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 Weight Loss Surgery Discharge Instructions

 

 

 

 

Activity:

  • Make an effort to be active.  Go out for walks.  Don’t spend a lot of time in bed.

    • Going up and down stairs, turning, and bending are allowed as tolerated.

    • Avoid heavy lifting (not more than 15 lb.) or straining of the abdominal wall (no sit ups or crunches) for six weeks after surgery.

    • Cardiovascular exercise is permitted as tolerated when you feel strong enough; including use of treadmill, elliptical, stair-climber, or bicycle.

Bathing:

  • You may shower when you get home.  You can let the water and soap run over the incisions, but avoid rubbing them.

  • No bathing, swimming, or soaking in water, including the ocean, pool, hot tub; for at least four weeks after surgery.

Diet:

  • Your diet for the first week will be liquids.   

  • Strive for a minimum of 64 ounces of liquids each day.

  • NO carbonated beverages or alcohol.

  • Consume liquids frequently, sip slowly, don’t gulp, and do not use a straw.

  • Examples of food allowed for your diet in week one:  water, broth(low-fat and clear), skim or 1% milk, drinkable diet/low fat yogurts, fitness water, sugar free fruit juices (or diluted with water: 50% juice, 50% water), diet jello, decaffeinated coffee or tea, sugar free popsicles.

  • You should also be drinking protein drinks, which do not have to be clear.  However, the low volume, concentrated whey protein bullets, will make it easier to reach your goal of 60-80 grams of protein per day.

  • Remember to sip slowly and stop when you start to feel full, uncomfortable, or feel pressure in the center of your abdomen, just below your breastbone.  After these feelings pass, you can drink again.

 

Medications: 

  • Your physician will order medications specialized for your plan of care.  Your nurse will review the medications with you.

Wound Care:

  • Your incisions will be closed with dissolvable sutures or metal staples.  You may also have an adhesive coating over the incisions.  You do not need to put anything on the incisions.

  • Bruising or itching around the incision area is normal.

  • If you have a drain, your nurse will show you how to empty it before you leave the hospital.  Remember to keep the bulb pinned to your clothing to avoid it dangling and causing increased pain.

  • The amount of drainage should decrease over the next week and the color may start to lighten, from red to pink to clear.

Call your physician if you develop any of the following:

  • Fever over 101.0

  • Significant painful swelling and/or increasing redness, drainage, or bleeding at incision site

  • If drain is present, increased  drainage or obvious change in color of drainage from red/pink to green/yellow/brown or if it develops a foul odor

  • Uncontrolled progressive abdominal pain

  • Nausea and/or vomiting greater than 4 hours

  • Inability to tolerate liquids

  • Diarrhea lasting more than 24 hours

  • Increasing shortness of breath

  • Irregular heartbeat or the feeling that your heart is racing

  • Worsening calf pain or tenderness

Follow-up Appointment: 

  • Scheduled by office staff pre-operatively.  If you have any questions, please call the appropriate physician’s office number.

Dr. Brolin and Dr. Chau’s Office:  609.785.5870        Dr. Dobruskin’s Office:  609.228.3124