Rue n y

Question
Its been five months since my surgery some times I fill like I'm eating to much but I try to stay at 4-6 oz any one have these filling of over eating are any coments would be great

Answer
Hi Farmboy:

I think it's great that you're tuning into your new pouch--and realizing that you might be eating too much.  It's pretty common for people to worry about "ruining" their surgery--or that they're eating too much.  The thing is, only you can truly tell that.  In my experience, usually people who do overeat tend to do so on foods which are not the best for their surgery.  It's really hard, in my opinion, to overeat on lean protein and veggies.  It's much easier to overeat on carbs (although dumping usually prevents this early on with your RNY).  Most people have some level of dumping for at least the first year--which serves as a sort of warning when they've overdone the carbs.  The thing is, though, that not all Roux-en-Y patients experience dumping, and that for many it goes away as time goes by.  

What are your symptoms (if any) of overeating?

Do you vomit?

Do you have pain in the chest/throat area?

Do you just feel uncomfortable?

A lot of times, it's just a matter of one bite too many.  So, try checking in with yourself more frequently and stopping sooner.  Another easy thing you can do is to cut your meals in half--but increase the number of times you eat.  So if the food is healthful and on plan, then try eating six small meals per day rather than 3-4 large ones.  See if either of those helps.  If not, here are some other ideas you can try:

1. Keep a food diary and either just examine it yourself  (can plug the info into SparkPeople or another free site) or ask your surgeon's nutritionist to take a look.  Be sure to note how much protein you're getting each day--because often not getting enough protein leads people to eat more of other foods.

2. If you've stopped measuring food, go back and try it for a day or two--just to see what quantities you truly are eating.

3. Go back to protein shakes and water for a few days to see if that "resets" your pouch.  Many people find that it helps them get back on track.

4.  Go to your surgeon's support group! If s/he doesn't have one, look into joining an online group like at ObesityHelp or simply ask if you can start an email group (Yahoo Group) for the surgeon's patients.  One of the oldest and largest groups on Yahoo Groups was by Olwen--started at least 15-20 years ago, perhaps more. Search for OSSG there.

Hope these help.  Sorry about the delay but I was travelling and didn't have Internet access.

Karla  

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