Back On Track Together
Clarification on the effects of drinking with meals. I felt compelled to share.
I read this on another weight loss surgery site and then watched the video. I think it's great! It has been a key tool to helping me control and understand when it's okay and when it's not okay to drink. The best explanation I've seen yet!
It was originally posted by Rob of Formerfatdudes.com
http://www.youtube.com/watch?v=xR0VM3mnsgM
The video of him explaining and demonstrating this is really good.
If you can't click on the link, copy and paste it into your browser.
Why are we (RNY) told No drinking with meals or for 30 to 60 minutes after each meal?
Before going under the knife we had the pyloric valve at the bottom of our stomach to keep food inside the stomach while it began the digestive process.
As food was digested and ready to be released into the intestine, the pyloric valve would open and let a small amount of food out of the stomach and into the small intestine...... This whole process can take 2 to 3 hours in non-freaks.
After surgery the pyloric valve is no longer part of the pouch.
We basically have to mimic the action of the pyloric valve manually and the only way to keep food in our pouch (which is basically a funnel now) we have to eat dense foods and not mix it with liquid. The denser the food, the longer it can stay in the pouch.
Food can stay in your pouch for up to 1.5 to 2 hours if you don't drink water. The minute you add water (or any liquid) to the mix, you are creating a "soup" that will quickly empty out of your pouch.
Our saliva contains an enzyme called: “Amylase". Amylase breaks down “starch" (Carbs).
When we chew our food, we add saliva with amylase and that gets mixed in as we chew.
When you drink cold or hot drinks or if you drink while you’re chewing your food amylase does not work as well.
As we no longer do not produce gastric acid (or hydrochloric acid) anymore, so the saliva enzymes are all we have to work in the pouch to aid digestion/absorption once it passes through.
If we wash the food out too quickly, the intestines can not absorb the nutrients from the food we eat because it passes too quickly undigested.
Emptying your pouch also means you'll get hungry sooner.
For newer RNY patients, this isn't a big deal because the hunger hasn't really returned. But for those further out from surgery, the hunger can be ravenous at times.
There's also the VERY REAL risk of stretching the stoma (the opening between the pouch and intestines).
If you have dense food that has not begun to be digested in the pouch and you drink water you are FORCING that dense food to be pushed through the stoma prematurely.
That opening is only about the size of a ladies index finger, but if you push food through the opening before its ready to go, you'll eventually stretch that opening. This is FAR more worrisome than stretching your pouch.
It was originally posted by Rob of Formerfatdudes.com
http://www.youtube.com/watch?v=xR0VM3mnsgM
The video of him explaining and demonstrating this is really good.
If you can't click on the link, copy and paste it into your browser.
Why are we (RNY) told No drinking with meals or for 30 to 60 minutes after each meal?
Before going under the knife we had the pyloric valve at the bottom of our stomach to keep food inside the stomach while it began the digestive process.
As food was digested and ready to be released into the intestine, the pyloric valve would open and let a small amount of food out of the stomach and into the small intestine...... This whole process can take 2 to 3 hours in non-freaks.
After surgery the pyloric valve is no longer part of the pouch.
We basically have to mimic the action of the pyloric valve manually and the only way to keep food in our pouch (which is basically a funnel now) we have to eat dense foods and not mix it with liquid. The denser the food, the longer it can stay in the pouch.
Food can stay in your pouch for up to 1.5 to 2 hours if you don't drink water. The minute you add water (or any liquid) to the mix, you are creating a "soup" that will quickly empty out of your pouch.
Our saliva contains an enzyme called: “Amylase". Amylase breaks down “starch" (Carbs).
When we chew our food, we add saliva with amylase and that gets mixed in as we chew.
When you drink cold or hot drinks or if you drink while you’re chewing your food amylase does not work as well.
As we no longer do not produce gastric acid (or hydrochloric acid) anymore, so the saliva enzymes are all we have to work in the pouch to aid digestion/absorption once it passes through.
If we wash the food out too quickly, the intestines can not absorb the nutrients from the food we eat because it passes too quickly undigested.
Emptying your pouch also means you'll get hungry sooner.
For newer RNY patients, this isn't a big deal because the hunger hasn't really returned. But for those further out from surgery, the hunger can be ravenous at times.
There's also the VERY REAL risk of stretching the stoma (the opening between the pouch and intestines).
If you have dense food that has not begun to be digested in the pouch and you drink water you are FORCING that dense food to be pushed through the stoma prematurely.
That opening is only about the size of a ladies index finger, but if you push food through the opening before its ready to go, you'll eventually stretch that opening. This is FAR more worrisome than stretching your pouch.
Tess
"Our saliva contains an enzyme called: “Amylase". Amylase breaks down “starch" (Carbs).
As we no longer do not produce gastric acid (or hydrochloric acid) anymore, so the saliva enzymes are all we have to work in the pouch to aid digestion/absorption once it passes through"
As nice it is sounds - there are some mistakes in that.
Amylase breaks down “starch" (Carbs) - only, so its is not responsible for breaking down proetins or fats. We still make some acid, and the remnant stomach makes more of it and then it joins the food down the line... in common channel, together with the bile from the liver that is responsible to break down the fats.
So..." the saliva enzymes are all we have to work in the pouch to aid digestion/absorption once it passes through" is not correct at all..
The rest - absolutely..
As we no longer do not produce gastric acid (or hydrochloric acid) anymore, so the saliva enzymes are all we have to work in the pouch to aid digestion/absorption once it passes through"
As nice it is sounds - there are some mistakes in that.
Amylase breaks down “starch" (Carbs) - only, so its is not responsible for breaking down proetins or fats. We still make some acid, and the remnant stomach makes more of it and then it joins the food down the line... in common channel, together with the bile from the liver that is responsible to break down the fats.
So..." the saliva enzymes are all we have to work in the pouch to aid digestion/absorption once it passes through" is not correct at all..
The rest - absolutely..
Hala. RNY 5/14/2008; Happy At Goal =HAG
"I can eat or do anything I want to - as long as I am willing to deal with the consequences"
"Failure is not falling down, It is not getting up once you fell... So pick yourself up, dust yourself off, and start all over again...."
ive noticed that when i eat i get extremely thirsty afterwards. ive been making sure i drink a lot of fluid before my meal. i drink a glass of water before hand. helps so i dont sit and look at the clock waiting for that 30 mins or worse drink while i eat. i know it hurts i sip but still know that its bad.
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