|The Lounge | Champions | The Wire | Schedule | Audio | Arcade | The Top Ten | Historical | Email | Video|
LapBand Surgery: The Rules of the Road, Part 2
The Constant Quest for Restriction; Not enough vs. too much
Restriction. No one can really describe it but everyone wants it.
You have restriction when your band is adjusted to the point where you can eat 3-5 bites of well-chewed food and you are full. When this happens you have what is called good restriction.
You are too loose, or open, if you don't feel full after just a few bites. You are able to eat more on a consistent basis than before. Maybe your weight loss has slowed or stopped. This is when it is time for a fill, or adjustment, in your band.
You are too tight when you can eat very little solid food or worse-none at all. If you are so tight that only liquids go through your band or you are spitting up too often this is too tight. If you can't keep liquids down this is a medical issue and you must get some removed. You run the risk of becoming dehydrated. Being too tight is not a good thing!
Not only are you not getting the nutrition your body needs to function properly but it can also bring on a slippage in your band. If this happens you will require minor surgery to repair it.
Now that you know a little about what restriction is, let's get a little deeper. There are three points to learn:
1. The first thing to understand is that every banded person feels restriction differently. So to compare yourself to others is difficult.
2. Also the amount of fluid in the band and the stomach's reaction, or restriction, to it is a varied as the Bandsters reading this now. Everyone's stomach is a different size and reacts to the band differently. It is fine to compare fluid levels but don't get too caught up in "I have this and they have that".
3. Finally, your level of restriction can change day to day. It can change meal to meal in some cases.
You are now asking, "How in the heck do I deal with that?" My answer is trial and error and learning about your band.
Let us go back to the beginning. Immediately after surgery you will feel restriction. The surgeon usually doesn't put any fluid in your band during the surgery. The restriction you feel is the swelling of your stomach and it's adjustment to the band that has suddenly been wrapped around it. You won't get your first fill until 4-6 weeks after surgery.
You will be on clear liquids and they will fill you up quickly for the first few days. Then they will stop filling you up you will begin to feel hungry. About this time you will be allowed to eat mushy foods like mashed potatoes, creamy soups, etc. You will find that you eat just a few bites and you are full. This is great! Who knew a 1/2 of a can of soup would be enough? This is going to be a piece of cake.
It isn't going to last. Shortly this won't satisfy and you will be moving on to solid food. That feeling of restriction comes back. A slice of turkey and you are stuffed!
This doesn't last either. At about 4 weeks, sometimes earlier, you will start to feel hunger again. You feel like you are eating everything. Your weight loss has slowed or stopped. You start to freak out. "Where is my restriction?!" you cry.
This is a difficult time but one that every Bandster gets through. Just be patient and let yourself finish the healing process. Watch what you eat and know that you are not eating anywhere near what you were pre-band. The unfilled band supplies a certain amount of restriction and you won't hurt your progress.
Your first fill will bring you back to the restriction point right after surgery. You will eat a few bites and feel full. You will start losing weight pretty quickly. You want to make sure you are eating your protein first, vegetables second and any starches last. This will ensure satiety.
This fill will usually last several weeks. Then it starts to loosen up. Your second fill is the one that usually kicks a Bandster in the butt. This is where they learn what not chewing thoroughly and taking bites that are too large can do.
And so it goes. Some Bandsters need one fill others need more. I had 4 over the course of the first year. I heard of one woman that lost 80 pounds on her first fill. This is why I stress not comparing yourself to your banded friends. It brings on frustration and we have spent enough time in our lives comparing ourselves to others. Now is the time to stop.
One of the largest environmental factors that make our band feel tighter is stress. I never truly understood what Bandsters were talking about when they said stress was tightening their band. That is until I started the process of buying a house. The stress of the pending inspection and what they might find had my band so tight I was barely eating. My band was so tight I cancelled my fill appointment.
Let me say right now that I learned from this experience and you need to make sure you are getting the right vitamins in to ensure your health. I wasn't in any danger but I was very tired and was bruising like crazy!
Well, the inspection went well. I got my house and my band opened back up. Food started going through more smoothly and I started eating better.
Other environmental factors can be tiredness, excitement, sadness, or just the fact that it is morning. Many Bandsters find they can't eat until after 11 AM every day.
I don't know if this satisfies your curiosity of what restriction is or what you are to do with it. I do hope you understand that everyone is different and it is a learning process. You will learn what it feels like for you to have good restriction and when your band is talking to you.
Being "stuck" and "spitting up"
As WLS patients we have a few fun words we use. Some are nice and some are not. You will hear "PB" which means "Productive Burp". I prefer the simple term "spit up".
