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cris69
Hi everybody .
I was reading this forum long time before being brave enough to post some questions .
First of all I managed to get my RNY done on 20th february and everything went real smooth .
The problem is that it went too smooth .
And here is my short story .

Day 1-3 Had some dificulties in eating . I had to eat real small quantities and took me quite long to finish my liquid diet meals .
Day 3-5 Hmm .. not that bad anymore . Managed to eat at once a full cup of yougurt :( :( ... No pain no nothing .  I asked my surgeon and he said that there is no problem . I am wodering how fast my puch can flush the yogurt in order to don't make me feel any pain .
I trust my surgeon and don't pay any attention

Week 1 .. Lost  16 lbs in 7 days . Not bad ...
Moved to puree diet stage . Now here comes the question .
Do I really have a tiny little pouch over there ? .. Because I am eating let's say .. normally .
I was expecting to fill full and able to eat only a tiny amount of food at once . But here we go .

Ate 2 scrambled eggs in about 5 min and found no discomfort at all . Hmmm.... let me drink some water .. quite comfy actually .
Mmmm .... what if I gulp and not sip as I am trying to teach myself ....
Damn ... very mild discomfort .... one day I know for sure that I will forget sipping down and I will get back to my old habits .

Still feel hungry but force myself to stop as long 2 eggs should be enough for a breakfast .
After 1 hour a cup of yougurt got flushed down . No discomfort at all . 

Testing the water and ate some chicken soup . The normal stuff I ate since always . Not puree no nothing . A cup got flushed away and I feel nothing . Few bites of some baked potatoes and again forced myself to stop .

 
And now ....  my questions .

1. Where is the discomfort caused by my tiny pouch  ? I am able to eat a cup at a time without any discomfort .
2  If I feel that good after 1 week I might go back to my old habits in another  weeks .
3  Is it normal to be able to eat 2 cups at once without any discomfort at all ? .
4  As long as I feel hungry a lot and eating 4-6 meals a day (1-2 cups each ) how much I should eat ?

I am trying to play nice now and follow all advices (sipping , small bites , no more than 1 cup ) but I do that because of self discipline and not because my pouch is hurting me .. I know that quite soon,  if my pouch don't bother me,  I will cancel all the rules and do as I wish (same thing with diet in the paste ) I want to feel full and my pouch hurting me reminding to eat small amounts of food .

Please share your experience .and give me a clue abot what's going on ... The biggest thing expecting from this surgey is that I won't be able to eat nothing but few bites at once or else I will be in big discomfort .
Jules
Hi Cris,

First of all welcome to the neighborhood. Lots of good information here and support.

Your post really has me puzzled. There is NO way I could eat that much a week out. I had to sip my water for months and I still, 5 years out, cannot gulp it, that hurts. Everyone is different but that doesn't seem "right" to me. 1 cup of yogurt? I can't even imagine eating that much back at that stage. I wasn't even that hungry. I don't think you should, at this stage, be "forcing" yourself to stop eating, I did not have a choice. Yogurt is soft, and will slide right through but you should still feel full before a whole cup. Wow! I'm not sure what to say. I hate to say you have a "problem" but this doesn't sound right to me at all!!!! And I could not tolerate eggs, that was my first "solid" food, right away. But I did not try them at one week out! And you can have 2? And I pureed all my soups and food for quite a while on the "soft food" stage. Hmmm.....maybe you will start feeling full soon? I hope so anyway. Because if not, you can go back to your old eating habits, I think it is great you are aware of that right now. Don't be afraid to talk to your surgeon if this doesn't get "better". You are losing weight, congrats on that, but if you don't feel full at this stage, gaining weight will begin again at some point.

Don't drink before and after your meals, 30 minutes on either side. I still practice that and I believe it really helps.

I will be so interested to see your posts and what you can eat. Be careful of getting something "stuck" too by the way, chew your food really well. That is no fun if it happens.

I do hope you are healing and feeling better and keep us posted!
Angp77
I think that maybe you should try living behind the fear of the rules instead of trying to push your limits to see how far you can go. I would measure all my food out in 3-4 oz volume and eat only 3 times a day. Keep your protein shakes to meet your min protein requirement and follow your rules. They are there not only to keep your from feeling pouch discomfort but also to allow your body time to heal. If your stoma is healing and you are pushing things past it that can't be a good thing.

