Let’s talk about your post-op bariatric surgery instructions. These instructions will be for the first two weeks after your surgery. You may take showers, no tub baths, swimming, or hot tubs until your incisions are healed and after your follow up appointment. You may walk short distances four times a day to mobilize gas and prevent blood clots in the legs. It’s okay to climb stairs. Elevate legs when sitting. No strenuous abdominal activity until approved by your physician. No driving until approved by your physician even if not taking narcotics. Narcotic use and driving can lead to a DUI arrest. Do not resume sexual activity until approved by your physician. You may be prone to constipation due to pain medication use and decreased oral intake. You need to drink at least 64 ounces per day; only decaffeinated, non-carbonated, sugar-free liquids. If you have not drank at least 48 ounces in two days, please call your physician’s office. You may experience vomiting if you drink too quickly or large amounts. Drink slowly and steadily. Please follow your physician’s orders regarding oral intake. Nothing solid until after your first post-op check up. Do not drink a half an hour before or after each meal. Protein drinks prescribed by your physician, such as sugar-free Carnation Instant Breakfast™ are okay. Your diet will be advanced by your physician when you meet for your first follow up appointment. If you have steri strips, it is okay to shower with them. Do not remove them unless they start to peel. If you have staples, let soapy shower water gently run over them and then pat dry. If you have topical skin adhesive, the glue will stay in place for five to 10 days and then will gently start to peel off. Do not scratch, rub, or pick at the glue. Let shower water gently run over the incision sites and then pat dry. You may experience greater left sided pain, due to the instruments used during surgery. This is very common. Call the physician if you experience oral temperature greater than 101 degrees, if you experience foul smelling drainage, redness, or bleeding from the incision sites, abdominal tenderness or cramping not relieved by pain medication, calf or leg tenderness, redness or swelling, persistent nausea or vomiting, chest pain or shortness of breath, or any signs or symptoms of dehydration. These are the early signs of dehydration: thirst, dry mouth, loss of appetite, dry skin, dark colored urine- the color of Coca-Cola, decreased urination- less than four to five times per day, fatigue, tiredness, or weakness- not associated with narcotic use, headache or dizziness. Please call the bariatric service before going to the emergency room for any complaints of dehydration or not feeling well. They may be able to arrange to have you hydrated in the out patient infusion center. It will help to avoid the co-pay and a lengthy wait in the emergency room. Always let the staff know that you’ve had a recent gastric surgery.