Question:
No liquids befor and after a meal.Is this true for all weight loss surgeries?
I`m having thr RNY and was just wondering if this was true for all surgeries or just certain types. — [Deactivated Member] (posted on August 22, 2007)
August 21, 2007
Definitely! Our surgeon says no liquids 10 min. before or 40 mins after
eating. My husband had lap band and was told the same but they don't seem
to drill it in to him as much as they did with me and my RNY. I have heard
different time variations but all the same basic idea. Happy Weight Loss!
— Lost4Ever
August 21, 2007
I had RNY If you drink before you eat you wait at least 5 minutes but if
you eat before you drink you must wait at least 30 minutes before you can
drink...liquids will wash away your food and cause you to overeat.
Carla
— MsGriff07
August 21, 2007
You will stretch out your pouch with the addition of food + water = no
weight loss or even weight gain. You've worked too hard to get to this
point to then not follow the doctor's advice and not have your tool (the
pouch) be able to work for you effectively. Start praticing now, before
surgery so it becomes a part of your life rather than a struggle later.
— Elaine L.
August 22, 2007
With all due respect, you will not stretch your pouch. My doctor told me.
But you definately can overeat if you are drinking with meals because you
are flushing the food out of your system. Just take small sips if you need
to.
— kittyluver77
August 22, 2007
Yup, true!! I was told to wait 15 mins before you eat, no drinking while
your eating and no drinking til 45 mins after you eat.
— danals24
August 22, 2007
I think all doctors have specific amounts of time they would like you to
wait to drink before & after eating...my own doctor says i am allowed
to drink all the way up til i actually eat, but to wait 30-45 mins after
eating. I asked my doctor specifically if the mixture of food and water
will stretch the pouch; his reply was no, the reason he stated we need to
wait after meals to drink is that if you drink immedietly after you eat you
will flush the food out of your pouch. It is here that the absorption of
the foods vits, etc...begin and some of the nutrients may be lost if they
are flushed out of the pouch too soon. Best of luck 2 you
— tiffany E.
August 22, 2007
I had the duodenal switch (BPD/DS), and, except in the first couple of
months after surgery, I had no trouble drinking while eating; and I don't
recall being advised not to drink anything during or immediately after
eating. But, it's been more than six years since my surgery, and it's
possible I've forgotten. Any DS'ers with a contrary experience?
— Kay B.
August 22, 2007
I was told no fluids 30 minutes before a meal; during a meal and none 30
minutes after and if you had to have some fluid, just a few sips.
I try to wait until those 30 mintues have passed though.
— the7thdean
August 22, 2007
Thanks everybody for your answers.You`ve been a big help.I`m going to start
practicing all the stuff I have to do after surgery soon,so I will be
prepared.Thanks again and have a good night everyone
— [Deactivated Member]
August 22, 2007
It's true fofr any surgery in which restriction plays an important part.
I have always been able to drink up til the first bite of food. My initial
instructions were to wait 1 hr after, but I've lived with this pouch 13
years now. If I do not drink with a meal, it's quite uncomfortable to
drink too soon. And if I remove the plate, I can drink within 15 minutes or
so, because it will not make me eat more food, which is the whole idea.
Drinking WITH food, though, can quadruple the volume of food you eat at a
meal! And how do I know this??? So, I drink before and then not until
the food has been removed from my reach.
— vitalady
August 23, 2007
Here's what Sally Perez in "Pouch Rules for Dummies" has to say
for gastric bypass (RNY) patients. (I don't think all these things apply to
lap band patients.) (*1) A common misunderstanding of gastric bypass
surgery is that the pouch causes weight loss because it is so small, the
patient eats less. Although that is true for the first six months, that is
not how it works. Some doctors have assumed that poor weight loss in some
patients is because they aren't really trying to lose weight. The truth is
it may be because they haven't learned how to get the "satisfied"
feeling of being full to last long enough. (*2) Getting a sense of fullness
is the basis of successful WLS. (*3) By lightly stretching the pouch with
each meal, the pouch send signals to the brain that you need no more food.
(*4) By drinking water as much as possible as fast as possible ("water
loading"), the patient will get a feeling of fullness that lasts 15-25
minutes. (*5) IDEAL MEAL PROCESS (rules of the pouch): 1. The patient must
time meals five hours apart or the patient will get too hungry in between.
2. The patient needs to eat finely cut meat and raw or slightly cooked
veggies with each meal. 3. The patient must eat the entire meal in 5-15
minutes. A 30-45 minute meal will cause failure. 4. No liquids for 1
1⁄2 hours to 2 hours after each meal. 5. After 1 1⁄2 to
2 hours, begin sipping water and over the next three hours slowly increase
water intake. 6. 3 hours after last meal, begin drinking LOTS of
water/fluids. 7. 15 minutes before the next meal, drink as much as possible
as fast as possible. This is called "water loading," IF YOU
HAVEN'T BEEN DRINKING OVER THE LAST FEW HOURS, THIS 'WATER LOADING' WILL
NOT WORK. 8. You can water load at any time 2-3 hours before your next meal
if you get hungry, which will cause a strong feeling of fullness. (*6)
FLUID LOADING: Fluid loading is drinking water/liquids as quickly as
possible to fill the pouch which provides the feeling of fullness for about
15 to 25 minutes. The patient needs to gulp about 80% of his/her maximum
amount of liquid in 15 to 30 SECONDS. Then just take swallows until
fullness is eached.
The patient will quickly learn his/her maximum tolerance, which is usually
between 8-12 oz. Fluid loading works because the roux limb of the intestine
swells up, contracting and backing up any future food to come into the
pouch. The pouch is very sensitive to this and the feeling of fullness will
last much longer than the reality of how long the pouch was actually full.
Fluid load before each meal to prevent thirst after the meal as well as to
create that feeling of fullness whenever suddenly hungry before meal time.
(*7) COUNTER-INTUITIVENESS OF FLUID MANAGEMENT: I admit that avoiding
fluids at meal time and then pushing hard to drink fluids between meals is
against everything normal in nature and not a natural thing to be doing.
Regardless of that fact, it is the best way to stay full the longest
between meals and not accidentally create a "soup" in the stomach
that is easily digested.
— [Deactivated Member]
August 23, 2007
I am 3 months out today with my lap band. we can drink right up to a few
minutes before eating, but shoudl wait 60-90 minutes afterward. This was
hard to get used to, so I don't order anything to drink with dinner. It
actually makes me feel kind of sick to try to drink with my meals now, but
it took a little getting used to. If you chew enough, the food goes down
OK, but chewing is the key. You'll do fine, it just takes some getting
used to and re-programming! Best of luck to you.
— beckiemclarty
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