Vomiting and calorie adjustment
cnoonannurse
Posts: 58 Member
Let me start out by saying that I am about 7 years past gastric banding surgery...I am not bulimic! However, I will occasionally have meals that do not "set well" on my stomach, and wind up vomiting. I am not sure how to adjust my calories for that:( So far, I just adjust down to 1/3 portion size, as I am not sure if I vomited the whole meal, but don't know how to handle this situation. It doesn't happen very often, maybe once every week or two...but I am trying to be very accurate with my calorie counts. Can ANYONE help?
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See your doctor.0
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Vomiting up your food once or twice a week is something to be concerned about.0
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I... after you vomit, do you eat something else? Or do you feel sick and not up to eating until the next meal?
Because I think if I lost my breakfast, I'd just leave it logged and not try to calculate how much of my stomach contents came back.
Honestly, I agree with segacs that you need to talk to your doctor about this and find out if everything is OK. And I'm a *little* bit worried about your desire to un-log regurgitated food. That sounds like it's heading toward disordered eating territory.0 -
PeachyPlum wrote: »I... after you vomit, do you eat something else? Or do you feel sick and not up to eating until the next meal?
Because I think if I lost my breakfast, I'd just leave it logged and not try to calculate how much of my stomach contents came back.
Honestly, I agree with segacs that you need to talk to your doctor about this and find out if everything is OK. And I'm a *little* bit worried about your desire to un-log regurgitated food. That sounds like it's heading toward disordered eating territory.
That's exactly what I was thinking. If I vomited the last thing I'd be worried about is how many calories I barfed up.0 -
if you have had any type of gastric surgery you would understand completely the whole vomiting thing. I would keep it logged as if you didnt vomit.
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lcooper327 wrote: »Vomiting up your food once or twice a week is something to be concerned about.
Yep!0 -
Not once or twice a week. Once every week or two. I don't usually eat after, because I feel crappy, and most of the time wind up under in calories anyway, just trying to be accurate. My physician started me taking medication for acid reflux, so I am being treated from his perspective. I just want to be able to use the tracking capabilities of MFP to its fullest.0
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_Divalicious_ wrote: »if you have had any type of gastric surgery you would understand completely the whole vomiting thing. I would keep it logged as if you didnt vomit.
I'm not suggesting it's an eating disorder. I'm saying it's very likely related to eating foods that the body can no longer properly cope with due to the surgery. OP, I'd suggest consulting the doctor who performed the surgery, and/or a dietitian who is trained to help post-gastric surgery patients. You really shouldn't have to suffer so much.
And yeah, log whatever you eat, and re-hydrate 'cause all that vomiting can put you at risk for dehydration.0 -
Thanks for the concern...but I have seen what bulimia does. I know someone my age that got a pacemaker in her 20's because of the damage done to her heart from being bulimic.0
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I wouldn't adjust it. It's a minor thing in the scheme of things, health issues aside.0
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If you're not eating after, I would just leave it logged and put a mention of it in your food notes.0
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You could just eat your vomit.-10
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You'd still have to account for what soaked into the carpet or what you couldn't scoop up.pinksyringes wrote: »You could just eat your vomit.
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This is actually a very common question among people with eating disorders. I don't think any of them ever came to a consensus on it.0
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I had the gastric sleeve done and I vomit also
be patient and still log everything you eat consult with your dr on cals0 -
I had mine done in novemberBuddyTitus1324 wrote: »I had the gastric sleeve done and I vomit also
be patient and still log everything you eat consult with your dr on cals
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In that
- You are being treated by a doctor for the condition that is causing the vomiting,
- You say you are not bulimic, and
- You want to be very accurate with your logging
I think what you're doing is OK. It reflects that you probably got some portion of the nutrition, but not all. With the frequency you cite, the level of error in trying to be more accurate than that does not seem material.
I hope the doctr can help you address this. It sounds very unpleasant.
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My opinion is that you don't take the food out of the log after you vomit it up.