What does "stuck" mean? Stuck means that what you have eaten won't go through the opening between your pouch and lower stomach. This is called your "stoma". The bite is too big to go through (meaning you didn't chew it enough), it isn't something that moves smoothly through the band (lettuce), or you just ate too darn much. When a bite of food goes through your esophagus and hits your pouch it has one of two places to go?through the band or back. If all is well it will go through with no problem either now or later. If it can't make it to the pouch or through the stoma it will result in a spit up.
Understand that this is something that will happen to you and to every bandster out there. Call it a side-effect or whatever you like but it will happen. The questions are what causes a spit-up, what it feels like, what to do when it happens, and how to avoid them. Remember, things can change day-to-day, heck even meal to meal. This is the nature of the beast. Frustrating? Yes. Small price to pay? I think so.
What causes a spit up is easy. The bite it too big, you took one or two too many bites, you didn't chew properly, or it is simply a food that you can't tolerate right now. It is up to you to determine which of the above it true. Trust me? you will learn to determine this.
What does if feel like? You will know. The best way I can find to describe the feeling is when you drink a big gulp of water and it goes down with air. You get this pain in your chest that makes you feel like something is going to bust out. That is what it feels like when something is stuck. It can be minor or it can hurt like a son-of-a-gun. Some bandsters say their bodies tell them when they are finished eating and need to stop. Some Bandsters start to salivate which is their body's way of washing the food through. Some, me included, get a heavy sigh or exhale; this tells us we are full. Don't worry; you too will learn to read what your body is telling you?even if you don't now.
What should you do when it happens? Stop eating is the first thing. It doesn't matter if it is your first bite or your fifth. A spit up is your body's way of telling you that you are full. This is your band in full-alert. It is telling you that you are done and to put the fork down. Many times you can stop eating and just wait it out. Until you are used to it you might get the "deer in the headlight" look. Soon you will just adjust. If it doesn't go away then you need to deal with it.
Dealing with it means excusing yourself and heading to the bathroom. A spit up is just that. I compare it to a baby spit up. It should never be what you classify as vomiting. This is hazardous for a Bandster and should be avoided as it can cause slippage. There is a very large difference in spit ups and vomiting.
How to avoid them? Well, that comes with experience and a willingness to acknowledge when your "food police" tells you to stop. Very quickly you should learn when your band tells you to stop. I found that after my 2nd fill my band was at attention and told me when I was full. This is when I experienced my first spit ups and found foods that I could no longer tolerate.
One of the most difficult things to get your mind around is just how little you will be eating. Your band tells you that you are full but your brain engages and says, "You haven't eaten nearly enough!" So you take that extra bite or two. Then there it is?the feeling in your chest?your eyes get big?and saliva fills your mouth.
The biggest point I want to get across to you is that, while normal, spitting up is not necessarily a good thing. You don't want to be doing it every day and certainly not every meal. If this is happening you need to take a good look at what you are eating, how big your bites are, how much you are eating and to what level you are chewing.
Be aware at the beginning and it will become more of a habit soon enough.
Surgery Is Not a Magic Pill
Surgery is not the magic pill we have all been waiting for. You will not wake up thin. You must be willing to meet the band half way. You will lose weight at a different pace than your friends. You must change your behavior for this to work. It is a tool-and nothing more. An electric mixer is easier than mixing by hand but you still have to follow the recipe for the cake to taste good.
Right now you should be asking yourself one question-"Am I ready to go the distance?"
Robin McCoy was banded on Feb. 3, 2004 and has successfully reached her weight loss goal of 110 pounds. Robin is Vice-President and Senior Writer for Lapband Lifestyle, a LapBand resource and support group.
FDA Finds Undeclared Salicylic Acid in Weight Loss Caps - Monthly Prescribing Reference (registration)
The Ultimate Weight Loss Red-Flag Guide
Weight Loss Red Flag GuideDespite claims to the contrary, there are no magic potions or effortless ways to burn off fat. There are thousands upon thousands of weight loss web sites, low carb diets, diet pills and other "so-called experts" that prey on desperate overweight people and use overly optimistic claims that get you to believe and buy into their flat out lies -- reaping billions of dollars each year while your left still overweight and looking for answers.
Diet: Changing Your Focus
Have you ever decided to take a trip somewhere relatively unfamiliar? Suddenly, everywhere you look, there is something about your planned destination. Turn on a television travel channel and it is featured.
Conquer Those Carbohydrate Cravings
Are you a hopeless carbohydrate addict? Let's conquer these cravings once and for all?..
