The Month-Four Freak Out

Pam T.
on 11/21/10 11:04 pm - Saginaw, MI
Hello all!

This message is for all you newbies who are approaching the four-month post-op mark. There's a common thread that I see for folks who are somewhere between 3 months and 5 months out and I wanted to point it out, if you haven't already noticed it.

Around the 4 month mark you'll notice that you can eat more than you could just a couple months ago. And this phenomenon tends to freak folks out. As in... Big Time Freak Out! I've dubbed this time as the "Four Month Freak Out"

So here's the deal...

In the weeks right after surgery your pouch is still healing from the major reconstruction it just went through. Even though you might feel fine and fully recovered after just a few weeks, it takes your innards a lot longer to fully heal. Your pouch is very swollen and it has a lot of work to do as it creates scar tissue to heal the wounds of surgery. This healing process takes about 3 months or so and then the swelling reduces and your pouch becomes it's normal post-op size. And once this healing takes place, you are suddenly able to eat a bit more than the 1/4 cup of food that you were restricted to in the first few months of surgery.

SOOOOooooo..... if you're a newbie and you're worried that you stretched your pouch or you're worried that your stoma is too big, rest assured that none of that is true. It's just that you're moving on to the next phase of your post-op life. Your insides are healed and you're able to eat a bit more to nourish your body (which is all your body really cares about - nourishment). That's a good thing. That's exactly how it should work. You're normal and you are not a failure and your pouch is not broken. Everything is OK.

Your pouch does not stay exactly the same as it did on the day of surgery. Your body learns to adapt to the damage you created with WLS and your pouch evolves and changes over time. It might start out as a 1oz size pouch, but it doesn't stay that way. As your pouch matures, it'll grow to about 6-9oz is size and be able to hold about 8oz to 12oz of food when you're about 2 years out. So by the time you hit the 4-month mark, your pouch is working toward "maturity" not failure.  This is normal. This is how WLS is suppose to work. Everything is working exactly how it should be working.

If you'd like to read more about Understanding Your Pouch - you can read my blog post about it here: http://pamtremble.blogspot.com/2008/09/understanding-pouch.h tml

No more freaking out, OK?

Pam

My Recipe Index is packed full of yumminess!
Visit my blog: Journey to a Healthier Me  ...or my Website

The scale can measure the weight of my body but never my worth as a woman. ~Lysa TerKeurst author of Made to Crave

 

2tired2befat
on 11/21/10 11:23 pm - Spring Hill, TN
Yes, I admit at nearly four months out I am one of those who is freaking out!   Thanks for this post.  It is nice to know that I'm normal! :)
tiffytiff
on 11/21/10 11:23 pm
 Thanks for the advice! I was just here sulking thinking I have become a failure and that I have fell of the wagon because I started to feel hungry, and am able to eat a little bit more than normal. 

    

" Stop trying to RECYCLE what GOD is trying to replace." 

                                        
2tired2befat
on 11/21/10 11:30 pm - Spring Hill, TN
I just had to comment that our starting weight is almost exactly the same.  I too have lost exactly 54 pounds as of this morning!  Keep up the good work! 
            
waitforit
on 11/22/10 12:11 am - Alexandria, VA
Thank you!  While I did expect the stretching of the pouch and hunger to return again, it was still a disppointment when it arrived.  So this was timely for me.   I was just wondering what the heck I'm going to have for lunch.  It's not as easy any more.  Used to be I could eat virtually anything (and hardly any of it) and be satisfied.  Now it takes bit more planning!  LOL
        
TammaiTX
on 11/22/10 12:21 am - Austin, TX
RNY on 07/15/10 with
Thanks so much for this timely post!!! You must have been channeling our anxieties!!
   
    
Follow my journey...   
http://tammyswellnessjourney.wordpress.com             
faylynn23
on 11/22/10 12:22 am - College Park, MD
Thank you

I am only 1 week out, but this is wonderful information that I will keep.

Linda
                            
TXKashmir
on 11/22/10 12:33 am - Grand Prairie, TX
I just wanted to add one more thing about the four to five month mark...


Your hair will grow back! LOL!

That is all...

Debbie
Keeping track of my progress without a scale...Starting size: 28-Current size: 6-Goal size: 14

sand SAND...it's not a club...it's a frame of mind...

camarofanatic90
on 11/22/10 1:47 am - Pampa, TX
 I am so glad that you posted this. It really gave me advice since I am 2 wks out to having surgery

(deactivated member)
on 11/22/10 1:47 am
OmGosh Pam!  I am so glad that I found your blog!  I just had my surgery 7 days ago and it has made me feel so much better, like I haven't made a mistake.  I can't wait to try some of your recipes soon.  And, what is the deal with Flintstone vitamins?  My doctor has me on them.
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