Regained Weight - Manipal Hospital

1
Why do you think you regained your weight?

• Manipal Hospital

2

• If a patient gains a significant amount of weight
  after surgery it might be an indication of a
  problem
• It is rare to find someone who has gained a
  significant amount of weight after Gastric
  Bypass.
• Your treatment choices include

3
Therapy

• It may be important to seek therapy to determine
  why you are struggling with eating, exercise, and
  other changes. Nutrition counseling can be very
  useful to address the issue.

4
Pouch Reset

• Pouch reset is an excellent option to avoid
  excess weight gain after surgery.
• In this technique, the patients go back to the
  diet that they had immediately after surgery to
  shrink their pouch and make it normal
• However, there is no evidence of this technique
  to be authentic, but many patients find it very
  useful.
• . Take a doctor's advice before going forward.

5
Revision Surgery

• Revisions for Gastric Bypass is necessary if
  changes have occurred in your stomach or
  intestines.
• They do come with an increased risk of
  complications, therefore it should be the last
  resort. Consult a doctor before deciding on a
  revision surgery.
• Evaluate is your diet and exercise if you have
  gained weight after surgery.

6
Back pain is the side effect of weight gain

• Many people in Europe and America have become
  obese.
• Modern lifestyle and food choices have been
  affecting the health of many people around the
  world.
• Obesity has led to rise of chronic pain and other
  health issues.
• Excess body weight can worsen chronic pain.
  Excess body weight can cause more stress on the
  bones and cause damage to the cartilages and
  bones.
• People who are overweight are twice more likely
  to suffer back pain than normal people.
• Some other kinds of chronic pain conditions are
  common in people who are not overweight are
  abdominal pain, chronic headaches, fibromyalgia,
  and pelvic pain.
• Studies have shown that people complain more
  about chronic pain as their BMI increases. People
  who are morbidly obese may experience chronic
  pain in many parts of their body.

7
The link between weight and chronic pain

• Excess weight is often linked to pain. Many
  patients say chronic pain is the reason behind
  their weight gain. The relationship works both
  ways.
• Carrying too much weight can add to the stress on
  joints. Excess weight can compress the spine, and
  narrow disk spaces which can cause chronic back
  pain.
• Being overweight makes it harder for people to be
  physically active. Exercise has been successful
  in curing chronic pain. Psychological stress can
  also add to the distress of chronic pain.
• Recent studies have suggested that the fat tissue
  may produce chemicals that will increase the
  perception of pain.
• Obesity has also been linked to increased
  inflammation in the body. This may be one of the
  reasons to amplify the sensation of pain.

8
Spine problems linked with weight gain

• If you have excess weight your spine bears the
  entire burden.
• When you have gained excess weight your upper
  spine cannot straighten out properly. Over time,
  you may develop an unnatural curvature.
• This means that your neck is always bent forward
  and your head leans over your chest. It all
  happens incrementally and you may not even notice
  it until it shows up in your X-rays.
• Weight gain in your abdomen area can force your
  pelvis to slant forward.
• This leads the pelvic to come under a tremendous
  strain, trying to carry all your weight.
• When your pelvic moves forward, your lower back
  curves forward and suffers this puts more
  pressure on the nerves, leading to back pain.
• Once your back has been pulled out of normal
  alignment because of weight gain, your bones,
  muscles, and ligaments, have to work very hard to
  carry the weight.
• As a result the nerves exiting in your spinal
  column will also become constricted.
• A disc may bulge or herniate, and you will
  experience back pain. If you are overweight this
  process may happen over a period of time.