Nutritionist Seema Singh

Nutrition for with Illness/ Surgeries


Let food be the medicine & medicine be the food.

Vitamin Deficiency

With stress levels it’s no surprise that lifestyle-related illnesses are on the rise including vitamin deficiencies. Among all, vitamin B12 and D3 deficiency is becoming more prevalent.

Vitamin B12 deficiency

is extremely common. Almost 85% of people suffer from B12 deficiency.

Vitamin D,

also known as “sunshine vitamin”, is a fat soluble compound which acts like
hormone. The two major forms are vitamin D2 and vitamin D3. Vitamin D3 is produced by the exposure to sunlight, specifically ultraviolet B radiation. Vitamin D3 helps in regulating the formation of bone and absorption of calcium and phosphorus. Vitamin D3 plays a wide role in overall health, however, a large percentage of individuals are deficient in this important nutrient. Dark skinned people, obese individuals and strict vegetarians are all at risk of Vitamin D3 deficiency.

Anemia is caused by Iron deficiency.
  • Iron is very important because it helps your body to make hemoglobin. Iron carries oxygen and removing carbon dioxide from muscles, helping them function properly.
  • The body needs iron in order to make proper use of the B vitamins.
  • Healthy Diet is the Key to prevent or Cure Anemia.

Malnutrition is a state of nutrition in which a deficiency or excess (or imbalance) of energy, protein and other nutrients causes measurable adverse effects on tissue / body form (body shape, size and composition) and function and clinical outcome.

Who is at risk of malnutrition?
  • Older people over the age of 65, particularly if they are living in a care home or nursing home or have been admitted to hospital.
  • People with long-term conditions, such as diabetes, kidney disease, chronic lung disease.
  • People with chronic progressive conditions – for example, dementia or cancer.
  • People who abuse drugs or alcohol.
  • Kids
What are the consequences of malnutrition?
  • Malnutrition affects every system in the body and always results in increased vulnerability to illness, increased complications and in very extreme cases even death.
  • Weak Immune system
  • Weak Muscle and poor wound Healing
  • Dehydration
  • Depression
  • Malnutrition reduces fertility and if present during pregnancy can predispose to problems with diabetes, heart disease and stroke in the baby in later life.
  • Consequences of malnutrition in children and adolescents – Poor Growth Consequences of specific micronutrient deficiencies like Zinc ,Iron & Vitamin A,D,E ,K,
  • It’s always said prevention is better than cure.
  • Let us correct your Nutrition imbalance to avoid weakness, deficiency related disorders.
  • Flatulence becomes a problem only when the gas you pass out smells foul, happens frequently, is painful or occurs at inconvenient times.
  • There a Diet special plan to reduce gas /flatulence.
  • Let us analyze and make diet to reduce flatulence.
Since calcium is an essential element for bones, a deficiency of calcium affects bones the most severely.
  • One of the initial symptoms of calcium deficiency is muscle cramps.
  • This sign of deficiency of calcium occurs as the initial alarm towards the decrease of calcium in the body. Muscles ache, especially those of the thighs, arms, and underarms while moving and walking around may be a sign of calcium deficiency.
  • Another important sign of the deficiency of calcium in the body is insomnia. In many cases, people who do not consume enough calcium in their diet suffer from loss of sleep.
  • Tooth decay is another sign of calcium deficiency in the body.
  • Late signs of puberty in the case of adolescent females are also a sign of calcium deficiency. Apart from delayed puberty in teens, other menstruation related problems are also signs of deficiency of calcium in the body.
  • Calcium deficiency may occur at any age or decade of your life cycle .

Don’t Let your body suffer ……………………..

Pamper yourself with right nutrition at right age.

Irritable bowel syndrome (IBS)

itself is not a disease. Patients may have different experiences like abdominal pain or discomfort in association with bowel dysfunction is the main symptom. Some people have constipation while others have diarrhea (frequent loose stools, often with an urgent need to move the bowels); and still others experience alternating constipation and diarrhea. Some people may experience bloating (Gas).