Live behind the fear of the rules. Let that fear be your guide to keep you following your rules. I am not sure what stage you are at food wise or what your surgeon suggestions are but once you are on firm proteins make sure that you are weighing everything and that is all you are eating in weight loss mode. There won't be room for anything else and don't go looking for room either. Live your rules get your habits firmly in place now as you lose weight. It will make maintenance easier that way.

Keep us posted sweets!

Hugs!
Ang
Jules
Good advice Ang!!!!

Hugs to you!
N A
Have you shared this with your surgeon?

My understanding is that our pouches ate the size of the tip of your thumb.
About a month after maybe the size of an egg.
6 Months 1/2 cup
1 year 3/4 - 1 cup.

I am three years out and I my pouch hold about 1.5 cups full.

Number one is to follow your surgeon's instructions to the letter.
You should have your follow up about now - let us know what he/she says!

Blessings on your journey!

Welcome to the neighborhood!

Nancy
marta
I am 7 months out - I can't eat 2 eggs

I remember being told that I was not eating the right kind of foods at first and that I was only feeding head hunger by looking and dreaming of food like I was..

I will say this I can drink more liquids then I can eat.. and if I keep my fluids up then I am full

Good luck
Marta
BeJean
Welcome to the neighborhood.
I agree w/ what has been said so far. Ang, especially, was right on.
I do have to say that I didn't have that full feeling until I advanced to solids. Then I really knew I was full.
Be careful of pushing your limits. It looks like you are washing those soft foods right on through your pouch...at least that's how I read it. And, chicken soup! What are you trying to do to yourself? You aren't on solids yet & shouldn't be having this. Please be careful. Measure your foods & only eat what you should. Maybe your pouch isn't communicating that you are eating too much. Nerves may not be functioning well there yet.
Take the attitude that you are going to work your new digestive system like you should or you will end up in trouble. You don't want to do that to yourself.
mickeefynn
  • Follow the rules
  • Don't push the limits
  • Keep a list of questions for your surgeon as you think of them
  • Remember this is a life choice... your decision to have surgery was not a cure, just a tool
  • Enjoy the wonderous results that follow!
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amelia1968
action-smiley-065.gif Hi...welcome to the n'hood!
I totally agree with all the previous comments....I am so glad you are "aware" of this and can address it before it becomes a larger issue. I am almost 5yrs out and I can remember the very first time I "gulped" a glass of water due to being thirsty and not thinking... it came back up like a drain that's overflowing...there was no place for the liquid to go. My thoughts are that you have every reason to be concerned...I was unable to eat over 2oz per meal even on "soft foods"...

I hope our posts are not discouraging to you. But like the others I totally think you should talk to your surgeon...this surgery costs way too much and is such a risk to our lives I just can't imagine being this "new" and already feeling like it has failed me...my heart really goes out to you for being vulnerable enough to post your concerns. PLEASE, PLEASE, PLEASE keep us posted as to what your surgeon says and your choices.

Glad to hear that your are losing and I believe you will continue to do so as long as you follow the 4 rules of wls...
Blessings!
love0028.gif
Gina
I must say that you will defintely know if there is a problem when you go to real solids and eat some plain chicken. At 1 year out I still can't eat more than 2 oz of plain baked chicken! If you can I would see a different surgeon! Until you do go on solid protein you should be very careful about the amount of food you eat even though it is soft. My surgeon told me of a patient of his who thought after surgery he could sneak and ate about a cup of lo mein and burst his staple line and died of a massive infection!! Be careful! Please! Damn I was never even hungry for at least 8 months and had to force myself to eat.
Julie S
HI Chris and Welcome! action-smiley-065.gif

Congratulations on your recent surgery as well. So How are you doing since your post.

When I read it this is what I thought. I think you were pushing yourself too soon to try to FEEL THE DISCOMFORT! The objective ISN'T to FEEL PAIN but to FEEL FULL!

