Raul_MX

Water intake

17 posts in this topic

I've been struggling getting all my water intake per day. Sincerely, sipping it is just taking its toll mentally and physically (getting bored)

My question is, can I rupture my pouch by drinking mouthfuls at a time? I mean, I don't mean being abusive or stupid to it by chugging liters at a time, just mouthfuls every now and then?

Can the pouch be stretched out by too much water?

Please let me know... this has been bothering since day 1.

Regards.

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Very early out I was only able to sip like an ounce at a time... now I can pretty much drink normaly... no you can't rupture your pouch by taking mouthfuls, although it might hurt a little going down. It does for me when I drink too much too fast!

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I was able to drink regular drinks, rather than sips, of water from the beginning. Because I could do that, I was able to get all my liquids in from the beginning. If I take too many drinks in succession, it can hurt going down, but one drink at a time isn't bothersome. No, you can't stretch your pouch with too much water.:)

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Drinking was very difficult for me to in the beginning. If I drink to much at one time now, it hurts, but don't worry about it stretching your pouch. it won't.

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You can chug liters at a time if you want and it will not stretch your pouch. It might make your tummy feel real bad and you might puke, but it will not damage your pouch. You don't have a pyloric valve anymore so water just runs right out of your pouch. You can drink as much or as fast as is comfortable for you.

Kelly

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This was a really good question because I am able to drink like I was before and I am glad to know I am not hurting my pouch by doing so :)!

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Good to know. I couldn't get a visual of sipping one once at a time all day. I would be dehydrated within the week. :D

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You can chug liters at a time if you want and it will not stretch your pouch. It might make your tummy feel real bad and you might puke, but it will not damage your pouch. You don't have a pyloric valve anymore so water just runs right out of your pouch. You can drink as much or as fast as is comfortable for you.

Kelly

pretty much exactly what I was going to post :)

a year out, I can take giant mouthfulls of water but my pouch still generally doesn't like it when I do.

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Raul MX

I am SO glad you asked this question because I have been wondering for some time now! I am 4 weeks post op and still trying to sip but it is hard because I just want to drink normally!

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My surgeon told me yesterday that YOU CAN burst your pouch by taking in liquids too fast during first 3 weeks when it is healing but thereafter not a worry. He made a big issue of it.

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My surgeon told me yesterday that YOU CAN burst your pouch by taking in liquids too fast during first 3 weeks when it is healing but thereafter not a worry. He made a big issue of it.

How can that be when liquids run right out of the pouch? What happens at three weeks post-op that suddenly changes things?

Kelly

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You can chug liters at a time if you want and it will not stretch your pouch. It might make your tummy feel real bad and you might puke, but it will not damage your pouch. You don't have a pyloric valve anymore so water just runs right out of your pouch. You can drink as much or as fast as is comfortable for you.

Kelly

Can you confirm this theory that it runs right out?

In the 'drinking while eating' thread, Milady B has said that it isn't the case so I'm curious where this theory came from?

http://www.thinnertimesforum.com/general-gastric-bypass-discussions/42993-drinking-during-eating-2.html#post549628

Edited by mistymee

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My surgeon was so emphatic that the pouch takes 3 weeks to heal and that if you overfill it quickly with fluids it can pop staples. He said it is because of the time it takes to heal. He stressed that if you stick to sipping slowly if it fills up it won't cause a problem. I assume this comes from experience because he has done 1200 RNY operations.

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Can you confirm this theory that it runs right out?

In the 'drinking while eating' thread, Milady B has said that it isn't the case so I'm curious where this theory came from?

http://www.thinnertimesforum.com/general-gastric-bypass-discussions/42993-drinking-during-eating-2.html#post549628

Hmm. Well, we don't have a pyloric valve to hold liquids in. The pouch is kinda shaped like a funnel with a tiny opening at the bottom. Since the opening is pretty tiny, food doesn't run right out. It's like, if you take a funnel with a tiny hole in the bottom and pour water in it, the water runs out real fast. But if you pour something like peas in it, they will run out eventually but they will back up a bit first. Picture it?

It's my understanding that the reason they recommend not drinking right before eating isn't exactly because the liquid will still be in the pouch but because it makes the pouch really wet and slippery which will make the food go through it faster.

Kelly

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Hmm. Well, we don't have a pyloric valve to hold liquids in. The pouch is kinda shaped like a funnel with a tiny opening at the bottom. Since the opening is pretty tiny, food doesn't run right out. It's like, if you take a funnel with a tiny hole in the bottom and pour water in it, the water runs out real fast. But if you pour something like peas in it, they will run out eventually but they will back up a bit first. Picture it?

It's my understanding that the reason they recommend not drinking right before eating isn't exactly because the liquid will still be in the pouch but because it makes the pouch really wet and slippery which will make the food go through it faster.

Kelly

I think you might have over-simplified the situation based on what Beth has said.. though I will pm her and ask her to weigh in here for further clarification.

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Thanks to all for your valuable responses. I have decided that for now (maybe till 1 month post op) will stick with Mouthfulls (not even big mouthfulls) and let them down slowly.

After that time, start drink water normally. So far I have tried water only, only a couple of flavored drinks, but what's more pure than water? HEHE

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Well this is what I have been taught and how the bariatric nurses instruct the patients when we discharge them.

Early out it is important to take small sips You can do damage to your pouch during the healing time. No, we don't have a pyloric valve BUT as our pouch is healing everything is very swollen down there, plus it takes time for our bodies to learn that new route. Everything is pretty sluggish when it comes to our digestive system so no, the fluids don't just free flow right out of the pouch. It will take time to drain and the more swollen and sluggish things are, putting large quantities of fluid down there can put a strain on the new incisions and yes, you can rupture your pouch. Think of it as a balloon with a small hole in it. If you blow it up quickly you can over extend the balloon causing pressure on the sides. The air either comes back out the larger hole (like throwing up) or if the upper valve holds you could burst the balloon, even though air is slowly escaping out of the small hole. Either way you maybe weakening those healing incisions. You might not totally burst your incision but you could cause a leak.

The problem with the funnel visual is that a funnel is open up on top. Our pouch has a valve on top (esophageal sphincter). A funnel doesn't expand as you put food or fluid in it, but our pouch does still expand. Over filling that pouch still puts pressure on the sides and puts pressure on the unhealed incisions. Too much pressure and those incisions can rupture.

Now once things are healed the need to sip, sip, sip pretty much goes out the window. I can drink 20 oz of fluid in about 15 min but because your pouch is smaller you can over fill it. You probably won't over stretch your pouch but it may come right back up on you. You over fill your pouch with water it will travel the route of less resistance, which is right back up your esophogus, which is why some of us may throw up if we drink too much too fast. If the water just free flowed quickly out of your pouch, why would we throw up if we drank too much?

The best rule of thumb is to drink or eat until you are satisfied, not until you feel like you are going to burst. Over filling your pouch with anything will put a strain on the anastamosis and could stretch out that connection if you do it often enough. You probably won't over stretch your pouch but you could stretch out that new connection if you make a habit of over filling your pouch.

Edited by MiladyB

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