Chronic Ulcerative colitis(UC)

is a severe prolonged inflammation of the colon or large bowel in which ulcers form on the walls of the colon. It features recurrent attacks of abdominal discomfort, diarrhoea with blood, mucus and pus in the stools, and a constant desire to empty the bowels. When severe, the attacks may be exhausting and the loss of fluid is so great that results dehydration. This results in weakness, fever, nausea, vomiting, loss of appetite and anaemia.

  • The liver is essential for digesting food and ridding your body of toxic substances.
  • Liver disease can be inherited (genetic) or caused by a variety of factors that damage the liver, such as viruses and alcohol use. Obesity is also associated with liver damage.
  • Over the time, damage to the liver results in scarring (cirrhosis), this can lead to liver failure, a life-threatening condition.
Liver dysfunctions may result various disease.
  • Non alcoholic Fatty Liver Disease
  • Fatty Liver Disease
  • Hepatitis
  • Cirrhosis of Liver
  • Liver Cancer
  • Hepatic Encephalopathy
  • Liver Failure

Nutrition plays a very important role, Get your Health Analysis done by us.

We will plan Nutrition for you that supports this regeneration is a means of treatment of some liver disorders.

Gallbladder is a storage sac for the bile produced by the liver. During digestion, the gallbladder releases bile into the small intestine through the common bile duct.Most gallbladder problems are caused by gallstones and 80-90% of all gallstones are produced from excessive cholesterol which crystallizes and forms stones.It is believed that the risk of gallbladder disorders can be reduced by avoiding high cholesterol foods and preventing obesity.Let’s maintain a well-balanced diet to reduce the incidence of gallstone formation.

Gall Bladder Removal

Complications after gallbladder surgery.All surgery carries some degree of risk. Possible complications of cholecystectomy include:

  • internal bleeding
  • infection
  • injury to nearby digestive organs
  • injury to the bile duct
  • leakage of bile into the abdominal cavity
  • injury to blood vessels

After a gall bladder removal, it is important to follow a Special Diet for several weeks or months.
Fat tolerance varies from person to person, and therefore the diet needs to be tailored to your needs.
This is why speaking to a Nutritionist is a Need. Eventually, you may be able to return to an unrestricted diet.

  • A diet for ulcers and gastritis is an eating plan that limits or does not include foods that irritate your stomach.
  • Your stomach can be irritated by foods that increase stomach acid.
  • You will need to limit or avoid drinks and foods that cause your symptoms, such as stomach pain, heartburn, or indigestion.
  • If you have persistent ulcer problems, an ulcer diet may help you keep digestive acids in check

Let us give you the reason of your acidity and stay healthy with hectic life style.

Causes of acute pancreatitis may include:

Chronic heavy Alcohol Consumption — Research also shows that years of excessive drinking is a major risk factor for chronic pancreatitis. A 2012 study published in the journal Nature Genetics noted that there may be a genetic link between chronic pancreatitis and alcohol consumption.

Patients with pancreatic disease, there are many times when it is difficult to eat at all. Even when you are feeling well, you still have to be very careful to follow a diet.

The chronic form, which is often heralded by repeated attacks of acute pancreatitis, may lead to malabsorption of food and diabetes.

Pancreatitis can be a serious condition and if left unmanaged.

If you have risk factors for pancreatitis or have experienced it before, make the appropriate lifestyle changes to prevent it from occurring in the future.

Your Nutritionist is the best one to tell you how to eat.

When it comes to overall wellness, maintaining your digestive health is just as important as maintaining your heart health, bone health and the health of the rest of your body.

it’s a matter of taking simple preventive steps. Taking control of your digestive health can help you improve your overall health, well-being and happiness.

So, don’t wait until you experience digestive problems.

You can start making simple, proactive changes to your diet and lifestyle today that can benefit your digestive health now, and all throughout your life.

Diet and nutrition are an important part of living well with kidney disease. As your kidney disease progresses, your dietary needs will likely change as well.

