FLUID PHASE from Week 1 Post-Surgery
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FLUID PHASE From Week 1 Post-Surgery TIP: Focus on healing from surgery rather than on losing weight Why A Fluid Diet? No Fizzy Drinks After surgery, you will be required to follow a fluid All fizzy drinks should be avoided diet for 1-2 weeks. Being on a fluid diet gives your after surgery. stomach time to adjust to the Lapband. As gas builds up easily in your new smaller stomach pouch, this may The fluid diet:- lead to pain, bloating and Prevents your new stomach from stretching. discomfort, or even move your Right after surgery, your stomach may be Lapband. swollen and this may further decrease the size No Thick Fluids of your new stomach pouch. It is vital that you do not take too much liquid at a time and Eating more solid foods is not recommended. overfill your new stomach pouch. At this stage, eating more solid foods early could block the passage in to the bottom part Prevents unnecessary or forceful vomiting. This of your stomach and may lead to vomiting. may occur if you ate something more solid Foods like ice-cream, yoghurt, jelly, mousse, which may cause foods to get “stuck” around custard and semolina are too thick to pass the band. through the band. Allows your stomach to heal in to place. Commercial Protein Drinks What Is A Fluid Diet? At this stage, your nutrient requirements Must be in liquid form are met by liquid foods Thin enough to pass through a straw only. Drinking only plain water, coffee, tea, clear Smooth soups and juices do not Has no lumps give your body enough energy and essential No fizzy drinks nutrients to maintain No alcohol healthy body functions. It is vital to get your nutrients by drinking a commercial protein drink, as recommended by your dietitian. Suitable Fluids:- Commercial protein drinks are available from your Commercial protein drinks local chemist and are usually sold in ready-to- Plain water drink tetra packs or in powder form ready to make Coffee up. Tea Commercial protein drinks:- Drinking yogurt Give your body energy, Fruit juice protein, essential vitamins Vegetable juice and minerals Thin strained soup / stocks Help maintain muscle mass Boost your immune system Assist recovery from surgery From Week 1 Post-Surgery YOUR RECOMMENDED Constipation COMMERCIAL PROTEIN DRINK As you do not have the same “bulk” of food going through your bowel when on the fluid diet, your bowel habits may change and you may not go to Optifast Sustagen Hospital Formula the toilet as regular. ______ serves per day ______ serves per day To keep your bowel regular:- Have 1600-2000ml fluids per Others Ensure day (Lactose-free) Add Benefiber* to your ______ serves per day ______ serves per day drinks Try prune juice - 50ml twice per day LIQUID MULTIVITAMIN Keep active. Short walks get your bowel moving! Supradyn Or Hivita *Other types of fibre supplement may form Effervescent tablet* Liquid a gel in your gut are NOT suitable choices. 1 serve per day * Always allow bubbles to go flat before drinking ADDITIONAL FLUIDS For variety, you are also allowed to have the Shopping list before surgery following amounts of fluid daily:- 50ml measuring glass / shot glass Plain water Coffee/Tea Liquid Vitamin supplement Commercial Protein drink As desired As desired Benefiber Thin strained soup Thin Vegetable Juice Things to do: -up nutrition 1 cup per day 1 cup per day Organise your follow consultations for 2 weeks & 4 Fruit juice Drinking yogurt^ weeks after surgery 1/2 cup per day 1/2 cup per day 1 cup = 250ml 1/2 cup = 125ml ^ Equivalent to 3 tablespoons yogurt mixed with 1/4 cup Michelle Singer low-fat milk (see Recipe Ideas ) Accredited Practising Dietitian Medication OClinic If you are taking medications, Suite 301 The San Clinic small tablets may be swallowed 185 Fox Valley Rd Wahroonga with fluids and large tablets Mater Medical Centre may be crushed. Always review 200 Pacific Hwy Crows Nest your medications with the doctor, as some medications www.oclinic.com.au may change with weight loss and eating patterns. Appointments: 02 8197 9595 © Newtown Nutrition 2008 From Week 1 Post-Surgery Sip, Sip, Sip Day 0 Day 1 Day 2 Day 4 Day 14 (Right after surgery) (Hospital) (At home or when (At home) (At home) discharged ) Water Non-Fizzy Fluids Non-Fizzy Fluids Non-Fizzy Fluids Non-Fizzy Fluids Water, tea, coffee, low Commercial protein Commercial protein (Drinking yogurt allowed) fat milk, pulp-free fruit & drinks drinks Commercial protein drinks vegetable juices, thin Liquid multivitamin Liquid multivitamin strained soup, stocks & supplement supplement Liquid multivitamin clear broth Suitable Hi-Vita or Supradyn* Hi-Vita or Supradyn* supplement Fluids (*Allow bubbles to go flat (*Allow bubbles to go flat Hi-Vita or Supradyn* before sipping) before sipping) (*Allow bubbles to go flat