to time yourself. Remember that your stomach is still healing, so eating slowly helps your stomach digest properly. Don’t be afraid to try new foods. Almost anything can be pureed if you’re adding enough liquid. This stage is the beginning of your new life. Savor it.
Once again, you’re going to need to meet your water and protein goals. You need 48 to 64 ounces of water and 60 to 80 grams of protein per day. This goal will continue for the rest of your life. Use an app like My Fitness Pal to keep track of what you eat. It’s super important that you meet these goals every day to help keep your body functioning properly.
The recipes that follow are ones I thoroughly enjoyed on the pureed diet. If the consistency is off-putting, try starting with some baby food or applesauce to get you used to it. You’ll be surprised at how much you enjoy some of these foods, even at the pureed stage. I used a Ninja blender to blend all of my foods, but you can easily use a regular blender or a food processor to get foods to the right consistency. You’re looking for a texture like smooth applesauce with no lumps.
Pureed Chicken Breast
- 4 ounces cooked chicken breast Homemade or canned
- 4 ounces chicken stock
- Roughly chop the cooked chicken breast and place in blender
- Add the chicken stock, and blend until the consistency of smooth applesauce
- Add more liquid if necessary.
Pureed Peaches & Cottage Cheese
- 4 ounces canned peaches in juice
- 4 ounces low-fat cottage cheese
- 4 ounces skim milk
- Puree the peaches in their own juice until the consistency of smooth applesauce. Add more liquid if needed.
- Puree the cottage cheese with the milk until no lumps are left. Add more liquid if needed
- Pour the cottage cheese in a bowl. Swirl the pureed peaches through it.
Pureed Refried Beans
- 4 ounces low-fat refried beans
- 4 ounces Broth Chicken or beef
- 4 ounces Mexican-Blend Shredded Cheese
- Add the refried beans to blender with the broth. Blend until the consistency of applesauce. Add more stock if needed.
- Divide into four two-ounce servings. Top each serving with one ounce of Mexican-Blend shredded cheese.
- Optional: Melt the cheese in the oven or microwave for a few seconds.
Pureed Poached Eggs
- 2 Eggs, poached
- 1 cup Warm, skim milk
- Carefully add the poached eggs to the blender
- Pour in the warm milk. Blend until the consistency of smooth applesauce.
- Strain through a fine-mesh strainer
- Add salt and pepper to taste
Cheesy Fruit Salad
- 1 cup fat-free cottage cheese
- 1/2 cup canned fruit in juice
- 1/4 cup fruit juice
- 1/4 cup water
- Add the cottage cheese to the blender with the fruit juice and water. Blend well.
- Add the canned fruit in juice to the mixture. Blend until the consistency of smooth applesauce.
Try Something New
While the pureed diet phase sounds a bit off-putting at first, it’s not nearly as bad as you think. Try something new in the phase to see how it tastes and how your stomach handles it. You’ll still stay hydrated and meet your protein needs, but food will be the consistency of smooth applesauce. Try one new food at a time to determine tolerance and eat very slowly. Add equal amounts of solid food to liquids for the right consistency. During the pureed diet stage, it’s important to blend your foods to the consistency of smooth applesauce. Stay tuned for next week as we explore the soft foods phase diet!
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You can try things like pureed scrambled eggs, chicken, low-fat refried beans, applesauce and low fat cottage cheese. You can also have stage one or stage two baby food if you don’t want to puree it yourself. Other foods to try are applesauce, pureed bananas, pureed canned vegetables and pureed canned fruits.