Kidney Failure

Making healthy food choices is important to us all, but it is even more important if you have kidney disease (CKD). Good nutrition gives you energy to do your daily tasks, prevent infection, build muscle and help maintain a healthy weight.

There is no one eating plan that is right for everyone with kidney disease. What you can or cannot eat will change over time, depending on how much kidney function you have and other factors.

Also, if you are following a special diet for diabetes or heart conditions, you will need to continue to follow it as well. Your Clinical Nutritionist will tell you if you need to limit sodium, phosphorus, potassium or protein.

If your kidney disease gets worse, you may need to limit other nutrients as well.

Diet with Dialysis

Most patients on dialysis need to limit the amount of sodium, potassium, and phosphorus in their diet.

Your needs may vary depending on the type of dialysis treatment you receive.

If someone does not receive proper nutrition during Dialysis Further person may be malnourished and very weak.

Be sure to talk with your NUTRITIONIST about your specific nutrition needs.

Kidney Stones

If you have kidney stones, you may need to follow a special diet. First, your doctor will run tests to find out what type of stones you form.

From these tests the nutritionist can determine required diet changes for you to avoid formation of the stone in future.

High blood pressure If you’ve been diagnosed with (a systolic pressure — the top number — of 140 or above or a diastolic pressure — the bottom number — of 90 or above), you might be worried about taking medication to bring your numbers down.

Lifestyle plays an important role in treating your high blood pressure. If you successfully control your blood pressure with a healthy lifestyle and diet, you may avoid, delay or reduce the need for medication.

Your diet – what you eat and drink – has a real effect on your heart and blood pressure.

The healthier your eating habits are, the lower your blood pressure will be.

Low Blood Pressure

Chronic low blood pressure can be effectively treated with diet and lifestyle changes.

  • A healthy diet and lifestyle are your best weapons to fight cardiovascular disease.
  • It’s not as hard as you may think! Remember, it’s the overall pattern of your choices that counts.
  • Making some simple changes in what you eat, how often you exercise, how much you weigh, and how you manage the stress can help to put the brake on heart disease.
  • But can you actually reverse heart disease, not just slow it down?
  • You can undo some, but probably not all, of the damage, if you’re willing to make big, lasting changes to your lifestyle.
Eating a heart-healthy diet is important for managing your blood pressure and reducing your risk of heart attack, heart disease, stroke and other diseases.

Dyslipidemia, defined as elevated total or low-density lipoprotein (LDL) cholesterol levels, or low levels of high-density lipoprotein (HDL) cholesterol, is an important risk factor for coronary heart disease (CHD) and stroke.

It is clear that lifestyle modifications that combine diet and exercise interventions are effective for the treatment of dyslipidemia.

Combination lifestyle treatments are particularly advantageous because diet and exercise elicit complementary effects on lipid profiles.

Nutrition is a critical part of diabetes care. Balancing the right amount of c carbohydrates, fat, protein along with fibre, vitamins and minerals helps us to maintain a healthy diet and a healthy lifestyle.

Getting the balance diet can help the body to stay in prime condition, but what is the right balance of nutrients?

For people with diabetes, there is at least one extra consideration for nutritional needs and that is the question of how our blood sugar levels will respond to different diets.

What are the main long term complications of Diabetes?
  • Heart disease – known as cardiovascular disease
  • Kidney damage – known as nephropathy
  • Eye damage – known as retinopathy
  • Nerve damage – known as neuropathy
  • Stroke
  • Limb amputations – particularly lower leg amputations
There are steps we can take to prevent, delay or minimize the effect of complications.
  • Keeping blood sugar under control
  • Getting regular physical activity
  • Eating a healthy diet
  • Attending all your diabetic reviews and screenings
  • Cutting down or avoiding smoking
  • Cutting down or avoiding alcohol
Lactose intolerance

People who have lactose intolerance cannot comfortably eat foods and beverages with lactose, such as milk. Lactose is the main sugar in milk. It is digested in the intestines by lactase, an enzyme that helps break lactose into smaller sugars.

If a person does not produce lactase, the lactose goes undigested and is fermented by the normal bacteria found in the intestine.

