??? for the seasoned vets (or anybody else w/ an answer!!
Thanks - I do have my gall bladder & have never had any problems with it. I know that post-op it can be a whole new ballgame & my pcp is aware that I still have it. I did speak to both my surgeon & pcp - I always do - I am not one to ignore pain or self-diagnose... usually when I feel like something just isn't right I am correct. (My pcp said that I have good instincts & wished more of her patients would pay more attention to the signs their bodies give them.) I saw my pcp & they were very certain it is/was dehydration (they did urinalysis & bloodwork). My eating is pretty much back to normal & it's been all good. I am drinking a decent amount of watered down gatorade & a lot of water & I feel 100% better!! I was told to keep an eye on it during this horrendous heat wave we're having & I have!! I might be a bit paranoid but I know what the pain was like & I'm not going back there again if I can help it!!
Thanks again!!
Cece
"Life is not about waiting for the storm to pass... it is about learning how to dance in the rain!"
Okay, I just wanted you to be open minded about all the possibilities. You just never know. I've heard all kinds of testimonies like this in support meetings. It sounded familiar. How did you get yourself so dehydrated? I'm constantly drinking, which is one of my problems. I drink with meals (sacrilege) and I heard Carnie Wilson discuss on Tyra yesterday that this was one of the reasons she gained some weight back! (horror) I'm going to be more careful now.
Trish I appreciated the ideas & suggestions - it's always good to be well armed when I talk to the drs! Thanks!!
I asked how it was possible to get so dehydrated so quickly & basically I was told that because everything goes through us so quickly it can happen easier than we think. I wasn't able to drink much - I just wasn't feeling well enough to force liquids down plus I was sleeping a lot & throwing up. I drink a lot of water too, always have so I was confused but it made sense when they explained it to me. Our bodies need to replenish things tha****er just can't provide. All I know now is G2 (Gatorade 2) is one of my daily drinks no matter what!! It's lower cal & sugar than regular gatorade. I'm not taking anymore chances especially in this heat!! Today was the first day in a week that I felt good!! Just something to keep in mind during the summer!
Cece
"Life is not about waiting for the storm to pass... it is about learning how to dance in the rain!"
CECE
Hello,
Few questions/observations...
tell me the nutrition content of the yogurt.. calories, fat, carbs, sugar, protein grams (brand as well and amount eaten)......
How much cheerios, how much/kind of milk.
have you had this issue with milk products before now?
Have you dumped before?
How much fluids/type do you typically driunk a day
type oc and amount of calcium you take a day
Do you have your gallbladder?
Observation:
cereal tends to not be a optimal meal option for a few reasons:
1 Defeats the pouch (it is drinking/eating together) so no real satiety and slides on thru pouch after first several months.
2 Carb laden cereal and milk (13g carbs a serving) on top of ceral quick way to DUMP and cause hunger soon after/cravings for more carbs...combined with issue #1 longterm a slippery slope for many.
3 MANY complain that ceral/milk combo is a tumy upsetter for whatever reason (carbs/sugar/milk/lactose etc)...many including self keep with things like steel cut oats if a ceral is a must, with limited milk or added protein powder...thick to stick in pouch!
4 Yogurt depends on sugar amount carbs, less lactose so ususally if inoleratn may be able to do, some yogurts have 50G sugar in them, dannon fit and lite is a good option low cal/fat/carbs/sugar! Look to keep under 10 g serving!
Well, sounds alot like hypoglycemia/dumping.. here is the definition. Be aware if this reaction keeps happening regardless of food choices maybe something more sever, reactive hypo is not uncommon post wls and then there is a rare issue called nesidioblastosis, http://en.wikipedia.org/wiki/Nesidioblastosis
http://www.endocrine-abstracts.org/ea/0013/ea0013p74.htm
http://content.nejm.org/cgi/content/short/353/3/300
Gastric Bypass and Nesidioblastosis -- Too Much of a Good Thing for Islets?
http://content.nejm.org/cgi/content/abstract/353/3/249
Hyperinsulinemic Hypoglycemia with Nesidioblastosis after Gastric-Bypass Surgery
my dear friend Kelly was dagnosed and had 95% of her pancreas removed as treatment, it can be nothing or something so keep an eye out ok! Good to be informed and yes contact the surgeon/PCP!
