Common Questions

What do I do if I can not eat a few days after gastric bypass surgery?

It is difficult to eat a lot, five or even a week or two after surgery. His small stomach bag and the opening between the bag and the intestine are swollen and almost closed. You are also recovering from major surgery and you do not feel like eating much. Concentrate on taking liquids so you do not dehydrate, and eat simple puree and soft foods as you can.The problem so far has been too many nutrients. You probably have large nutritional reserves, and you can stand for quite a while without reducing your reserves. As you are feeling better, and swelling is reduced, and you learn what you can eat, you will take more.When you take more, you tend to high protein foods and supplements, taking into account that some people can not eat dairy products or dairy supplements. Let your doctors know about your progress, especially if you have diabetes, so they can adjust their medications while their food incomes go up and down.



What do I do if I want to eat at a fancy restaurant?


The rule of thumb is to always eat protein. Most people would gladly roast a piece of chicken, fish or meat. Even if they do not mention it on the restaurant menu, most of them will gladly give you the substitution of spinach, peas, etc., instead of potatoes or rice. If the restaurant simply does not agree to prepare a dish, order something with fish, poultry or meat and a separate dish. Spread the protein from the sauce or the pancakes, etc. And place it in your extra plate along with any vegetable allowed and give the waiter the plate with all the fat (you do not need the temptation to have the fat in sight and no one at your table needs extra calories or fat). If there is a meal you can eat with impunity is protein. At mealtime charge yourself with salad and protein (set aside the sauces and cakes) and enjoy !. Even if you are not following the program 100%, it does not mean that you will not see progress.



Can I eat fast food?

Many patients worry about where they can get meals at fast food chains or restaurants. It is very easy to get the types of food you need in many of the fast food chains such as Burger King, Wendy, or McDonald. (These are good choices even if you have not had surgery.) All three offer salads that are low in calories and fat. Wendy and Burger King offer chicken salads. Unfortunately, John Long Silver’s offers fish and chicken entree that are both good (remember no rice, cabbage or bread) and they will replace the starches that do not allow it. Hardee’s offers a grilled chicken sandwich, which will be allowed for lunch if you only eat a slice of bread and order it without mayonnaise. Arby`s offers the only turkey sandwich on the fast-food circuit, which is fine with only 1 slice of bread. Mrs. Winner’s offers grilled chicken with peas. Remember the safe in any of these fast food places. You can always order a salad and a piece of hamburger with mustard. This is a fast food that is available in all fast food chains.


¿ What about ejercic ?

It is important to exercise while trying to lose weight. Walking is the key. Bicycle manufacturers and gym owners want you to think that heavy exercise is the key, but, research is recommending the less vigorous and strenuous physical activities for those who want to lose or control weight. Most patients have adequate amounts of lean body mass. In many obese individuals this mass will be very close to or exceed its ideal weight range. This means they do not need extra muscle and do not need to lose fat. Remember that you can not exercise fat and that you can only exercise the muscle. Our body responds to exercise by increasing muscle size and thereby increasing lean body mass. By adding extra body lean mass to an individual who is trying to loosen the fat, it decreases the entire process. It is quite likely that you gain weight if you exercise extensively. This will be more pronounced if you increase protein intake during your diet.


What is a bariatrico?

A bariatric surgeon is a licensed physician (MD or doctor of osteopathy (DO) who, as a member of the American Society of Bariatric Physicians (ASBP), has received special training in bariatric medicine, medical treatment of excess weight and Obesity and its associated conditions.bariatrics direct the obese patient into a comprehensive diet and nutrition program, exercise, lifestyle changes, and, when indicated, prescription of appetite suppressants and other appropriate medications. Bariatrico comes from the Greek barros, word that translates like heavy or great.)


How often is obesity?

Obesity is a chronic, debilitating, and potentially life-threatening condition that requires the treatment of a physician trained in bariatric medicine. It is marked by excess fat accumulation of the body sufficient to endanger health. The United States is currently suffering an obesity epidemic that contributes to the death, illness and premature suffering of millions of Americans.


What about obesity in childhood?


