Question:
I'm sipping liquids while eating, is this going to stretch my pouch?

I am 5 weeks post op and I am starting to eat solid foods. Mostly meat, but I'm having a hard time just eating without sipping or drinking my tea or water with my food. I have been taking two to three swallows of my drink during eating. Am I stretching my pouch? Help I don't want to do that but what should I do. I'm just always thirsty. Especially during meal time.    — Monette L. (posted on January 12, 2003)


January 11, 2003
Drinking with meals is one of my doc's big no-nos. He says that fluid creates a washing effect that sends the food through the stomach too fast, removing the feeling of satiety and enabling you to eat more and feel hungry sooner. I have a friend who is 3 years post op and she has put back on a lot of her weight. Even she says it is because she has returned to drinking diet soda and to drinking with meals. She was wearing an 8 or 10 and now is back in the 16-18 range. She worked really hard for what she had achieved. It makes me sad to see her regain so much. It does give me an object lesson in the fact that surgery only provides a tool. How we choose to use the tool determines how well and how long we will succeed. For myself, I do not drink with my meals and don't forsee a circumstance that will change that decision. (Open RNY 9/11/01 -135#)
   — phoebe

January 11, 2003
Ditto the last poster's response. When I go out to a restaurant, I ask for a glass of water just in case I get burned on my food or something, but I've never had any. You say you are always thirsty -- are you getting in enough water througout the day when you are supposed to be drinking? Besides pushing the food through faster, it will fill you up quicker possibly not allowing you to get in the necessary protein requirements. Good luck to you.
   — Yolanda J.

January 11, 2003
Well I will prob get nasty e-mails on this one but here goes. I sip while I eat. And sometimes I will suck on the ice. And I know for a fact there are many other poters on here who do the same. When I told my doc's office I was told as long as Im not drinking a full glass or more during a meal, and im NOT gaining weight then there is no harm, So no your not stretching the pouch if your SIPPING a few sips here and there. Okay im ready for the e-mails to come rolling in.
   — Schatzie1

January 12, 2003
From my research ALMOST every recommendation is to NOT drink with meals, just as the first poster stated- it helps wash the food thru your pouch faster- making you able to consume more calores and make you hungrier sooner. THAT SAID: People do what they want- you make choices with this just like everything else in life. Why take the chance of getting burned by playing with fire- You (and Rose too) are new at this and NOW is the time to practice good rules- this pouch is just a tool, not a gaurentee- it does take changing some of life's habit. Personally I never thought I would be able to eat without drinking, but now 9 mo out (-100 pds) I dont even give it a second thought.
   — ~~Stacie~~

January 12, 2003
My surgeon recommended that I sip with meals simply because it helps the food pass better for me. I have had blockage problems and the fliud helps food pass thru the opening of the pouch better.
   — sheri B.

January 12, 2003
Monnette, sipping with your meals will not stretch the pouch. It takes some pretty heavy duty stuffing on a regular basis to do that, so no worry there. I would be more concerned with your always being thirsty. Tell this to your doctor as sometimes that is a sign of other things wrong with the body. Your very early post-op so drinking with the meals will not effect your weight loss at this stage. The "no drinking" rule is one of the pouch rules that the doctors want you to embrace early post-op so that when you are further post-op it will be a good habit that you have developed which will come in handy down the road. Right now you don't eat much but further out, keeping that feeling of fullness for as long as possible becomes more important to maintaining the weight loss. Perhaps you could try sipping a little less during meals and eventually getting to the point where you can eliminate it?
   — Cindy R.

January 12, 2003
No, you are not stretching your pouch. But what you are doing is washing your food through too fast. The reason for not drinking during eating or for 30 minutes after is so that the food stays in long enough for nutrients to be absorbed and to prevent it from being washed through so fast that you are hungry later. You really need to try to get through your meals without drinking for 30 minutes beofre and 30 minutes after. It might not be terribly important now, but later on you will need to do this and now is the time to form good habits.
   — Patty_Butler

January 12, 2003
As everyone states, it's a decision only you can make...to follow the rules or not. For me, I'm 20 months post-op, below goal and loving it. The only way for me to stay this way is to continue with what got me here. I don't drink anything with meals ever! I don't drink soda and I do exercise. I never eat sugar, avoid bread and starches, and I limit fatty foods because they make me dump. That being said, I have to admit it was hard in the beginning to develop these habits. But remember, just because you are losing now and now seeing any impact from breaking a rules, it doesn't mean there isn't an impact. You might lose faster, you might suffer less head hunger, you might feel better if you follow the rules more closely. It's all up to you. For me, there were and still are too many risks associated with WLS for me to not do everything I can to make sure I don't put myself at more risk by something I deliberately do. The fear of gaining my 140 lbs back is enough incentive for me not to try to see what I can get away with. I'm used to not drinking with meals, drinking 80-100 oz. of water the rest of the day and limiting artificial sweeteners in things like Crystal Light until after I get my water in. I'm happy with the life style changes I've had to make because they have enabled me to be thin and healthy. Open RNY, 5/14/01. Down from 252 to 112 and lovin' every minute of my new life. Even without sips during meals. Good luck with your decision, it is yours to make.
   — Teri D.

January 13, 2003
On my surgeon's post-op meal plan, with each meal it says, "sips of clear liquid for beverage." It also says not to drink anything for 30 minutes before or after a meal. I asked about this and was told it won't hurt to take sips with your food, but don't consume large amounts of liquid around meal time because it washes the food through your pouch faster. So, I sip liquids if I feel I need to during the meal (which is pretty often), but I don't drink anything else directly before or after a meal.
   — Jenny S.

January 13, 2003
Hi, I'm Laurie, living in Mesa, AZ. I am under Dr. Newhoff's program and I must puree everything that enters my mouth and it must be 1 ounce only 3 times a day. He is very strict with his program! You must also NEVER drink while eating! You can drink one hour BEFORE or one hour AFTER! It is just to be sure that your food is going to be going through the new pouch successfully each time and that you are not hungry all the time. I can't even think about eating solid foods until six weeks post-op and even then it has to be chewed so very, very well before swallowing. But I am just 3 days out of the hospital, 5 days post-op and I am supposed to drink 1 quart of water a day, in addition to drinking a minimum of 40 gm of protein a day! I got all I can handle with this. Good luck on your weight loss and please be careful with your new stomach! Bye for now!
   — Laurie P.




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