Preventing common problems after surgery.

Tips to prevent common problems:

Eat slowly, chew foods thoroughly and stop eating as soon as you feel satisfied to avoid discomfort, nausea and vomiting and ultimately stretching your stomach pouch.

To prevent nutritional deficiencies always take your vitamin and mineral supplements as directed by your bariatric team alongside a healthy balanced diet. Symptoms of deficiencies can be: fatigue, achy muscles, tingling feet, calves or hands.

Some hair loss can be experienced around months 4-8 post surgery, this is caused by rapid weight loss and/or lack of protein or vitamins/minerals in the diet. To prevent this, patients should consume the amount of protein recommended by their bariatric dietitian (usually 60mg daily) and take vitamins/minerals as directed. Gateway Health patients are usually recommended to take 2 x complete multi vitamin and mineral supplements per day or 1 x prescribed Forceval vitamin and mineral supplement a day. Be reassured that we do find that hair does grow back after 12 months and often thicker than it was before surgery.

Dehydration is caused by drinking too little fluid or by persistent vomiting. Signs and symptoms include dark and strong-smelling urine, dry mouth, headache, and fatigue.  Drinking with meals is to be avoided after bariatric surgery, so it is important to sip liquids frequently throughout the day to avoid dehydration.

Dumping syndrome is caused by food emptying too quickly from the new stomach after gastric bypass surgery. Signs and symptoms include diarrhoea, nausea, cold sweats, and light-headedness. Avoid eating or drinking refined sugars and high-fat foods or drinks and wait for 30 minutes after finishing your meals before drinking.

After weight loss surgery you eat less food and fibre. To prevent constipation drink plenty of water, exercise daily, include fibre in your diet and we find taking a fibre supplement such as Benefiber or Fibresure is helpful. (found in large supermarkets near the vitamin aisle)

If you find it difficult to follow advice, whether that is due to poor motivation, poor understanding of nutrition/what is required, poor planning, lack of knowledge as to how to prepare meals/meet your dietary needs or emotional eating …. It is important to seek professional expert advice to avoid a poor result and future weight regain.

Weight loss surgery is just a tool, if long term dietary, exercise and mind set are not changed, weight regain is a real possibility. Find a bariatric provider who can expertly meet all of your individual needs.