I'm not sure..

Yesterday I had a day unlike any other since post op. I wasn't in any real pain, other than barely being able to breathe when I stood up too long or walked a little, but I felt totally out of sorts. I felt like my insides were a completely seperate part of me, and I waconstantly dry heaving and gagging. I got absolutely no protein yesterday, just a little pureed chicken and mashed potatoes. I'm never having that again, not because of the taste, but the smell. Also yesterday its like the smell and taste of everything made me want t othrow up, I couldn't even imagine handling my protein supplement. Iced-tea (my favorite beverage) and even water made me want to throw up. I could barely tolerate soem waterd down light apple juice, but even that  Icould only stand a few sips. I also felt a tension or...I can't really explain it, extremely uncomfortable (to the point it made me want to groan out loud) feeling in my back. I used to have that feeling when I was a little kid and it used to literally drive me crazy and it always happened in the car, as it did this time. I don't know whats wrong with me. I've slept an amazingly long 12 hours, but I still sort feel the same, like I'm on the tip of it and I know I could very easily go straight back into that state. Has anyone felt anything like this? At all??  I don't feel like its so bad I should go to the ER, but this is driving me crazy. I know I have t oget in my protein but I cant even seem to tolerate water!

Without getting in your fluids you are going to dehydrate so please be very careful, I'm worried about you. If you are not feeling better by like 1:00pm today would you call the surgeon and tell him what you are feeling please? Do hard boiled eggs work for you, I can only eat the whites the yolks gag me up but they are a good source of protein as is tofu which takes on the taste of what you serve it with. ANDI ps. please keep me posted sugar i'm worried about you now.

atm Im only sipping water and Im gagging and dry heaving constantly. I'd call the surgeons office but theyre closed on the weekends. The nurse practitioner, a really nice lady, gave me her personal cell number but shes on vacation and I don't want to bother her. Nothing feels right, I feel like my insides are totally alien to me and I don't understand. Its jus****er why does it make me gag?? >_<

How about some S/F icepops? They might help settle your stomache while getting some fluid in. You must get the fluids in or you will become dehydrated. Keep an eye on this. Diane~~

please  consider RUNNING NOW, do not walk to the ER, also your surgeons office has to have someone on call, try the number...., dehydration can be fatal r u able to get 64 oz fluid in, u could have a sticture or a leak or a blood clot or a infection, an ulcer a million and one things, dehydation is a vicious cycle making u naseated skip food foxus on fkuids, an angry pouch remians that way for a while, even days...sleepng 12 hrs isnt good either can be due to dehydation also not time to dink or walk causing more risk clots etc...... plase keep in touch after u sk emergent medical assist!!! http://en.wikipedia.org/wiki/Dehydration

Symptoms may include headaches similar to what is experienced during a hangover, a sudden episode of visual snow, decreased blood pressure (hypotension), and dizziness or fainting when standing up due to orthostatic hypotension. Untreated dehydration generally results in delirium, unconsciousness, and in extreme cases death.

Dehydration symptoms generally become noticeable after 2% of one's normal water volume has been lost. Initially, one experiences thirst and discomfort, possibly along with loss of appetite and dry skin. This can be followed by constipation. Athletes may suffer a loss of performance of up to 30%^[2], and experience flushing, low endurance, rapid heart rates, elevated body temperatures, and rapid onset of fatigue.

Symptoms of mild dehydration include thirst, decreased urine volume, abnormally dark urine, unexplained tiredness, lack of tears when crying, headache, dry mouth, and dizziness when standing due to orthostatic hypotension.

In moderate to severe dehydration, there may be no urine output at all. Other symptoms in these states include lethargy or extreme sleepiness, seizures, sunken fontanel (soft spot) in infants, fainting, and sunken eyes.

The symptoms become increasingly severe with greater water loss. One's heart and respiration rates begin to increase to compensate for decreased plasma volume and blood pressure, while body temperature may rise because of decreased sweating. Around 5% to 6% water loss, one may become groggy or sleepy, experience headaches or nausea, and may feel tingling in one's limbs (paresthesia). With 10% to 15% fluid loss, muscles may become spastic, skin may shrivel and wrinkle, vision may dim, urination will be greatly reduced and may become painful, and delirium may begin. Losses greater than 15% are usually fatal. ^[3] Focus on Fluids

 

 

 

One of the main challenges for a gastric bypass patient over time is to maintain hydration. Your body needs just as much fluid after the surgery as it did before surgery, yet the new stomach pouch limits you to 1-2 ounces at a time.  (NO MORE GUZZLING!) Maintenance of fluid intake may also be difficult because of the necessity to take in food or fluids, and not both at once. You must compensate for this by taking small amounts of fluid on a near-constant basis. Usually this means that you should carry your fluid source with you at all times.

 

 

 

*** We cannot overemphasize that the liquid must be a caffeine, carbonation & calorie-free. Patients who use fruit juice or other calorie-containing liquids for hydration may experience inadequate weight loss because of the calories in these fluids, and can experience dumping syndrome from the sugar. Caffeine is a possible appetite-stimulant, diuretic and irritant and can potentially cause ulcers in the new pouch and add to dehydration and low-iron blood (which we already poorly absorb iron post-op). Carbonation can possibly cause gastric irritation, if carbonated beverage also contains phosphorus it may act to leach calcium out of bones, and some feel it may stretch pouch/stoma.

 

 

 

Drinking at least 64 ounces of fluids post-op is a necessity. Water is the body’s best source, and serves the purpose to aid digestion and absorption of food; it regulates temperature and circulation, carries nutrients and O2 to the cells of the body and removes toxins and waste.

 

 

 

Dehydration can cause/aggravate constipation, kidney stones, urinary infections, high or low blood pressure, difficulty controlling diabetes and migraines. Dizziness, clumsiness, muscle cramps in arms and legs, dark yellow urine, fatigue, irritability, are sunken eyes, low blood pressure and fainting, bloating, and a fast, weak pulse -- are signs that dehydration is setting in.

 

 

 

Fluids should be consumed on a near-constant basis, but not during meals and not soon following food. If you drink during your meal, you will tend to wash the food out of the stomach pouch, and consume more food than is desirable. It may seem strange at first to eat without drinking but it works fine. A good tip here is to actually not have any fluid on the table while you are eating. In addition to reducing your overall food intake, this new habit will encourage you to chew more thoroughly before swallowing, because you will not count on the fluid to wash down half-chewed food. Also note that soup is kind of like drinking liquids with food – soup is not an absolute "no-no" but recognize that it should not be a regular part of your diet.

 

 

 

Liquids should not be consumed for about 30-60 minutes after eating. This is because the food actually forms a plug that blocks the outlet from the pouch until it has all passed through. If you drink liquids on top of this plug it will create a very uncomfortable sensation and may also force food downstream more quickly than it should go.

 

 

 

A brief review on coordinating liquids and food:

 

ü       Sip liquids constantly, even just before eating. Don’t drink liquids while eating.

 

ü       Don’t drink liquids until about one hour after completing your meal.

 

ü       When the stomach pouch is mature (six months or more after surgery) it is useful to wait two or three hours after eating before consuming liquid.

 

 

 

 If you must choose between liquids and food (frequently true in the first months after gastric bypass) – choose liquids! I am speaking a a worried medical professional who cant dx or treat via internet so am recommnding u seek immediate help....