Who wants to play a game?
1. shrink the liver
2. whey isolate
3. not sure I think rapid weight loss, but I had gallbladder out when I was 17 (long time ago)
1. Calcium citrate---better absorption
2. wash your food out of the pouch
3. cold sweats/ nausea/diarhea
1. Ulcers on pouch/ alleve, advil, ibuprofen
2. D3---Absorption
3. no will give you horrible gas/bloating pain
how did i do?
Pam
Kelly
Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.
1.What kind of calcium should you be taking? Calcium carbonate, calcium citrate or tricalcium phosphate? Give yourself a bonus point if you can explain why you need that particular type of calcium.
Citrate! It is much more bioavailable because it doesn't need stomach acid to digest.
2. Why is it recommended that you don't drink with your meals?
It washes down the food you are eating making it more difficult to contain the portions you are eating and will make you hungrier faster. It can also cause pressure, pain and vomiting if you are full or near-full.
3. What are the common symptoms of dumping syndrome?
Puking, diarrhea, dizziness and weakness, and also sweating, nausea, heart palpitations. There's late and early dumping depending on how it hits you. I've never dumped.
Kelly
Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.
They can give us ulcers, I believe. I admit I'm not as well versed in the anatomical knowledge as I should be. I simply don't take them because my doc said not to. The only one I can think of is Motrin. I miss it. A lot.
2. 2. Which kind of vitamin D do we need, D2 or D3? Bonus point if you can explain why.
D3. I know this because I am deficient and I have to make sure to take at least 20,000 IU of D3 a day to keep my levels...well, level. When they get low I bump to 50,000 IU a day. Sigh. I have no idea why D3. Again, I simply do it because I was told to do it. Pam knows and tells me when I forget and want to know (which isn't very often).
3. 3. Can carbonated drinks stretch your pouch? Explain why or why not.
No. While the jury is still out on whether or not the gas could or would stretch the STOMA, the pouch is a funnel. Liquid passes through it as does gas. Gas does, however, take up volume which can cause discomfort when drinking carbonated drinks. But thus far, it's not looking like it stretches the pouch. If further scientific evidence comes out to the contrary, I reserve the right to change my very wishy-washy opinion on that.
Kelly
Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.
Chapter 1 - Pre-ops (or YAY! I am About To Get My Surgery!!)
1. Why do many surgeons ask patients to do a pre-op liquid diet? I believe this is to shrink your fatty liver so that there is less chance of nicking it during surgery.
2. When you shop for shakes for your post-op diet, what type of protein should you look for? Whey Isolate, Whey Concentrate, Soy Isolate or Collagen? Whey Isolate - It is the most "absorbable" form of protein.. meaning that we get the most "bang for our buck", so to speak. Protein Isolates have very low levels of carbohydrates and fats and are almost exclusively protein.
3. Why do patients frequently develop gallstones after RNY, and what, if anything, can you do to reduce your risk? I am not sure I understand this completely, but losing weight quickly causes your liver to overproduce cholesterol which then saturates the bile that is stored in your gallbladder causing it to become well.. saturated and condensed. Vigorous exercise and a diet rich in fiber, nuts, and veggies with the right amounts of monosturated fats and omega-3 fatty acids are shown to reduce the risk.
Questions for early post ops (Or.. What the heck have I done?!?!)
1. What type of calcium should you be taking? Calcium Carbonate, Calcium Citrate, or tricalcium phosphate? Give yourself a bonus point if you can explain why you need that particular type of calcium. You should take Calcium Citrate... because Kelly said so. =] OR, because we absorb it better.
UGH! I wanted to finish this, but it took longer than I thought and now I have to run and get ready for work. So... to be continued when I return from work!
Kelly
Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.
1. 1. Why do many surgeons ask patients to do a pre-op liquid diet? To shrink the fat on the liver to make surgery easier.
2. 2. When you shop for protein shakes for your post-op diet, what type of protein should you look for? Whey isolate, whey concentrate, soy isolate or collagen? Whey protein Isolate or Soy protein Isolate. They score 100 on that Protein Digestibility "thingy", lol.