One thought also go to a mostly protein rich diet, no carbs for a while see what happens if dumping/hypoglycemia may be a cure!
Also yogurt is a slider food not a great option all the time, quick to empty and no satiety and possibly quick to trigger dumping! I sometimes add th south beach granola clusters to help keep it more substantial in pouch!
If you must do ceral kashi golean has proteina nd high fiber better choice perhaps! than the simple sugar/carb of cheerios.
___________
DUMPING SYNDROME DEFINED, EXPLAINED, AND AVOIDABLE!
http://www.sabariatric.com/effects.php
The weight loss that is achieved through the RNY appears to be primarily dependent upon the removal of the pyloric valve, leaving the individual without a regulator of food movement into the small intestine. This results in the well-known phenomena called "dumping syndrome" which can cause an individual to feel sick or even faint. Rapid gastric emptying, or dumping syndrome, happens when the lower end of the small intestine (jejunum) fills too quickly with undigested food from the stomach. "Early" dumping begins during or right after a meal. Symptoms of early dumping include nausea, vomiting, bloating, diarrhea, and shortness of breath. "Late" dumping happens 1 to 3 hours after eating. Symptoms of late dumping include weakness, sweating, and dizziness. Many people have both types. Stomach surgery is the main cause of dumping syndrome because surgery may damage the system that controls digestion. Treatment includes changes in eating habits and medication. People who have dumping syndrome need to eat several small meals a day that are low in carbohydrates and should drink liquids between meals, not with them. It is imperative to the Roux En Y or other procedural gastric bypass patient that they follow their diet plan to reduce the risk factor of Dumping Syndrome. Many people equate the term solely to be spasmodic fits of diarrhea, when that is merely one of the symptoms of a more intensified unpleasant experience. Dumping syndrome is usually divided into "early" and "late" phases - the two phases have separate physiologic causes and shall be described separately. In practical fact, a patient usually experiences a combination of these events and there is no clear-cut division between them. Early dumping is caused by the high osmolarity of simple carbohydrates in the bowel. The various types of sugar all have small molecules, so that a gram of (for example) sucrose has MANY more molecules than a gram of protein, creating a higher concentration (number of molecules per cc) from simple sugars than from other foods. This matters because, inside the body, fluid shifts will generally go toward the higher concentration of molecules. So, if a patient consumes a bite of milk chocolate (lots of sugar), when it gets to the Roux limb it will quickly "suck" a significant amount of fluid into the bowel. This rapid filling of the small bowel causes it to be stretched (which causes cramping pain). This also causes the activation of hormonal and nerve responses that cause the heart to race (palpitations) and cause the individual to become clammy and sweaty. Vomiting or diarrhea may follow as the intestine tries to quickly rid itself of this "irritant." Late dumping has to do with the blood sugar level. The small bowel is very effective in absorbing sugar, so that the rapid absorption of a relatively small amount of sugar can cause the glucose level in the blood to "spike" upward. The pancreas responds to this glucose challenge by "cranking up" its output of insulin. Unfortunately, the sugar that started the whole cycle was such a small amount that it does not sustain the increase in blood glucose, which tends to fall back down at about the time the insulin surge really gets going. These factors combine to produce hypoglycemia (low blood sugar), which causes the individual to feel weak, sleepy, and profoundly fatigued. Late dumping is the mechanism by which sugar intake can create low blood sugar, and it is also a way for gastric bypass patients to get into a vicious cycle of eating. If the patient takes in sugar or a food that is closely related to sugar (simple carbohydrates like rice, pasta, potatoes) they will experience some degree of hypoglycemia in the hour or two after eating. The hypoglycemia stimulates appetite, and it's easy to see where that is going...The reason that sugar does not cause dumping in non-operated people is that the stomach, pancreas, and liver work together to prepare nutrients (or sugar) before they reach the small intestine for absorption. The stomach serves as a reservoir that releases food downstream only at a controlled rate, avoiding sudden large influxes of sugar that can occur after a Roux En Y. The released food is also mixed with stomach acid, bile, and pancreatic juice to control the chemical makeup of the stuff that goes downstream and avoid all the effects outlined above. Obviously, surgeons consider dumping syndrome to be a beneficial effect of gastric bypass - it seems to be important to provide quick and reliable negative feedback for intake of the "wrong" foods. In practice, most patients do NOT experience full-blown dumping more than once or twice. Most simply say that they have "lost their taste" for sweets. Of course, this is always a great topic to ask patients about directly, so you may want to ask about it at our support group in person, or in a support group online. It is an unpleasant side effect of this surgical procedure, experiencing it means one simple thing; you are not following your prescribed diet, and unless you do, dumping syndrome is going to become a major part of your life. Do yourself, and your body a favor and follow doctor's orders, to the letter.
