ALCOHOL CONSUMPTION
Hi all! I got this information from the BCSI Newsletter and thought I'd share it with all of you. Muah!
Alcohol Consumption
We often hear these questions:
Do weight loss surgery patients absorb alcohol differently
than "normal" people?
Can weight loss surgery patients get drunk more quickly than "normal"
people?
Can weight loss surgery patients get drunk on less alcohol
than "normal" people?
The answers to these questions are: 1) Some do; 2) Yes; and 3) Yes.
As a rule, weight-loss surgery patients should avoid alcoholic
beverages. There are a number of reasons why. First of all, alcoholic
beverages are often high in calories. Excess calories can easily be
consumed by drinking them without thinking. Another reason for the
extra caution is that many alcoholic beverages are also carbonated.
All carbonated drinks should be avoided regardless of the type of
weight-loss surgical procedure you've had.
For a gastric bypass patient, the biggest potential physical danger
from alcohol is not the caloric intake. The most immediate danger
results from the speed with which alcohol can be absorbed into your
bloodstream. It is VERY unpredictable in a gastric bypass patient.
Sometimes you'll be fine, and other times, you can go from stone cold
sober to passed out drunk in 5-10 minutes. And the amount of alcohol
that it takes to accomplish drunkenness can also be VERY
unpredictable.
When we published an article in the eNewsletter several months ago
about the dangers of alcohol consumption, we received responses back
from several people who have had this type of reaction to amounts of
alcohol that would never have been large enough to concern them prior
to their surgery. They reported that they went from sober to very
drunk on 1 or 2 small drinks and that the effect**** them very
quickly.
If you are going to drink alcohol, make sure that you NEVER drink on
an empty stomach. We suggest that you only drink after FILLING your
stomach with good SOLID food. This will delay the passage of the
alcohol from your stomach to the small intestine. The worst case
would be for you to drink alcohol when your stomach is empty AND your
small intestine is also empty. Any drink taken in this condition
would immediately flow from your mouth all the way into your small
intestine with virtually no pause along the way.
Your original stomach has a valve, called the pyloric valve, located
at its outlet. The pyloric valve is designed to restrict the flow of
the stomach's contents and release it slowly into the small
intestine. Therefore, the rate at which alcohol could be absorbed
into your bloodstream through the small intestine was limited because
the supply of alcohol into the intestine was restricted. Unless
you've had a Vertical Banded Gastroplasty, a Vertical Gastroplasty /
Duodenal Switch, or a Lap Band procedure, that valve is no longer in
the pathway from your mouth to your intestine, so it can't restrict
the flow of liquid into your intestine anymore.
If you've had any of the Roux-en-Y or Fobi Pouch procedures, the only
way you can slow down the flow of liquid into your intestine is to
block its path with food in your pouch. YOU have to understand your
system and limit the rate by your conscious thoughts and actions.
As you know, alcohol in the blood stream impairs a person's ability
to think clearly. It should be easy to see how a person at a party
could go over the edge into full drunkenness, unconsciousness, or
could ingest a lethal dose of alcohol without realizing the danger,
if their initial drink flows through their system and is available to
be absorbed into their blood stream too quickly.
The safest course is to stay away from alcohol altogether. The second
safest course is for you to have a "designated observer" with you who
understands your gastric system and *****mains sober and can keep an
eye on you and caution you if your ability to make wise decisions
becomes impaired in any way.
Key Points to Remember
Blood alcohol level is the measurement used to define intoxication.
The level of alcohol in your blood is the key factor that impairs
your mental and physical abilities. Regardless of how much alcohol is
consumed or over what period of time it was consumed, blood alcohol
level is blood alcohol level.
A gastric bypass patient can become intoxicated on less alcohol and
can become intoxicated much more quickly than a person with a "normal
digestive system. This is due to the smaller volume of your digestive
system and the lack of built-in restrictions in your system.
Oh, by the way, be careful with cough medicines and night-time cold
remedies which often contain high concentrations of alcohol.