pmoore

I could take maybe 3 bites of a sub. The bread takes up too much valuable stomach real estate . . So I will always pass on bread. I am not pushing volume of food. Too big of a decision to have surgery to risk stretching anything too far. I use to love really good coffee. Now I can barely stand the smell. I'm 12 weeks post-op. don't think the coffee is ever coming back which makes me sad but it was a comfort beverage for me.

I am 13 weeks post-op & went to my 1st yoga class last week. Prior to surgery, I worked out HARD 6 days a wk with a trainer on 3 of those days . . Super high impact cardio, weights, biking, running, on & on & on & barely lost weight. I have zero metabolism. Hence, surgery. I am consistently losing weight now but miss the muscle tone. I never did yoga because, frankly, I felt I couldn't get enough calorie burn from yoga. My 1st yoga class was Devine. To think I may be able to slow down a bit & actually enjoy something relaxing like yoga is a gift. My goal before was to burn as many calories as possible . . My goal now is to find exercise more rewarding & enjoyable. It's like a whole new world that I still don't really believe is "my" world now.

Since I have been every size over the years, I've kept the nice clothes in variety of sizes. Everyone tells me to go shopping & I say "I'm shopping in my own closet for now". I can't shake the "tricks" to hiding your weight when buying clothes . . You all know what I'm talking about . . The big linen shirts over a tank & yoga pants to camouflage the rolls . . Ha, ha. It's been hard to actually look at shorts & other clothes. BUT boy is it great when you realize . . Life is going to be different now

I am not able to tolerate protein powder post-op (whey, soy, etc). I was lactose intolerant before surgery & that has not changed. Each am I blend 1/2 c unsweetened plain (or vanilla) almond milk with 1/2 c plain Kefir, lg TBSP Greek yogurt, 1/2 banana, & chocolate sugar-free Carnation instant breakfast. This is getting old. I added a spoon of peanut butter once but it was too rich for me. Any new smoothie suggestions that does not include protein powder? I am always trying to get as much protein in this smoothie as I can WITHOUT protein powder.

The only food "change" for me has been coffee. I LOVED coffe before surgery. Drank it every am & knew exactly what was "good" coffee. Now . . CAN NOT tolerate the taste. And I am still grieving. I miss that warm, bitter morning tradition. Actually, I am completely caffeine free . . Probably haven't been caffeine free since I was 14 years old . . Ha, ha.

How are the central Texas sleevers doing? I am 9 weeks post-op. I'm doing g8t . . Down 25 lbs & have finally braved most foods I wanted to try. I had my gallbladder removed at time of sleeve. Had to stay in hospital for 2 nights, 3 days. Major pain & nausea issues. Tube made my esophagus RAW so sipping water felt like finger nails down spinal cord from inside. It was AWFUL & MD had to give me pep talk I was so regretful in hospital. Dr. Sherrod was SO good to me though. A life saver. I had terrible hematoma (bruise) at incision site of stomach & gallbladder removal. I could hardly walk it hurt so bad. That alone slowed my recovery by 2 weeks. I didn't feel "better" til week 5. It was a much longer road than I anticipated. Had to take 3 weeks off work, half-days 4th week. But I can finally say at 9 weeks that it was a good decision for me. But, boy, please set some time aside for yourself. It is an emotional & physical shock at first.

I am 9 weeks post op & started noticing the excessive hair loss about 2 weeks ago. I heard the hair loss really kicks in about week 8 & continues for a few months. I hope it slows down as my body adjusts. Taking a sublingual b12/biotin from wonder labs.

Laxative info Laxative -Saline - Magnesium citrate , Magnesium hydroxide (Phillips'® Milk of Magnesia) - onset of action- 30 min to 3 h - site of action- Small and large intestine - mechanism of action - Attract/retain Water in intestinal lumen increasing intraluminal pressure; cholecystokinin release ;Sodium phosphates (Fleet® Enema) 2-15 min Colon Irritant/Stimulant - Senna (Senokot®) 6-10 h Colon Direct action on intestinal mucosa; stimulate myenteric plexus; alter water and electrolyte secretion ; Bisacodyl (Dulcolax®) tablets, suppositories 15 min to 1 h Colon ;Castor oil 2-6 h Small intestine Bulk-Producing - Methylcellulose (Citrucel®) , Psyllium (Metamucil®) , Wheat dextrin (Benefiber®) 12-24 h (up to 72 h) 24-48 h Small and large intestine Holds water in stool; mechanical distention Lubricant - Mineral oil 6-8 h Colon Lubricates intestine; retards colonic absorption of fecal water; softens stool Surfactants/Stool Softener - Docusate/senna (Peri-Colace®) 8-12 h Small and large intestine Senna – mild irritant; docusate – stool softener ; Docusate sodium (Colace®) Docusate Calcium (Surfak®) 24-72 h Small and large intestine Detergent activity; facilitates admixture of fat and water to soften stool Osmotic Laxatives - Glycerin suppository 15-30 min Colon Local irritation; hyperosmotic action ;Lactulose 24-48 h Colon Delivers osmotically active molecules to colon ;Polyethylene glycol 3350 (GlycoLax™, MiraLax™) 48 h Small and large intestine Nonabsorbable solution which acts as an osmotic agent ;Sodium sulfate, potassium sulfate, and magnesium sulfate (Suprep®) 24 h Small and large intestine Hyperosmotic action ;Sorbitol 70% 24-48 h Colon Delivers osmotically active molecules to colon Combination Laxatives Sodium picosulfate, magnesium oxide, and citric acid (Prepopik™) 3-6 h Colon Sodium picosulfate: Direct action on intestinal mucosa; stimulate myenteric plexus ;Magnesium oxide and citric acid: Combine to form magnesium citrate, which exhibits hyper osmotic action Miscellaneous Laxatives Lubiprostone (Amitiza®) 24-48 h Apical membrane of the GI epithelium Activates intestinal chloride channels increasing intestinal Fluid

