RE: Pouch Rules for dummies - ThinnerTimes

twodogsmom · 01-21-2006, 12:10 PM

Whose rules are these? Who wrote these? I see some glaring problems with some of them that would cause major problems, esp. sections on "water-loading". How on earth can we get in adequate nutrition if our pouches are full of water? The pouch size is so small, and so is the stoma-I have been told by my doc to eat slowly, to allow the pouch to reach satiety with nutritious food. Food is not the bad guy here, folks, if you are choosing the right foods like protein, veg and fruits.

Mavisavis · 01-21-2006, 01:51 PM

Quote:

Originally Posted by twodogsmom

Whose rules are these? Who wrote these? I see some glaring problems with some of them that would cause major problems, esp. sections on "water-loading". How on earth can we get in adequate nutrition if our pouches are full of water? The pouch size is so small, and so is the stoma-I have been told by my doc to eat slowly, to allow the pouch to reach satiety with nutritious food. Food is not the bad guy here, folks, if you are choosing the right foods like protein, veg and fruits.

I asked some of these questions on a different post but should have started a new thread instead to get better answers.......so thanks for doing that. My question was also who wrote them, but I was also curious as to when you would start to follow them and such as they do conflict with my docs orders. I especially notice that the time frames between eating and drinking conflict. I wait 1/2 hour to eat after drinking and 1 hour to drink after eating. I do however, drink fluids a lot when I feel hungry and don't feel I "should" be........and that really helps, so apparently I confuse hunger with thirst. So, can anyone explain better for us?

queenzed · 01-21-2006, 02:11 PM

Quote:

Originally Posted by twodogsmom

Whose rules are these? Who wrote these? I see some glaring problems with some of them that would cause major problems, esp. sections on "water-loading". How on earth can we get in adequate nutrition if our pouches are full of water? The pouch size is so small, and so is the stoma-I have been told by my doc to eat slowly, to allow the pouch to reach satiety with nutritious food. Food is not the bad guy here, folks, if you are choosing the right foods like protein, veg and fruits.

I agree and have also mentioned this in other posts, but no one responds. "Water Loading" goes against everything my surgeons says. So does ALOT of the other rules. I printed the post that listed the "rules" and all 3 bariatric surgeons at my hospital were floored!

I then emailed serveral other surgeons accross the country, I got their email addresses from obesityhelp.com, and selected them randomly, they ALL said those "rules" were crazy!

I follow my surgoens rules and so just fine!

Mavisavis · 01-21-2006, 02:51 PM

Quote:

Originally Posted by queenzed

I agree and have also mentioned this in other posts, but no one responds. "Water Loading" goes against everything my surgeons says. So does ALOT of the other rules. I printed the post that listed the "rules" and all 3 bariatric surgeons at my hospital were floored!

I then emailed serveral other surgeons accross the country, I got their email addresses from obesityhelp.com, and selected them randomly, they ALL said those "rules" were crazy!

I follow my surgoens rules and so just fine!

The funny thing is, all the time I was telling people to "follow the pouch rules" I assumed it was all the advice we usually mention.......protein first, no grazing, adhering to time frames for eating and drinking, getting liquids, etc. Then recently as I get further out I thought I would really read over them for inspiration and reminding........so I was actually surprised to read about water loading, eating quickly, and such. I really am confused now. I understand the point about staying hydrated, and have upped my fluids from about 48 ounces to now between 60-120......so am proud of that. Anyhow, am anxious to hear more from some long termers about the pouch rules so I can plan my strategy to reach goal!

lealphachienne · 01-21-2006, 02:51 PM

They are guidelines. They are meant for those who are long term post-op. They do not replace any of your doctor's orders. In many, many cases...their is no follow up guidelines set forth by some surgeons. We get people who are 4-5 years out and are trying to get back on track. Many of the ideas have since changed. Our surgeon suggests water loading for those who struggle with eating too much or too often after 6-9 months. Even though other surgeons think the rules may be crazy...I wonder what their rules would be. Are these the same ones that would say first 6 weeks is liquids only? You wil find extreme viewpoints on each end of the spectrum and everyhting in between. The USDA has their food pyramid.....are we to follow that to a "T"? At every conferance there is a debate on what constitutes minimum nutrition. With ongoing advancement in research, it keeps changing.

LisaBoston · 01-21-2006, 06:33 PM

I too asked my doctor about them and he agreed. They are a good thing, but not until you are at least 6 months out or starting to feel hungry. Water loading is very common - once again its a personal choice and something you should talk to your doctor about.

Blueyz · 01-21-2006, 06:35 PM

Quote:

Originally Posted by twodogsmom

Whose rules are these? Who wrote these? I see some glaring problems with some of them that would cause major problems, esp. sections on "water-loading". How on earth can we get in adequate nutrition if our pouches are full of water? The pouch size is so small, and so is the stoma-I have been told by my doc to eat slowly, to allow the pouch to reach satiety with nutritious food. Food is not the bad guy here, folks, if you are choosing the right foods like protein, veg and fruits.

Waterloading is for the mature pouch. I didn't start waterloading until I was about 8 months out.

okiegrl · 01-21-2006, 06:58 PM

I was wondering about the pouch rules. I guess that is why we pre-opers should stay off the post-opers forum

(Just Kidding) We need to keep in mind where we are on the forum so we know that there are things that are just for us and things for long termers!

Can't wait for that to be me!!!

Mavisavis · 01-21-2006, 07:13 PM

Quote:

Originally Posted by LisaBoston

I too asked my doctor about them and he agreed. They are a good thing, but not until you are at least 6 months out or starting to feel hungry. Water loading is very common - once again its a personal choice and something you should talk to your doctor about.

This is why I had read them, I do feel hunger. I can't remember when I started feeling it, maybe 2 months post-op. I was preparing for the next phase. It sounds like I have awhile to think about it and tweak what I'm doing anyhow. I will have an appointment with my bariatric surgeon in about 6 weeks and can run it by him then.