The Secret Key To Permanent Weight Loss!
With this key, I GUARANTEE YOU WILL LOSE ALL THE WEIGHT YOUR EVER WANTED TOO!Imagine yourself at your ideal weight. After all those years of trying to lose weight, you finally did it! You lost the weight! How would losing the weight change your life? Imagine it?How would you feel? Would you have more energy? Would you be healthier? Would you live longer? Would you act differently? How would it affect your job? Would you make more money? What would your family think? How would you look? What would your social life be like? Would you feel better about yourself? Would you be happier?Bottom line, how would losing weight change your life?Believe me you can do it if you use this secret key.
Controlling Your Hunger And Losing Weight Using Meal Replacement Powders And Bars
The market is flooded with weight loss supplements that make weight loss look like an easy thing. You see a perfect bodied young man or woman giving credit to this pill or that pill.
Eating Sensibly, Working Out and Still Not Achieving Your Goals?
Are you working hard in the gym 3 times a week, eating sensibly but still struggling to lose that weight or change your body shape?Have you previously lost weight by starting to exercise and watching what you eat, only to continue gaining fat despite sticking to your programme?If this sounds familiar, there are a couple of things you should take a closer look at?1.The components of your exercise programme2.
Weight Loss Workout Routine Benefits
Is a weight loss workout routine right for you? Answer the following questions to find out. Do you feel sluggish at the end of the day? Do you feel tired and stiff after a long day at work? Are you stressed out most of the time?Too many days without adequate exercise, rest and fresh air can leave you feeling as tired on the inside as weak muscles feel on the outside.
No Thanks, Sweety: Im Losing Weight
Dealing with your sweet-tooth can be one of the greatest challenges to a successful weight loss or fat loss battle.It has been suggested that drinking a large glass of water can help you get past a time when you were tempted to binge on sweets or some other unhealthy snack.
Five Ways to Stay Motivated During Your Diet
You have been on diets before. You probably have lost weight.
Spare Muscle Mass and Power, Lose the Fat
The goal of many athletes and exercisers is to "get cut" or to lose excess fat while at the same time retaining muscle mass and power. Unfortunately, it is not possible to lose copious amounts of fat without incurring some loss of muscle mass.
When Losing Weight Seems Hopeless
Sometimes it's good to just let the feelings flow. Take out a piece of paper and just start writing your feelings down on paper.
Your Metabolism and Fat Loss
If you know someone that has been trying to lose weight and get into shape, you have probably heard words such as, "I just eat one meal a day to lose weight" or "I'm afraid if I eat, I'll gain weight" but sadly, this misnomer is why so many people are in the "battle of the bulge". People all over the world still believe that eating breakfast, or even three meals a day will cause them to gain weight.
Overweight? - 5 Tips to Enhance Your Sex Drive
You could try one of the many sexual enhancement drugs available today. You could sign up for very expensive workshops and retreats.
Half of our Nation is Overweight!
Experts say obesity will overtake smoking as the biggest health problem of the decade. They are predicting a quarter of the population will be suffering from weight related diabetes by 2013.
Hollywood Weight Loss Secrets - Five Things to Avoid!
As an employee of famous fitness star Kathy Smith, personal trainer of many movie stars, and best selling author, it came to my attention of a few things that prevented Hollywood types from losing the weight they wanted. Here they are;"Exercise Resistance" or ER means a conscious or unconscious block against participating in a regular active program.
Atkins Diet Plan - What's it All About?
A typical breakfast consists of 3 or 4 strips of bacon, two or more eggs and coffee. A snack would maybe be chunks of cheese and a cup of coffee with cream.
Food: The Proof Is In The Portion
We are a large people. 65% of us are overweight, 30% actually obese.
QuickTips for Healthy Weight Loss
More than any other time in history, people are all vying to have the best, healthiest body. The health and fitness industries are making billions of dollars every year on herbal supplements , fitness equipment, gyms, and special diets.
Lose Weight, Get Fit, and Live Longer
If all we have to do is exercise to live a fuller and healthier life then why isn't everybody doing it? Not enough time? Too expensive? Unmotivated? Well the fact is everybody wants to be healthier but it is time consuming and expensive. Or is it? The problem is that an individual's health is not given a high priority until it's gone.
Benefits Of Exercise Videos For Weight Loss
I asked my sister to come to my gym with a guest pass. She replied something to the effect of "I am in no shape to go to the gym".
Section Site Map - Submit News - Feedback - Comments - Advertise with Us
Copyright © 2006 Luminati Inc. All rights reserved.