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RNY 9 days in - record of post surgery progress

It is 9 days since my RNY procedure. (A bit unusual because I had open surgery and also had a gastric band removed.)

After the surgery? Well, it iwa a brutal surgery because they used a rib spreader to give maximum easy access, and an incision from rib center down to tummy button. The wound felt ok, but my chest felt like I had been kicked in the chest by a horse. (My family were bemused as I inadvertently txted them all that it felt like I had been licked in the chest by a horse, and they couldn’t understand if that was good or bad!) The joy of open surgery - no gas pain!

Slept rest of day 1 and much of day 2. Self pump morphine allowed a dose every 5 mins, but needed way less. Walked corridor 4 times on day 2.

Day 3 30ml (medicine cup) or water an hour. Diarrhoea begins - daily once or twice. Don’t trust a fart!. Last morphine dose 10am. Short walk every 2 hours.

Day 4 60ml hourly in the morning, 90ml afternoon. Lear broth for dinner with a tablespoon of jelly for after. Slightly longer walk.

Day 5 Tablespoon of purée fish for lunch, over 30mins - and when it goes down, off home (to a big city hotel). Hooray. Nice, peaceful home, where no one wakes me up every three hours to take my blood pressure!

Sleeping a bit uncomfortable, need a pillow ‘under’ my tummy to sleep on my side.

Now I am on day 9. Diarrhoea stopped day 7 and quite normal now. I am going for gentle walks maybe 300 yards/metres but they do quickly tire me out. Can sleep on my side with near comfort now.

Eating: 3 teaspoons yoghurt for breakfast, slow - 15-20 mins. 3 teaspoons cottage cheese with pesto/mild chilli/flavour for lunch, also over 15-20 mins. Protein soup from BariatricPal pal for dinner - 8oz over 1/2-3/4 hour. In between, water (20% Apple juice cos I hate water) constantly, and 1/4 chai latte in a cafe today made me feel like a million dollars!

About 250 -300 calories, 30-40g protein and I am up to 6 cups fluid today. Not enough hours to get in All the food and the liquid!

Eating speed is hard to judge - I was told to expect a lump in my chest if I ate too much or too fast, but don’t get that. So just trying to be sensible - if I AM too fast I get mild sharp tummy pain about an hour later.

No regrets so far - really manageable surgery. Not half as rough as a hysterectomy!!

No weighing yet - till I go home on Boxing Day...

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8 minutes ago, Biddynz said:

No regrets so far - really manageable surgery.

The feeling of optimism!

Good for you!

Congrats to you!!!! What a horrifying account! I pray I only have to have one surgery. The idea of the rib spreader is enough to scare me straight. You're a tough fighter and mad props to you!!!

So glad to hear you are doing so well!

Keep up the great work

Sent from my SM-N950U using BariatricPal mobile app

  • Author
1 hour ago, SampTheChamp said:

Keep up the great work

Sent from my SM-N950U using BariatricPal mobile app

It is going really well. How are you doing?

4 hours ago, Biddynz said:

It is going really well. How are you doing?

I'm doing really well. I'm so ready to chew something. These liquids are are old! I in 6 days I've lost 21 pounds. INSANE! Imma keep the train rollin

  • Author

Holy heck!! 21 pounds - fantastic!

As for chewing, my surgeon let’s us have the occasional rice cracker after day 7 - chew it to mush and make it a slurry before swallowing. I had one yesterday - to my great joy!

26 minutes ago, Biddynz said:

Holy heck!! 21 pounds - fantastic!

As for chewing, my surgeon let’s us have the occasional rice cracker after day 7 - chew it to mush and make it a slurry before swallowing. I had one yesterday - to my great joy!

Oh my!! That sounds like a great idea!

  • Author

12 days in. I flew back north to my home today - so of course I weighed in for the first time.

Down 19 lbs since I began pre-op diet, and 14 lbs since surgery. More importantly, my jeans are loose, and my tee shirt has stopped hanging off my belly, instead falling from my bust. Oh yes.

Residual fatigue, little pain. No problems eating but then, I haven’t tried anything stupid size/speed wise. I think I am eating faster than I thought I would, but no problem, just trying to slow down and give my new tummy a chance to bed in. Yoghurt. Cottage cheese (with a few drops of chipotle today - fantastic) and protein drinks. 6-7 glasses of water.

So far, so darned perfect.

12 days in. I flew back north to my home today - so of course I weighed in for the first time.
Down 19 lbs since I began pre-op diet, and 14 lbs since surgery. More importantly, my jeans are loose, and my tee shirt has stopped hanging off my belly, instead falling from my bust. Oh yes.
Residual fatigue, little pain. No problems eating but then, I haven’t tried anything stupid size/speed wise. I think I am eating faster than I thought I would, but no problem, just trying to slow down and give my new tummy a chance to bed in. Yoghurt. Cottage cheese (with a few drops of chipotle today - fantastic) and Protein Drinks. 6-7 glasses of Water.
So far, so darned perfect.

