ChunkCat

FWIW, dehydration will cause at least half the things on your list... I know it is hard, but you really have to hit that 64oz minimum as soon as possible. Dehydration is a major complication after WLS and it will do a number on your skin, make you tired and nauseous, contribute to dizziness, and worsen head hunger... You are only a few weeks out from a major surgery, low libido can take a while to rebound and the rapid weight loss releases bursts of hormones that cause mood swings, sometimes impacts our libido, make our cycles weird, and caused a few meltdowns in our house early post op. 😂 For the constipation try stool softeners combined with Miralax. These are non-stimulants so your system won't get addicted to them like it can the stimulant laxatives. Also, try increasing your fat a little. That might help with the dry skin and dry lips too. The post-op diets are extremely low fat, which made me super fatigued too.

You are 6 days post op?? You should be getting the bulk of your protein from things like protein shakes, protein waters, fairlife milk, and other things like that. Your tummy is way too small and way too raw to be getting your protein from actual food yet. I know every surgeon varies and some do purees early, so I won't comment on that, but even then, you can't possibly get enough in on food alone to hit your protein goals. Some soft things to try on the puree and soft food stages: very softly scrambled or poached egg, cottage cheese, ricotta cheese, greek yogurt, sugar free pudding, sugar free jello (you can even get protein jello), some even include bean purees though I found those VERY hard on my stomach. You can also puree proteins into a soup base. I did a lot of cream soups and strained soups. I was on strict liquids the first two weeks. In soft foods you can also try things like egg salad, chicken salad made with chicken thighs because they are more moist, and tuna salad, but don't add things like onion and pickle to it yet. Too rough. ETA: Generally patients are encouraged to focus on their hydration goals for the first two weeks. This is because dehydration is the number 1 complication of bariatric surgery. Our bodies have protein stores that will last us the first few weeks after surgery. So focus on those 64 oz of water and if that is going well, then you can think about getting some protein in as a bonus!

My favorite thing on the liquid diet was strained soups. We just bought a bunch of Campbell's soup flavors, strained them, and I drank the broth for "meals" to break up the sweet!! I especially liked the cream soup flavors, though you need to be careful to make those with a lactose free milk at first to be extra kind to your healing tummy. I also drank a number of broth flavors from Kettle & Fire. They are expensive but I figured they were worth it for that phase. What really saved me though was ordering pho broth from the local Vietnamese shop and straining it...and hot and sour soup from the local Chinese shop and straining it. The contrast of flavors was HEAVEN. I did that a lot the first month.

Are you on a PPI like omeprazole? If not, you may need one... Many of us experience stomach acid issues post op, especially as we introduce solid food. Our tummies are still making acid for a normal sized stomach and that can cause a lot of discomfort. If you are already on omeprazole, you may need to take it twice a day or try a different PPI. I'd talk with your surgeon about that. The pain you are describing could be from a number of things. I'd call your surgeon and discuss it. Strictures are unusual in sleeve patients, but on occasion they can happen and it is best to rule them out when experiencing pain with eating that suddenly appears weeks out from surgery. Good luck!!

I've decided to do the bras 2 at a time. I recently went through a whole process to get a correctly fitted bra and discovered I was wearing something 5-6 cup sizes too small. 🤣 I didn't realize my boobs naturally want to sit up so high! I'm very busty and cheap bras don't work, so I've bought nice ones and figure at the rate I'm losing (a band size a month) they'll still look nice enough to resell once I'm done with them. Underwear--I go and feel up the underwear in Walmart until I find a pack I can tolerate the sensation of. LOL Be careful with compression garments. Focus on making sure they are comfortable. Our designer intestines don't like being compressed and I was warned against tightly fitting compression garments causing intestinal issues. So I just wear the ones that are smoothing but still comfortable and allow free range of motion.

I'm so sorry you are going through this. I would suggest you formally request an explanation of the denial. They have to give it to you in writing far as I know. I would not rely solely on the clinic to deal with appeals for you. It could be something very simple that they are being stubborn about fixing and you are getting caught in the middle. I've had this happen on numerous occasions. Also, peer-to-peer CAN sometimes clear things up and get an approval through. I've had it happen with several expensive procedures they kept denying for stupid reasons... If bariatric surgery is covered in your plan, they have to tell you why they are denying you. I hope you hear good news soon!