About one in five children in the US at ages 6 and 17 is obese. The number of overweight children in the US has doubled over the past 30 years. The number of overweight children (age 6-17) has doubled within three decades. Obesity in children is a chronic disease that eclipses all others in frequency in the pediatric population. Changes in the Western way of life have led to significant reductions in children’s energy expenditure and have encouraged the consumption of too much calories and high-fat food and snacks. Inactivity, physical diets, “junk food” (high-calorie soda and fruit drinks), watching television accompanied by snacks, time playing video and computer, contribute to growing obesity among young people. When we think of the major problems facing pediatrics in the next millennium, the trend toward obesity has to be among the most serious, with all the adverse health implications that obesity entails.



How do you determine a BMI-related health risk of patients?



No Obesity
BMI> = 27 kg / m2
(approximately 20% above ideal weight)


Without obesity BMI> = 27 kg / m2 (approximately 20% on ideal weight)

BMI> = 30 kg / m2
(approximately 30% above ideal weight)


BMI> = 30 kg / m2 (approximately 30% on ideal weight) Back to top.



¿ What are the health implications of obesity?

L obesity has been established as a major risk factor for diabetes, hypertension, cardiovascular disease and some cancers in men and women. Other comorbid conditions include sleep apnea, osteoarthritis, infertility, idiopathic intracranial hypertension, low extremity venous disease, gastro esophageal reflux and stress urinary incontinence. Medical conditions related to obesity contribute to 300,000 deaths each year, second only to smoking as a preventable cause of death .


¿ What should I eat after gastric passage?

Follow these four simple rules faithfully and the weight will start to go away and stay out. Break these rules continuously and in the long run you will gain weight. Your surgery is a tool to use with these rules and experience shows that unless you follow them, we can not predict any outcome of weight loss. When patients reach a limit and stop losing weight, it is usually because they are not following these simple but important rules.

Protein first in every meal: Eat the protein portion in your meal first! One to three meals per day. Eating protein helps the body feel full and sends a stop sign to eat. Protein is very important to build tissue in the body, muscles, organs, brain – everything is made up of proteins. Now, the body does not need three meals a day, so listen to its hunger signals and do not worry about the clock. At first – after you can tolerate solids – most patients only eat one or two meals a day.

Do not eat between meals: Eating any flavor that contains calories between meals is considered as food. Do not eat between meals for nothing! If you. You definitely have to eat something, the only passable snack is protein. At first dry turkey is a good protein – and you must work to eat it – Later, 6 months later, dry meat or turkey are acceptable – but only if you have to eat something. The main problem with mouth passers is that they contain glucose or some other sugar. We feel good when we eat sugar and when that sugar goes away – one to three hours later – our brain sends a message to eat again! Eating snacks actually makes us feel more hungry! Do not open the door to the feeders. Taking mouth-diggers can delay and even stop your weight loss! And depending on how many or how many you take mouth-to-mouth, you. You can gain weight! Nothing good! You can gain that weight again. Remember, surgery only changes your digestive system and not your eating habits. Your decision for a change in your lifestyle is the key to making the surgery work for the rest of your life.

Drink water: Drink water, drink water, drink water! Especially at the beginning, when you can only tolerate one sip at a time, it is very important to continually drink water all day – and be sure to drink between 48 and 64 ounces a day, that is 2 to 3 quarts a day. Eventually, it will be available to drink 2 to 4 ounces at a time. No tea or soda (with or without sugar) coffee or juices are not allowed. There are several problems when drinking liquids with flavors between meals. First and most importantly do not eat pass-mouths, they are not good! Second, sugar-flavored drinks cause dizziness causing you to get sick.

Exercise: Exercise every day for at least 30 minutes. Walking is a fantastic exercise and probably the easiest to start exercising.We understand that at the beginning you can bother with a simple walk and that your energy level is very low. Your job is to move your body a little more each day. From 4 to 8 weeks (each one is different) you will return to normal. After you have been checked by your doctor, you should start other forms of exercise. Eventually, incorporating both aerobic and endurance workouts into your daily exercise routine, will help you feel healthy, at a healthy weight – for the rest of your life.