A little Problem
90% of the time, it is just our old eating habits creeping back in to remind us that we have to change. If it continues, we'll talk...rule out stricture. But, first, definitely try behavior modification. Here are a few tips from my experience:
- Take one bite and then put your silverware down and your hands in your lap. Concentrate on chewing that one bite before swallowing.
- Eat meals alone as often as possible during the first two months. Eating with friends/family will distract you from concentrating on changing years and years of eating habits. Talking or laughing between bites can allow air to become trapped between bites, causing painful gas that will make you want to vomit just to relieve the pressure.
- DON'T DO IT. A patient actually taught me this valuable lesson. I had troubles keeping food down for the first two months. I actually vomited at least twice daily for the first two months. Then, she told me this. She was right....I was allowing myself to vomit because it felt better than the pressure of the food. But, if I just sat there or laid down for a bit and did not allow the food to rush me to hang my head over the toilet, it did go down. Patience.
- Use very small utensils or baby utensils.
- Eat at your computer....yes, computer experts would tell you NOT to have food or drink at your computer, but I still to this day (11 months postop) do this often. I prepare my small meal and then go to check e-mails or check in on Obesityhelp.com. I take a bite then do a little work. This helps me to pace myself.
- Sugar-free PopSicle brand popsicles help to get rid of pouch irritation if you are feeling nauseated. Tums chewable also help for gas which may be stuck between bites.
Can't reinvent the wheel overnight. Years of eating what you can, when you can have got to be changed slowly. The good news is that your tool is teaching you the way to healthy eating. If it becomes progressive where foods you ate in days before are no longer going down, or if liquids become difficult to swallow, we will work you up for stricture. In the meantime, just be aware and learn from your mistakes. You'll get there, Tracy. I didn't think I ever would, but low and behold...I'm a pro now!