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Post-Op
Instructions
Discharge
Instructions: These
instructions will serve as general
guidelines to assist you in your
recovery after surgery for severe
obesity. If you have any questions or
problems, do not hesitate to call our
office for instructions.
Discharge instructions:
1. Call if you have a fever of 101 or
higher.
2. You may shower daily- NO tub baths
for 1 week. Do not scrub incisions for 3
weeks. (Notify us if redness or drainage
from incision occurs.)
3. Contact us if you experience any
vomiting.
4. Use incentive spirometry bottle 4
times daily for 10 days.
5. Walk daily until you can walk 30
minutes at a time.
6. Increased gas is common for the
first 3-6 weeks. We recommend Gas-X or
Digel for relief.
7. Do not take any anti-inflammatory
pain medications unless approved by Dr.
Benavides.(i.e. Ibuprofen, Advil,
Motrin, Naprosyn, Aleve, Daypro, etc.)
8. YOU MAY TAKE LIQUID TYLENOL.
9. Take chewable Flintstones vitamin
supplement daily when advised.
10. Female patients should NOT become
pregnant for 18 months until weight loss
has stabilized or injury could occur to
the unborn child.
11. If you encounter a problem
contact Dr. Benavides or return to the
emergency room where you had your
surgery, or have the physician where you
are immediately contact Dr. Benavides
(972-331-8100) if you are present for
treatment. There are many physicians
that are unfamiliar with weight loss
surgery and serious errors could occur.
DO NOT ALLOW THEM TO INSERT A STOMACH
TUBE FOR ANY REASON
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Post-Op Diet Instructions:
The post-op diet is divided into
3 stages to allow a gradual adjustment.
STAGE I
Liquid diet of 3 meals per day for 2
weeks with 3 protein supplements
(Myocel) per day.
STAGE II
Full liquid diet of 3 meals per day for
2 weeks with 2 protein supplements
(Myocel) per day.
STAGE III
Soft diet of 3 meals per day with 1
afternoon protein supplement (Myocel).
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STAGE I – FIRST 2 WEEKS POST-OP
1. Liquids only from list below 3
times daily at set times.
2. Liquid protein supplements
(Myocel) 3 times daily between meals and
bedtime.
NOTE: Most people can only drink 1 protein drink per day the
first 2-3 days due to swelling.
- Remember: small amounts (4-6
ounces)
- GO SLOWLY (30 minutes to drink 6
ounces)
- When you feel full STOP!
- NO carbonated drinks for 4 weeks
LIQUID DIET:
- Coffee, tea, fruit juice (NO
orange or grapefruit)
- Crystal light, Nutrasweet, Sugar
free Kool-Aid
- Diet drinks
- Protein drinks as advised by the
doctor (Myocel)
- Broth
- Skim milk or Lactaid milk
- Sugar free Jell-O or Sugar free
popsicles
- Low fat yogurt
- Sugar free pudding
- Applesauce or baby food fruit
PROTEIN SUPPLEMENTS: You will be
advised and instructions will be given
as needed. Visit
www.medacor.com for more information
regarding Myocel.
These are best mixed with skim milk
or Lactaid milk as lactose intolerance
can occur the first few weeks after
surgery. The protein powder (Myocel) can
also be mixed with yogurt or with fruit
and fruit juice blenderized.
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STAGE II FULL LIQUIDS FOR 2 WEEKS
Full liquids from the list below can now
gradually be added to your diet.
1. 3 meals per day with a liquid
protein supplement (Myocel) twice daily
between meals.
2. NO liquids with meals if soft food
is included. You must wait 30-45 minutes
for the pouch to empty before drinking.
3. CHEW WELL- the food must be almost
liquefied before swallowing.
FULL LIQUID DIET:
- Mashed potatoes
- Blenderized soup
- Soup with noodles
- Cottage cheese
- Oatmeal
- Grits
- Cream of wheat
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STAGE III – SOFT DIET
- Soft fruit (banana, melon,
strawberries)
- Cooked vegetables and fresh
green vegetables
- Soft pasta (well chewed)
- Eggs
- Toast or crackers
Gradually add regular foods and
remember:
- Eat only at set meal times
- NO LIQUIDS with meals or for
30-45 minutes afterwards.
- Avoid cheap calories
- Fats
- High Calorie Liquids
- Sweets, ice cream, junk
food, cookies
- Protein supplement drinks
(Myocel) 1 time a day for 1 month
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SUMMARY:
- Follow three-stage diet plan to
allow gradual adjustment.
- Eat only at set mealtime.
- Go slowly!
- Chew well!
- When you feel full STOP!
Liquids, junk food, and sweets do not
relieve hunger! Only solid food, which
fills the pouch and empties slowly, will
relieve the hunger.
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Post Band Vomiting
- Some degree of vomiting or
regurgitation may occur after you
eat.
- This may indicate you are:
- Eating too fast
- Trying to eat too much
- Not chewing your food
adequately
- Eating the wrong foods
(Refer to the list in your
nutrition guide for common foods
that may give you problems)
- Every person is different and
some foods may give you problems and
not others. Avoid those foods that
give you problems.
- Prolonged vomiting for more than
12 hours is not normal.
**NOTIFY US IF THIS OCCURS**
- If you cannot tolerate liquids -
notify us.
- If you go to the ER, have them
immediately contact Dr. Benavides
before treating you for stomach
associated problems.
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Post Band Vomiting Protocol
- If you Vomit solid food:
- Stay NPO (no food or liquid
by mouth) for two hours.
- Do not force the issue and
try to eat or drink again
immediately as this may induce
more vomiting. The more
you vomit the more swelling that
may occur across your band. This
may lead to further obstruction.
- After two hours try solid foods
again.
- If you vomit again:
- Stay NPO (no food or liquid
by mouth) for four hours.
- After four hours try water
only.
- If you can tolerate water
stay on clear liquids for 12
hours before trying solid food
again.
- If you cannot even tolerate
clear liquids or water without
vomiting notify us immediately.
- Prolonged vomiting (more than 12
hours) is not normal.
**NOTIFY US IMMEDIATELY**
- If you go to the ER, have them
immediately contact Dr. Benavides
before treating you for stomach
associated problems.
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Post –Fill Instructions
- Stay on clear liquids for 48
hours. Protein shakes (Myocel)
before meals are ok.
- After 48 hours resume solid
food.
- Notify us immediately if you
develop vomiting.
- See us back in a month for a
follow up visit
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