Patient Resource
Eating after hiatus hernia repair
A staged diet after fundoplication surgery to support healing and make swallowing more comfortable.
Official patient guide
Queensland Health – Nutrition after fundoplication surgery
You can also open or download the full Queensland Health NEMO patient guide.
Stage 1 · Days 1–3
Clear fluids
Allow the oesophagus to rest and reduce irritation.
Examples include water, clear broths, diluted non-citrus fruit juice, decaffeinated tea or weak coffee, and gelatin desserts.
Stage 2 · Days 4–10
Pureed diet
Introduce foods that are easy to swallow and place minimal strain on the healing oesophagus.
Examples include pureed vegetables and fruit, smooth soups, mashed potato, yoghurt and porridge.
Stage 3 · Weeks 2–4
Soft diet
Move to soft, easily chewed foods as swallowing improves.
Examples include scrambled eggs, soft-cooked pasta, tender fish, steamed vegetables and soft fruit without skins.
Stage 4 · After 4 weeks
Gradual return to a regular diet
Reintroduce foods slowly, chew thoroughly and avoid foods that cause discomfort or bloating.
General guidelines
Eat slowly and keep meals small
Eat and drink slowly and avoid gulping. Aim for 6–8 small meals rather than large meals. Avoid fizzy drinks, chewing gum and drinking through straws because they can increase swallowed air and bloating.
Choose nourishing drinks such as milkshakes, smoothies or nutritional supplements when needed. Sit upright while eating and remain upright for at least 30 minutes afterwards.
If swallowing is difficult
Slow down rather than force food
Temporary swallowing difficulty can occur after fundoplication while swelling settles. If food repeatedly sticks, you cannot keep fluids down, or symptoms are worsening, contact the practice or seek medical assessment.