_______________
lastly dehydration can be serious/fatal so dip sip best you can ok!
Hello,
Few questions/observations...
tell me the nutrition content of the yogurt.. calories, fat, carbs, sugar, protein grams (brand as well and amount eaten)......
How much cheerios, how much/kind of milk.
have you had this issue with milk products before now?
Have you dumped before?
How much fluids/type do you typically driunk a day
type oc and amount of calcium you take a day
Do you have your gallbladder?
Observation:
cereal tends to not be a optimal meal option for a few reasons:
1 Defeats the pouch (it is drinking/eating together) so no real satiety and slides on thru pouch after first several months.
2 Carb laden cereal and milk (13g carbs a serving) on top of ceral quick way to DUMP and cause hunger soon after/cravings for more carbs...combined with issue #1 longterm a slippery slope for many.
3 MANY complain that ceral/milk combo is a tumy upsetter for whatever reason (carbs/sugar/milk/lactose etc)...many including self keep with things like steel cut oats if a ceral is a must, with limited milk or added protein powder...thick to stick in pouch!
4 Yogurt depends on sugar amount carbs, less lactose so ususally if inoleratn may be able to do, some yogurts have 50G sugar in them, dannon fit and lite is a good option low cal/fat/carbs/sugar! Look to keep under 10 g serving!
Well, sounds alot like hypoglycemia/dumping.. here is the definition. Be aware if this reaction keeps happening regardless of food choices maybe something more sever, reactive hypo is not uncommon post wls and then there is a rare issue called nesidioblastosis, http://en.wikipedia.org/wiki/Nesidioblastosis
http://www.endocrine-abstracts.org/ea/0013/ea0013p74.htm
http://content.nejm.org/cgi/content/short/353/3/300
Gastric Bypass and Nesidioblastosis -- Too Much of a Good Thing for Islets?
http://content.nejm.org/cgi/content/abstract/353/3/249
Hyperinsulinemic Hypoglycemia with Nesidioblastosis after Gastric-Bypass Surgery
my dear friend Kelly was dagnosed and had 95% of her pancreas removed as treatment, it can be nothing or something so keep an eye out ok! Good to be informed and yes contact the surgeon/PCP!
One thought also go to a mostly protein rich diet, no carbs for a while see what happens if dumping/hypoglycemia may be a cure!
Also yogurt is a slider food not a great option all the time, quick to empty and no satiety and possibly quick to trigger dumping! I sometimes add th south beach granola clusters to help keep it more substantial in pouch!
If you must do ceral kashi golean has proteina nd high fiber better choice perhaps! than the simple sugar/carb of cheerios.