Typical symptoms include nausea, cramping and bloating, pain, intestinal gas and diarrhea.

A lactose free diet can give you healthy life without any deficiency.

Milk allergy

A milk allergy is an allergic reaction to the protein components in milk.

Allergy to cow’s milk is the most common food allergy in infants and young children.

A food allergy is an overreaction of the immune system to a specific food protein.

Gluten allergy / Celiac Disease

Wheat allergy is the most common in children, and is usually outgrown before reaching adulthood, often by the of age three.

A Gluten allergy can present a challenge for the diet.

Someone on a Gluten -restricted diet can eat a wide variety of foods.

Eating foods containing gluten can trigger a range of symptoms, such as:
  • diarrhoea, which may smell particularly unpleasant
  • bloating and flatulence (passing wind)
  • abdominal pain
  • weight loss
  • feeling tired all the time as a result of malnutrition (not getting enough nutrients from food)
  • children not growing at the expected rate
  • Symptoms can range from mild to severe.
Treating celiac disease

There is no cure for celiac disease,

but switching to a gluten-free diet should help control symptoms and prevent the long-term consequences of the disease.

Even if symptoms are mild or non-existent, it is still recommended to change your diet, as continuing to eat gluten can lead to serious complications.

It is important to make sure your gluten-free diet is healthy and balanced.


Complications of celiac disease only tend to affect people who continue to eat gluten or who is yet to be diagnosed with the condition, which can be a common problem in milder cases.

Potential long-term complications include:

  • osteoporosis (weakening of the bones)
  • iron deficiency anaemia
  • vitamin B12 and folate deficiency anaemia

Osteoporosis is a disease of the bones. It happens when you lose too much bone mass; make too little bone. Osteoporosis-related fractures most commonly occur in the hip, wrist or spine.

Osteoporosis usually has no symptoms until a fracture occurs – this is why osteoporosis is often called the ‘silent disease’ Osteoporosis affects men and women of all races.

Adequate nutrition and exercise are essential for development of peak adult bone mass and maintenance of bone during aging.

The optimal dietary level of a nutrient may vary from individual to individual and may change with age, intake of other nutrients, disease, drug therapy, or sex hormone status.

Polycystic ovary syndrome (PCOS) is a condition which prevents the ovaries from working properly, affecting periods, hormone levels, fertility and physical appearance.

These symptoms are more common in overweight women; and often lead to decreased fertility.

Women with PCOS are seven times more likely to develop type 2 Diabetes or have a heart attack.

What is worse, much as they require to lose weight, weight loss for PCOD women can be tough.

Weight gain is one of the most common side effects of PCOS, and as generally accepted science shows; one of the safest and most successful options for weight-loss is to adapt our diet and eating patterns.

A nutritionist could provide individuals with additional support.
Pre Surgery Nutrition

Nutrition plays an important role in preparing you for your transplant as well as after you receive a transplant. There are several key issues to focus on to get yourself in the best possible shape for transplant surgery – whether your surgery is in the next few months or whether you are waiting on the transplant list.

Post Surgery

After a kidney transplant, your diet will still be an important part of maintaining your overall health.

If you were on dialysis before, you may find that this diet is easier to follow than the one you followed when you were on dialysis.

With a successful kidney transplant your body will be able to keep a healthy balance of the potassium and phosphorus in your body.

However, your diet may be affected by the medicine you need to prevent rejection of your transplant. It will be important to eat a healthy, balanced diet and exercise regularly to keep you feeling great and your kidney transplant working well.

Be sure to talk to Nutritionist about your individual diet needs.

Provision of optimal nutrition therapy during all phases of transplantation will lead to improved outcomes.

Pre Surgery Nutrition

Malnutrition is common in patients with end-stage liver disease and is a risk factor for post-transplant morbidity. The goal of Nutrition planning is to build an immune-enhancing diet in patients undergoing liver transplantation.

Once malnutrition has been identified, the depleted patient must be treated to reverse or prevent further malnutrition and related complications.
The nutritional condition of a patient awaiting a liver transplant will decline unless nutrition therapy is provided.

