Recovering from a retroperitoneal lymph node dissection (RPLND) is no small feat. This major surgery can affect your digestive system, appetite, and energy levels, making it essential to choose foods that support healing and are gentle on the stomach. The right nutrition can aid in recovery, help prevent complications, and give you the strength to get back to your daily life.

Here’s a guide on what to eat after RPLND surgery to help support your recovery, reduce discomfort, and keep your digestive system running smoothly.

Easily Digestible Proteins for Healing

Lean Meats: Skinless chicken, turkey, and tender cuts of pork are good sources of protein. Start with soft, shredded, or minced forms to ease digestion.
Eggs: Eggs are gentle on the stomach, nutrient-dense, and provide a full profile of amino acids for tissue repair.
Fish: White fish like cod or tilapia is low in fat and easy to digest, while salmon provides anti-inflammatory omega-3s that may reduce inflammation after surgery.
Smooth Nut Butters: Peanut, almond, and cashew butters are a good source of plant-based protein and healthy fats. Try them spread on soft toast or mixed into oatmeal.

Protein is vital after surgery to support tissue repair, boost immune health, and aid muscle recovery. However, it’s best to stick with easily digestible options to prevent stress on your digestive system.

Soft, Fiber-Rich Carbohydrates for Energy and Digestion

Fiber is essential after RPLND, but you’ll want to start with gentle, soluble fibers to prevent bloating and gas. These fiber-rich carbs offer energy and help keep digestion smooth.

Oatmeal: Oats provide soluble fiber, which aids digestion without being too harsh. Mix in a bit of honey or nut butter for extra calories and taste.
Sweet Potatoes: Soft and rich in vitamins A and C, sweet potatoes provide complex carbs and antioxidants to support healing.
Applesauce: Applesauce provides easy-to-digest fiber and a touch of sweetness without overwhelming the digestive system.
White Rice or Mashed Potatoes: These are easy to digest and offer energy without causing stomach upset, making them good additions in the early stages of recovery.

Antioxidant-Rich Fruits and Vegetables

After surgery, your body produces more free radicals, which can slow down recovery. Antioxidant-rich foods combat these free radicals, helping your body heal.

Blueberries and Strawberries: These are high in antioxidants and easy to eat. Try them fresh, in smoothies, or added to yogurt.
Cooked Carrots and Zucchini: Steamed or lightly cooked vegetables are easier to digest than raw options and provide vitamins like A and C, which are essential for immune support.
Leafy Greens: Spinach and kale are rich in iron, calcium, and folate, which support cell regeneration. Start with well-cooked greens to ease digestion.

Healthy Fats for Energy and Inflammation Reduction

Healthy fats provide energy and help reduce inflammation, which is particularly beneficial after surgery. Include them in small portions, as they’re more calorie-dense and easier on your digestion when eaten in moderation.

Avocado: Rich in monounsaturated fats and potassium, avocado can support healing and help with electrolyte balance.
Olive Oil: This heart-healthy oil is a great addition to cooked vegetables or light salads and has anti-inflammatory properties.
Flaxseeds and Chia Seeds: These seeds are rich in omega-3s and fiber, which may promote digestion and reduce inflammation. Use them in small amounts, such as in smoothies or yogurt.

Hydrating and Soothing Options for Digestive Comfort

Staying hydrated and choosing soothing foods is essential after RPLND, as dehydration can worsen fatigue and digestive issues. Aim for foods that provide fluids and are gentle on your stomach.

Broth-Based Soups: Bone broth and vegetable broths offer hydration, electrolytes, and amino acids that are easily absorbed.
Herbal Teas: Peppermint and chamomile tea can be soothing on the stomach and help with digestion, easing any discomfort.
Water-Rich Fruits: Melons and cucumbers are gentle, hydrating options that also provide vitamins and minerals.
Gelatin or Jell-O: These are easy to eat and gentle on the stomach, plus they help with hydration. Look for low-sugar options if you’re watching sugar intake.

Probiotic and Fiber-Rich Foods for Gut Health

Antibiotics and surgery can disrupt gut health, so incorporating gentle sources of fiber and probiotics can help restore balance and nutrient absorption.

• Yogurt: Look for unsweetened, low-sugar yogurt with active cultures. It’s also easy to add to smoothies or top with fruit.
• Fermented Foods: Foods like kimchi, sauerkraut, and miso have probiotics that can help balance gut bacteria.
• High-Fiber Vegetables: Carrots, bell peppers, and cucumbers offer fiber that can promote regular digestion.
• Additional Tips for Eating During Chemo
• Eat Small, Frequent Meals: Large meals can be overwhelming, especially when dealing with nausea or loss of appetite. Try eating smaller portions more frequently throughout the day.
• Stay Hydrated: Drink water, herbal teas, or electrolyte-rich beverages. Staying hydrated is key, especially since dehydration can worsen side effects.
• Keep Meals Bland When Needed: If you’re experiencing taste changes or mouth sores, stick to bland, non-acidic foods like plain rice, mashed potatoes, and scrambled eggs.
• Listen to Your Body: Your taste preferences and appetite may change daily. Give yourself flexibility to eat what feels right, even if that means changing your diet day by day.

In Summary

Nutrition is a powerful ally in supporting your body through BEP chemotherapy. While it won’t eliminate the side effects of treatment, eating nutrient-dense, easily digestible foods can help you feel stronger, recover faster, and better manage symptoms. Remember, everyone’s experience with chemotherapy is different, so listen to your body, consult your healthcare team for personalized advice, and find what works best for you.

Stay strong—you’re not alone in this fight. TCF is here to support you every step of the way.