Gastric Bypass English CC

– [Narrator] Congratulations
on this new chapter in your life. Surgery was only the first step. Success in losing weight and
avoiding problems after surgery depends on the choices you make. Expect a call from us 24 to
72 hours after you go home. We want to see how you are doing and answer any questions you might have. We want to remind you of the
important steps to healing. During your surgery, a large portion of the
stomach was closed off. This leaves a small pouch to hold food. Your stomach now holds only
two to four tablespoons of food or liquid. One of the most important
things to pay close attention to is how much and how
often you are drinking. You may feel like it is hard
to remember how much you drank. Since you need to drink about 64 ounces or 1/2 gallon of liquid in one day, but can only handle a
small amount at a time, you will need to drink very frequently. Other people that have
had this surgery tell us these tips have helped them the most. Set a timer or phone alert to
help you remember to drink. Carry a beverage bottle
with you at all times. Avoid using straws, as
it may cause painful gas. Use the medicine cups we gave
you or another measuring cup to measure the liquids you are drinking. Drink one medicine cup
or one ounce of liquid about every 10 minutes,
or six in one hour. It is okay for you to add
flavored artificial sweetener to your beverage, unless, of
course, you have an allergy. Some people find it helpful to
fill all of the medicine cups you will need to drink for the hour. Your success bag is filled
with tools and instructions. It will help you keep track
of the fluid you drink. For the first two days after you go home, you may only have clear
liquids like water, a low-calorie powdered beverage mix, flavored water, low-fat
broth, or diet gelatin. Stay away from all solid
food, caffeine, soda, sugar, and as a reminder,
do not use straws. Days three through 10, you will advance to full liquids
with protein supplements. This means adding milk
products into the options. Some good options to try are milk and unsweetened milk substitutes,
light blended yogurt, vegetable juice, thinned
hot instant cereal, but not oatmeal. Sometimes after surgery, people
have trouble digesting milk. If you get cramps, bloating,
or diarrhea with milk products, try lactose-free milk products. Besides liquids, you also need to measure
your protein intake. Protein helps you feel
full and helps you heal. You will be drinking
the protein supplements until you are able to eat solid foods. For women, aim for 50 to
80 grams of protein a day. For men, the goal is 60 to 90 grams a day. On the 10th day after surgery,
you will begin pureed foods. This is also the time to start your vitamin
and mineral supplements. Starting vitamins any sooner
may cause an upset stomach. Remember the vitamin options we discussed before your surgery. You have choices about which
form of vitamin you prefer. Bariatric Fusion vitamins,
take two chewables twice a day, or Bari Life Multivitamin Powder,
use one scoop twice a day. Instead of the multivitamin options, you could choose to take
each vitamin separately. But remember, no gummy,
liquid, or soft chew vitamins. You will not be able to
absorb them in this form. Check with your nurse if you
have questions about this. Constipation can also be a problem. Drinking the right amount of liquid can help prevent constipation. Start taking a natural soluble
fiber supplement powder, about eight teaspoons
spread out over the day when you go home. Products may vary. Check with the office
if you have questions. Sometimes, you need something
more than a fiber supplement. You can try other laxative
or stool softener products that are available without a prescription. You could expect to see
results in about 24 hours for most products, but others may take up
to three days to work. Be sure to follow the
instructions on the packaging. If these methods do not work, you could also use an
enema or suppository. Dumping syndrome is
something that can happen if you eat too quickly, too much at once, or too much sugary food. You may get nausea, diarrhea, sweating, and a fast heartbeat. If this happens, just rest. The symptoms will pass
in about 30 minutes. It is best to try and prevent this by carefully reading labels. Let’s talk a little about pain. At first, you may have
some stomach cramps, shoulder pain, or nausea. These symptoms should not
continue long after you go home. To manage pain, you will
have several options. For mild pain, take acetaminophen. Remember, that no non-steroidal, anti-inflammatory medicine is permitted. For severe pain, you may
take one to two tablets a day of the narcotic medicine
you were prescribed. Narcotics are very strong
and can lead to constipation and other problems. It is best to limit their use. Staying active is the
key to faster recovery. Walking helps prevent
blood clots and pneumonia. Start easy, but try to be a
little more active each day. After your three week post-op visit, most people may begin exercise. Don’t forget to use your
incentive spirometer. This device helps you mark your progress with deep breathing. To prevent pneumonia, you will also continue to use your CPAP in the hospital and at home. Using your CPAP all of the time helps prevent heart and lung
problems now and later in life. A few reminders about things to avoid. No smoking, as this will slow healing. Limit lifting to no heavier than 10 pounds to protect your incision. You may resume sexual activity at four weeks after your surgery. And since pregnancy could risk healing, it is very important to use contraception. Since your absorption has changed, you no longer will be able
to use oral contraception. Insertable rings, birth
control patches, or injections are all good options to prevent pregnancy. It is recommended you also use a back-up or second method of birth control, such as condoms or spermicide
cream for three months. We want to congratulate you
on your road to success. Use your Baritastic app to
help you track your progress. We want you to know the Weight Management
Center at Tower Health is here to answer any questions and to guide you through your recovery.

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