Definitely have the dessert!! 🤣 My surgery date was changed last minute and I had to go on the pre-op diet immediately with no warning. I really wish I'd had time for one more dessert... But that could be the ketosis speaking. LOL

I had two weeks of a modified liquid diet (the shakes all day and a small, lean meat and veggie meal at night), and then another week of pure liquids, no snacks, no pudding or yogurt, just shakes! It was SUCH a marathon... Then I had 2 full weeks of strict liquids post-op, no puddings, no yogurt, and I couldn't tolerate any protein shakes or jello. But post op it was easier in a way because my body was telling me very clearly it didn't want any of those things! Pre-op the diets are a serious head game. LOL

Oh Ashley, I am SO very sorry!! It must be quite rare for that to happen, my heart hurts for you. I'm glad your surgeon was so proactive about ensuring this wasn't being caused by vitamin deficiencies. Hair is one of those things that for many of us is part of our identity and to lose it all so dramatically on top of the stress of bariatric surgery is a huge load. I hope you are being very gentle with yourself. This isn't your fault. I've heard of this happening on occasion with autoimmune patients... Have you thought about seeing a therapist to help support you as you go through this? I've found them incredibly helpful when my body has done rare, weird things that caused a lot of mourning and grief. I'm glad you updated us, this is a safe place for you to come vent and mourn. I wish I had wise words to offer you in solace, but some things are really beyond our language. Just know I am sitting here alongside you with a generous measure of empathy. Please let me know if there is anything I can do to support you. I just want to give you the biggest hug!

The pull and twist sensation is most likely a stomach spasm. It is one of the rarer side effects of bariatric surgery. I got them too, and mine happened even with water! My surgeon told me they'd go away after a few weeks and sure enough, between weeks 2 and 3 they magically faded out! You have to be veeeeery slow with eating and drinking. The pain on the inside that feels like your stomach weight is causing it is completely normal. You have a lot of internal sutures and there are anchor stitches to keep things in place, those are often the most painful and take the longest to heal! I couldn't lie on my side for a few weeks without propping up my stomach with a pillow under it because the pulling of my stomach sideways caused intense pain thanks to the anchor stitches. I think it took about a month to 6 weeks for that to fade completely. Bariatric surgery is not a sprint, it is a marathon. Healing takes time and a generous amount of patience. The more impatient and annoyed you are with your body, the more agitated and anxious you will get. All the things you have described sound fairly normal for 11-12 days out from surgery. I'm sure your surgeon will tell you that at your follow up appointment! Be sure he knows all your concerns. It takes about 3 months for those internal sutures and cut nerves to heal up completely and start sending clearer signals to your brain. But the pain from the incisions and internal stitches should go away within 4-6 weeks. I'm sorry your team didn't explain to you how gradual recovery is and how slow it can feel... You can do this! When you see the scale moving it'll help ease the frustration. LOL

You can have a safe pregnancy and delivery with any of the surgeries. Your surgical choice should be based on your individual needs like how much weight you want to lose, what your BMI is, what pre-existing conditions you have, etc... There are some great support groups on FB for pregnancy after bariatric surgery! I know of one for SADI/DS patients, but I am sure there are plenty for RNY or Sleeve patients as well! But talking with a surgeon who is trained to do all the surgeries is your best source of information... A surgeon that only does 1 or 2 of the surgeries may give you biased advice on which surgery to choose.

If you haven't had surgery yet, you may want to join the support group "Duodenal Switch SUPPORT Group" on FB for SADI/DS patients. https://www.facebook.com/groups/1799552573392212 There are a number of patients on there who have had the RNY and done revisions to SADI or DS. Honestly, the choice is up to you and how comfortable you are with your surgeon's opinion. There are plenty of lightweights who get SADI surgeries, especially those with pre-existing conditions. But some insurance companies still consider the SADI to be experimental, so be sure yours doesn't if you decide on it. You can get vomiting with any bariatric surgery. You can get diarrhea with any surgery. And while RNY can be good for GERD patients, there are plenty of people with GERD who still end up with a SADI or DS. I'm one of those patients, I have had GERD issues for years, but I wanted a more robust surgery than the RNY and two surgeons both agreed the DS would be the better option for me because I'm diabetic. The surgery normalized my blood sugar within 24 hours, as well as my blood pressure, and my cholesterol and triglycerides are normal now. It packs a huge metabolic punch. but I do have to watch carbs and sugars or I get diarrhea. My starting weight at surgery was 307, my goal is 180/170. But I regularly see lighter starting weights in my FB support group... Surgery type is a really individual decision!

