Notes to Self About Lapband Issues

This post is really from me to me, to remind me of some lapband issues I’ve encountered recently, and to record a status update.

1.  Hiccups mean that my pouch is full.  When they happen while eating, stop and put down the fork/spoon and put the rest of the meal away for a later meal or snack.  Be sure to wait for 30 minutes to start liquids again or hiccups can pop up if you start drinking too quickly.

2.  First Bite Syndrome is something I’ve just learned about but recognized as an explanation for the throwing up I’ve been doing lately.  I’ve written before about productive burping before and this is sort of a variation on it.  It’s been happening several times a week lately, almost always on a weekday.

Here is a great explanation of what’s happening and how I should handle it:

First bite syndrome is not uncommon. For some reason the esophagus, and therefore our pouch will sometimes spasm, and tighten up when we take the first bite. When it does this, then anything added after will only hurt and cause you to PB.

What is suggested for issues with first bite syndrome is to begin the meal with a couple of sips of a very warm liquid—water, tea, coffee—small sips of it hot! Then take the tiniest bite imaginable—chew well, and wait. Let it hit your pouch and allow the pouch to accept it, after a couple of minutes—serious minutes, as in 120 seconds—not just a few seconds—try another tiny bite. Then wait again.

If after a few bites, you still feel good, then proceed as usual with your meal. If it feels stuck–just stop! Then in a half an hour or so, try some fluid, and stick with fluids for a few hours minimally before you try again. Anytime you end up PB’ing, the best thing for your stomach is to go onto liquids for a period of time, allowing your stomach to settle without causing further swelling.

Source:  From a post by Kat817 on Lapbandtalk.com

I don’t have FBS problems on weekends because I wake up more leisurely (post 5:30 most days) and start the day with a cup of coffee, putting off breakfast (usually yogurt with a little bit of fruit) for at least an hour.  My esophagus/tummy have time to relax.  And I can spread out my breakfast time when I’m not watching the clock to be sure I’m dressed and ready to leave for work no later than 7:20am.

Tomorrow is my first visit with my surgeon in 2 months, and I haven’t had a fill in three months.  He did take some out before that because I really was PB’ing a lot because it was too full.  The band is small (mine holds 10cc) and we haven’t found my “sweet spot” yet.  I’m hungry a lot, which is a sign that I don’t have enough restriction in the band.

I needed to understand the difference between PBs and First Bite Syndrome to be sure I’m ready for another fill, and know how to adjust to make things work better.

I know the nurses (one in particularly is very harsh) will give me grief for having my weight loss slow down during this period even though I did lose 8 lbs.  I’ve been eating more carbs than they would like (they want me at about 40 and I’m eating more like 80-90) but it’s still well below what is considered normal for a balanced diet – and I feel better when I eat some.  Not prepared sweets so much as beans, strawberries, and dairy.  I’m not giving them up.


Status Report:

1.  Nutrition: I’m eating between 1000-1150 calories/day, with approx. 80-90 gms carbs, 40 gms fat, 70-85 gms protein.  Fiber is too low because I’m not eating enough vegetables even though I want them (they don’t stay down well yet).  Cholesterol intake is under 100.

2.  Weight status: 204 lbs down from 310 lbs for 106 lost.  44 lbs to go to my goal of 160.

3. Exercise status:  still low but have started working out with a personal trainer in the pool and on the weight equipment.