Having been banded for 7 years, you probably already know that you shouldn't have reflux with the band and that this is often a sign that your band is too tight (just like throwing up food is a sign you're too tight OR eating things that don't go down easily like bread).
My friendly advice would be to ask your doctor about loosening up your band. It's scary because you risk putting weight back on, but the risks from a slip or erosion are much more serious. When your band is too tight or you throw up, you risk a slip.
I'm sending you good thoughts! :-)0 -
I have pretty bad stomach issues along with IBS and have this happen (or diarrhea... not to be gross or TMI... BUT you did ask lol!!) And I just leave my calories as is. If I go over calories because I tried to eat or drink to compensate I'll make a note for myself but I don't bother because A. I don't want to try to figure out how much was lost and B. I'm usually back and forth because if it comes up once, it'll come up twice.
This is really an awful thing and I can relate but I've seen several doctors and none can help me either. I didn't have bypass or anything, I have a messed up upper stomach muscle and I'll get heartburn and it'll get so bad that I vomit.0 -
If you have the lapband, I would definitely suggest you watch to see what kind of foods you are not tolerating well and please see your doctor if you start vomiting more frequently. I've had WLS (Sleeve) and many of my friends got the lapband before I had my sleeve surgery. Almost all of them have had to have the band removed and their first sign was vomiting.
Also, i agree with the other posters and not to remove the food especially if you aren't eating again after.0 -
Seriously guysDeguelloTex wrote: »
You'd still have to account for what soaked into the carpet or what you couldn't scoop up.pinksyringes wrote: »You could just eat your vomit.
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probably best not to adjust for it. That could become reinforcing. At any rate, even with the vomiting you are retaining at least half the calories, typically speaking. See your doctor because lapband probably needs adjustment/revision.0
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Situation still unclear - should i eat back the calories i burn while vomiting or not?0
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Are you getting "stuck"? Is that whats causing the vomitting? Or possibly not taking the proper amount of time to eat, 30 minutes? Drinking water too soon after a meal? Or eating too much period in one meal? All of it has an effect on it in some way. Write down what is making you have the Vomitting episodes so you remember the next time you eat it that it botherd. That way you can cut it up smaller, chew it more thoroughly or just avoid it if its not a favorite food.0
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Thanks for this feedback. After wt loss surgery there is such a fine line of enough but not too much...I am just trying to get it right so I can lose the last lbs!In that
- You are being treated by a doctor for the condition that is causing the vomiting,
- You say you are not bulimic, and
- You want to be very accurate with your logging
I think what you're doing is OK. It reflects that you probably got some portion of the nutrition, but not all. With the frequency you cite, the level of error in trying to be more accurate than that does not seem material.
I hope the doctr can help you address this. It sounds very unpleasant.
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Looncove_Farm wrote: »Are you getting "stuck"? Is that whats causing the vomitting? Or possibly not taking the proper amount of time to eat, 30 minutes? Drinking water too soon after a meal? Or eating too much period in one meal? All of it has an effect on it in some way. Write down what is making you have the Vomitting episodes so you remember the next time you eat it that it botherd. That way you can cut it up smaller, chew it more thoroughly or just avoid it if its not a favorite food.
I think that I am drinking SO much water some days that it may make a difference. Today I had LOTS to f water in the AM, and lunch just didn't work...
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Hmmmmm, how about a smoothie for lunch? Some fresh fruit and then soem frozen berries and OMG they are so good and you can sip them slowly. Something to try on a day when you have had a lot of water. Are you eating when hungry or eating by a schedule?0
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Go see your doctor. I can't believe this is a thread.0
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I was in a situation where I had gastric paresis and my doctor wanted super accurate cal logs even after I left the hospital, her rule was subtract half if it was all liquid (7UP, broth), and 1/3 is it was solid (crackers, white bread). As long as it's not extreme (30-40 times a day was my issue...) I wouldn't worry.0
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