before sipping) Benefiber Benefiber Benefiber (Start with 2 sachets per day & increase amount gradually) Sip 30ml over Sip 50ml over Sip 50ml over Sip 125ml over Drink 250ml 30mins 30mins 30mins 1 hour at a go How Much To Drink? Have water only Have a medicine glass You will most likely be As the swelling goes As your swelling goes overnight. or a shot glass beside discharged by Day 2. down, you may be able down further, you may you to help you pace When discharged, to manage more fluids be able drink 250ml of your drinking. continue to sip slowly at a given time. fluids with ease. Do not drink all throughout the day. Aim to have 1600- You should be able to fluids sent to Keep a food diary to 2000ml of total fluids do some light walking you at once per day by this stage. Tips monitor your fluid intake. Save them and spread As your body is Carry a sipper water them over the day. recovering from surgery bottle with you to Aim to have at least and the effects of remind you to drink 1600ml of total fluids per anaesthetics, avoid regularly. day. doing any lifting or housework. © Newtown Nutrition 2008 From Week 1 Post-Surgery RECIPE IDEAS FRUIT JUICES 1 serve is equivalent to your daily Try some of these tasty recipes to add a bit more serve of fruit juice (and 1/2 serve of veggie juice) variety in your day. However, make sure they do not replace your Commercial Protein Drinks Carrot Ginger Splash (Makes 250ml) 2 large carrots HERBAL TEAS 1 orange 1cm piece ginger Lemon Mint Tea (Makes 250ml) Scrub the carrots, and top and tail them. 1 lemon Remove the skin from the oranges and break into 3 sprig mint leaves segments. Peel the ginger. 250ml water Juice the carrots, followed by the orange, then Simmer water, lemon and mint in a large the ginger. Serve in a tall glass. saucepan Leave tea to infuse for 5 minutes. Ruby Dream (Makes 250ml) Pass tea through sieve. 1/2 beetroot 2 carrots Parsley Tea (Makes 250ml) 1 orange Large bunch of fresh parsley 1cm piece ginger 250ml boiling water Scrub the beetroots and carrots, and top and tail Lemon to taste them. Finely chop the parsley – enough to make a Remove the skin from the oranges and break into tablespoon of chopped herbs. segments. Peel the ginger. Add parsley to a tea diffuser, suspend it over a Juice the beetroot then carrots, followed by the mug and pour on boiling water. orange and ginger. Serve in a tall glass. Leave to brew for 5 minutes. Squeeze some lemon juice to taste. Classic Refresher (Makes 250ml) 1 stalk celery VEGETABLE JUICES 1 carrot 1 apple 1 serve is equivalent to your daily serve of Quarter the apple and remove stalk and seeds. vegetable juice Scrub and top and tail the carrot. Juice the celery, followed by the carrot then apple. Vita Veggies (Makes 250ml) 1 tomato Each recipe uses your daily MILKSHAKES 1 carrot yogurt and fruit juice allowances ¼ red capsicum 1 stalk celery Mango Heaven* (Makes 250ml) 8 sprigs watercress (optional) 3 tablespoons low-fat mango-flavoured yogurt Scrub and top and tail the carrot. Chop the 3 tablespoons mango nectar tomato and capsicum into quarters. ¼ cup low-fat milk Juice the carrot followed by the celery, Blend all ingredients until smooth. watercress, tomato then capsicum. Rockmelon Smoothie* (Makes 250ml) 1 tablespoon low-fat vanilla yogurt Fabulous Greens (Makes 250ml) 80g rockmelon 2 stalks celery ¼ cup low-fat milk 1/2 medium cucumber Blend all Ensure that you do ½ jalapeno chilli ingredients until Peel the cucumber, roughly chop to fit into juicer. smooth. not replace your Juice the celery, followed by the cucumber and Commercial Protein jalapeno chilli. Drinks with these recipes From Week 1 Post-Surgery RECIPE IDEAS ...continue Simmer, Ensure that you do Peach Delight* (Makes 250ml) uncovered for 3 not replace your 2 tablespoons low-fat vanilla yogurt hours, skimming 3 tablespoons drained tin peach Commercial Protein surface Drinks with these ½ cup low-fat milk occasionally. Blend all ingredients until smooth. Add extra water, recipes Pass mixture through sieve for a pulp-free drink. simmer, uncovered Mocha Milkshake (Makes 250ml) for 1 hour, 3 tablespoons low-fat vanilla yogurt skimming surface occasionally. ½ tablespoon Milo™ Strain stock through a fine sieve (i.e. muslin-lined ¼ teaspoon coffee strainer). Repeat if necessary. ¾ cup low-fat milk Basic Vegetable Stock (Makes 2.5 litres= 10 x 1 cup serves) Splenda™ or sugar to taste Blend all ingredients until smooth. 2 large carrots, chopped coarsely 2 large parsnips, chopped coarsely SOUPS 4 medium brown onions, chopped coarsely Basic Chicken Stock (Makes 2.5 litres= 10 x 1 cup serves) 12 celery sticks, chopped coarsely 4 bay leaves 2kg chicken bones 2 teaspoons whole black peppercorns 1 large onion, chopped coarsely 6 litres (24 cups) water 1 large carrots, chopped coarsely Combine all ingredients in a large saucepan.