Top 10 Unexpected Hurdles Post Bariatric Surgery You Must Know

Many who are contemplating bariatric surgery have spent years trying to get into a healthier body, but for one reason or another have struggled to find the “magic fix.” Bariatric surgery however offers an opportunity for those feeling out of hope to have a medical intervention to jumpstart a fresh start for their health journey.

That being said, bariatric surgery is no joke and is in no way shape or form an “easy fix.” For many it is not even the “last option” and is more of a checkpoint on their weight loss journey.

There are many physical and emotional changes that occur during the pre-surgery, surgery, and post surgery process — this being a large reason why surgeons require a psychological evaluation to be completed prior to undergoing this life changeling procedure.

In hopes to set realistic expectations for those who are considering surgery, this article will delve into 10 of the most common adjustment challenges patients discuss post bariatric surgery. The aim is to provide insight and guidance directly from those who have already “walked the walk” to better help those considering surgery fully prepare themselves for the physical and psychological changes ahead.

HIPAA Privacy: All items listed in this article are the averages from a large list of those who have completed their bariatric surgery and do not represent the specific thoughts/viewpoints of any one individual. Any resemblance is purely coincidental. As always, every person and surgery is different so be sure to talk with you medical team about what to expect.

Not enjoying restaurants the way you used to

Since undergoing post bariatric surgery, you may find that dining out at restaurants is not as enjoyable as it once was. The experience of savoring an expensive meal may now be limited to just a few bites due to an altered stomach capacity. This change in eating habits can be disheartening for some individuals who used to view dining out as a treat or social activity. Most commonly I hear this complaint come up around special holidays and events such as celebrating an anniversary dinner. It is natural to want to go out and celebrate, but now that celebration will probably look different which can be an emotional loss for some.

Remember, it’s okay if your relationship with food evolves after bariatric surgery. Embrace this change as an opportunity to discover new flavors, textures, and culinary experiences that align with your unique dietary requirements and limitations. Your journey towards improved well-being is worth celebrating, even if it means approaching restaurant dining in a different light than before.

What can be done about it?

• Managing portion sizes and choosing nutrient-dense options can help you make the most of restaurant meals post-surgery.
• Sharing dishes with dining companions can help make the experience more satisfying — think tapas style meals or going for multiple appetizers to share.
• Opting for appetizers instead of full entrees.
• Don’t be afraid to ask for modifications or substitutions to better accommodate your needs and preferences.
• Exploring new cuisines and trying different types of foods can still be a fun and fulfilling experience post-bariatric surgery.

Remember to focus on quality over quantity when dining out and listen to your body’s signals of fullness. By making informed choices and practicing mindful eating, you can continue to enjoy restaurants in a way that supports your health goals effectively.

Lingering food cravings

Don’t just think that once your stomach shrinks the food cravings will shrink too. Eating (especially here in America) is just as much of a social activity as it is a physical requirement. I don’t know about you, but I crave seafood when I am at the beach, and ice cream after a hard day at work. Let’s not forget birthday cake when we are at a party. Theses cravings are not due to hunger, but due to the situations, place, people, emotions, etc. that are around me.

Additionally, with the added food restrictions at the start of surgery (liquid and puree diets especially) it is not uncommon for the body to crave solid food just because it is used to eating at certain times. Used to having a bagel every morning for breakfast? This might change, especially in the early days of recovery.

Despite the cravings however it is important to stick to your surgeons recommended diet plan not just from a nutritional value but to avoid any post bariatric surgery complications as your body heals.

These cravings can be intense and persistent, making it challenging to maintain a healthy eating pattern so it is important to acknowledge these cravings and develop strategies to address them effectively.

What can be done about it?

• Understanding the triggers behind the cravings, such as emotional stress or environmental cues, can help in managing them.
• Craving something because you are low energy, bored or restless? Incorporating regular physical activity into your routine can also help reduce cravings and improve overall well-being post-surgery.
• Seeking support from healthcare professionals or support groups can provide valuable guidance and encouragement in navigating through these challenges.
• Are you looking for nutrition counseling that is covered by insurance? Visit Fay Nutrition to book an appointment with a Registered Dietitian Nutritionist.

Remember that overcoming food cravings is a gradual process that requires patience and determination. By staying committed to your health goals and seeking appropriate support, you can successfully manage food cravings post-bariatric surgery.

Body dysmorphia

After undergoing bariatric surgery and losing a significant amount of weight, Sarah* found herself feeling overwhelmed by her new appearance. Despite the positive comments from friends and family, she struggled to recognize the person staring back at her in the mirror. The rapid physical changes left her feeling disoriented and unsure of how to navigate this new reality, causing a sense of unease and confusion that she hadn’t anticipated.

