Thursday, September 5, 2013

Am I hungry or am I full???

As you grow up you learn your body. What certain sensations mean. You know when you're tired, when you want to wake up, or drink water, or use the bathroom. And most people know when they're hungry and when they're full. Now, some of us fat folks have a slight issue with the full side, but when we finally get there, we know. Usually.

Now, imagine you suddenly didn't. Your stomach pouch is the size of an egg, give or take. Everything inside has been moved, poked, filled with air. And it all feels completely different. You can't tell if the pain you're feeling is from the surgery or because you ate or drank too much. And you worry that you're going to do something to injure yourself. The last thing I feel like doing is going back for more surgery. So, you have to completely relearn your body signals. It's quite difficult to recognize something completely foreign.

Hunger is a collection of physical symptoms that begin with mild, periodic contractions of the stomach called hunger pangs that progress to a continuous pang, a ‘growling’ noise and perhaps even to lightheadedness. These signals prompt a person to seek food. Sensations of hunger typically begin several hours after the last meal a person ate. Researchers have suggested that hunger occurs when blood sugar and/or liver glycogen fall below an optimal level.

Appetite is the emotional desire to eat. Appetite may be general such as simply wanting to eat whatever food is readily available, or it can be very specific, such as a craving for a particular food item like chocolate or mashed potatoes.

Satiety is the disappearance of hunger after a meal.

Satiation is the feeling of being full to or beyond the point of satisfaction.

 Satiety is what we're after these days. And this can be problematic, especially at first. There should be a sensation of pressure or fullness in the center of your abdomen just below your rib cage. Some people feel a sense of pressure up under their shoulder blade. Stop eating as soon as you feel these sensations. One small bite can be the difference between full and "oh my god, kill me now".

Overeating after surgery can bring very uncomfortable side effects including nausea, heartburn, and even vomiting.

Eating inappropriately is the most common source of vomiting following bariatric surgery. Common causes of vomiting after surgery are:
  • eating too fast
  • not chewing food properly
  • eating too much food at once
  • eating solid foods too soon after surgery
  • drinking liquids either with meals or immediately before or after meals
  • lying down shortly after eating a meal
  • eating foods that do not agree with you
If you vomit more than once in a single day, stop eating solid foods and sip clear liquids (clear, diluted juice, broth, tea). The vomiting may indicate that the stomach pouch is blocked. If vomiting continues for more than 24 hours, contact your doctor.

 Your stomach can't handle the amount you used to eat before the gastric bypass, so you might experience indigestion if you eat too much. Also, indigestion can result from poorly chewed food. The opening between your stomach and small intestine is smaller than it used to be, so large pieces of food can block the opening and inhibit digestion. Symptoms might include nausea, vomiting or abdominal pain. Tell your doctor about all digestive symptoms in case they are due to a complication. Chew your food to a pureed consistency to decrease the chances of obstruction.

 http://www.livestrong.com/article/488087-what-if-i-eat-too-much-if-ive-had-gastric-bypass/

 http://www.localbariatricsurgeon.com/surgical-weight-loss/recognizing-signs-of-fullness-after-bariatric-surgery

 http://www.bluepointgroup.com/weight-loss-surgery/problems-after-surgery/

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