It's the 4th of January 2009 exactly 2 months after my surgery. So I thought I would tell you what I been upto with myself & the adjustments I have had to make.
I had 2 weeks of pure liquid diet after my surgery. As my stomach & bowels were all inflammed after the surgery so nothing bigger then liquid would have fitted through. To be honest the last thing I wanted to do was eat, Was very sore & had full amounts of my liquid morphine.
Being me nothing is ever straight forward. 5 days after being home, I got really ill, (thought I was dying lol) I had trapped wind which I coulnd't burp up or so I thought. It felt like my new tiny stomach was gonna burst with expansion. I decided to walk over the road (200 yards) to the local chemist doubled up in pain to get something to ease trapped wind. Bad mistake, I got a bottle of something which turned out did nothing. Outside the chemist I got a hot flush & felt my legs start to buckle under me, the closest thing to grab onto was the public litter bin, not the best choice in the world but it was a case of grab that or completely pass out on the floor which was another option I didnt really relish. The british public are so helpful... NOT stand & stare walk past & stare but don't think to come over & see if your actually ok! Well whilst holding onto the bin I started heaving (not a good look in public) but although I wasn't being sick it did manage to bring up some wind! I was feeling so rough I honestly didn't think I was gonna actually make it home. I managed to get half way across a busy road then I got the hot flush again (which really scared the life outta me thinking please don't pass out here of all places) took a few deep breaths to try & compose myself & managed to get across the road in one piece. Only to have it happen again this time having to hold onto a road sign to keep me up & bringing up some more wind. Finally mangaged to get home but it really put me off going outside again for a while. & although I had managed to bring up a fair amount of wind the contractions on my stomach from heaving made the pain even worse!
I decided to just call up my GP & explained to him what had just happend to me & all my symptoms & its more worrying 'cos it was so soon after my surgery. I explained that I couldn't/ wouldn't go up there which normally they like to see the patient but my Dr knows me very well & from what I told him he did mention there was a nasty case of gastroenteritis going around (stomach bug/flu) So he prescribed me Antibiotics, & a strong medicine to relax stomach muscles get rid of trapped wind & stop ppl vomiting & some liquid paracetamol to bring down my fever. It took another 5-7 days to get over that & the day I got over it I then came down with flu! I'm such a lucky person. 1 good thing to come out of it was where I couldn't eat the weight really started shifting off me.
Well after 2 weeks of liquid diet I went to stage 2 of eating which is the pureed diet, 1-2 tablespoons of food blitzed in a food processor, mmmmmmm baby food, So I boiled up carrots & swede & put it in the food processer & portioned it out into tiny containers if I had done them seperately then I would have used icecube trays. I also brought some cubed cooked chicken & made some gravy & blitzed that too, & again portions it all out, for my carbs I did cheat & just used a packet of instant mash, So my main dinners were chicken, mash, swede & carrots chucked in a bowl & then 2-3 mins to ding in the microwave. Because I was still ill at this point I found I couldn't eat 3-4 meals a day like recomended but was on 1-2 meals, & you ment to drink at least 2 litres of fluid be it tea, coffee milk/juice which is also a feat at this stage. No other mjor problems at this stage apart from getting over flu lol
2 weeks later Stage 3 is the soft lumps. I was glad to get to this stage... I had a major craving for scrambled eggs, dont know why but I did, & this is when you can have them. They say you can have 2 small eggs with a touch of milk to scramble. I think my first attempt it took me 20 mins to eat 1 & 1/2 small scrabled eggs, which is a bummer as they go cold so quickly, but it felt nice to sort of chew something. but you have to stop eating when you feel full. I had felt like I had been to the all you can eat chinese restraunt where they used to have to roll me out! I did find it amusing that so little food could make me feel like that. So had a lil chuckle about it. the only problem at this stage is you have more on what you can eat list. Although its the soft lump stage you can also eat things like cheese, bread sticks, rivita, & pita bread, chic peas is also on the list.
Now I had been told all about the dumping syndrome how if you eat the wrong foods which are those high in sugar & fat it will trigger it off... ie: Icecream, chocolate etc. 1 of my favorite munchy foods used to be pita bread with humous & as I see chick peas on the list I was like yay I can have something I had b4........ WRONG it turns out that with shop brought humous not only does it contain chic peas, garlic, lemon, it has tahini & lots of olive oil & anything else they wish to add. So I had 1 pita bread & a individual pot of humous. OMG I didnt like the effect it gave me (the dumping syndrome)
They tell you that when you get this effect & your new stomach reacts to a food you feel really ill & possibley sick, your body sends any excess water to your stomach/bowel in an attempt to flush out quick whatever it is you have reacted too. & you feel really ill for a while & you spend a couple of hours on the toilet with the after effects.....
Let me explain what it actually means to have this effect. within 30 mins of eating something the sensitive stomach doesnt like it goes into convulsions, stomach cramps, you get the sweats & a migraine, I was trying to throw up heaving big time yet nothing was coming up, you feel dizzy & faint & feel like your about to die & this lasts for about 2-4 hours, you can't do anything in this time apart from wishing you had died. best thing to do is take some morphine & knock yourself out so you don't realise how bad you actually feel! & you can feel it making its way through the bowel with all the bowel cramps as it moves down each section. then about 4-6 hours after eating said offending food you get the after effect basically pooing brown pee but not for 1-2 hours try 6 hours of running to & from the toilet all night. This is the time that if you feel a sneeze a cough or a fart coming on you do not risk it, just make your way straight to the toilet do not pass go, do not collect £200 lol Trust me. You have no control over your bowel at this point! I can't stress enough this is an experience I do NOT ever want to repeat. I also found it put me off eating any food for a couple of days as I wanted to give my stomach & bowels a rest.