It's hard to FEEL FULL with liquids but we are all differnt. The beginning for me...I could eat the egg...but just the THOUGHT of it made me sick. Yogurt is like a slider food. Your not going to get that FULL feeling from yogurt necessarily as you would with a piece of lean protein.

Bottom line is...FOLLOW THE RULES..this isnt just for your head ..this is for your POUCH!! It needs time to heal...pushing it to see where you can GO this soon out could KILL YOU! Im SURE that is not what you want!

I've heard stories and one in perticular where this woman went out and ordered a steak at 1 week out. SHe DIED!

Why pusn the limits....?? YES, your head will be hungry..after all at the time of surgery most of us were used to eating round the clock!! I ate for 2 weeks solid prior to surgery because I thought i'd NEVER be able to eat real food again! SCARY! I gained 14 lbs in that time!! I was NOT educated enough and that sounds like what might be going on with you as well.

SO jump in here...and ask LOTS' of questions...we want you to be a SUCCESS!

Also, I REALLY suggest getting some counseling....i'm so glad that I had years of therapy...because I was able to work through alot of stuff...and the need to FEED the FEELINGS!

Hang in there, follow the rules and DONT PUSH THE LIMITS OF YOUR POUCH!! This is the HONEYMOON PERIOD! Learn how to form good habits NOW so that you can enjoy the WEIGHTLOSS for the rest of your life and NOT GAIN IT BACK like so many people do!! It's scares the heck out of me!!

Quote from weightwatchers "IF YOU ALWAYS DO WHAT YOU ALWAYS DID, YOUR ALWAYS GOING TO GET WHAT YOU ALWAYS GOT!!"

Good luck and keep us posted!

Sending hugs! Julie nature-smiley-008.gif aka: Sunshine in the hood

P.S. Congrats on the 16 pounds..THAT'S AWESOME!! cool0012.gif

QUOTE(cris69 @ Feb 27 2008, 07:21 AM) *
Hi everybody .
I was reading this forum long time before being brave enough to post some questions .
First of all I managed to get my RNY done on 20th february and everything went real smooth .
The problem is that it went too smooth .
And here is my short story .

Day 1-3 Had some dificulties in eating . I had to eat real small quantities and took me quite long to finish my liquid diet meals .
Day 3-5 Hmm .. not that bad anymore . Managed to eat at once a full cup of yougurt :( :( ... No pain no nothing . I asked my surgeon and he said that there is no problem . I am wodering how fast my puch can flush the yogurt in order to don't make me feel any pain .
I trust my surgeon and don't pay any attention

Week 1 .. Lost 16 lbs in 7 days . Not bad ...
Moved to puree diet stage . Now here comes the question .
Do I really have a tiny little pouch over there ? .. Because I am eating let's say .. normally .
I was expecting to fill full and able to eat only a tiny amount of food at once . But here we go .

Ate 2 scrambled eggs in about 5 min and found no discomfort at all . Hmmm.... let me drink some water .. quite comfy actually .
Mmmm .... what if I gulp and not sip as I am trying to teach myself ....
Damn ... very mild discomfort .... one day I know for sure that I will forget sipping down and I will get back to my old habits .

Still feel hungry but force myself to stop as long 2 eggs should be enough for a breakfast .
After 1 hour a cup of yougurt got flushed down . No discomfort at all .

Testing the water and ate some chicken soup . The normal stuff I ate since always . Not puree no nothing . A cup got flushed away and I feel nothing . Few bites of some baked potatoes and again forced myself to stop .


And now .... my questions .

1. Where is the discomfort caused by my tiny pouch ? I am able to eat a cup at a time without any discomfort .
2 If I feel that good after 1 week I might go back to my old habits in another weeks .
3 Is it normal to be able to eat 2 cups at once without any discomfort at all ? .
4 As long as I feel hungry a lot and eating 4-6 meals a day (1-2 cups each ) how much I should eat ?

I am trying to play nice now and follow all advices (sipping , small bites , no more than 1 cup ) but I do that because of self discipline and not because my pouch is hurting me .. I know that quite soon, if my pouch don't bother me, I will cancel all the rules and do as I wish (same thing with diet in the paste ) I want to feel full and my pouch hurting me reminding to eat small amounts of food .

