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Hydration As a New Post-op

Discussion in 'Duodenal Switch' started by Sandy, Jan 2, 2014.

  1.  
    Sandy

    Sandy Been Around A While

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    Getting Hydrated As a New Post-op

    Dehydration can be a problem for some new post-ops. Our new stomachs are angry and swollen from surgery and sometimes they don’t want to let us eat or drink very much at one time. Rest assured that if this happens to you, it will get better as the stomach heals.

    So, how do you get enough to drink when even one single gulp feels like it is too much? First thing to know is DON’T GULP. Not in the beginning anyway. Sips, seriously small sips, are the way to go. It can be surprising how small a sip might need to be in the beginning, but sipping is key.

    Let’s take a look at some numbers:

    We need no less than 64 ounces of fluid and most of us need more than that. It takes 6 teaspoons to equal 1 ounce of fluid. Try using a teaspoon to sip your fluids, or to see what a sip feels like. If you took a teaspoonful every minute you would end up drinking 10 ounces in one hour. Pretty good, huh?

    However, even that might feel like a lot in the beginning.

    So, try a teaspoon every 2 minutes. This is doable. Sipping is like a full-time job in the beginning, and it should be. One teaspoon every 2 minutes will equal 5 ounces over the course of one hour. That is only a little bit more than ½ cup – in an hour. Easy. If you sleep 8 hours per day and you are awake for 16 hours you can get 80 ounces of fluid each day just by sipping every couple of minutes.

    It takes a little bit of effort but it is possible to avoid dehydration.


    Fluid Hints

    Try different temperatures. If cold water doesn’t settle well try room temp, warm, hot.

    If water seems difficult try adding some lemon or lime.

    If you want something other than water you can try herbal teas and these can be hot, cold, or in between. Gatorade and pedialyte, etc. are also good alternatives.

    Kool-aid is another option. Make the old-fashioned type according to package directions but don't add the sugar. Then pour a glass and sweeten just the glass you pour with the sweetener of your choice. This way you can customize the amount of sweetness you like instead of having it taste too sweet.

    Other things that count as fluid: Broth, popsicles, jello, soups, crushed ice, etc..
     
    Last edited: Jan 2, 2014
  2.  
    Lilyofthevalley

    Lilyofthevalley Revived & Revitalized

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    Great post Sandy. It is so important to realize that hydration and dehydration are nothing to monkey around with. It is crucial to consult your Doctor or visit the ER as soon as one suspects the symptoms of dehydration are occurring.
     
  3.  
    JJ The Jet Plane

    JJ The Jet Plane Well-Known Member

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    I was constantly dehydrated. They would give me one bag of fluid and send me home. I played catch up the first year. Get the ER to listen to you.

    FINALLY I was given a formula that worked and has continued to work when I need it.
    An on Call doctor gave this formula to the ER I was in

    "One bag of fluid for every 100 lbs you have lost, plus one bag of fluid for every 50 lbs you currently weigh, round up."

    It is the only formula that has kept me hydrated.
    So if I get dehydrated now: I have lost 300= 3 bags I am 190=4 so I should get 6-7 bags.
    Seems like a lot but it works. Consult your physician, as I am not a doctor, this is just what worked for me.
     
    Robes44 and Sandy like this.
  4.  
    Gary A Hunt

    Gary A Hunt I belong the 3 B club...BIG,bold and beautiful !

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    Not sure what a bag is in oz however, Do we still need to hydrate even after we are healed up ? Why do we even have a hydration problem ? I understand in the early stages of DS'ers but don't see why we are needing more water when we are back to normal.Sure would like to hear from you.
    Thank you
     
  5.  
    brooklyngirl

    brooklyngirl Yankee gone south

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    I'm pretty sure we can dehydrate faster than normal people, even further out, if not careful about it.
     
  6.  
    Happy DSr

    Happy DSr Ann on Facebook

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    Absolutely we need to continue to hydrate. At 6 years out , I still really feel the impact of not drinking enough water. I get dizzy and light headed. I experience nighttime leg cramps. Food transit thru my system falls off schedule. Lots of hydration keeps me on track.
     
    Gary A Hunt likes this.
  7.  
    shann

    shann Now an Angel in heaven

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    My hydration trick for early post-op days:
    My husband took 8 8 ounce water bottles and labeled them with 8AM, 10AM, 12PM, 2PM, 4PM, 6PM, 8PM, 10PM. Then he filled them with different things- Crystal Light, G2, water with lemon. I knew I had to finish each one by the time labeled on the bottle, but I wasn't faced with the entire 64 ounces in one container which was overwhelming to me. For some reason, psychologically it really helped me to have the bottles individually and have them all ready at the beginning of each day.
     
    Robes44, Terri, ProteinSnob and 2 others like this.
  8.  
    southernlady

    southernlady Administrator Staff Member

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    Such a sweet and thoughtful dh you have!
     
    Soleil2k2 likes this.
  9.  
    JJ The Jet Plane

    JJ The Jet Plane Well-Known Member

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    Gary,
    Absolutely hydration is important like the others have also said. As you know if you find a food that you can not tolerate, it could upset you something fierce and you are dehydrated quickly. I personally think since things move rather quickly thru our guts we need the hydration to support the rest of us, weird thing is, when you get dehydrated you start to swell, because your body is trying to hold onto fluids and fix itself. I know many WLS patients who are years out who simply forgot the signs of dehydration, (one sign is you can't think clearly). And before they know it they are in the ER for a fill up, it happens. So drink up :)
     
    Gary A Hunt likes this.
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    Happy DSr

    Happy DSr Ann on Facebook

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    Hydration can be obtained through means other than drinking. Some fruits/vegetables like watermelon have lots of fluids. And soups. And popsicles.
     
    Gary A Hunt likes this.
  11.  
    Gary A Hunt

    Gary A Hunt I belong the 3 B club...BIG,bold and beautiful !

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    I'm a litytle late but thank you everyone for your responses .Ya'll r so great !!!!
     
  12.  
    southernlady

    southernlady Administrator Staff Member

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    I agree...hydration STAYS critical for those of us with a DS OR RNY...we no longer have as much small intestines to absorb fluid available to us so we have to compensate by staying as full of fluid as possible...pee should be very light yellow during the day. (First pee of the morning will be darker just because)
     
    Happy DSr and Gary A Hunt like this.
  13.  
    DuodenalSwitchaRoo

    DuodenalSwitchaRoo Taking a long scenic route!

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    When I had my sleeve, one of the requirements of my escape (release) from hospital was that my intake was 3 litres of fluids. CRAZY, but I'm thankful the importance of liquids was pounded into my head so early on. I am prepared better this time. Drink until you nearly live in the loo. Drinking + walking all in one go :)
     
  14.  
    Lilyofthevalley

    Lilyofthevalley Revived & Revitalized

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    Not only do we have to worry about hydration as a new DS post op. We will need to be aware of our issues whenever we have any surgery there after. Hydration will always be more of an issue for us than for the standard patient. Be sure that you are taking in enough liquids orally before you let IV's be discontinued. YOU must stay up on top of your own hydration needs. Please don't let anyone tell you you are doing okay before YOU know you are.
     
    4KidsAndaDog and southernlady like this.
  15.  
    Will2014

    Will2014 Well-Known Member

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    Question guys: After surgery do they leave an IV in for hydration and medication purposes? Or do they want to promote PO fluid intake specifically? Maybe they're concerned about folks ambulating with IV poles, etc. Was just curious.
     

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