___________
DUMPING SYNDROME DEFINED, EXPLAINED, AND AVOIDABLE!
http://www.sabariatric.com/effects.php
The weight loss that is achieved through the RNY appears to be primarily dependent upon the removal of the pyloric valve, leaving the individual without a regulator of food movement into the small intestine. This results in the well-known phenomena called "dumping syndrome" which can cause an individual to feel sick or even faint. Rapid gastric emptying, or dumping syndrome, happens when the lower end of the small intestine (jejunum) fills too quickly with undigested food from the stomach. "Early" dumping begins during or right after a meal. Symptoms of early dumping include nausea, vomiting, bloating, diarrhea, and shortness of breath. "Late" dumping happens 1 to 3 hours after eating. Symptoms of late dumping include weakness, sweating, and dizziness. Many people have both types. Stomach surgery is the main cause of dumping syndrome because surgery may damage the system that controls digestion. Treatment includes changes in eating habits and medication. People who have dumping syndrome need to eat several small meals a day that are low in carbohydrates and should drink liquids between meals, not with them. It is imperative to the Roux En Y or other procedural gastric bypass patient that they follow their diet plan to reduce the risk factor of Dumping Syndrome. Many people equate the term solely to be spasmodic fits of diarrhea, when that is merely one of the symptoms of a more intensified unpleasant experience. Dumping syndrome is usually divided into "early" and "late" phases - the two phases have separate physiologic causes and shall be described separately. In practical fact, a patient usually experiences a combination of these events and there is no clear-cut division between them. Early dumping is caused by the high osmolarity of simple carbohydrates in the bowel. The various types of sugar all have small molecules, so that a gram of (for example) sucrose has MANY more molecules than a gram of protein, creating a higher concentration (number of molecules per cc) from simple sugars than from other foods. This matters because, inside the body, fluid shifts will generally go toward the higher concentration of molecules. So, if a patient consumes a bite of milk chocolate (lots of sugar), when it gets to the Roux limb it will quickly "suck" a significant amount of fluid into the bowel. This rapid filling of the small bowel causes it to be stretched (which causes cramping pain). This also causes the activation of hormonal and nerve responses that cause the heart to race (palpitations) and cause the individual to become clammy and sweaty. Vomiting or diarrhea may follow as the intestine tries to quickly rid itself of this "irritant." Late dumping has to do with the blood sugar level. The small bowel is very effective in absorbing sugar, so that the rapid absorption of a relatively small amount of sugar can cause the glucose level in the blood to "spike" upward. The pancreas responds to this glucose challenge by "cranking up" its output of insulin. Unfortunately, the sugar that started the whole cycle was such a small amount that it does not sustain the increase in blood glucose, which tends to fall back down at about the time the insulin surge really gets going. These factors combine to produce hypoglycemia (low blood sugar), which causes the individual to feel weak, sleepy, and profoundly fatigued. Late dumping is the mechanism by which sugar intake can create low blood sugar, and it is also a way for gastric bypass patients to get into a vicious cycle of eating. If the patient takes in sugar or a food that is closely related to sugar (simple carbohydrates like rice, pasta, potatoes) they will experience some degree of hypoglycemia in the hour or two after eating. The hypoglycemia stimulates appetite, and it's easy to see where that is going...The reason that sugar does not cause dumping in non-operated people is that the stomach, pancreas, and liver work together to prepare nutrients (or sugar) before they reach the small intestine for absorption. The stomach serves as a reservoir that releases food downstream only at a controlled rate, avoiding sudden large influxes of sugar that can occur after a Roux En Y. The released food is also mixed with stomach acid, bile, and pancreatic juice to control the chemical makeup of the stuff that goes downstream and avoid all the effects outlined above. Obviously, surgeons consider dumping syndrome to be a beneficial effect of gastric bypass - it seems to be important to provide quick and reliable negative feedback for intake of the "wrong" foods. In practice, most patients do NOT experience full-blown dumping more than once or twice. Most simply say that they have "lost their taste" for sweets. Of course, this is always a great topic to ask patients about directly, so you may want to ask about it at our support group in person, or in a support group online. It is an unpleasant side effect of this surgical procedure, experiencing it means one simple thing; you are not following your prescribed diet, and unless you do, dumping syndrome is going to become a major part of your life. Do yourself, and your body a favor and follow doctor's orders, to the letter.