Thank you for this detailed accounting!! I hope you continue it as you heal so we can follow along. Glad it all went safely!! The recovery houses sound really great in concept for the first week after surgery. I think they have them in areas with a lot of plastic surgery, like in Miami too. It feels like a gentler transition than just sending you home or to a hotel with no care. Though I have heard the food is an adventure!! I wish you much ease with your continued healing...

OMG a hot tub soak before surgery would have been heavenly!! Unfortunately my surgical team wouldn't have let me do that anyway. They had me using this special antibacterial soap for days before surgery and the night before surgery I had to bathe with it, sleep in clean pajamas, and in clean sheets. Then use it again the morning of surgery!! Their antibacterial game was strong. 🤣 Being close to the hospital will really help!! No need to stress over traffic on top of having surgery on the brain. It is really nice your mother will be with you. My partner slept in the room on a convertible plastic couch thing--that's love man. LOL Having someone there with you helps ensure you get the care you need while you are in the hospital and makes the time pass a little quicker. Crossing my fingers and toes you have no more delays!!

You are not a failure. The fact that you posted here looking for help means you are open to reaching out for help and that will lead to success!! Many people are too scared to even put the words out there. I urge you strongly to reach out to your bariatric team and get their recommendations for a few therapists that specialize in eating disorders. Try a session with a few of them to find one you like. They will help you navigate the emotional components and anxiety and depression. The surgeon operated on your stomach and intestines, not your brain. Surgery can't fix the inner narratives we have that keep us in cycles we don't want to be in. And Catwoman7 is right, some bariatric patients do end up using appetite suppressing medications to help with those voices, often in conjunction with therapy. There is no escaping the head work, it HAS to be done or it will undermine you at every turn. In time you'll learn how to companion with it and live along side it. It may always be there in some form, but that doesn't mean it gets to be in the driver's seat 24/7.

Um, your doctor should have told you that not ALL bariatric patients lose their feelings of hunger after surgery. And even when they do, hunger eventually comes back for almost everyone. Hunger is a normal body sensation! It would be nice to have a break from it, but not all of us get that. I woke up in the recovery room and was STARVING! It wasn't a vague hungry either, I would have eaten seafood in that moment and I generally hate seafood (though post op I now like fish, oddly). I felt really annoyed, especially because before surgery I had not experienced hunger in a long time. I have had some instances of head hunger post op. Like Summerseeker said, if it is a particular craving, it is most likely head hunger. If you'd eat a protein you don't even like, or plain chicken breast, it is probably genuine hunger... Either way, your digestive system isn't ready for any solids yet, so expect to feel hungry for a while. I never found increasing protein helped it. The only thing that helped was the soft food stage, and even then, it took a while to settle. Also, if you aren't on a PPI, the extra acid in our tummies can cause you to be ravenous when you aren't really hungry, it is a gnawing stomach pang sort of feeling caused by the acid irritating your new tummy.

Also, contrary to popular belief, it is VERY hard to stretch out your stomach with the sleeve surgery!! This is because our sleeve is made out of stomach tissue that is less stretchy than the rest of the stomach. It takes months, sometimes years, for it to relax enough that you can eat your normal bariatric portions. And some people always have high restriction... But even when you can eat bigger portions, it is still rare to stretch out your sleeve. Most stories you hear of it are from people whose first sleeve surgery wasn't done properly. Or else they were overeating by a significant amount at every meal over a loooong period of time! My surgeon told me this is actually quite rare, because the less stretchy stomach material means you are much more likely to just vomit if you try to overeat than to actually be successful enough with it you stretch out your sleeve. I found that very reassuring!!

