Gastric Sleeve English CC

Gastric Sleeve English CC


– [Narrator] Congratulations on this new chapter in your life. Surgery was only the first step. Success in losing weight and avoiding problems after surgery depends on the choices you make. Expect a call from us 24 to
72 hours after you go home. We want to see how you are doing, and answer any questions you might have. We want to remind you of the
important steps to healing. During your surgery, most
of your stomach was removed. A vertical sleeve of your stomach remains. This sleeve holds only a few tablespoons of food or liquid. The area of the stomach that controls hunger has been removed. Food passes slowly
through a narrow opening at the bottom of the pouch. These changes mean you will
feel less hungry between meals, and feel full longer. One of the most important things to pay close attention to is how much and how
often you are drinking. You may feel like it is hard to remember how much you drank. Since you need to drink about 64 ounces, or one half gallon of liquid in one day, but can only hand a
small amount at a time, you will need to drink very frequently. Other people that have had this surgery tell us these tips have
helped them the most. Set a timer or phone alert to help you remember to drink. Carry a beverage bottle
with you at all times. Avoid using straws, as
it may cause painful gas. Use the medicine cups we gave you, or another measuring cup to measure the liquids you are drinking. Drink one medicine cup, or one ounce of liquid
about every 10 minutes, or six in one hour. It is okay for you to add flavored artificial
sweetener to your beverage, unless, of course, you have an allergy. Some people find it helpful to fill all of the medicine cups you will need to drink for the hour. Your success bag is filled
with tools and instructions. It will help you keep track
of the fluid you drink. For the first two days after you go home, you may only have clear liquids like water, a low calorie
powdered beverage mix, flavored water, low fat
broth, or diet gelatin. Stay away from all solid food, caffeine, soda, sugar, and as a
reminder, do not use straws. Days three through 10, you will advance to full liquids with protein supplements. This means adding milk
products into the options. Some good options to try are milk and unsweetened milk substitutes, light blended yogurt, vegetable juice, thinned hot instant
cereal, but not oatmeal. Sometimes after surgery, people have trouble digesting milk. If you get cramps, bloating,
or diarrhea with milk products try lactose free milk products. Besides liquids, you also need to measure
your protein intake. Protein helps you feel
full, and helps you heal. You will be drinking
the protein supplements until you are able to eat solid foods. For women, aim for 50 to
80 grams of protein a day. For men, the goals is
60 to 90 grams a day. On the 10th day after surgery you will begin pureed foods. This is also the time to start your vitamin and mineral supplements. Starting vitamins any sooner
may cause an upset stomach. Remember the vitamin options we discussed before your surgery. You have choices about which
form of vitamin you prefer. Bariatric fusion vitamins, take two chewables twice a day. Or Baralife multivitamin powder, use one scoop twice a day. Instead of the multivitamin options, you could choose to take
each vitamin separately, but remember, no gummy,
liquid, or soft chew vitamins. You will not be able to
absorb them in this form. Check with your nurse if you
have questions about this. Constipation can also be a problem. Drinking the right amount of liquid can help prevent constipation. Start taking a natural soluble
fiber supplement powder, about eight teaspoons
spread out over the day when you go home. Products may vary, check with the office
if you have questions. Sometimes you need something
more than a fiber supplement. You can try other laxative or stool softener products that are available without a prescription. You can expect to see
results in about 24 hours for most products, but others may take up
to three days to work. Be sure to follow the
instructions on the packaging. If these methods do not work, you could also use an
enema or suppository. Let’s talk a little about pain. At first, you may have
some stomach cramps, shoulder pain, or nausea. These symptoms should not
continue long after you go home. To manage pain, you will
have several options. For mild pain, take acetaminophen. Remember that no non-steroidal anti-inflammatory medicine is permitted. For severe pain, you may
take one to two tablets a day of the narcotic medicine
you were prescribed. Narcotics are very strong and can lead to constipation
and other problems. It is best to limit their use. Staying active is the
key to faster recovery. Walking helps prevent
blood clots and pneumonia. Start easy, but try to be a
little more active each day. After your three week post-op visit most people may begin exercise. Don’t forget to use your
incentive spirometer. This device helps you mark your progress with deep breathing. To prevent pneumonia, you will also continue to use your CPAP in the hospital and at home. Using your CPAP all of the time helps prevent heart and lung problems now, and later in life. A few reminders about things to avoid. No smoking, as this will slow healing. Limit lifting to no heavier than 10 pounds to protect your incision. You may resume sexual activity at four weeks after your surgery. And since pregnancy could risk healing, it is very important to use contraception. Since your absorption has changed, you no longer will be able
to use oral contraception. Insertable rings, birth
control patches, or injections are all good options to prevent pregnancy. It is recommended you also use a backup or second method of birth control, such as condoms or spermicide
cream for three months. We want to congratulate you
on your road to success. Use your Baritastic app to help you track your progress. We want you to know the
Weight Management Center at Tower Health is here
to answer any questions and to guide you through your recovery.

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