Food restrictions with heparin injections?

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Hello,

my 78 year old mum had laporoscopic robotic keyhole surgery last week (Thursday) for a total hysterectomy (diagnosed with endometrial endmetrioid adenocarcinoma in November), and was given injections to self inject each night for 28 days (Inhixa - Enoxaparin sodium - a 'low molecular weight heparin'). She weighs 57kg and is on a 40mg dose. (No stockings - removed after operation.)

There is nothing in the leaflet, and she was given no advice on discharge (only in hospital overnight) re any food or drink she shouldn't take - eg high in Vitamin K, high in potassium, high in salicylates. Obviously she doesn't want to exlude foods with these entirely(?), but is she ok to eat things which are eg medium in potassium? Should she avoid berries? Does she only need to avoid foods high in Vitamin K, but those which are medium are ok? (Before the op she was drinking green smoothies, almonds, berries, etc) Or should the focus be on consuming the RDA of Vit K and potassium in a day but not much more than that?

She has had no blood test to check the level of potassium or platelets, and none are scheduled.

Many thanks in advance Pray

  • Hi Scoobysnack

    Thanks for getting in touch with us. I’m Debbie, one of the Cancer Information Nurse Specialists on the Macmillan Support Line. I am sorry to hear that your mum had womb cancer and had a hysterectomy last week. I hope that she is recovering well. You might find this information about recovering from womb cancer surgery helpful.

    We aren’t able to advise individually about foods that might help your mum’s recovery, or foods to be avoided, because we are not directly involved in her care. The NHS website information about hysterectomy advises that it is recommended to drink plenty of fluids and increase the fruit and fibre in your diet to help with bowel and bladder movements. Having a normal healthy diet should be enough for your mum after her operation. The best people to advise your mum about diet are your mum’s gynaecology doctors, gynaecological Clinical Nurse Specialist (CNS), or her GP. They can refer her to a dietitian if needed.

    The Inhixa injections are to prevent blood clots after surgery. Medicines that contain aspirin (salicylic acid) can interact with Inhixa and increase its effects. So it is very important that your mum tells her doctors about any other medicines that she is taking. Foods in your mum’s diet are unlikely to affect her potassium or platelet levels. But if you are worried that your mum hasn’t had a blood test to check her potassium and platelet levels you can ask her gynaecology team or GP and they can order tests if needed. 

    I hope that this information is helpful and that all goes well for your mum but please do contact us again if there is anything else we can help with.

    With best wishes

    Debbie

    Cancer Information Nurse Specialist

    Ref/ DT