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December 2014 Surgeries

It can vary from provider to provider but the basic structure is:

Operation day and the next couple of days - nothing at all or just small amounts of water, before you leave hospital the surgeon should try you on yoghurt.

From when you get home until end of week 2 - liquid only. Milk, yoghurt, broth, soya pudding, NAS drinks, soups, Complan, small amounts of NAS jelly. (My own provider added toast at this stage but that's not standard)

Weeks 3-4: Purée stage. At this stage it's important to have blended foods or very soft foods. Ensure that the sugar level is below 5% and the sat fat is below 3% and you can't really go wrong. Foods that don't need blending are things like soft fish (not fried or breaded), mashed potato. Add puréed vegetables and nothing raw (no salad).

Weeks 5-6: Soft foods. Same as above but no need to purée. Any foods that can be easily chewed is ok.

Week 6 onwards: Introduce foods back into your diet slowly and cautiously, raw foods can be slowly added. Avoid alcohol for at least six months (some providers say a year). Avoid high fat and high sugar foods - they break your diet and can cause dumping syndrome. Avoid hard foods like steak (especially rare steak) for at least six months. Don't introduce new foods too rapidly.

Week 8 onwards: Some harder foods (nuts) can be added but be aware they can be quite high in fat and coated nuts can be high in sugar.

Six months onwards: Just about all foods are ok depending on your own tolerances and the continued need to diet.
 
Thats great Marcus , many thanks , im sure I will get the hang of it and once weight starts shifting im sure il be more encouraged to follow it correctly , seems a bit of fiddling about but il pre-op shop so Iv got everything in and dont get caught out with anything , thanks for help
 
I had sips of water few hours after op, next day a litre of water through the day. The straight on to puree. I have quite a big food processor it was a carry on just using it for what I needed it for so purchased one from amazon for like £24 (you can get cheaper) and it's much more convenient for me, has 2 attachments but is effectively hand blender. I'm on purée stage for 4 weeks x
 
So Marcus when you say soups until end of week two , does that include Packets of Instant soup sort of thing and is Bovril ok within them weeks ? I do tend to like packet soups and love Bovril so im thinking thats not going to be a problem . And thanks Jo think il just get a good hand blender for now , perhaps buy something better when I get more adventourous , thanks guys n gals x
 
So Marcus when you say soups until end of week two , does that include Packets of Instant soup sort of thing and is Bovril ok within them weeks ? I do tend to like packet soups and love Bovril so im thinking thats not going to be a problem . And thanks Jo think il just get a good hand blender for now , perhaps buy something better when I get more adventourous , thanks guys n gals x

While many prefer to make their own soups the packet soups are generally ok as they're usually not high in carbs. Personally I like the Tomato and Basil soup.
 
I had water while in hospital then tea and clear soups like chicken noodle sign out the noodles, they were taken out. Milk with yogurt stirred in and out through sieve. Have a look those books they have great ideas in
 
Thanks Mouse57 ....so basically thin soups with no bits in at all ,.......im going to order those books if you say they will help , I do actually eat alot of soups so im hoping il cope ok with first few weeks ,.......think its the pureed stuff I dont fancy , but no pain no gain !!! Would you say its important to have someone with you first few nights after coming out of hospital ?? Iv taken everybodies advice about driving and going to football , thats definatly a no no ......spoke to a lady this evening that had op .......she reckoned I wouldnt feel like doing anything at all the first few weeks ,
 
Marcus , its the carbs we have to look out for isnt it , will try to make some soups but Tomato n herb packet is lovely . Intersted to know even without Op if we only ate what you have to eat post op , wouldnt we lose weight anyway ???
 
You will feel tired and a bit emotional to start with. I would say don't be on your own if you can help it. Watch soups like tomato to start with because of the salt. You can become thirsty but because you can't drink a lot you might suffer a bit. I used knorr pk soups when I say I I mean my hubby who looked after me. He cooked them normally but every thing went in the sieve. As for puree don't put everything in together when you can manage it have a bit of puree mash and carrot or something like that I used the ready mashed from supermarkets and it was just blitzed a bit to make it runny. You will only have a few tea spoons of any good to start with a yogurt could last me all day. Keep away from sugar and fats read every label and if you think it's to high don't be tempted. To begin with if it goes through a straw you can have it. After puree just mash things down with a fork. Fish pie with mash sheaperards pie stuff like that. Rice might be to heave as well as rice.
 
Thanks Mouse57 .......thats all starting to make sense ......you say watch the salt .......I guess Bovril might be out of the question then .every little bit of help much appreciated ta
 
I found a small Bovril nice but the amount you drink is minimal and you can control how much you make and how strong but with the soup it's already in there if you know what I mean. You just have to read every label
 
Yes know exactly what you mean , Iv got to go to hospital on 6 March for pre-op assessment etc and im sure that when theyl give me needed info
 
Marcus , its the carbs we have to look out for isnt it , will try to make some soups but Tomato n herb packet is lovely . Intersted to know even without Op if we only ate what you have to eat post op , wouldnt we lose weight anyway ???

You need to watch sugars and fats. That generally takes care of the carbs issue.

Personally, I don't watch carbs at all anymore. I don't need to. Only watch sugars and fats - too much of either makes me sick as a dog. (The eloquently named 'Dumping Syndrome')

You'll find with a RNY bypass, you can't really tolerate things with high carbs anyway - pasta, bread, potatoes. They all sit heavily in your intestines (not your stomach) and make you feel quite unwell.

With packet soups, just keep an eye on sodium and sugars, otherwise they're generally okay.
 
It's also worth noting everyone's different. While some people can be sensitive to a food the next person might have no problems at all with it. However immediately after surgery you should be extra cautious and only really start experimenting when your surgical team says it's the time to do so.
 
I remember in the early days I thought carrot and coriander soup was a good choice...I was ill for hours with a great big dump.
 
So really its a bit hit n miss then , finding out what agrees with you and what dosnt , really appreciating everyones input as I really want and need to do this , iv had a few bad years and my health as really suffered , seeing this as finak chance to get my life back , Thankyou
 
Hi everyone just a quickie here I think I have a stomach bug poss noro virus got all the symptoms I last ate Wednesday night properly since then had two pots of Mandarins in juice and half a slice if toast I have constant watery diarrhoea and the feeling of wanting to be sick comes one goes got a raging headache at times too ! I've had a model text book experience with my bypass on the 22 nd of December and this has knocked me for six . I'm staying off dairy advice from nhs direct just wondering if I am aloud any Imodium or is it too harsh for my stomach or any food you could recommend, and has any one else had a tummy bug since their op never been so bad it's just not clearing up!
 
Hi hun I have had runs last 2 days not a bug I don't think but I have taken immodium it's fine with me just just a thought sometimes you need to let the bug run through. It's going on a few days now make sure you keep your fluids in if nothing else. Get well soon thinking of you xxx
 
Be careful when I had a bug right at the beginning I wanted to take kaoline and morphine but was told by chemist no way ask the chemist what you can take because they are the best to answer if no medication try some bananas they can help stop the runs and they are full,of potassium which is good for you but you should be drinking Dioralyte because it replaces the important salts in the body, make a sachet up and dip through out the day. Hope you feel better soon :)
 
I agree with mouse. Avoid Immodium but take rehydration treatments and be patient.
 
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