Ok . . Beware TMI before you read BUT having been close to an ED visit . . I feel your pain . . Literally. So I'm going to pass on what my sister advised . . She's been a nurse for 30 years. Buy 2 Fleets MINERAL OIL enemas & 2 Fleets saline enemas. Get on all fours & drop your elbows down onto towel on floor so your butt is higher than your head. Use the oil enema & lay on your left side. Keep the oil inside for at least 30 minutes but longer if you can. I held it for about an hour. NOW here is where it gets . . Ummm . . Interesting. Double glove & SLOWLY use your finger to hook & remove small fecal pieces. The stool is hopefully soft so you can remove some stool & maneuver the rest into a shape you can pass. PLEASE be very careful & SLOW. My sister said your heart rate can drop & cause you to pass out. If you can't deal with this . . & luckily I didn't have to go this far . . Go to the ED. They are going to give you an oil enema or soap suds enema & then manually remove impaction. Some people use the mineral enema & hold it overnight. The enema will NOT stimulate a bowl movement . . Just soften the stool. Please plan to be at home the next day if you can. The oil will continue to leak over the next 12 hours. I had to go to work the next day & placed a pad in my panties. Was still a mess & I only made it to 2 pm before I just had to come home to clean up. You can use the saline enema to clean the mineral oil out but I wanted the continued lubrication. Sorry so graphic but let's face it . . This situation can be so bad that we have to talk about it. Remember, you have to be very careful if you try to manually remove some stool. This can be dangerous so if the stool is still hard, go to the emergency room or urgent care or your doctor. Not sure a physician's office will remove impaction. I wish you all luck.

I am 9 weeks post-op . . Drink 64 oz water per day . . Eating fine . . Weight loss steady . . BUT no one told me to watch constipation. Has continually gotten worse. Had 2 very close calls with impaction in last 2 weeks. I know this may be TMI but I wish some one would have informed me. The problem is NOT peristalsis (urge to evacuate) . . So Dulcolax suppositories or pills to stimulate bowl movement will not help you. Problem is hard stools. My theory is that we are eating TBPS of food that may take longer to initiate peristalsis. During the wait, water is being removed from the stool. If you get in trouble, Fleets MINERAL OIL enema is your best friend. My sister has been a nurse for 30 years & she saved the day! I can provide a few more pearls of wisdom for anyone interested. I have started taking 50 mg colace a day for stool softener. Going to work on adding some fiber also.

I am from G'town & sleeved April 1st by Southwest Bariatric . . Dr. Sherrod. This is my 6th wk post-op. Surgery was more involved than this site leads you to believe. Was No walk in the park for me. I'm doing well but it is a big adjustment. Still very weak.

I am in my 5th wk post-op & will take a 12 hr road trip Mon to see my parents. Suggestions for eating on the road?

I had to take 3 weeks but 4 weeks is ideal. You will be VERY weak in the 1st few weeks so beware.

Hospital gave me a stack of medicine cups to sip from. They r a life saver. I still use them at 4 weeks post op. I just wash them. 1st day home I was lucky to get 36 oz fluid down. That is minimum to prevent dehydration. Just do what u can. Take it slow. I took 3 weeks off work & needed every day. Was so tired from anesthesia, stress, pain meds, & soreness. Developed hematoma at one incision site which took 2 weeks to get better but still not gone. Made walking hurt.

I would see your surgeon. I am a firm believer in having the surgeon follow-up on anything directly related to a surgery he/ she performed. I think they owe it to the patient to take care of you until surgery related issues are completely resolved. These poor PCPs are getting hammered to do surgeons job & they don't even understand procedure . . They are not surgeons. This is why so many PCPs dread to see us walk into their office.