Food Instructions

Short changes

What to eat after Bariatric Surgery : The diet is designed to help you lose weight and keep it off. Most patient will lose up to 50-70% of their excess body weight with in one year. The diet is broken down in to 3 stages and moves from liquids to solid diet. Stop eating at very first sign of illness. One more bite ear cause stomach pain or make you vomit. Stage I – Clear Liquid Diet : A clear liquid diet, started 3 or 3 days after surgery. It essentially provides hydration during the initial post-operative period. You will start with sip of water and then more to apple juice, grape juice, sugar free popsicles, clear broth and decaffeinated tea. There liquids are to be taken in small amounts, with a total amount of not more than ½ cup per meal. All liquids should be non carbonated , since liquids with carbonation can put pressure on your small pouch. Liquids should also be decaffeinated , as caffeine in an irritant to the digestive system. You will follow this diet plan for 3 weeks after surgery. Stage II : Semi Solid diet : Once you can tolerate clear liquid with out difficulty, you will move to the semi solid stage. Foods you can have include nonfat milk, plain soyamilk, reduced calorie smooth yogurt, sugar free pudding or custard, strained fruit , low fat strained cream soap , cream of wheat, cream of rice. Each meal is about ½ cup in size with gradual increase to ¾ cup. You will follow this meal plan for 3 – 6 weeks. Dietary Protein Protein is an important nutrient for building new tissue. It is especially important after gastric-bypass surgery, to help your incision heal. Protein is also necessary to help you maintain muscle while you are rapidly losing weight. The goal is to lose fat tissue not muscle. We realize that it may be difficult to eat enough protein while your food intake in limited. To help you meet your protein needs (60 gm/day). We suggest trying the following. At meal time start with your protein rich foods first (stage II) protein sources are; milk, yogurt and protein powder. Prepare soups with nonfat milk or plain Roy milk instead of water. Mix nonfat dry milk powder or soy or whey protein powder in your food/drinks. You shouldn’t eat food high in sugar and fat as they will prevent or slow down weight loss and may came dumping syndrome, remember, meals should be about 1 cup in size. Stage III : Solid diet : After 6 weeks your diet will be expanded to include solid food. Your diet must be low fat from now on and must be eaten in very small portions. Most foods can be eaten at this stage as long as they are reduced in sugar and low in fat. Introducing solid diet too early after surgery may lead to obstruction and vomiting.

Life Long Changes

LifeLong Changes : New Eating habits : The changes in your digestive system restrict how much you can eat and drink with each meal. To avoid problems and to ensure you’re getting nutrients you need, closely follow these guidelines. Eat small amounts. Just after surgery, your stomach holds only about 1 ounce of food.Though your stomach stretches over time to hold more food,by the end of three months,you may be able to eat 1 to ½ cups of food with each meal. Eating too much food not only adds more calories than you need but also may cause pain, nausea and vomiting. Make sure you eat only the recommended amounts and stop eating before you feel full. Eat and drink slowly. Eating or drinking too quickly may cause dumping syndrome – when foods and liquids enter your small intestine rapidly and in larger amounts than normal, causing nausea, vomiting, diarrhoea, dizzness and sweating . To prevent dumping syndrome, choose foods and liquids low in fat and sugar, eat and drink slowly, and wait 30 minutes before and after each meal to drink liquids.. Avoid foods high in fat and sugar, such as regular soda,candy and candy bars,and ice cream. Chew food throroughly.The new opening that leads from your stomach into your intestine is very small,and larger pieces of food can block the opening . Blockages prevent food from leaving your stomach and could cause vomiting , nausea and abdominal pain. Take small bites of food and chew them to a pureed consistency before swallowing. If you can’t chew the food thoroughly, don’t swallow it. Drink liquids between meals. Drinking liquids with your meals can cause pain,neausea and vomiting as well as dumping syndrome. Also, drinking too much liquid at or around mealtime can leave you feeling overly full and prevent you from eating enough nutrient – rich foods. Expect to drink at least 6 to 8 cups (48 to 64 ounces) of fluids a day to prevent dehydration. Take recommended vitamin and mineral supplements. After surgery, your body has difficulty absorbing certain nutrients because most of your stomach and part of your small intestine are bypassed. To prevent a vitamin or mineral deficiency, take vitamin and mineral supplements regularly. These generally include a multivitamin – multimineral , calcium,iron,vitamin B – 12 and vitamin D. Talk to your health care provider about recommended vitamin and mineral supplements following gastric bypass surgery. Successful weight management requires the following healthy habits Limit or avoid high-sugar, high-fat foods, which provide many calories but few nutrients. Minimize unplanned snacking or frequent grazing, which increases calories intake. Exercise regularly. Take the recommended vitamin and mineral supplements. Attend regular follow-up appointments with your health care provider to review your symptoms and progress and to make sure you don’t have any vitamin or mineral deficiencies. Minimize alcohol intake as it is high in calories, may cause an ulcer, and the effects will be felt much more quickly.