*Sarah is a fictitious character created using AI to depict what someone who is struggling with body dysmorphia may be feeling. She is not, nor depicts any specific patient, past present or future. Any similarities are purely coincidental.

Post bariatric surgery, many individuals report experiencing an emotional rollercoaster as their minds struggle to catch up with their new body looks. This phenomenon is often associated with body dysmorphia, a condition where one’s perception of their physical appearance is distorted. It can be disorienting for patients to see their bodies transformed so quickly, leading to feelings of confusion and unease.

What can be done about it?

The process of adapting to these changes requires patience and self-compassion. It’s important for individuals to seek support from healthcare professionals, therapists, or support groups specialized in post-bariatric surgery care. By sharing experiences and seeking guidance, patients can navigate through this challenging period more effectively.

Understanding that the mind may need time to adjust can help ease the emotional strain caused by body dysmorphia. It’s essential for individuals to practice self-care and engage in activities that promote mental well-being during this transition phase. According the the Mayo Clinic, treatment for body dysmorphic disorder often includes a combination of cognitive behavioral therapy and medications. By acknowledging these struggles openly and seeking appropriate support, individuals can work towards developing a healthier self-image and enjoying the positive outcomes of their surgery.

Hair loss

Experiencing hair loss after post-bariatric surgery can be a scary and embarrassing situation for many individuals. This issue, known as telogen effluvium, is a common side effect of rapid weight loss after bariatric procedures, often times related to the amount of protein intake and dietary changes. The quick shedding of hair can lead to thinning and noticeable patches on the scalp, causing distress and impacting self-esteem.

I have had it described to me as most similar to postpartum hair loss– large clumps falling out in the shower and when brushing your hair. And as someone who experienced postpartum hair loss, it is a scary thing to see large clumps of hair in your hand when washing up in the shower.

It is important to understand that this type of hair loss is usually temporary and typically resolves within six to twelve months. However, it can still be a significant concern for patients during this period. Consulting with healthcare professionals, such as dermatologists or nutritionists, can provide valuable guidance on managing hair loss post-surgery.

What can be done about it?

Maintaining a balanced diet rich in essential nutrients like protein, biotin, and vitamins can support healthy hair growth and minimize further shedding. Additionally, using gentle shampoos and avoiding harsh chemicals or excessive heat styling can help protect the remaining hair follicles.

Remember that prioritizing self-care and seeking professional advice are crucial steps towards addressing post-bariatric surgery-related hair loss effectively.

Excessive bathroom visits

Additionally, rapid weight loss following bariatric surgery can also impact bowel movements. It is essential to monitor and adjust your fluid intake to ensure proper hydration without overloading your system.

Some individuals may experience frequent bathroom issues post-bariatric surgery. This can manifest as the need to urinate or defecate more often due to increased water intake and changes in digestion. It is important to stay hydrated after surgery, but this can contribute to the frequency of bathroom visits.

What can be done about it?

Consulting with a healthcare provider can help address any concerns or provide guidance on managing these bathroom issues effectively. Remember, these adjustments are a normal part of the post-bariatric surgery recovery process and can be managed with proper care and attention.

So many vitamins…. it’s exhausting

After undergoing post-bariatric surgery, the mental load of remembering daily vitamins becomes an essential part of your routine. Ensuring proper intake of vitamins and minerals is crucial for maintaining overall health and supporting the body’s recovery process after surgery. It’s common for patients to feel overwhelmed by the number of supplements they need to take each day but creating a simple schedule or using pill organizers can help simplify this task.

What can be done about it?

• Let alarms become your new best friend so you do not have to constantly be watching the clock
• Try to pair your med times with an activity (i.e. brushing your teeth) this way it is easier to remember
• Purchase a pill box to help organize your medications (Amazon has tons of options)

Remembering to take vitamins may require some adjustments in your daily habits but forming a consistent routine will make it easier over time. Prioritizing your health and well-being by staying on top of your supplement regimen is key to achieving long-term success post-surgery. Don’t hesitate to reach out to your healthcare provider if you have any concerns or questions about managing your vitamin intake.

Gas pain is a b*tch

Gas pain following post-bariatric surgery can be extremely challenging and painful to deal with. It is common for patients to experience discomfort and bloating due to the accumulation of gas in the digestive system. Gas can also be worsened by the use of gum and straws, and is a primary reason why many doctors will advise patients to avoid them post-surgery. Also on the list of “avoid” items includes carbonated beverages like seltzer, soda, and some alcohol.

This pain can range from mild to severe, causing significant discomfort and inconvenience.

What can be done about it?

Fortunately, there are several strategies that can help alleviate gas pain and promote faster recovery.

