Gastric Bypass Surgery: What to Expect at Home

Rest when you feel tired. Getting enough sleep will help you recover.

Try to walk each day. Start by walking a little more than you did the day before. Bit by bit, increase the amount you walk. Walking boosts blood flow and helps prevent pneumonia and constipation.

Avoid strenuous activities, such as bicycle riding, jogging, weight lifting, or aerobic exercise, until your doctor says it is okay.

Until your doctor says it is okay, avoid lifting anything that would make you strain. This may include a child, heavy grocery bags and milk containers, a heavy briefcase or backpack, cat litter or dog food bags, or a vacuum cleaner.

Hold a pillow over your incisions when you cough or take deep breaths. This will support your belly and decrease your pain.

Do breathing exercises at home as instructed by your doctor. This will help prevent pneumonia.

Ask your doctor when you can drive again.

You will probably need to take 2 to 4 weeks off from work. It depends on the type of work you do and how you feel. You will probably return to normal activities within 3 to 5 weeks.

You may shower, if your doctor okays it. Pat the incisions dry. Do not take a bath for the first 2 weeks, or until your doctor tells you it is okay.

Ask your doctor when it is okay for you to have sex.

Your doctor will give you specific instructions about what to eat after the surgery. For the first 2 to 6 weeks, you will need to follow a liquid or soft diet. Bit by bit, you will be able to add solid foods back into your diet.

Your doctor may recommend that you work with a dietitian to plan healthy meals that give you enough protein, vitamins, and minerals while you are losing weight. Even with a healthy diet, you probably will need to take vitamin and mineral supplements for the rest of your life.

At first you may feel full after just a few sips of water or other liquid. It is important to try to sip water throughout the day to avoid becoming dehydrated.

You may notice that your bowel movements are not regular right after your surgery. This is common. Try to avoid constipation and straining with bowel movements. Your doctor may suggest fiber, a stool softener, or a mild laxative.

Sometimes the stomach empties food into the small intestine too quickly. This is called dumping syndrome. It can cause diarrhea and make you feel faint, shaky, and nauseated. It also can make it hard for your body to get enough nutrition.

• Avoid high-sugar foods—such as desserts, soda pop, and fruit juices— which are most likely to cause dumping syndrome.

• Do not drink liquids within a half hour before eating and up to an hour after eating. Liquids move food even more quickly into the small intestine. Quick emptying of the stomach increases the chance of diarrhea.

• Eat slowly. Try to chew each bite about 20 times. Allow 20 to 30 minutes for each meal.

• Eat 5 or 6 small meals or snacks a day. This may keep you from feeling too full after eating and may reduce problems with diarrhea and dumping syndrome.

Check with your doctor before drinking alcohol. Your body may absorb alcohol more quickly after surgery.

Your doctor will tell you if and when you can restart your medicines. You will also be given instructions about taking any new medicines.

If you stopped taking aspirin or some other blood thinner, your doctor will tell you when to start taking it again.

Be safe with medicines. Take pain medicines exactly as directed.

• If the doctor gave you a prescription medicine for pain, take it as prescribed.

• If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.

• Do not take two or more pain medicines at the same time unless the doctor told you to. Many pain medicines contain acetaminophen (Tylenol). Too much acetaminophen can be harmful.

If you think your pain medicine is making you sick to your stomach:

• Take your medicine after meals (unless your doctor has told you not to).

• Ask your doctor for a different pain medicine.

If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.

If you have strips of tape on the incision(s), leave the tape on for a week or until it falls off.

Wash the area daily with warm, soapy water, and pat it dry. Don't use hydrogen peroxide or alcohol, which can slow healing. You may cover the area with a gauze bandage if it weeps or rubs against clothing. Change the bandage every day.

Keep the area clean and dry.

You passed out (lost consciousness).

You are short of breath.

You have pain that does not get better after you take pain medicine.

You cannot pass stool or gas.

You are sick to your stomach and cannot drink fluids.

You have loose stitches, or your incision comes open.

You have signs of a blood clot, such as:

• Pain in your calf, back of the knee, thigh, or groin.

• Redness and swelling in your leg or groin.

You have signs of infection, such as:

• Increased pain, swelling, warmth, or redness.

• Red streaks leading from the incision.

• Pus draining from the incision.

• A fever.