Nutrition therapy includes provision of adequate calories, protein, vitamins, minerals, fluid, and electrolytes without precipitating or aggravating symptoms of end-stage liver disease such as encephalopathy or ascites.

Post Surgery Nutrition

You have been ill for a long time prior to your transplant and have probably lost a lot of weight. Therefore eating properly is an important part of your recovery process, and a healthy and balanced diet will help get you back on your feet again.

Early satiety and taste changes due to medication side effects are common patient complaints.

Medical nutrition therapy is necessary and beneficial during all phases of liver transplantation. The Clinical Nutritionist plays an integral role as part of the transplant team by providing appropriate therapy.

In Post transplant phase, early nutrition support can aid the healing process and reduce complications such as infection.
Provision of optimal nutrition therapy during all phases of transplantation will lead to improved outcomes.

There are different kinds of diet for deferent kind of cardiac surgeries.
  • CABG(Bypass)
  • Valve replacement
  • Kid’s Heart Surgery
  • PTCA
  • Pre Surgery Diet
  • Preparing For Heart Surgery?
  • The complex synergistic relationship between Poor nutritional status and the physiological responses to surgery puts patients at high nutritional risk.

Well-nourished patients respond to, and recover from illness and surgery better than undernourished patients.
Studies consistently show that 30–40% of patients show evidence of poor nutrition on admission to hospital and that both normal and sub-optimal nutritional status deteriorate in hospital.

Diabetes control

Before surgery Diabetics have to control their sugar level with good diabetic diet and life style modifications.

The careful preparation with a good diet supplemented by vitamins will assist in obtaining smooth convalescence free of infections and complications.

Prepare yourself for your surgery with Nutritious Diet & reduced chances of infection for better outcome.

POST Surgery Diet

There are clear prospective associations between inadequate nutritional status and the risk of poorer outcomes for surgical patients, including infection, complications and length of stay.

Nutritional interventions can significantly reduce these poor outcomes. It is imperative that you stay well-hydrated. Your appetite may initially be quite poor, but with time will return to baseline.

Although long-term prudent dietary and exercise regimen is very beneficial to your long-term overall health, immediately post-operatively we would encourage you to take in enough calories and protein to allow your incisions to heal.

Please note that long-term, these restrictions are extraordinarily important to provide the most durable post-operative results.
Patients with diabetes should strictly adhere to a diabetic diet and meticulously maintain blood sugars under 200, as this has been shown to decrease post-op complications.

Malnutrition in orthopedic patients, a condition that is overlooked and understudied, has substantial effects on outcomes.

Inadequate nutrition, orthopedic patients are more susceptible to infections; slower healing rates and sarcopenia (reduced lean body mass and muscle function).

Pre Surgery Nutrition Care

Correction of malnutrition on the basis of current reports is a Mandate.

The primary problem may be reduced intake, possibly due to socioeconomic factors or secondary to anorexia.

With chronic disease and acute injury, increases in resting energy expenditure and protein requirements due to the inflammatory response contribute to malnourishment.

We have to correct deficiencies of Vitamin A, D, E, K, C, Zink, Iron, Copper related with Malnourishment.

Overweight people advised for weight loss with healthy diet with correction of all deficiencies mentioned above.

Post Surgical Care

Deficiency seriously impairs the speed and strength of wound healing and results in markedly reduced collagen synthesis, decreased resistance to infection.

Good Nutritious diet is very important after ortho surgery.

Your Diet should be high in protein Rich in Vitamin and Minerals.

You might need supplementations as per your requirements and intake.

Pre Surgical Nutrition Care

If you are undergoing surgery, you want peak immune function to prevent infection, peak clotting function to reduce bleeding and bruising, peak protein synthesis for collagen formation and repair and many other functions.

Studies show adequate nutrition is critical for immune function and wound healing. Deficiencies of even single micro- or macro-nutrients results in altered immune responses even when the deficiency is mild.