• Walking can help stimulate digestion and ease gas buildup.*
• Gentle exercises such as stretching or yoga can also promote better digestion and reduce gas-related discomfort. *
• Stay hydrated and maintain a balanced diet rich in fiber to support proper digestion and prevent excessive gas formation.
• Some over-the-counter medications may also be prescribed by your healthcare provider to alleviate symptoms of bloating and gas pain. *

*Do not exercise or take medication without consulting your doctor first as you do not want to do any harm, especially the first days after surgery.

Don’t hesitate to consult your medical team for personalized advice on managing gas pain effectively during your post-bariatric surgery recovery journey.

The “mental battle”

Post bariatric surgery often brings about a mental battle for many individuals, as they navigate through significant emotional changes during their recovery journey. The process can be both physically and emotionally demanding, requiring a great deal of resilience and adaptability. Patients may experience feelings of uncertainty, anxiety, or even elation as they adjust to their new lifestyle and body.

The changes in appearance and weight loss can trigger a range of emotions that require careful attention and support. For example, if someone is struggling with a mental health struggle such as depression prior to surgery– post surgery recovery can trigger an increase in symptoms (i.e. even lower energy levels), or worse spike motivation and ability for attempting suicide. If you or someone you know is struggling with suicidal thoughts, call 911, go to the closest ER, and/or call/text the Suicide Crisis number: 988.

What can be done about it?

It is important for individuals to seek out appropriate resources, such as counseling or support groups, to help them cope with these emotional challenges effectively. Developing healthy coping mechanisms and embracing self-care practices are key components of successfully navigating the mental aspects of post bariatric surgery. It is normal to experience a mix of emotions during this time, and patients should not hesitate to reach out for assistance when needed. Overall, with proper care and support, individuals can work through their emotional changes post-surgery and emerge stronger on the other side.

Psychology Today, Headway, and Alma are great resources to look into when searching for a therapist in your area.

Don’t have insurance? OpenPath provides low cost therapy options.

Weight loss continues to require effort

After undergoing bariatric surgery, it’s important to continue working towards weight loss by maintaining a calorie deficit. This means consuming fewer calories than your body needs to function daily. Consistently staying within this deficit is key to seeing continued success in your weight loss journey post-surgery. Remember that bariatric surgery is a tool to assist you in achieving your weight loss goals, but it still requires effort on your part.

What can be done about it?

• Focus on eating nutrient-dense foods that are rich in vitamins and minerals to support your overall health and well-being. Stay hydrated by drinking plenty of water throughout the day.
• Incorporate regular exercise into your routine to help accelerate weight loss and improve muscle tone. Remember, talk with your doctor first before engaging in any exercise plan.
• Listen to your body’s hunger and fullness cues, and be mindful of emotional eating triggers.
• Seek support from healthcare professionals, such as a dietitian or therapist, for guidance and encouragement along the way.

Celebrate small victories and progress towards a healthier lifestyle. Remember, you’re not alone in this journey!

Missing the sugar

I don’t know about you, but I have quite a sweet tooth. In fact there are some days I am certain my entire mouth is just full of them.

Eating excessive sugar however post surgery, not only is counter productive to weight loss but also is not processed the same way in the body leading to “dumping syndrome”– when the body quickly eliminates sugar from the body via a bowl movement.

Nobody, and I mean nobody wants to explosive diarrhea.

What can be done about it?

To avoid missing out on sugar post bariatric surgery, focus on incorporating natural sources like fruits, vegetables, and whole grains into your meals. It’s also helpful to consult with a dietitian who can provide personalized guidance based on your specific nutritional requirements post-surgery.

Summary:

In conclusion, the adjustment challenges post bariatric surgery can be multifaceted and demanding. From struggling to enjoy restaurants to battling food cravings and emotional ups and downs, adapting to a new way of eating can be a significant hurdle. Dealing with body dysmorphia, hair loss, bathroom issues, and the mental load of daily vitamins can add stress to an already challenging journey.

Despite the difficulties, it is important to stay committed to weight loss goals, maintain a calorie deficit, and prioritize self-care. Remember, seeking support from healthcare providers and connecting with others who have gone through similar experiences can make a difference in navigating these challenges successfully.

Next Steps:

Are you eager to begin your transformative journey towards a healthier lifestyle via bariatric surgery? Take the first step today by emailing me (info@body-mindcounseling.com) to schedule your pre-surgical bariatric surgery psychological evaluation. This evaluation is an essential part of preparing for bariatric surgery as during the evaluation, we’ll explore your mental wellness and readiness for the surgery ahead.

Don’t hesitate to reach out – I’m here to support you every step of the way. Email me now to schedule your pre-surgical bariatric surgery psychological evaluation and embark on a path to a healthier, happier you!

Not ready to book an evaluation just yet? No worries, let’s have a no-commitment, low-pressure chat about it. Learn how to schedule your free 15 minute phone consultation here.