One Month Tommorrow

Xenia
on 4/23/09 1:23 pm - Xenia, OH
Ok, my one month surgiversary is tommorrow and I meet with my Surgeon and Nutritionist.  For the first two weeks things went very well.  Third week was ok and I could easily eat a small chili or three to four ounces (half cup) of Salmon, Tilapia, Hamburger, ect...  Towards the end of the third week I suddenly could only get down 1 or two ounces and got the "foamies" once or twice a day.  I slowed my eating way down and if I get by the first three or four bites then Ican eat that half cup but about half the time I have to stop after the three or four bites or i am throwing up again.  I have been fine mostly on water, protein, and vitamins.  As of this morning unofficially I am down a total of 40 pounds with 8 pre-surg and 32 post surgery.  Did anyone else experience this?
 

Height 6'0" HW Ever -294, Consult W - 280, SW 272, LW 191.6, CW 192.8
NNicholas
on 4/23/09 1:34 pm - Oxford, MI
Congrats on the month out. Sounds like you are doing pretty normal for a month out on RNY. I was about the same for he first month, which I might add was the hardest. As this weeks go by you will be eating a bit more. best of luck on your journey.
Nick
cabin111
on 4/23/09 3:03 pm
Let your doc know.  You may have a stricture...very common and very treatable.  10% of RNY patients get them.  I'll try and post something later (a copy and paste).  Brian
cabin111
on 4/23/09 3:10 pm

What is a stricture?  This question comes up weekly, if not daily on OH.  Below is a copy and paste from Wikipedia.  If you are a few weeks out post op from RNY and have problems keeping well chewed food (even water) down, you might have a stricture.  Very common and very treatable.  Also do not freak out if you have to go back a second or third time to get treated for one.  The Gastroenterologist will go just below the pouch and air up the "balloon" .  It is an outpatient procedure and you will be sedated.  Brian 

As the anastomosis heals, it forms scar tissue, which naturally tends to shrink ("contract") over time, making the opening smaller. This is called a "stricture". Usually, the passage of food through an anastomosis will keep it stretched open, but if the inflammation and healing process outpaces the stretching process, scarring may make the opening so small that even liquids can no longer pass through it. The solution is a procedure called gastroendoscopy, and stretching of the connection by inflating a balloon inside it. Sometimes this manipulation may have to be performed more than once to achieve lasting correction.

Xenia
on 4/24/09 4:33 am - Xenia, OH
Met with the surgeon today.  He stated that he sees this in a percentage of his patients and that  there is an increased restrictveness somwhere between four and twelve weeks depending on how fast you heal.  He aslo said it should get better over the next couple of weeks and if it did not or got worse I should contact him again.  Also the nutritionist said the patients who experience this need to do more soft foods for another week and then try again.  My surgeon provides for an aggressive food progression and most of his patients can eat most anything (healthy diet wise)as tolerated by six to eight weeks.  My wife followed that progression and never had a problem.  Just my luck!
 

Height 6'0" HW Ever -294, Consult W - 280, SW 272, LW 191.6, CW 192.8
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