Obesity, diabetes and other chronic disease of metabolic and nutrition imbalance can have a significant negative impact on surgical outcomes and complications.

If you are overweight, have diabetes, atherosclerosis, high blood pressure, heart disease, or any other chronic disease, your metabolism is not functioning optimally and are highly likely to have a nutritional deficiency. As one example, both zinc deficiency and vitamin D deficiency are implicated in the development of type 2 diabetes. Both these nutrients are vital to immunity and wound healing.

Undergoing surgery with a nutrient deficit increases your risk. Surgical patients with malnutrition are 2 – 3 times more likely to have both minor & major surgical complications such as decreased wound strength, increased rates of infection, impeded or delayed wound healing, increased inflammation, increased bruising and increased risk of death.

Post Surgical Nutrition Care

Major surgery itself increases the risk of malnutrition because of the stress and resulting increase in metabolism using up nutrients to rebuild.

  • This is made much worse if the surgery is on your digestive tract because digestion and absorption are further diminished
  • Some of the benefits of proper Nutrition Care include:
  • Reduced bruising, swelling and inflammation
  • Faster wound healing – a nutrient & energy intense process beyond our normal everyday nutritional needs
  • Enhanced immunity and reduced infections
  • Less oxidative damage generated by surgery and anesthetic agents
  • Reduced post-operative complications
Tube feeding decision may be taken by the Physician due to several reasons.

Severe anorexia.

Moderate or severe malnutrition in someone who is unable to eat a sufficient oral diet.

The post operative patient who has lost 10% or more of bodyweight.

Inability to eat or swallow because of neurological, oropharyngeal, or oesophageal disease/surgery.

An oral diet not anticipated for more than 7 days.

Intestinal failure.


Aim should be to provide adequate nutrition (calorie,protein,vitamin,minerals) to avoid chances of infection and severe Malnourishment.

Tube feeding Nutrition should be done under the strict supervision of Clinical Nutritionist.

Thyroid Gland Produces thyroid hormones which are in charge of how we feel, how and how much the body uses energy;

It determines how other hormones and vitamins are used in the body and is in charge of the growth and maturation of body tissues.

Hyperthyroidism may be characterized as active Thyroid Gland.

Symptoms may be underweight /difficult to gain weight.

Hypothyroidism results from deficient production of thyroid hormone by the thyroid gland.

Since the thyroid hormones regulate metabolism in every cell of the body, a deficiency can affect virtually all body functions.

Symptoms may be low energy feeling, fatigue, cold hands and feet, muscle pain, depression and cognitive deficits are common.

Thyroid disease presents unique challenges due to undesired weight changes, significant cardiovascular risks, and symptoms such as fatigue, mood changes, and gastrointestinal upset, which can hinder the development of healthful behaviors.

Diet modification can deal with weight imbalance and deficiencies.
Migraine headaches are a common neurological disorder.

The stress of a more hectic and competitive life-style is postulated as a factor, but changes in dietary habits may be equally responsible. Some Foods and beverages that may trigger migraine attacks.

Patients with migraine may be abnormally sensitive to one or more of these dietary items.

The chemicals in foods are responsible for the headache triggering effect are chiefly tyramine and other amines, including phenylethylamine and histamine. Get a smart Diet Plan to treat your Migraine.

Healing requires the synthesis of new proteins, which is dependent upon an ample supply of amino acids derived from dietary proteins.

The whole process requires a great deal of energy—which is generally supplied through the intake of calories in food.

Your Diet plan should include a Proper balance of Protein, energy, Minerals and Vitamins.
Nutrition with Cancer is very important aspect.

Many cancer patients experience gastrointestinal symptoms.

The Nutrition Therapy helps restore digestive health, prevent malnutrition and provide dietary recommendations during treatment.

Our goal is to help you stay strong and nourished, so that you can continue with your cancer treatment.

We will monitor your nutrition status from the beginning to the end of your cancer treatment, making modifications as needed to minimize side effects and treatment interruptions before they arise.

We also provide information and classes about healthy eating habits to your caregivers and family members, so you can continue a healthy lifestyle at home.

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