ObesityHelp

I cannot believe that your doctor took you from a distal RNY to something even longer. I'm so sorry you are having to go through this. No need for me to go on about how ridiculous this was of the surgeon because it will only aggravate me more.

I am not a BPD, I have a ds, but I have a very short common channel (50cm).  I have had a LOT of bowel issues and still have them. I poop more 12 - 20 times in a 24 hour period. I have a very precarious diet.  Too much fat and I'm pooping water and fat and crapping in my pants from urgency. Too little fat and I'm constipated like no ones business. White flour is my killer carb as are sugar and sugar alcohols (such as splenda).  When I am good and eat a high protein diet and keep my carbs around or under 50 a day I find urgency to be less of an issue as well as gas and paint peeling flatulence.  My husband groans when he sees me eating white bread because he knows the aftermath that will ensue.  I have gone gluten free for months at a time and have had a lot more success with having less gas, bloating and urgency. I do still frequently poop though, but mostly because I do have to eat more fat since if I don't my body will bind me up faster than a kinky person with a lot of rope. 

For a while I had to just eat one thing and see how I felt. Waiting 2 hours or more to eat the next thing to see how my body would handle whatever it was I was eating. I'm not lactose intolerant, but I found that some types of dairy gave me more gas than other types. Such as 1% milk was terrible for me. Whole milk was better, but in my coffee it's heavy or light cream or half and half. The latter still gives me gas, but I live with it because I don't want to give up my coffee.  Bread, white pasta, sometimes even whole wheat pasta killed me. I have tried Dreamfields pasta and though I like it, I get horrible gas from it.  Pretty much pasta is a no go for me.  Rice works better for me and though I am not a huge fan brown rice rarely gives me gas or upsets my stomach. I eat sweet potatoes and regular potatoes. Both give me a bit of the farts, but a girls got to live you know? 

My biggest advice would be to eat one thing every meal and diary how that thing makes you feel. Get to know what you can and cannot eat. I diaried my poops, consistency, urgency and more until I got to know just how much fat I need and how much would keep me from being horribly constipated. I tend to shy away from white flour and sugar items, but I still eat them occasionally. (I love my chocolate ya know?).  For the last couple days I have had a fairly low fat diet, simply because I just wasn't paying much attention and this morning I had a "normal" poop. Normal for a non WLS person I mean. It was formed and log like. I know that if I went one more day of eating low fat that tomorrow I would be constipated and so today I ate some saltines (white flour...so bad for me) with butter.  I would rather have loose pudding/yogurt like stools then be constipated. 

You might want to ask your doctor for Creon too. It's an enzyme that will help your body to absorb more nutrients, which might help your stools. Note though that you will absorb more calories too so you need to be aware of your diet for awhile. You also may want to be tested for C-diff to make sure you do not have c-diff, which would cause you to have stools and frequency as well as gas from an over abundance of the c-diff bacteria.

Hope this helps.

Maddie