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Food and drinks to be avoided after Bariatric Surgery (In 3 Stage)

In 3 stage we have explained what foods Cannot be eaten after bariatric surgery?

Zainab - Diet nutritionist (Aastha Bariatrics)

A gastric bypass diet helps people who are recovering from sleeve gastrectomy and from gastric bypass surgery — also known as Roux-en-Y gastric bypass — to heal and to change their eating habits.

Here, At Aastha bariatric surgery centre. Dr Manish Motwani and team of nutritionist will discuss with you about the diet you’ll need to follow after surgery, explaining what types of food and how much you can eat at each meal

The purpose of Gastric bypass diet is stated below:

  • It allows your stomach to heal without being stretched by the food you eat.
  • Helps you to get used to eating the smaller amounts of food that your smaller stomach can comfortably and safely digest.
  • Help you reduce weight and avoid gaining weight
  • Avoid side effects and complications from the surgery

Stage 1: Liquid diet

Liquid phase is of 21 days wherein your nutritional intake is geared toward helping your body heal from surgery. Your diet can help you avoid postoperative complications. For the first few days, you’re only allowed to drink a few liters of clear liquids at a time. This helps your stomach heal without being stretched out by food.

The foods should be in the form of baby foods (which doesn’t contain any solid particle in it) however, at this stage, it’s important not to drink fluids with your meals.

After clear liquids, you’ll graduate to additional types of liquid, including:

  • thin soup and broth
  • unsweetened juice
  • coconut water
  • dal water
  • lentil soups
  • tomato juice
  • chicken soup
  • sugar-free ice pops
Food and drinks to be avoided after bariatric surgery

Stage 2: Pureed diet

After the liquid phase, pureed phase begins which is also of 21 days. This stage consists of pureed foods that have a thick, pudding-like consistency. Many foods can be pureed at home with a food processor, blender, or other device.

Spicy seasonings may irritate the stomach, so avoid these completely or try them one at a time. Avoid fruits and vegetables that have lots of seeds, such as strawberries or kiwi. You should also stay away from foods that are too fibrous to liquefy, such as broccoli and cauliflower.

Instead, choose foods that liquefy well, such as:

Fruits: mashed apple, bananas, and pears.

Vegetables: spinach, carrots, green beans.

  • Proteins: chicken, cottage cheese, white fish, scrambled eggs. Lean ground meat, poultry or fish
  • Cottage cheese
  • Soft scrambled eggs
  • Cooked cereal
  • Soft fruits and cooked vegetables
  • Strained cream soups

Blend solid foods with a liquid, such as:

  • Water
  • Skim milk
  • Juice with no sugar added
  • Broth

Stage 3: Soft foods diet

After the pureed phase begins soft diet phase in these phase, you can add soft foods to your diet. Make sure to eat slowly and chew food thoroughly — at least 25 times, if possible.  Include lean protein sources and nonfibrous vegetables. It’s important to start increasing your protein intake. If you don’t like the taste of very soft cooked lean protein sources, continue to drink no-sugar protein shakes or eat eggs daily. Foods to eat include:

  • soft-boiled eggs
  • ground meat
  • baked or steamed white fish
  • Flaked fish
  • Cottage cheese
  • Cooked or dried cereal
  • Rice
  • Cooked vegetables, without skin.

It is important to eat small bites. Eat a little at a time and practice good portion control.

Solid foods

In these phase the gastric bypass diet includes the reintroduction of solid food. It typically begins about 2 months after surgery. You can gradually return to eating firmer foods. Start with eating three meals a day, with each meal consisting of 1 to 1-1/2 cups of food. It’s important to stop eating before you feel completely full.

Depending on how you tolerate solid food, you may be able to vary the number of meals and amount of food at each meal. Talk to your dietitian about what’s best for you.

Try new foods one at a time. Certain foods may cause pain, nausea or vomiting after gastric bypass surgery.

Foods that can cause problems at this stage include:

  • Breads
  • Carbonated drinks
  • Raw vegetables
  • Cooked fibrous vegetables, such as celery, broccoli, corn or cabbage
  • Tough meats or meats with gristle
  • Red meat
  • Fried foods
  • Highly seasoned or spicy foods
  • Nuts and seeds
  • Popcorn

Over time, you might be able to try some of these foods again, with the guidance of your doctor.

After 2 months, you may be able to resume eating normally. However, portion control is still important. Make sure your diet consists mostly of fruits, vegetables, lean protein, and healthy carbohydrates. Avoid unhealthy foods that are high in fat, carbohydrates, and calories.

Eating well means you can enjoy continued health without putting weight back on. Closely following your gastric bypass diet can help you lose weight safely.

OVER ALL GUIDELINES FOR POST OPERATIVE DIET:

Protein:

  • Lean meats like chicken, lean ground beef, turkey
  • Al seafood and fish
  • Eggs
  • Cottage cheese
  • Greek yogurt
  • Legumes
  • Protein bars
  • Protein shakes

Carbohydrates:

  • Whole grains like brown rice, buckwheat, oatmeal
  • Fruits and fibrous vegetables

Healthy Fat:

  • Avocados 
  • Olive oil
  • Nuts and natural nut butters
  • Olives
  • Fatty fish like salmon

Stay Hydrated

Gastric bypass surgery does not reduce your body’s need to water, but it does make it harder to drink large quantities of water at once. Most people need approximately 64 ounces(2 Liters) of water per day. In order to make sure that you get an adequate supply, try to slowly sip on a drink throughout most of the day. 

The exception to this rule is the half-hour before and after meals since drinking then can interfere with your ability to eat adequately. Remember that many prepared drinks contain sugar or other undesirable ingredients, and that water or zero-calorie sports drinks are always the safest choices.

At each stage of the gastric bypass diet, you must be careful to:

  • Drink 1.5—2 of fluid a day, to avoid dehydration.
  • Sip liquids between meals, not with meals. Wait about 30 minutes after a meal to drink anything and avoid drinking 30 minutes before a meal.
  • Eat and drink slowly, to avoid dumping syndrome — which occurs when foods and liquids enter your small intestine rapidly and in larger amounts than normal, causing nausea, vomiting, dizziness, sweating and diarrhea.
  • Eat lean, protein-rich foods daily.
  • Choose foods and drinks that are low in fats and sugar.
  • Avoid alcohol.
  • Limit caffeine, which can cause dehydration.
  • Take vitamin and mineral supplements daily as directed by your health provider.
  • Chew foods thoroughly to a pureed consistency before swallowing, once you progress beyond liquids only.

Important points:

  • Eat and drink slowly.
  • Keep meals small
  • Drink liquids between meals.
  • Chew food thoroughly
  • Focus on high-protein foods
  • Avoid foods that are high in fat and sugar…
  • Take recommended vitamin and mineral supplements.

 

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