_______________
lastly dehydration can be serious/fatal so dip sip best you can ok!
Take Care, 
Jamie Ellis RN MS NPP
100cm proximal Lap RNY 10/9/02 Dr. Singh Albany, NY
320(preop)/163(lowest)/185(current) 5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King www.albanyplasticsurgeons.com
http://www.obesityhelp.com/member/jamiecatlady5/
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"
Jamie Ellis RN MS NPP
100cm proximal Lap RNY 10/9/02 Dr. Singh Albany, NY
320(preop)/163(lowest)/185(current) 5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King www.albanyplasticsurgeons.com
http://www.obesityhelp.com/member/jamiecatlady5/
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"
Jamie,
Thanks for the info. I do follow my dr's orders - I don't eat anything that they haven't said is ok to have. The Yogurt was Dannon Light & Fit (I only buy this brand & never eat a whole container at one time - I usually get 2 servings out of one container). I don't know the numbers on it since I don't have any left in the house - my niece was just here & ate the last one. As for the cereal it was less than 1/2c with just enough skim milk to keep it from getting soggy. I have had had both several times before without any reactions - I guess it was my lucky day! And no it has never happened before!! I will refrain from eating these things for a while now - I am by no means curious to see if it will happen again!!
I did call my surgeon who told me to call my pcp because she is closer & it would be quicker & easier to see her. The surgeon confirmed that I dumped & thought that what I was suffering from afterwards (on Tues evening) was dehydration (which is why he told me to call my pcp). He explained how & why it happens to post-ops so quickly especially after dumping 2x so close together. I joked with the surgeon that my 7 month run of good luck was over!! He said that it happens to the best of us!! I was still doing very well & not to worry!! My pcp told me to start drinking as much gatorade as I can. Even if it's watered down it's better than just plain water. I did & am finally feeling better. I had a garage sale yesterday in that disgusting heat & made sure I had some gatorade with me all day.
I have been eating very simply - back to basics & everything has been much better. I guess on the bright side I lost about 9 more lbs in the last 10 days!
Thanks again for the info. I really appreciate it!!
Cece
"Life is not about waiting for the storm to pass... it is about learning how to dance in the rain!"
cece
Not a way to lose wt for sure, ugh! Glad things are back on track, yeah we all have setbacks it is strange they pop up out of nowhere. Good to know at 7 mo you dump though!
The yogurt is a good choice it is the onne I use lowest in sugar and carbs!
The articel on dumping was written by SA bariatrics, I didnt meant to say you didnt follow doctors orders, that eas there language FYI!
I use propel fitness water from gatorade to avoid the sugar/calories and dumping risk even watered down but glad u r replacing fluids!
Not a way to lose wt for sure, ugh! Glad things are back on track, yeah we all have setbacks it is strange they pop up out of nowhere. Good to know at 7 mo you dump though!
The yogurt is a good choice it is the onne I use lowest in sugar and carbs!
The articel on dumping was written by SA bariatrics, I didnt meant to say you didnt follow doctors orders, that eas there language FYI!
I use propel fitness water from gatorade to avoid the sugar/calories and dumping risk even watered down but glad u r replacing fluids!
Take Care,
Jamie Ellis RN MS NPP
100cm proximal Lap RNY 10/9/02 Dr. Singh Albany, NY
320(preop)/163(lowest)/185(current) 5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King www.albanyplasticsurgeons.com
http://www.obesityhelp.com/member/jamiecatlady5/
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"
Jamie Ellis RN MS NPP
100cm proximal Lap RNY 10/9/02 Dr. Singh Albany, NY
320(preop)/163(lowest)/185(current) 5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King www.albanyplasticsurgeons.com
http://www.obesityhelp.com/member/jamiecatlady5/
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"
Jamie,
Sorry - I figured those were their words not yours... sorry if it came across wrong.
The Dannon yogurt is really the only one I've ever eaten... I like it best. Have you checked out the new one they have Light & Fit Plus? I was wondering if it was worth trying.
