Take good care of yourself after your procedure. It's essential you listen to your body and understand what symptoms you may be experiencing.
Following the procedure you will need time to recover from the anaesthetic. You cannot drive for 2-3 days after your ESG/ERGB. This is for insurance reasons. For this reason you will need to find a suitable means to get home. Do not attempt to drive.
You can do normal activities of daily living such as going up steps. You will not need special assistance. You should not stay in bed; moving about and even light exercise is beneficial. Strenuous activities, such as lifting more than 20lbs, should be avoided for 48 hours. After 48 hours, you can increase your activity level more. All exercise is allowed after 2-3 days, including strenuous activity and lifting. Normal sexual activity can occur as soon as you feel comfortable enough.
Return to Work
You should normally feel well enough to return to work by day three after your ESG/ERGB.
For the first two weeks after your operation you are likely to feel tired and although we would encourage you to walk daily, don’t overdo things.
Some people develop quite severe diarrhoea in the first few weeks. This can be due to a change to a liquid diet or an increase in your milk consumption. Make sure that you drink sufficient fluid to replace what you are losing. If the diarrhoea is particularly troublesome, you should ask your GP to check that there is not some other cause, e.g. an infection. The procedure is unlikely to be the direct cause.
There may be some reduction in the volume of your stools. This is normal because the volume of food you are now eating is much less then before the procedure, especially in the liquid phase of the diet (see later). Make sure you are drinking plenty of water and you can also try vegetable juice or dulcoease or senokot. If this doesn’t do the trick, you may want to try a liquid laxative such as lactulose (Duphulac) or Senokot Syrup.
Usually, you will be able to continue with your regular medication. However, if your tablets are very large, it may be necessary to break them up (most good chemists can provide a small device that will allow you to do this quite easily). If, when you first try to take your tablets as normal, you feel they are sticking, you can crush them up and take them with a spoonful of yoghurt to disguise the taste. Before doing this, however, you should check with your pharmacist that this is OK. Some tablets are specially formulated to be released slowly or coated to protect the stomach and these properties may be destroyed if you crush them. Capsules should not cause any problem because they are soft and designed to melt inside the stomach.
Non-steroidal anti-inflammatory drugs (NSAIDs)
You should avoid aspirin or other non-steroidal anti-inflammatory pain relievers such as Brufen, Diclofenac, Sulindac, Celecoxib, Oxicam etc. That’s because if you take these drugs long term, they may irritate the lining of the stomach, causing inflammation or ulceration. If you have arthritis and need these forms of medication, you may be able to continue as normal if you take an additional tablet to protect the stomach lining. Speak to your doctor and, if you are still unsure, ask the Healthier Weight team for advice. Following surgery, you will need to follow a specific nutritional plan.