Please share your experience .and give me a clue abot what's going on ... The biggest thing expecting from this surgey is that I won't be able to eat nothing but few bites at once or else I will be in big discomfort .



The Dancing Machine
Cris,
I can certainly relate to your questions. I am 5 weeks out and here are my thoughts about my pouch - "Little Jeannie."

The first couple weeks I could drink a 5 oz protein shake, and wondered why, because I was told by the dietitian that I could only eat 2-4 tablespoons at a time. I didn't feel any discomfort either. I think it was because there wasn't much feeling to all those things in there that got moved around, stapled off and sewn back together.

The doctor gives you a guideline of how much and what to eat to protect all those tender parts that he messed with, the stapled tissue, the intestinal opening that was reattached and is probably very swollen. That opening which food must go through might not be any bigger than a pencil eraser at first. The good news in not having much feeling is that I didn't feel hungry either, so I was able to comfortably stay within the 2-4 tablespoons the first couple weeks, then the 4-6 tablespoons the next few weeks, chewing every bite really well. I must admit I wanted to eat when everyone else ate, but the hunger feeling wasn't there -- don't kid yourself into thinking it is.

After you get off soft foods, then begin eating dry meals with mostly protein, you will start feeling that fullness other people talk about. And if you eat too fast, watch out for that "elephant on the chest" feeling. Those feelings are all coming to me with time.

Also, "dumping" for me is just getting nauseated for a couple hours after eating something that disagrees with me. For me, it's eggs sometimes, and ground beef. For others, it's any number of things. For some, nothing makes them feel that way.

You'll find your way, give it time. Follow the rules. When I treat "Little Jeannie" right, sometimes she purrs. Get to know your pouch. You'll both be happier!

Jean
BeJean
QUOTE(The Dancing Machine @ Feb 29 2008, 04:38 PM) *
I can certainly relate to your questions. I am 5 weeks out and here are my thoughts about my pouch - "Little Jeannie."
Jean


Jean, good post!
From one Jean to another, I really like the name of your pouch!!!
cris69
Thanks everybody .... Looks that there is some real support over here and I am soo happy .
The last news ..
I feel no discomfort at all . My dietician told me that now , for 2 weeks , I should stay on puree food diet ..
I did not push myself at all . I am just totally dissapointed that hunger is still here .. My mouth is watering whenever I am around food . I can eat up to 5-7 oz of liquid/puree food and feel no discomfort at all. 
I ate once about 5-6 oz of plain chinken meat I felt full for the first time .. bu it lasted for 5 min when I was able to drink 2-3 oz of water .. :((
I ate some real sweet puree corn soup .. a little bit of fat and no dumping at all . 
Not quite sure anymore how WLS works anymore . But I feel no discomfort at all (I stay within 5-7 ounce of puree or liquid food) but I still feel hungry .
I lost 20 lbs now (10 days post op ).
I wish to feel full but nothing happens . I just control myself now and follow the rules . But ..... I do feel like before ... same hunger , cravings .. not that much changed actually . 
I think that my stoma (connection between pouch and intestines ) is real big for me .
I do not know what to do . I was paying big cash, threatened my life for this lap RNY just to find out that in 8 days I am same old me .... :( :( (hunger , craving ) , my pouch retains no food , I do not have dumping syndrom .

I did talk to my dietician and she said that I should have up to 6 meals /day (4-5 oz each ) and my protein and vitamin supplement.
My surgeon said that if there is no leak WLS was a big success . I should thank that I feel comfy 7 days postop .
He had done about 400 WLS's in last 3 yrs . So experience is somehow out of question .

Actually I do think that I might be uneducated ... I was expecting that after WLS at least for few months I will be somehow restricted and feel no hunger anymore , proved to be wrong .... dumping syndrom is a good thing by keeping you away of fatty and sweet foods ...not working on me .
Actually the only advice/counseling I got was from my dietician telling me to stay for 2 weeks on puree food (6 meals X 5oz. day )

I feel happy for all of you ... but for me .. I do feel the need to eat .. I can not stay on that 4-6 tablespoons like "Little Jeannie " , I do not feel full like other people . I just stop myself to 1 1/2 cup .. 
My biggest fears are :

- now I can control the amount of food even I feel hungry -- I did it before on diets and went back to old habits after few months. Am I going to be back to my old eating habits ? 
- I lost only 20 lbs in 10 days (constant rate for 7 days and nothing for last 2 days ) ... Did I reached already the first plateau ? Can you point me to a link with expected weight loss over time , the plateau's etc
Dee
I dont know alot about lap bc I had gastric bypass, but dont you hve to get fills to make your pouch tighter> Maybe this is why you are not feeling full as quick as others. perhaps somebody that had lapband will be around to comment on this.
BeJean
Dee,
It was lap RNY.