Wow...you're doing great!
I'm doing really well. I'm so ready to chew something. These liquids are are old! I in 6 days I've lost 21 pounds. INSANE! Imma keep the train rollin

Look at you...awesome!
  • Author

15 days in. Today I hit a bit of a wall - think I might just have overdone it yesterday with supermarket shopping and a walk - only maybe 300m up the road, but UP up! So lots of lying about reading in the sun today, and I feel much better now at 5.30pm

Am a little worried about my capacity to eat - without thinking yesterday, I had a huge swig of water - maybe three or four gulps. Remembered, expected it to come back up - but nothing. In fact, nothin I have eaten gives me any trouble. I am at about 2 tblspoons yoghurt, or same with cottage cheese, over about 10 mins. Easy as. No nausea, regurgitation like the band. No feeling in my tum at all.

Is that right? (Did he really DO the bypass?!)

  • 2 weeks later...
  • Author

4 weeks tomorrow. After the rapid weight loss in the first 12 days, it has slowed down - a stall for a week from day 14 or 15, and down 5.5 lbs since - but hell, nothing to be sneezed at.

My eating plan from the surgeon - progress gently as you are able, both content and size. Try for three meals a day, minimal snacks. I certainly seem to be more able to eat than most of my surgery date buddies!

I am on full solids - but not steak, or anything heavy. Chicken cut finely and spiced is a favourite. Laksa with fish flaked through. Good protein fills me up - I am learning how, when I take it slow, I feel the ‘full’ feeling bear the base of my throat. Never had a regurgitation, and can manage about 50g chicken or fish.

Yoghurt (protein enriched) - feels like I could eat a huge quantity, no restriction. A pottle is 160g - can easily eat one, but restrict myself to half. Cottage cheese, cheese sticks, nuts we’ll chewed. Boiled egg fine, scrambled sits at the base of my throat, takes an hour to pass.

Beans, lentils, chickpeas (chickpea ‘crackers’ and hummus a great lunch treat - good protein, low carb, chew well).

So - really, all going well. Back to work Monday - wearing a bra is a challenge because of the open surgery, scar from navel to between breasts. ‘Lift and separate’ is good for boobs, but not for scars!

4 weeks tomorrow. After the rapid weight loss in the first 12 days, it has slowed down - a stall for a week from day 14 or 15, and down 5.5 lbs since - but hell, nothing to be sneezed at.
My eating plan from the surgeon - progress gently as you are able, both content and size. Try for three meals a day, minimal Snacks. I certainly seem to be more able to eat than most of my surgery date buddies!
I am on full solids - but not steak, or anything heavy. chicken cut finely and spiced is a favourite. Laksa with fish flaked through. Good Protein fills me up - I am learning how, when I take it slow, I feel the ‘full’ feeling bear the base of my throat. Never had a regurgitation, and can manage about 50g chicken or fish.
Yoghurt (protein enriched) - feels like I could eat a huge quantity, no restriction. A pottle is 160g - can easily eat one, but restrict myself to half. Cottage cheese, cheese sticks, nuts we’ll chewed. Boiled egg fine, scrambled sits at the base of my throat, takes an hour to pass.
Beans, lentils, chickpeas (chickpea ‘crackers’ and hummus a great lunch treat - good protein, low carb, chew well).
So - really, all going well. Back to work Monday - wearing a bra is a challenge because of the open surgery, scar from navel to between breasts. ‘Lift and separate’ is good for boobs, but not for scars!

Thank you so much for posting. I needed to hear this from someone who has had the same surgery as me. I had the lap band for almost 8 years and then the bypass. I feel like I can anything at any volume too. I have to measure my food or I would overeat. I do not regurgitate my food as well. In fact, I was feeling something was wrong with me. I will be 3 weeks out tomorrow and I am not losing much. I am hoping for a soon loss in the coming weeks (only 8 lbs down). Please continue to post, it really encourages me.
  • Author

Thanks THMommy - sometimes you just write and it feels a bit into the void, you know! And I read so much about people at 3, 4, 6 weeks struggling with purée, and I eat a lentil patty no problem, so I think my experience is unique, and useless for many folk here! So thanks!

I did wonder if my surgeon cut me open, took the band out and sewed me up. But then at about week 3, I gave in and had a tiny portion of iced Christmas cake, home made and given as a gift by my boss (the perils of not telling your work about the surgery!) 5 minutes later I had a dumping episode - 45mins of retching, heart racing, bright red and overheated. Never again. But clearly, I had the surgery!

At week 3 (ie a week ago) I started eating a midday meal of chicken, fish, beef chilli. Small amounts (50grams) fill me very quickly where water, yoghurt, cottage cheese don’t - do you get that too?

I am getting most days 50g protein, but still struggling to get over 600-700 calories in. Have just introduced mid morning and mid afternoon snack to assist.

Water - if I forget and take a gulp or two - no problem. But I try not to.

Tell me about your diet?

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