Joanie's Food Log

Hi Gang- Slept better last night...but was up at 3:30am again..to let the dog out and it too me a while to get back to sleep! Does anyone (Peter>?) have that list of medicines we can not take after surgery. I have been taking Nyquill for my cold and just hope its not on that list!' Here is the log for today B-1 hard boiled egg 6 S-hot cc choc milk 12 L-Veggie burger-no roll w/side salad-13g S-Momentum-12 D-low fat ravioli 12g S-protein drink-30g Joanie

DRUGS THAT CAN DAMAGE THE POUCH Advil............. Aleve............ Amigesic............ Anacin............ Anaprox................. Ansald................ Anthra-G.............. Arthropan............. Ascriptin.............. Aspirin................ Asproject............... Azolid............... Bextra ................ Bufferin............ Butazolidin........... Celebrex........... Clinorial................ Darvon compounds................. Disalcid................. Dolobid............... Erythromycin............ Equagesic................ Feldene.............. Fiorinal.............. Ibuprofin.............. Indocin............... Ketoprofen.............. Lodine................ Meclomen............... Midol.............. Motrin................. Nalfon............... Naprosyn............. Nayer............... Orudis................ Oruval.............. Pamprin-IB............... Percodan.............. Ponstel................... Rexolate.............. Tandearil............. Tetracycline.......... Tolecin............. Uracel............ Vioxx........ (can do more than damage a pouch ) Voltaren............ ALL "NSAIDS" (*see below for the Cox 2 Inhibitors) DRUGS THAT ARE CONSIDERED SAFE.......... Bendaryl................... Tylenol .............. Dimetap.............. Robitussin.......... Safetussin............ Sudafed.......... Triaminics (All)......... Tylenol (cold products)....... Tylenol Ex Strength.......... Gas-X .......... Phazyme........... Imodium Ad.......... Colace....... Dulcolax-Suppositories......... Fleet Enema.......... Glycerin-Suppositories.......... Milk of Magnesia......... Peri-Colace........... * copied with permission: Bextra is the newest, next generation of NSAIDS. It is simply an anti-inflammatory with no compound to aid in the protection of our GI systems. I want to help everyone understand the reason NSAIDS are dangerous for us. Contrary to popular belief, it is not just that they are "pouch burners" as the industry wants us to believe. It goes much deeper than that. According to an article published in the June 1999 New England Journal of Medicine, NSAIDS, once absorbed into the blood stream cause a chain of chemical reactions that affect the prostaglandins and this in turn reduces the production of mucus in the GI system. The mucus is what lines our GI system and protects our pouch and intestines from damage. If the mucus production is reduced, this would allow ANYTHING, including eating something with too sharp of an edge or foods that are extremely spicy, to inadvertently begin a marginal ulcer. The best answer is to avoid NSAIDS at all cost. Taking an H2 receptor drug such as Prilosec, Prevacid or Nexium is only a band-aid and no guarantee that it will protect you. If you are desperate to try an NSAID, my recommendation would be Arthrotec. It is an NSAID with a prostaglandin compound in it that tries to prevent the chemical chain of events I was speaking of in the above paragraph. There are still no guarantees. You are at risk for marginal ulcers any time you take an anti-inflammatory medication. Ultram is a mild narcotic and can be habit forming, so I would not recommend more than a six week course of it at any one time. ALSO............................... The following list is a general guide to over-the-counter drugs. Be sure to check with your own surgeon to ensure that he or she agrees with these recommendations. Medications to Avoid Advil Alka-Seltzer Vanquish Aspirin Bufferin Coricidin Cortisone Excedrin Fiorinol Ibuprofen Motrin Pepto-Bismol Medications That Are Recommended For Colds Benadryl Dimetapp Robitussin Sudafed Triaminics Tylenol Cold Products Medications That Are Usually Well Tolerated (Try to obtain sugar free or diabetic formulas for any of these products.) Peri-Colace Panadol Tylenol Tylenol Extra Strength Gas-X Phazyme Colace Dulcolax Suppositories Fleet Enemas Glycerin Suppositories Milk of Magnesia This was an excerpt from "Weight Loss Surgery: Finding the Thin Person Hiding Inside You," available at http://www.wlscenter.com This book is a "must have" for any patient going through this surgery. Click here for order information http://www.wlscenter.com/Announce_Book.htm Those are the 2 quick ones which I have to follow. Peter

I haven't been able to get out of bed lately although I did not sleep well at all last night!!! B- Q-Smart Bar (10g) L- 2/3 BK Chili (~15g) S- Protein Drink (23g) D- Chicken w/ BBQ Sauce & Green Beans (13g) S- S/F Pudding (5g) 66g total... Carmen

I had a weird eating day today. Last night I ate some broiled chicken (same way I always have it w/o a problem) but it didn't seem to move out of my pouch until lunchtime today. What a yucky feeling. Anyway, I was glad to feel better for lunch, cause our boss took us out to Modesto's for a holiday luncheon. B- coffee w/2 scoops beneprotein 12 L - 5 small Lobster ravioli and 2 bites of my friend's carrot cake have no idea what protein count was for this meal, couldn't have been more than 7 D - ground turkey 3oz w/tomato sauce 21g total 40 === not so good today. maybe have lactaid milk to add some more protein, but figure today is pretty much a wash.. really don't feel like eating anymore today. terri

My day was a total bust... my first day on 2nd shift is messing with my eating/drinking schedule so here it goes B:morning start cereal w/ carb countdown milk 20 L Zone protein bar 16 S: Cappucino Protein Drink 15 g. (got at Job Lot and Oooh so good) D1 slice turkey breast 1 slice am. cheese with a little mayo.(did not know what to do, cafe closes at 5 and my dinner break was 6:15 S atkins morning start bar 10 Cup Carb COuntdown Milk 18 Night time is the worst for me. And I thing its I'm having those monthly issues because I have to strongly refrain from grazing constantly. Lacking in my fluids today but I am going to work on it until i head to bed. ~Julie~