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Post-op Gastric Bypass Gastric bypass post-op concerns, milestones achieved, establishing new eating/exercise habits, dealing with emotions without food to turn to, etc.

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Old 05-20-2007, 09:09 PM   #1 (permalink)
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Default 2 weeks post op

First let me introduce myself. I'm Jim and I had lasroscopic Roux en y on may 9th. I am doing great with no pain and am actually hungry which shocks me. I question is my Dr. says liquids for 6 weeks and my dietician (Same office as my Dr) says go to pureed food. Who do i listen too. I tried pudding today and it went down really well. so I thnk I'm ready for pureed, Is the Dr just playing it to safe? I think I would know when my body is ready as I am the one who feels what it is telling me it needs. Other then that I have lost 19 lbs so far since surgery and am riding my bike 4 miles a day.
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Old 05-21-2007, 01:59 AM   #2 (permalink)
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Default First of all...

let me say Congratulations! on your surgery, and welcome to the forum. Also congratulations on your weight loss. As I did not go through a BTC and it's been so long since I've had RNY I'm afraid that I can not give you much advice on time lines for food, although you have come to the right place as there are so many folks out here that have a really good handle on foods and timelines. You will find lots of support here and a lot of really great people too! Again, congratulations and best wishes.

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Old 05-21-2007, 03:20 AM   #3 (permalink)
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Default Hard to say

Here's my take on it, and of course you can take it or leave it... Your dietician won't be the one that's taking you back apart and putting you back together, your doc will, and every doctor has different guidelines. People on this forum have ranged from one person who said her doc told her "anything you can tolerate," from the first day post-op to one, two, three and four weeks of liquids. I have to admit six weeks is the longest I've heard. What I certainly would do is let the doc's office know of the discrepancy. The surgeon and the dietician need to work as a team if they're in the same office, and not give conflicting information.

Oh - and the hunger is probably what we call "head hunger." Your head thinks you're hungry, but your body knows better. It is a peculiar kind of torture suffered by early post-ops. It will fade, and you'll begin to recognize when you are really hungry by symptoms that are more physical than mental.
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Doesn't matter what you can eat, just matters what you do eat.
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Old 05-21-2007, 06:15 AM   #4 (permalink)
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I had conflicting food instructions from the Dr and dieticion also and I let the Dr's office know. They said to follow the Dr's guidlines and that they would work to make sure that the nutrition handbooks they both handed out matched up. =)
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Old 05-21-2007, 06:31 AM   #5 (permalink)
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Usually the first two weeks are liquid. Some docs insist on clear liquids (like mine) and some say "full liquids" which includes cream soups, pudding, shakes etc. The idea being is that by two weeks, a leak will usually have occured if it was going to happen. I agree with Lisa that this is the most variable part of our experience and your MD and nutritionist need to be on the same page. By two weeks the vast majority of us graduated to like stage 2-3 baby foods. Cottage cheese, ricotta, chili, refried beans etc. High protein, but still pureed foods. My MD let me have deli meat etc, but I needed to chew it until it was pureed in my mouth. No veggies or fruit until 8-12 weeks here only because they are harder to digest and your pouch is so small it should be filled with protein. Keep us posted.
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Old 05-21-2007, 07:05 AM   #6 (permalink)
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Requirements are definitely different depending on the doctor.. but 6 weeks does seem like a very long time to be on liquids. Then again, there's no way my doctor would ever have let me ride a bike for 4 miles a day only 2 weeks after surgery...

I agree with everyone else that your doctor and dietician should be on the same page. Double check with both of them on your restrictions and go from there...don't push yourself too fast, follow your doctor's orders, whatever they are. You don't want to hurt yourself in the long run.
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Old 05-21-2007, 08:03 AM   #7 (permalink)
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Here are some articles and links to others that you can research for explanations on eating after surgery. Welcome to the forum and good luck.

Article found at: http://www.mayoclinic.com/health/gas...s-diet/WT00007
You won't be allowed to eat for one to two days after the surgery. Then you consume specific foods according to a diet progression. The purpose of the diet progression is to allow your stomach time to adapt to processing food and to allow you to lose weight while maintaining good nutrition.