Why do patients frequently develop gall stones after RNY, and what if anything can you do to reduce your risk? Even if you have no gall bladder, you still produce bile. and can still get stones in the bile ducts/tract. Some doctors take them out at the same time of the RNY surgery.
Questions for Early Post-
1.1. What kind of calcium should you be taking? Calcium carbonate, calcium citrate or tricalcium phosphate? Give yourself a bonus point if you can explain why you need that particular type of calcium.
Why is it recommended that you don’t drink with your meals?
The Gastric Bypass pouch is formed from the part of the stomach which is least susceptible to stretching.
What does STRECH, over time, is the size of the connection between stomach and bowel
and the ability of the small bowel to hold a greater volume of food.
With our new pouch we have to mimic the action of the pyloric valve manually, and the only way to keep food in our pouch (which is basically a funnel now, with no trap door) is to eat dense foods and dont drink with food.The denser the food, the longer it can stay in the pouch. Food can stay in your pouch for up to 1.5 to 2 hours if you don't drink water. The longer it stays in the pouch, the more it is broken down and prepared for the intestines to do their work of grabbing nutrients from the food. Our pouch does not produce gastric acid anymore, so the saliva enzymes are all we have to work with. Our pouch doesn't churn as much as our old stomach used to, but there is still some movement with well-chewed food. We need to chew, chew, chew really well. If we wash the food out too quickly by drinking while eating, the intestines can not absorb the nutrients. This can also increase the risk of constipation and intestinal blockage. If you eat dense food and dont chew well, then drink you are FORCING that dense food to be pushed through the stoma prematurely. You'll eventually stretch that opening. Once it's stretched it can become the same diameter as the pouch itself... essentially creating one big long tube that food can be packed into at meals. Basically a 20-foot long stomach.
WARNING:
What kind of calcium should you be taking? Calcium carbonate, calcium citrate or tricalcium phosphate? Give yourself a bonus point if you can explain why you need that particular type of calcium.
500 mg Calcium Citrate 3 X a day. Anything over 2000 mg a day isn't absorbed. [ A little birdie on here told me if you want CHEWABLE CITRATE you have to order it online.] I've yet to find any over the counter either sooo.... Im gonna go with the Citrical petites when I can swallow pills. Hopefully that is within the first few days post-op because I have other meds I want to take whole.
You need vitamin D to aid in absorption of calcium.
If you use an OTC, they usaully have Iron in them. Iron will block absorbtion of the calcium so you need to wait at least 2 hours between taking your calcium and your multi if your multi has iron in it. I made sure mine didnt. [CVS brand Centrum Silver]
Make sure to DRINK your water to avoid kidney stones!
Nausea, sweating, tingling, increased heart rate, dizzyness, faintness, cramps, diarrhea, exhaustion. If you ever have these symptoms, dont just dismiss them as dumping syndrome.Inform your doctor and have your glucose tested for hypoglycemia.
Questions for Those a Year out or More:
1.1. Why shouldn’t we take NSAIDS? Give yourself a bonus point if you can name at least three NSAIDS.
NSAIDS can cause ulcers in RNY patients. They cause the lining of the stomach (the bypassed stomach and the pouch) to thin out when the medicine enters your blood stream, allowing stomach acid to more easily eat thru. It happens with any delivery method, including patches.
The problem with RNY patients is that the ulcer could form in the remnant stomach, which is not available for diagnosis via scope. Some Dr's say it’s OK to take NSAIDS on a limited basis if you really need them as long as you also take something to protect your stomach. I dont think I will. Some NSAIDS include: Ibuprofen, Motrin, Advil, Toradol, Asprin and MANY MORE. Google all meds before taking them!
2.2.
Which kind of vitamin D do we need, D2 or D3? Bonus point if you can explain why. We need
DRY D3. And your D level needs to be at 80 or above, or you're at risk for horrible things like osteoporosis and heart disease.
3. 3.
