BARIATRIC DIET
We are committed to helping you reach important weight loss goals and we are here to support you. Surgery is just one step on your journey.Following surgery, many patients lose weight rapidly.But it's important to make the commitment to a lifestyle of healthy eating and regular exercise.
Liquid diet before Bariatric Procedure
Please follow the instructions as recommended by the dietician
Water
Coconut water
Mutton soup
Chicken soup
Vegetable soup
Black chana soup
Skimmed milk
Fresh diluted juices(No sugar)
Tea(No sugar)
Green tea
Lemon water
Coffee(No sugar)
Yogurt
Salted lassi
Water with added protein powder
Nutrition and Diet
After Bariatric Surgery, we need to follow balanced diet which is rich in protein, low in carbohydrates and low in fats.
Bariatric diet is divided into 3 phases:
Phase I: First 2 weeks after surgery(1-14th day)
Patients are given clear liquids on day 1 after the contrast study 30 ml/hr water only. On day 2, 50-70 ml water or coconut water per hour is given. From day 3rd - 14th, 70 - 100 ml clear liquids per hour as instructed.
Clear Liquid Diet includes:
Water
Skimmed milk
Lemon water
Ginger tea
Black tea
Green tea
Coconut water
Clear soups
Water with added protein
Phase II: Day 15th - Day28th (Next Two Weeks)
In this phase patients are instructed to have semi-solid diet. High intake of protein about 60-80 gm is advised along with 100ml/hour of fluid is given. This semi-solid diet can be divided into six small meals of the day.
Foods Include:
Khichdi
Soft blenderized rice
Mashed potatoes
Thin semolina kheer (without sugar)
Fruits (mashed banana or stewed apple)
Low fat custard.
Plain porridge.
Mashed baked beans or lentils.
Thick pure soups.
Pured meal of meat and vegetables (ensure no lumps)
Mashed egg white (boiled)
Yogurt
Cornflakes with milk (soggy)
Fresh fruit juice.
Phase III:
From week 5 onwards you will be ready to commence a full diet. The size of your meal will remain small because the size of your stomach pouch can only fit a limited volume of food. It is recommended that you have 5 small meals per day with fluids separate to these main meals.
Meal plan for a day:
Breakfast:
Light tea or coffee
Milk (1/2 glass)
Semolina or sago or bread or idli
1 soft boiled egg (white part)
Mid - Morning:
Soup
Fruits without seeds
Lunch:
White bread or bread roll
Dehusked pulses
Curd
Soft cooked vegetables
Evening Meal:
Stewed fruit or juice
Light tea or coffee + biscuit (2-3)
1 cup of milk
Dinner:
Low fat custard
Thin semolina kheer
Khichdi (rice and dehusked pulses)
Mashed potatoes
DO's and DON'Ts:
Day1 is considered as the next day of surgery
Stay hydrated and use small utensils
Take 20-30 minutes to finish your meal
Take small bites
Take your multi vitamins / supplements as advised
Do not drink and eat at the same time
Drink liquids slowly
Donot drink the liquid with straw
Donot drink carbonated drinks
Chew your food properly
Ensure fluids are consumed no earlier than 20 minutes before or 20 minutes after meals
Physical Activity:
Your ability to resume pre-surgery levels of activity will vary according to your physical condition, the nature of the activity and the type of bariatric surgery you had. Exercise for bariatric surgery patients is often the first part of patient's long term plan to get skipped following surgery. It is almost as important as your diet.
Best Exercises:
Standing Cycling (15-30 minutes)
Brisk walk
Step up
Mat Yoga (Basic)
Manual Jogger
Behaviour Modifications:
Behaviour plays a significant role in weight management. Modifying behaviours that contributed to developing obesity is one way to heat the disease of obesity either alone or in conjunction with other treatments.
Few behaviour change strategies are:
Self - monitoring
Increasing physical activity
Becoming educated about the body and how to nourish it appropriately.
Engaging in a support group
Setting realistic goals
Our behaviours are engrained in our daily routines, families, lifestyles and more. It is important to stick with your behavioural changes, as they will greatly help you in your weight loss journey.
Bariatric Surgery In Punjab