Chris,
I think you should limit yourself to 1 cup, not 1 1/2 cup.
I have some hard questions & what may seem hard things to say. I don't mean to be cruel, but want you to succeed.
What makes you think you have reached a plateau? You lost 4 lbs between your first & second posts. That's not a plateau. I'd love to be losing 4 lbs a week!
I'm glad you are trying to follow the rules but, even after saying that, you told us you drank before 30 minutes after eating & followed that w/ :(( which made it seem like "poor me, I couldn't follow the rules."
Did you have to have a phych review before your surgery? That's usually standard. I think some of the issues you are having should be addressed w/ a phychologist who is good w/ WLS patients. It seems like you are panicking over things that are common in the first few weeks. And, it seems like you are pushing every limit. Why did you even try sugar to see if you would dump?
I know these may sound harsh, but a lot of WLS success is phychological. You are going to have to work through some issues with food or you will defeat the surgery. I hope you will seek out some help with your food issues.
I don't mean to be cruel, but I want you to reach your goals and you are only going to do that by following the rules and getting help with your "hunger" issues.
Darrie
Ok cris...

No chance for excuses... no excuse for pushing the limits at only 2 weeks out... I'm gonna be harsh - but, I'm real too... and I, like all the others who have responded here have been there. Continue to see how much you can get away with, and you will ensure you'll fail. Change your mindset, and your expectations, and you WILL succeed. YOU have to want it bad enough, and you have to stop looking for all the reasons why you're a failure. Losing 20 pounds in 10 days is NOT an indication of failure!! It's something to celebrate, so why are you looking for all the reasons why it's not enough??? ( just to compare, for you, it took me 40 days to loose my first 20, so... should I consider myself a failure too?? Think about it...! )

Like you, I was hungry the first week... the first DAY... and have been hungry ever since - except when I get in all my protein shakes and vitamins... Are you doing that? Are you having the shakes EVERYDAY?? How many shakes per day? How often do you eat? How much protein are you targeting for yourself on a daily basis? Why are you eating CARBS now when you need to be focusing on PROTEINS? Yogurt, "sweet" corn soup, potatoes - they're all soft and mushy alright - they're also low in protein, high in carbs and sugars, and not meant to satisfy what your body is craving in order to heal: PROTEIN in very high quantities...

You're in the puree stage, so, you're not supposed to feel full yet... you're just supposed to not feel hungry anymore... so, if you're still hungry, maybe you're not satisfying what your body is needing... like protein?? Hmmmm?
QUOTE
I can eat up to 5-7 oz of liquid/puree food and feel no discomfort at all. I ate once about 5-6 oz of plain chinken meat I felt full for the first time .. bu it lasted for 5 min when I was able to drink 2-3 oz of water .. :((

Have you measured these foods? 5-7 oz of liquid food? 5-6 oz of plain chicken? pureed?? I've often been surprised at how much food 7 oz really is... and your statement that you ate "about" 5-6 oz of plain meat tells me you might not be actually measuring...

Ask yourself a question: Do you want to succeed? or do you WANT to fail...? Only YOU can make your surgery a success, so... which is it going to be?

Change your expectations, and you'll change your outcome... simple as that...!

Julie S
Hello again Chris! action-smiley-065.gif

I agree with the above recent posters....ALOT of this is in your head...and your ATTITUDE! You seem to have a DEFEATEST attitude..this isnt a MIRACLE CURE! You DO have to deal with the headstuff. OF course your going to feel hungry in the beginning....YOUR NOT EATING NEAR WHAT YOU WERE PRIOR TO WLS!!

I agree that you should SEEK COUNSELING!! They are better equiped to help you deal with all the head stuff!

