General Practice 2022

Recuperação pós bariátric surgery: diet, dressing and physical activity

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Recuperação pós bariátric surgery: diet, dressing and physical activity
Recuperação pós bariátric surgery: diet, dressing and physical activity

Recovery after bariatric surgery can take between 6 months to 1 year, and it is possible to lose between 10% and 40% of the initial weight during this period, being faster in the first months of recovery.

In the first days after bariatric surgery, recovery is carried out in the hospital with the surgeon, anesthesiologist and nurse monitoring, with intravenous saline being administered to hydrate and give the body energy to recover, in addition to medication to pain. During this period, the physical therapist can also indicate breathing exercises to prevent pulmonary complications. See breathing exercises to breathe better after surgery.

During recovery from bariatric surgery, it is important to follow medical recommendations regarding diet, wound dressing and return to daily activities and physical exercise, to have a smooth recovery and avoid complications, such as infections or nutritional deficiencies.

Diet after bariatric surgery

After bariatric surgery, feeding is done through serum in the vein and, just two days later, the person can drink water and teas, which should be ingested every 20 minutes in small amounts, at most one glass of coffee at a time, as the stomach is very sensitive.

Usually, 5 days after bariatric surgery, which is when liquids are tolerated well, you can start eating soft foods, such as pudding or cream, for example, and only 1 month after surgery you can start solid food intake, as recommended by a doctor or nutritionist.See how to eat after bariatric surgery.

In addition, the doctor may indicate the use of multivitamins or polyminerals, as bariatric surgery can affect the absorption of vitamins and minerals, such as folic acid, calcium, iron, vitamin D, C or vitamins of the B complex, and increase the risk of nutritional deficiencies.

Bariatric surgery dressing

After bariatric surgery, such as placement of a gastric band or bypass, the person will have dressings on the abdomen that protect the scars and, which must be evaluated by a nurse and changed at the he alth center or hospital one week after surgery. surgery. During this week, the dressing should not be wet to prevent the scar from becoming infected.

Furthermore, 15 days after the surgery, you should return to the he alth center or hospital to remove the staples or stitches and, after removing them, the doctor may indicate the application of moisturizing cream daily on the scar to hydrate it.

Physical activity after bariatric surgery

During the first week after the surgery, while still in the hospital, you can perform light exercises with your legs and feet, with the help of a nurse or physical therapist, and you can also get out of bed and take short walks to avoid the formation of clots in the legs, always respecting the body's limitations and medical guidelines.

After hospital discharge, physical activity can be started gradually, taking short walks, gradually increasing the distance, because, in addition to helping to lose weight, it helps to reduce the risk of developing thrombosis and contributes to the intestines work properly. However, long walks, exertion, carrying weight and doing sit-ups should be avoided in the first month after surgery.

Also, two weeks after bariatric surgery, you can go back to work and do everyday activities, such as cooking, walking or driving, for example.

How to relieve pain after bariatric surgery

After bariatric surgery, it is normal to feel pain, and for this reason, painkillers are still applied in the hospital to relieve pain. In addition, during the first month, you may have abdominal pain, which decreases over time. In this case, the doctor may recommend the use of analgesics such as paracetamol or tramadol to relieve pain and increase well-being.

In the case of laparotomy surgeries, where the abdomen is opened, the doctor may also recommend the use of an abdominal strap to support the belly and reduce discomfort.

Warning signs to return to the doctor

It is important to consult the surgeon or seek the nearest emergency room if symptoms arise, such as:

  • Fever above 38ÂșC;
  • Wrap with yellow, green and/or unpleasant-smelling liquid;
  • Redness, swelling or tenderness in the scar;
  • Very strong pain in the abdomen that does not go away with analgesics;
  • Diarrhea or constipation 2 weeks after surgery;
  • Nausea or vomiting, even ingesting food in the amounts indicated by the nutritionist;
  • Cough, chest or leg pain, or shortness of breath.

In these cases, the doctor must evaluate the symptoms and can guide the most appropriate treatment, if necessary.

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