stretching the pouch

when it's time to stretch the pouch and introduce more food does that mean you will dump everytime you do this?

The pouch will stretch itself over time, this is a very rough estimate but this is the schedule my surgeon uses.  You will measure your food every time you eat so that you do not over eat.  This is especially important at first because your stomach isn't healed yet and because the nerves have been cut you cant feel the fullness.  I am just now learnng what full feels like and I am almost 4 months out. 
After sugery up to 2 oz
4- 8 weeks 3 oz
8weeks - 6 months 4 oz
6-8 months 5 oz
8-10 months 6 oz
10 -12 months 7 - 8 oz

As you introduce new foods, you should only add them one at a time so if something should make you dump you know what it was.  For instance if you eat chicken today and you do fine, then next week you eat chicken and brocolli and you are sick, you know it was the brocolli.  If you were to eat chicken and add brocolli and tomatoes for the first time during the same meal you would not know which made you dump.  You will not dump every time you add a new food.  Hopefull you will only eat good healthy foods and you will never dump.  I have only dumped one time and that was on sugar free pudding, I do not eat fatty foods or foods with sugar.  You will have a nutritionsit who will explain all of this to you a lot better than I can but I wanted to try because I know you are curious. 

Hey Jeanie...

"For instance if you eat chicken today and you do fine, then next week you eat chicken and brocolli and you are sick, you know it was the brocolli. "

Not neccesarily true sweetie. I have done great on chicken one day and  like crazy on it the next day. Or I've  on hamburger on Tuesday and it go down fine on Wednesday. Some days your pouch is just more picky than other days. Shoot..some meals it's more picky than the other meals that same day.

True 'dumping' is , not ..and high fats, fried foods, carbs, sugar, sugar alcohols (like what is in sugar-free stuff) are the most common gremlins that cause dumping. Most who dump can point exactly to what it was that caused it. 

now...if you are talking about , that usually is caused by something not being chewed up well enough to satisfy the pouch. I, to this day have problems with brocolli & carrots. I just can't get those darn things chewed up fine enough.

Sherri 

Jeanna,

The further out you get, the more your pouch will stretch just by being able to contain a  little more at a time. The pouch size that Jeanie replied to you is the MOST that the surgeons & nuts recommend for that time period. If you are at the stage where you can eat up to 4 oz, that means to not go over 4 ounces...not that you HAVE TO eat 4 oz. The pouch will slowly stretch...just as a baby's tummy naturally stretches the bigger they get.

And no. You do not dump every time your pouch stretches. As I told Jeanie, 'dumping' is loose bm's (often with sweats, shaking, and flu-like symptoms) and is usually due to eating things high in fat, carbs, or sugars (or sugar alcohols). Dumping can usually be avoided by sticking to the foods that the surgeon/nut has on the approved list. The biggie is not . I think we ALL have at one point at least. If your food isn't chewed up well enough, you will . So stick to what is on the approved listing and chew, chew, chew your foods.

Sherri