Obesity is a chronic disease that often lasts for decades. It is unlikely that in just one hour, which is performed on operations to reduce the volume of the stomach, you can completely change the patient's lifestyle and his eating habits. Bariatric surgery can be compared to a (manual) instrument that allows the patient to cope with losing excess weight and maintaining a new weight. Achieving the result will take time also after bariatric surgery.
The goal of the team working in bariatric surgery is to give the patient a high-quality and effective tool and to learn how to use it, that is, to constantly and consistently change your lifestyle. Counseling, guidance, and monitoring of the health status is what the patient needs during the first years after surgery. Over time, new habits become established; the patient learns to cope with side effects and monitor his condition himself.
Counseling always proceeds from the state of health of a particular patient, and this is an individual work, but the rules below are of great help, and following them helps to better achieve your goals, maintain weight loss and avoid unnecessary side effects.
Medications after bariatric surgery
Surgical treatment of obesity will change your medication. Many commonly used anti-inflammatory and painkillers (ibuprofen, diclofenac, ketoprofen) irritate the stomach after surgery and increase the risk of stomach ulcers. Therefore, patients undergoing gastric bypass surgery should avoid prolonged use of such medications. The same applies to salicylic acid (aspirin) and some medications for osteoporosis. It is necessary to assess the possible risks and expected benefits for each patient individually. Consult a bariatric surgery hospital for advice.
It's important to know! In the case of short-term (within 2-3 days) and accidental administration of the drug, the use of ibuprofen and other painkillers is allowed.
If there is a need for prolonged use of painkillers, preference should be given to coxibs that do not harm the stomach, paracetamol, or, if necessary, opiates. Depending on the type of operation, drugs with a slow release of the active substance may be ineffective, since when taking such drugs, the absorption time is usually 2-12 hours, and they can go to the end of the digestive tract even before the final absorption of their active substance occurs.
A similar situation can occur in the case of taking drugs in the form of capsules and tablets with a shell, since the shell may not have time to dissolve in the intestine and the medicine will leave the body before the absorption of the active substance. After surgery, the absorption of oral contraceptives may be ineffective; as a result, the necessary concentration of the active substance may not be reached in the blood. The use of other means is recommended by bariatric surgery hospitals in India- for example, skin patches or intrauterine contraceptives.
Physical activity after bariatric surgery
It's important to know! Regular exercise and regular physical activity are key to sustainable weight loss.
The movement will help reduce and maintain weight. Upon arrival home from the hospital, walk for at least one hour every day. First, choose a slow pace of walking, and as your stamina develops, increase your speed. After six weeks, you can begin regular training with more intensity, which includes exercises that strengthen muscles, as well as exercises that increase flexibility and endurance. Train at least three times a week and at least three hours a week (walking with sticks, cycling, swimming, fitness, etc.). Exercise should be aerobic; that is, the level of their intensity should allow you to talk fairly calmly during training.