I woke up hungry in post op recovery... It really annoyed me. LOL Some of us never lose our hunger with surgery. The stomach growling is normal and it isn't always a sign you are hungry. These are just digestive sounds and since your digestive system is spending more time empty, the sounds are louder and more frequent. Swelling can impact this too. For the first two weeks whenever I drank I felt like it was going down a drain, I could feel the displacement of air and even heard gurgling! It was soooo strange! As has been said above, once you are in the soft food stage and food is staying in your stomach longer, these sounds might ease up.

Have they tested you to see if you are having issues with reactive hypoglycemia? This usually kicks in 1-4 hours after a meal, but since you've had a bypass it is possible it could kick in faster for you if your food is transitioning faster. I've seen FB groups for bariatric patients that have this issue. I've noticed it often happens years out from surgery... I used to have issues with this before bariatric surgery, even on a low carb diet. Eating small meals often with fat and protein paired with your carbs is usually what they advise to treat it, along with other dietary adjustments. Personally if I don't eat every 2-3 hours, I aggressively crash energy wise. It is very pronounced. I have to carry snacks with me everywhere to prevent me going past that 3 hour mark or I look like the Energizer Bunny without his battery! LOL

I agree with the others, contact your surgeon and let them know. It isn't unusual to have intolerances to protein shakes early on. I couldn't stomach them for the first several weeks. I could get in my fluids though, with diligence, but they had to either be very cold or very warm, my stomach didn't like anything in between, and even with fluids I would get this intense twisting pain with every swallow, like my stomach was trying to cartwheel inside me! But after the two week mark this started to ease. I was able to water down protein water and get it in. Then I was able to thin out protein shakes with milk and get them in. I was still nauseated daily until the 8 week mark, but meds helped with that. My surgeon said this whole track wasn't unusual, I was one of those rare patients that got the side effect of stomach spasms post surgery and they usually calm down after a few weeks. He was right! By weeks 3-4 I could drink most things without pain, as long as I kept sipping rather than trying to gulp. I'm 3 months out and still can't gulp... But this is definitely a situation where you want your surgeon's office aware of how you are feeling so they can send you in for fluid infusions if you start to show signs of dehydration. Dehydration is the number 1 complication of bariatric surgery in the early weeks, plenty of people end up with hydration infusions until the swelling goes down in their tummies enough they can get their water in.

Zofran can cause wicked constipation, even if you are using it sporadically. So can calcium, which is the main ingredient in Tums. If you are eating more than two a day, you could be causing considerable constipation, and the extra stomach acid can cause intestinal issues too. I'd definitely talk to them about continuing the PPI. Have you tried using a stool softener daily for a while? It isn't unusual for bariatric patients to need them long term, but they can be especially necessary in the early months. For some it isn't enough and they have to add in a dose of Miralax daily. Miralax and stool softeners are safe even if you need to use them for a while, the ones that cause issues with bowel dependency are the stimulant laxatives. I'd talk to the doctor about how your bowel movements are when you get a chance. I know some sleeve patients can end up not going for several days at a time, but usually mucus is seen when something is irritated in your GI tract. They might know of another cause though...

That is a smart solution, way to think strategically!! I think it is perfectly reasonable to do this with children old enough to cook or use a microwave. And they get to support you in a tangible way, which makes most kids feel really good! I don't have kids but I live in an open floor plan apartment so there is no avoiding the kitchen or cooking smells. But my partner would take food to their office to eat if I was having a hard day. And if they wanted something elaborate, they went out to a restaurant to have it. LOL This really helped for the pre-op diet/early post op period. I also made a rule that they have to keep their junk food in their office. 🤣 That way I don't have to see them eating Reeses cookies!! For the most part though I didn't mind others eating around me or cooking around me, the 6 shakes a day plus water, sugar free popsicles, and broth gave me enough variety. I was constantly drinking something! I'm so excited for your surgery, it is getting close now!!

