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Fluid intake after Gastric Bypass



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Tomorrow I will be 3 weeks Post op. I’m having issues getting in my 64 oz of Fluid. I’ve had to have 2 bags fluids given 3 different times over the 3 weeks. I don’t have any trouble eating pudding or popsicles and even creamed Soups. My issues are with drinking Water. Every time I try to drink water, I feel my pouch cramp up and then my stomach aches. Anyone else have issues with drinking water?

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I had the same issue for a couple of months. Try hot Water - or Decaf teas . Hot water was easier to sip for me!

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Our Fluid requirements are such a struggle. I know I'm not even coming close to my 64oz. That being said, getting stressed about it makes me tense up even more.

I've decided to give myself and my body a break. I'll do the best I can and my body will just have to live with that.

Besides, it's not a forever thing.

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It is common for your taste buds to change after surgery. Be willing to experiment. After surgery, my taste buds changed dramatically. Even Water changed. In the hospital it tasted excessively chlorinated and I could not drink it. So I experimented. sugar free popsicles became my best friend. Some individuals find hot or cold can help with fluids. For me, I found that I could tolerate flavored water. So I began using Crystal Light. I also found a new drink Bai which I liked cold. In the winter, I found that I tolerate Hot Drinks such as piping hot cocoa. But you have to use the "No Sugar Added" variety. Also fine English teas were very good.

The Fluid requirement is met by a combination. It is not only the water that you drink each day. But also the water you drink when you take your Vitamins and medicine. It is the milk you drink. It is the fluids content of the Protein Shakes. It is the water component of the Soups you take. It is met by flavored water such as Crystal Light. It is met by sugar free popsicles. It is met by tea and Decaf coffee. It is a combination of all the fluids that you consume during the day.

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I am craving shrimp. I didn’t like shrimp much pre op. Crazy. Lol. Tiny canned shrimp goes really well right now. RNY June 11,2018

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@James Marusek Thank you, James. I'm aware of the altered taste buds. I did quite a bit of research on the subject after I noticed the difference post-op. See below.

I've always found Crystal Light and other on-the-go flavorings unpalatable. Everything has a cloying aftertaste. And the flavors available for most products today are pretty much the same. Blue raspberry has to be the worst flavor ever created. Recently, I found a bottle of peach-flavored Water at CVS, but after I got it home I realized that it was sparkling CARBONATED water.

Peach and coconut are the only two flavors that are halfway tolerable for me. Anyway, I left the lid off the sparkling water and allowed it to go flat. Then I drank it much later. I won't buy any more of it, however, because I noticed it had other additives that didn't sound body-friendly -- so that's the end of my peach water.

I will keep trying to meet my Fluid requirement because I know that liquid is crucial to my health and healing. Thank you for your comment.

Researchers at the University Hospitals of Leicester looked at the relationship between taste, smell, and appetite among 103 patients who’d undergone gastric bypass surgery between 2000 and 2011. Nearly half of the patients polled reported their sense of smell changed following weight loss surgery and 73 percent noticed changes in the way foodtasted. Topping the list for patients experiencing taste changes is increased sensitivity to sweet foods and sour foods.

Reduced tolerance and cravings for sweets and fast foods are common changes are reported by many patients. Some patients may become so sensitized that even Protein Shakes and powders taste overly sweet and are difficult to tolerate. (Some tips that may help include thoroughly chilling the Protein shakes to improve taste.)

food aversions usually develop immediately following surgery and may lessen or disappear over time. In studies, animal Proteins top this list with patients steering clear of chicken, steak, ground beef, lamb and cured meats like bacon, sausage, and ham. eggs, dairy products including ice cream, cheese and milk and starches such as rice, Pasta or breadalso ranked high on the list of disliked foods. Interestingly, very few patients reported aversions to fruits or vegetables. Some patients even report loving veggies like broccoli or cauliflower even more.

Patients may feel turned off to foods for a variety of reasons including smell, appearance, texture or consistency. Sometimes a change in preparation method can help improve tolerance. Simple adjustments like stewing meat instead of baking or grilling and poaching eggs instead of frying may prevent the often-reported feeling of food “sticking” on the way down.

While the exact cause is unknown, many experts believe sensory changes occur as a result of fluctuating hormones in the gut and their effects on the central nervous system. This gut-brain axis as it’s known and its relationship to bariatric surgery is a subject of much research and speculation. In a nutshell, the nervous system relays countless transmissions about your hunger, satiety and cravings each day between your GI tract and your brain. Because the carriers of these messages are affected by changes in weight and the removal of a portion of the stomach, it is highly likely they have an impact on taste, smell, gratification and other sensory perceptions.

Leptin and ghrelin are hormones that are known to have a prominent role in the relationship between hunger and satiety. Ghrelin also plays a role in determining how much of what we eat is burned for fuel versus stored as fat. Weight loss alone results in an increase in ghrelin, which explains why we tend to feel hungry as soon as we restrict calories and begin to shed pounds. Surgically induced weight loss, however, in which a portion of the stomach is removed or bypassed, reduces the production of ghrelin while restricting the volume of food consumed. This unique combination explains, at least in part, why bariatric patients are able to eat less but not feel hungrier as a result.

Leptin also plays an important role in telling your body when you are full and how calories are stored. It is believed that weight loss improves the body’s sensitivity to the messages leptin delivers to the gut and brain. This in turn may result in greater food satisfaction with smaller quantities and less flavor intensity.

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I hope this is a challenge I can meet after my surgery. One,bari-pals says she lines up the little cups in a row and drinks one every 15 minutes. Does anyone else have little efficient,tricks that have helps you with this task?

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    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
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    • Doughgurl

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    • Doughgurl

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      · 2 replies
      1. Selina333

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

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