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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Gain Weight After Distal Subtotal Gastrectomy?

My father has undergone distal subtotal gastrectomy . He was 75 Kg the day before surgery and now after 2 months he lost 15 kg. The doctors said they cannot continue the treatment unless he gain 6 -8 kg in another month. How can he gain weight. We all are frustrated...Pls give an answer
Mon, 29 Dec 2014
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Psychiatrist,  's  Response
Dear loving daughter,
Sorry to hear about your father's surgery, but dont worry. If we have an issue, we will solve it. Firstly a subtotal gastrectomy means a lot of absorption issues are coming in our way, as a lot of enzymes to digest sugars and proteins are lost. Good news is, that enzymes which digest fats and simple sugars are still with us. So it will be a good idea to use them. For the time being put your dad on a high simple sugar and fat diet. For example, let him have fruit juices with added glucose, milk and milk products with sugar, high fat milk, use butter/ ghee as a cooking medium rather than oil, dry fruits are a greatsnack for him, roasted in ghee makes them further better. But make sure of 3 things:
1. DO NOT GIVE HIM ONLY SUGAR AT ONCE, GIVE HIN SALTY AS WELL, otherwise he may get dizzy, throw up and have high heart rate, sweating and panic attack like state, called DUMPING SYNDRKME.
2. GIVE ADEQUATE FLUIDS, ATLEAST WATER, WITH EACH MEALS, for avoiding dumping syndrome, for adequate hydration, to avoid constipation and proper absorption.
3. GIVE HIM LOTS OF FIBER, SALADS, OATS ETC. as a high sugar and fat meat can cause constipation.
Let me know if u need further assistance. Get well soon!
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How To Gain Weight After Distal Subtotal Gastrectomy?

Dear loving daughter, Sorry to hear about your father s surgery, but dont worry. If we have an issue, we will solve it. Firstly a subtotal gastrectomy means a lot of absorption issues are coming in our way, as a lot of enzymes to digest sugars and proteins are lost. Good news is, that enzymes which digest fats and simple sugars are still with us. So it will be a good idea to use them. For the time being put your dad on a high simple sugar and fat diet. For example, let him have fruit juices with added glucose, milk and milk products with sugar, high fat milk, use butter/ ghee as a cooking medium rather than oil, dry fruits are a greatsnack for him, roasted in ghee makes them further better. But make sure of 3 things: 1. DO NOT GIVE HIM ONLY SUGAR AT ONCE, GIVE HIN SALTY AS WELL, otherwise he may get dizzy, throw up and have high heart rate, sweating and panic attack like state, called DUMPING SYNDRKME. 2. GIVE ADEQUATE FLUIDS, ATLEAST WATER, WITH EACH MEALS, for avoiding dumping syndrome, for adequate hydration, to avoid constipation and proper absorption. 3. GIVE HIM LOTS OF FIBER, SALADS, OATS ETC. as a high sugar and fat meat can cause constipation. Let me know if u need further assistance. Get well soon!