You should be able to take a stool softener or Miralax to relieve the constipation. It isn't unusual for people to have some digestive issues on the shakes, they are heavy in protein and low in fat and fiber, two things that usually help regulate our stools. Make sure you are getting in at least 64oz of water daily. Some surgeons have strict rules about the shakes you can use pre-op, others just give guidelines. Premier Protein ready made shakes are the only ones I was allowed to have pre-op (or Bariatric Advantage, but they are AWFUL). I like their Cafe Latte the best, though the vanilla and caramel are good too... I've had just about every flavor they make out of boredom on the pre-op diet and they were all passable, though I recommend you drink them cold. My least favorite are the peanut butter chocolate and the winter mint. If you can drink whatever shake you want, Ghost makes some tasty protein powders! I also like the Syntrax line in general, just pay attention to getting the correct whey your doctor wants. I love Seeq, they sell sample packs on their website and they taste like juice! I think the watermelon one is the best... I also like Genepro powder, it is tasteless and dissolves into just about anything so you could put it in sugar free liquids. And Fairlife does ready to drink shakes that are pretty delicious! They mess with my stomach for some odd reason, but I know a LOT of bariatric patients that buy them by the case. You can usually get them individually at Target or some grocery stores. As for the cooking, I'd just excuse myself as much as possible... Yes, this is your path, and yes, it is your struggle, but I think asking our partners to have empathy is important too, they may not understand how hard it is... Electrolytes once a day help a lot with cravings, be sure they are sugar free. Having a variety of shake flavors helps too. And just being honest with your family if you can and saying "Hey, this is hard for me, and I might be grumpy around you when you are eating food or I'm having to cook you food. It isn't personal, I'm just hungry!!" LOL

Yeah, I got a pack of these freezer safe glass 4 oz baby food jars on Amazon and they've been really helpful with portioning!! At first I could only eat about half of one, so about 1/4 cup total. A bit less if it was solid protein in meat form other than fish (beef, chicken, and pork sit heavier). That was it for about two months. In this third month my portion size suddenly increased to about 1/2 cup in total now! As far as meat and veggies are concerned at least. I have always been able to eat a little more of soft things like yogurt and pudding... But my PA told me that increase at 3 months is perfectly normal, and I could expect it to increase in stages throughout the first year or two, to not panic over it, hunger is natural and mine never went away from surgery, so I've really had to cultivate a healthy relationship with it. Because those stomach nerves are still healing, I watched my portion size carefully and really paid attention to discovering new fullness cues. For me those are a runny nose, hiccups, burping, and aggressive sneezing fits! Plus this building pressure or weight in the center of my stomach. These are all normal signals for bariatric patients, but we all get our own unique combination so be on the lookout for discovering yours! I think 2-3 shakes a day paired with things like yogurt and soft cereals seems really normal. It is great you are progressing so well! The problem with forums and support groups is we get used to seeing people post with problems and then we expect to have a slew of problems ourselves! And sometimes we do. But often times we don't... The majority of bariatric patients have no complications, progress their diets easily, and worry about eating too much and if their surgeon even did their surgery. 🤣 Your metabolism has been reset, it will handle calories a bit differently now. Just stay on the conservative end with simple carbs, as they can slow weight loss sometimes. Focus on that hydration and protein, and later on when cleared for all foods, on adding complex carbs like veggies, beans, and some fruit. Protein will help with the hunger, as does healthy fat and the fiber once it is safe for you to digest. My dietician told us to think more about macros than calories. So, to make sure things had less than 10 grams of sugar per serving, more than 20 grams of protein per shake, less than 10 grams of fat per serving, and keeping our total carbohydrates for the day under 50 grams in the early months...and that was their advice for all surgeries, with varying protein goals for each different one. Baritastic app has been really helpful with the tracking!

I was consuming something other than water every 2-3 hours as per my dietician's instructions.... I didn't really think about calories, I focused on my protein goals, water goals, and "eating" frequently. I still eat every 2-3 hours, so about 5-6 times a day. It sounds like you are progressing nicely!! Lucky you! I was on strict liquids for 2 weeks post op. Sounds like you get more things. I suggest broth or tea when that head hunger kicks in. Or a sugar free popsicle. I'd check with the guidelines your dietician gave you, often they want hydration focused on the most for the first few weeks, with protein goals a close second. Calories usually come in (if they come in at all) once you are on soft foods. But every practice is different!