The following are common phases in the gastric bypass diet progression:

Liquids. Foods and fluids that are liquid or semiliquid at room temperature and contain mostly water, such as broth, juice, milk and cooked cereal. In most cases, you stay on a liquid diet for two to three days.
Pureed foods. Foods with a consistency of a smooth paste or a thick liquid. Pureed foods contain no distinct pieces. You usually eat pureed foods for three to four weeks so that your stomach has time to fully heal.
Soft foods. Foods that are tender and easy to chew, such as ground or finely diced meats, canned or soft, fresh fruit, and cooked vegetables. You usually eat soft foods for eight weeks before progressing to regular-textured foods, as recommended by your dietitian or doctor.
During the diet progression, you eat many small meals a day and sip water frequently. You might first start with six small meals a day, then progress to four meals and finally, when eating regular foods, decrease to three meals a day. Typically, each meal includes protein-rich foods, such as lean meat, yogurt and eggs. Protein is important for maintaining and repairing your body after surgery.

How quickly you move from one step to the next depends on how fast your body adjusts to the change in eating patterns and the texture and consistency of food. In most cases, people start eating regular foods three months after surgery.

After three months, expect to eat three small meals and three small, healthy snacks a day. Your meals typically include lean sources of protein (such as poultry without skin or low-fat cottage cheese) fruits, vegetables and whole grains. Limit or avoid high-sugar, high-fat foods, which provide many calories but few nutrients.

The changes in your digestive system restrict how much you can eat and drink with each meal. To avoid problems and to ensure you're getting all the nutrients you need, closely follow these guidelines:

Eat small amounts. Just after surgery, your stomach holds only about 1 ounce of food. Though your stomach stretches over time to hold more food, you won't be able to eat more than 1 to 1 1/2 cups of food with each meal. Eating too much food adds extra calories and can cause pain, nausea, vomiting and abdominal cramps. Make sure you eat only the recommended amounts and stop eating before you feel full.
Eat and drink slowly. Eating or drinking too quickly, especially high-sugar foods such as soda or ice cream, can cause dumping syndrome — when foods and liquids enter your small intestine rapidly and in larger amounts than normal, causing nausea, vomiting, diarrhea, dizziness and sweating. To prevent dumping syndrome, eat your food and sip your beverages slowly. Take at least 30 minutes to eat your meals and 30 to 60 minutes to drink 1 cup of liquid.
Chew food thoroughly. The new opening that leads from your stomach into your intestine is very small and large pieces of food can easily block the opening. Blockages prevent food from leaving your stomach and could cause vomiting. Take small bites of food and chew them to a pureed consistency. If you can't chew the food thoroughly, don't swallow it.
Drink most of your fluids between meals. Drinking beverages with your meals may cause pain, nausea and vomiting as well as dumping syndrome. Also, too many liquids at mealtime may leave you feeling overly full and prevent you from eating enough nutrient-rich foods. Expect to drink about 6 to 8 cups of fluids a day to prevent dehydration.
Try new foods one at a time. After surgery, certain foods may cause nausea, pain, vomiting or may block the opening of the stomach. To find out which foods are OK to eat and which cause you trouble, try one new food at a time. Foods that commonly cause trouble include dry tough meats, bread, raw vegetables and carbonated beverages.
Take recommended vitamin and mineral supplements. After surgery, your body has difficulty absorbing certain nutrients because most of your stomach and the first part of your small intestine are bypassed. To prevent a vitamin or mineral deficiency, take vitamin and mineral supplements regularly. These may include a multivitamin-multimineral, calcium, vitamin B-12 and possibly an iron supplement.


other links

http://www.stronghealth.com/services...atric/diet.cfm
http://www.gicare.com/pated/edtgs22.htm

remember this is only info and you should listen to your doctor, but doing research will also help you to understand what you are going through, so will this website, the peeps here are an amazing bunch.
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Old 05-21-2007, 08:26 AM   #8 (permalink)
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Default Well Carrie's post says it all...

Congrats on your quick recovery and remember we all have stored energy after surgery... but it runs out eventually! Make sure you get your protein and rest a little, it's good for a healing body.
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Old 05-21-2007, 11:10 PM   #9 (permalink)
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Thanks for all the replies. I got is straitened out with the Dr. office. I can start pureed foods at 3 weeks but still need to drink my protein shake which i knew.
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Old 05-22-2007, 09:33 AM   #10 (permalink)
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Glad you got it straightened out.. my doctor doesnt give our dietary guidelines..he defers to the dietician...

Welcome to the forum, and grats on the loss so far!
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