CONSIDERATION OF SURGERY FOR OBESITY
Posted by on Friday, 21st May 2010
BMI>40 Kg/m2 without medical complications or a BMI > 35 Kg/m2 with significant comorbidities eg.hypertension,diabetes,sleep apnoea,incapacitating osteoarthritis.
Documented failure to keep weight off or to prevent further weight gain using agressive medical management including behavioural,pharmacologic and low calorie diet component.
Willingness to comply with diet and mineral supplements following surgery.
Psychological ability to comprehend the expected dietary changes post surgery to achieve and sustain weight loss.
Adult,non pregnant and absence of addictions or chronic illness unrelated to obesity.
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BARIATRIC(GASTRIC BYPASS) DIET INSTRUCTIONS UPON DISCHARGE
Posted by on Thursday, 20th May 2010
For the first 2 weeks stay on liquid diet.You need 2 quarts of liquid daily to avoid dehydration.sipping slowly is best.Do not try to gulp large amounts,You will vomit.Any low carbohydrate liquids are ok.non dairy based soups are great.
The third week,start pureed food.cream of wheat,oatmeal,and thin mashed potatoes.The types of food you would feed a 5-6 mth old infant.Small amounts of about 1-2 tablespoons will be enough for now.
After the first 3 weeks,you should be able to start a solid diet.add eggs and meat to the diet plan.start slowly and eat very small amounts.Cut your food into tiny pieces.Avoid fibrous foods .watch out for seeds.chew thoroughly before swallowing.The new opening into your intestine is very small and only well chewed food will pass without problems.
If you do not have tolerance to your solid food, go back to liquids for a day or two and try again.Patience is required.
Family members may think you are not getting enough to eat and tempt or urge you to eat more.Resist this.If you are 100 lbs overweight you have enough extra calories in store to support you for few months.
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VOMITING BLOOD,COMMON QUESTIONS AT DOCTOR'S OFFICE
Posted by on Sunday, 16th May 2010
QUESTIONS TO EXPECT,
WHEN DID THE VOMITING BEGIN?HAVE YOU EVER VOMITED BLOOD BEFORE?HOW MUCH BLOOD WAS IN THE VOMIT?APPROX)CLOTTED OR FRESH BLOOD?
WHAT COLOUR WAS THE BLOOD?BRIGHT RED ,LIGHT OR DARK COFFEE GROUND?
HAVE YOU HAD ANY NOSE BLEEDS,RECENT ENT ,GI SURGERIES,DENTAL WORK UP,VOMITING,STOMACH PROBLEMS,OR EXCESSIVE COUGHING?
WHAT OTHER SYMPTOMS DO YOU HAVE?
WHAT MEDICAL CONDITIONS DO YOU HAVE?
WHAT MEDICATIONS DO YOU TAKE?
DO YOU DRINK ALCHOHOL OR SMOKE?
ANY HISTORY OF LIVER DISEASE OR EXCESSIVE BLEEDING PROBLEMS.
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