I had an appointment to see my bariactric nurse a few days after this event, she was very surprised at how much I had actually lost but I did explain that I had been ill for 2 weeks & couldn't eat & she raise an eyebrow when I mentioned that even at this stage I had already experienced the dreaded dumping syndrome. She had a wicked smile & asked what naughty thing I had eaten expecting me to say icecream or chocolate, & was surprised when I said it was humous. She suggested that if I liked humous to make my own by blitzing the chic peas & just adding garlic & lemon & not the oil or tahini, & not to buy shop brought prepared stuff like that as I don't know what has gone into it which is true, but I assured her that I wouldn't be trying it again for some reason I had gone off the idea. Even though she said I might be ok 3-6 months down the line with it as my stomach is very sensitive at the mo it proberbly wont like alot of things.
6 weeks post op now on stage 4 of the eating which is "Normal" food. They told me that roasted meat might be hard to digest but I have found if I cut it very thin & chew it very well I have no problems with it, So I can have roast dinners again which was handy & just in time for xmas! woooohoooo. I would dish my own dinner up as I still have bad life long habits I need to break. Like, I find it hard not to eat all the food on my plate even if I know by looking at it that its too much for me! The swelling went down in my stomach about 4-6 weeks after the surgery so I can now eat 2-4 tablespoons of food. I did see how I would go with a McDonalds lol I treated myself xmas eve to a chicken nugget happy meal (what the kids have) so 4 chicken nuggets, small fries & an orange juice. Well I managed to eat the food but as I'm not allowed to drink 30 mins b4 & after my meals I just put the orange in the fridge for later on, It filled me up nicely, I know if I have had a spoonful too much cos I can get servere stomach pain. I still have all dips & humous off my shopping list. I did love some of the nibbles at xmas like a onion barghee, sausage roll, & other little spicey finger foods Although they went down nicely I did spend a bit of time on the toilet the following day, & don't know which 1 gave me a slight reaction but as it wasn't too bad I didn't mind.
So now its the new year & xmas is over its time to get back to eating proper healthy foods & I have to ring up the gym 2morra to see when I can start, so I can get healthy & help loose more weight. So its lots of fish/salmon, fresh, boiled & steamed veg & chicken tiny portions of rice & pasta for the carbs.
There are still some foods I have to avoid like Asparagus & celery also tomato & grape skins & sweetcorn as they are too fiberous & don't break down to well & can cause a blockage. The main 1 I have a problem with is bread! That was a bummer over xmas with the cold buffet in the evening looking at all the lovely sandwiches I must say I did have 1/4 of a salmon sandwich but I didn't want to push my limits. I can have toast but because bread swells in the stomach it can cause pain & blockages. but there are more then enough other foods I can eat. I'm going to try & stay away from prepackaged foods that way I know exactly what goes into my mouth. I find I still cook loads of food at once & then I portion it all out & put it in the fridge/freezer so I can just ding it when I don't want to cook or I'm short on time. I never have been a great fruit lover & they do tell you not to over do it with fruit as the sugar content in it can cause the dumping syndrome but I find I try to have at least 1 glass of fresh apple or orange juice to help me there. You need to have alot of calcium but I find I'm not a great lover of milk but I found by putting in a sugar free "crusher" milkshake mix I can drink it. But you have to find what works for you!
So here we are 2 months down the line I know you wanna know my weight loss so far (this is including the 4 weeks of liquid diet I was on b4 my surgery!)
50lbs, or 3 stone 8lbs, or 22.4 kilo's. I think its a good start, yes I still have a long way to go but everyone has to start somewhere!
I don't regret having the surgery as I know in the long run I will be much healthier, slimmer, & in less pain. Since my surgery I haven't needed to take any diabetic medication & my levels have gone back to the normal range now! But then its because I can't eat naughty things no more & I needed the deterrant of the dumping syndrome not to eat them. lol It shoud take about 2 years to loose 60-90% of my excess weight & I have now started saving money so I can but myself a new wardbrobe well not the actual wardrobe but the contents. I believe it will restore my fondnest in shopping for clothes again! I also hope in 2-3 years when I have hopefully lost all my excess weight I will (fingers crossed) be allowed to have reconstructive surgery ie: tummy tuck, breast uplift with reduction or implants (if I loose too much boobage) the excess skin tightend on the arms, thighs & hips & bum! Well that what I hope for I will see what state my body is in when I get there as to what is reckonmended for me!
Well I hope this gives you a bit of an insite as to what the 1st 2 months have been like for me after my surgery. I would still reckonmend it to anyone else who wants it done. I have already gone down in my clothes sizes, but i'm ok until I hit a size 16/18 as I have tons of clothes all different sizes after that I will be borrowing clothes from friends & family as I wont be in 1 size for too long & can't see the point of wasting money on clothes which will only fit for 4-8 weeks then onto the next size down! & I want to save as much money so when I finally get to what ever size I will be & hopefully after the reconstruction surgery then I will have a massive spendy up on all the nice clothes I could only dream about wearing & the sexy undies! lol
I will try & give an update once a month of my progress & whats happend for anyone whos interested?? Catch ya laters!