Usually when I eat yogurt I add something crunchy to it - makes my head think it's more than half a container - plus it tastes good. The day I dumped I didn't. Wonder if that made a difference?
Yeah, the dumping thing is a blessing & a curse!! Good to know but wi**** had happened on "bad" things, ya know what I mean? These were things that I was allowed to eat!! I'd be ticked if I ate something like a fish fry & nothing happened!! Ha!! Like I am going to be stupid enough to chance that one - I don't care how good they smell!!!!
Thanks again!! Your wealth of knowledge sure comes in handy!!!
Cece
"Life is not about waiting for the storm to pass... it is about learning how to dance in the rain!"
Well I hear ya, I can eat fried food (didn't try for 3-4 yrs though, too many fried things do make me yucky sleepy)
Dumping only happens in less than 50% bypassers and only on certain things/quantities sadly and typically early on, but we can not tes****ers and that helps as gradually desensitizing self is what many do and never dump.
http://www.lightnfit.com/products/light_and_fit/new_0_plus.html
Thisis nutr info on fit and light and fit 0 plus
http://www.lightnfit.com/images/Product_LnF_0_Plus_strawberry.jpg
1 serving (4 oz) 60 cal; 0 g fat, 3 g protein, 11 g carbs, 8 gr sugar...
I'd rather eat the 6 oz light and fit regular (more protein, same calories in 6 vs 4 oz of the light and fit 0 plus! and less sugar!)http://www.dannon.com/images/op_nutr_hdr.gif
for 6 oz cup 60 cal serving, 0 g fat, 5 g protein, 11g carbs, 7 g sugar
Looks like a packaging gimick to me!
Be well./
Dumping only happens in less than 50% bypassers and only on certain things/quantities sadly and typically early on, but we can not tes****ers and that helps as gradually desensitizing self is what many do and never dump.
http://www.lightnfit.com/products/light_and_fit/new_0_plus.html
Thisis nutr info on fit and light and fit 0 plus
http://www.lightnfit.com/images/Product_LnF_0_Plus_strawberry.jpg
1 serving (4 oz) 60 cal; 0 g fat, 3 g protein, 11 g carbs, 8 gr sugar...
I'd rather eat the 6 oz light and fit regular (more protein, same calories in 6 vs 4 oz of the light and fit 0 plus! and less sugar!)http://www.dannon.com/images/op_nutr_hdr.gif
for 6 oz cup 60 cal serving, 0 g fat, 5 g protein, 11g carbs, 7 g sugar
Looks like a packaging gimick to me!
Be well./Take Care,
Jamie Ellis RN MS NPP
100cm proximal Lap RNY 10/9/02 Dr. Singh Albany, NY
320(preop)/163(lowest)/185(current) 5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King www.albanyplasticsurgeons.com
http://www.obesityhelp.com/member/jamiecatlady5/
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"
Jamie Ellis RN MS NPP
100cm proximal Lap RNY 10/9/02 Dr. Singh Albany, NY
320(preop)/163(lowest)/185(current) 5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King www.albanyplasticsurgeons.com
http://www.obesityhelp.com/member/jamiecatlady5/
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"
Michele;
YUP REGULAR GOT IT (SEE MY LAST POST, I FOUND LINK TO THEIR SITE WITH THE NUTR INFO! Appreciate the help!
YUP REGULAR GOT IT (SEE MY LAST POST, I FOUND LINK TO THEIR SITE WITH THE NUTR INFO! Appreciate the help!
Take Care,
Jamie Ellis RN MS NPP
100cm proximal Lap RNY 10/9/02 Dr. Singh Albany, NY
320(preop)/163(lowest)/185(current) 5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King www.albanyplasticsurgeons.com
http://www.obesityhelp.com/member/jamiecatlady5/
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"
Jamie Ellis RN MS NPP
100cm proximal Lap RNY 10/9/02 Dr. Singh Albany, NY
320(preop)/163(lowest)/185(current) 5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King www.albanyplasticsurgeons.com
http://www.obesityhelp.com/member/jamiecatlady5/
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"
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