20 lbs in 10 days? PLATEAU? I THINKN NOT!! I lost 22 lbs in the first MONTH! Ask me if I was frustrated..HECK YEAH I WAS but it's just part of the process and what I learned EARLY ON....was that I CAN NOT EXPECT my journey to be like everyone or ANYONE ELSES! I was a slow loser from the getgo and I WORKED MYBUTT OFF!! But that is in the past and now at 4 years post op I still have that weight OFF ME!! I never did get down to a low weight...but i'll take this weight because I am NOT 300+ lbs anymore!

CHANGE YOUR THINKING!!! YOU MUST in order to be successful or you will SABOTAGE yourself!!

I agree with Jeanie....trying creamed sweet soup to see if you'll dump? Might not be enough sugar in it....but ya just never know...oh YOU'll KNOW ALRIGHT! I dont dump off a full candy bar....but that is me...however, give me 1/4 cup of icecream and i'm DOWN!

I dont want to seem harsh either...but you MUST STOP pushing the limits and let this journey take you where it may!!

It's a TOOL, not a QUICK FIX!! And GET YOURSELF INTO SOME COUNSELING!! Because if your like this now....just wait till your a year out and REALLY WANTING to keep the weight off...you wont!

I have a friend that NEVER lost more than 50 lbs and I bet she has gained it all back! WHY? Because she NEVER changed the way she thought about food and why she used food to soothe her! It sickens me...because THIS IS THE CHANCE OF A LIFETIME...to DO SOMETHING JUST FOR YOU!!

It WILL CHANGE YOUR LIFE....but YOU HAVE GOT TO WANT IT AND WORK IT!! IT TAKES WORK!!

Change your thought process and how you view it all! THAT IS THE KEY!!!

Sending hugs and strength that you will seek help from a professional to help you through this rought time!! NO ONE SAID IT WAS GOING TO BE EASY!!

Julie nature-smiley-008.gif
amelia1968
action-smiley-065.gif Chris, I just want to encourage you to start adding protein powder to all of your "pureed food"...if you do not already know to do this there are tons out there to chose from...I'm not sure what you are doing in this area because you have not really shared this but let me just give you a little list of some of the ones people here tend to like:
  • Unjury...can order online @ unjury.com, Never tried it myself but others rave about it
  • Body Fortress; available @ Wal-Mart for about $14 for a 3lb tub...I have tried both the Choc and Van; both are good to me(26g protein per scoop)
  • Designer Whey; available @ most health food stores or online...I have the ProteinPak2Go in Orange/Mango flavor (yummers & has 10g protein per pkg) and currently I have the Natural whey that is unflavored that can be added to anything, it has 19g protein per scoop.
  • I also like the Jay Robb's brand currently I have the Strawberry (24g protein per scoop)
These are just a few...there are many more...my suggestion to you would be that... IF you do not currently use protein powders that you START now...the protein is what is going to give you that "full" feeling...If you do not have any and really do not know where to start I would also suggest that you go to GNC or The Vitamin Shoppe and buy a few different sample pkts that way you can find one that you like. I mix mine with Greek yogurt (much higher in protein than regular; 22g per 1c serving) and maybe fresh frozen fruit, like strawberries...this is really yummers and it is filling...I would also suggest that you measure your food. This way you will know exactly what 6oz of food looks like...and this gets rid of the guessing game...you will be glad you did this later on even if it is a pain in the beginning.

I can not stress how super important this is to your overall wls well being....you HAVE to change the way YOU think about food in order to be successful at wls. I am almost 5 yrs out and even though I have lost over 200lbs I have not reached my goal weight...but had my relationship with food not changed over time I would not have been able to lose that much. It is a P-R-O-C-E-S-S that begins both prior to as well as after wls. IT IS A LIFESTYLE CHANGE....please, I beg you, do not continue to push the limits on your food choices...BE SURE YOU ARE FOLLOWING ALL WLS rules....

Click here >>> WLS 4 Rules

Please continue to come back here and keep us posted...we truly are not judging you or trying to be hurtful...I believe I can speak for all of us when I say we just want your wls to be a success!!!!

Much luv and many blessings!!!!
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