Post-Surgery Weight Gain: How to Manage Increased Appetite After Gallbladder Surgery

Is it normal to have recovery after surgery, and do I need to return for a follow-up appointment?

Director, in July 2015, you performed surgery for my gallstones and cholecystitis.
After the surgery, I have been taking the prescribed medications regularly, but since the operation, my appetite has significantly increased.
I often eat to the point of vomiting and still feel hungry, with no sense of fullness.
My weight has been continuously rising, and I have gained nearly 20 kilograms since the surgery.
I have considered weight loss, but I have been unable to lose any weight because I constantly feel hungry.
About three hours after a meal, I feel hungry again.
My digestion seems normal, as I have a good bowel movement frequency, sometimes twice a day and sometimes every other day.
However, I am particularly concerned about how to return my appetite to normal.
I do not want my weight to keep increasing.
What methods can help reduce my appetite? Thank you, Director and the nursing staff, for your patient care during my hospitalization.

MM, 40~49 year old female. Ask Date: 2016/03/22

Dr. Yu Mingchang reply Surgery

Hello; please come back for a follow-up appointment at the Changhua Hospital of the Ministry of Health and Welfare.
We care about you.

Reply Date: 2016/03/22

More Info

Post-surgery weight gain, particularly after gallbladder surgery, can be a frustrating experience for many patients. It’s important to understand the physiological changes that can occur following such procedures, as well as effective strategies to manage appetite and maintain a healthy weight.

After gallbladder surgery, patients often report changes in their digestive processes. The gallbladder plays a crucial role in storing bile, which is essential for fat digestion. Once the gallbladder is removed, bile flows directly from the liver into the intestines, which can lead to changes in how the body processes food. Some patients may experience increased hunger or a feeling of not being full, which can contribute to overeating and subsequent weight gain.

Here are several strategies to help manage appetite and control weight gain post-surgery:
1. Mindful Eating: Practicing mindful eating can help you become more aware of your hunger cues and satiety signals. Take time to chew your food thoroughly and savor each bite. This can help you recognize when you are truly full, reducing the likelihood of overeating.

2. Balanced Meals: Focus on creating balanced meals that include a mix of lean proteins, healthy fats, and high-fiber carbohydrates. Foods rich in fiber, such as vegetables, fruits, and whole grains, can help you feel fuller for longer. Protein is also essential for satiety, so include sources like chicken, fish, beans, or legumes in your meals.

3. Portion Control: Be mindful of portion sizes. Using smaller plates can help trick your brain into thinking you are eating more than you actually are. Additionally, consider measuring out servings instead of eating directly from larger containers.

4. Regular Meal Schedule: Establishing a regular eating schedule can help regulate your appetite. Aim to eat at consistent times throughout the day, which can help prevent extreme hunger and subsequent overeating.

5. Stay Hydrated: Sometimes, feelings of hunger can be mistaken for thirst. Ensure you are drinking plenty of water throughout the day. Aim for at least 8 cups (64 ounces) of water daily, and consider drinking a glass of water before meals to help control appetite.

6. Limit High-Calorie Foods: While it’s important to enjoy your favorite foods, try to limit high-calorie, low-nutrient foods such as sugary snacks, fried foods, and processed items. These can contribute to weight gain without providing the necessary nutrients your body needs.

7. Physical Activity: Although you may have limitations on physical activity post-surgery, try to incorporate gentle exercises as advised by your healthcare provider. Activities like walking, stretching, or light resistance training can help boost your metabolism and improve your overall well-being.

8. Consult a Nutritionist: If you continue to struggle with appetite control and weight management, consider consulting a registered dietitian or nutritionist. They can provide personalized guidance based on your specific needs and help you develop a sustainable eating plan.

9. Monitor Progress: Keep a food diary to track what you eat and how you feel. This can help identify patterns in your eating habits and highlight areas for improvement.

10. Seek Support: Engaging with support groups or counseling can provide emotional support and motivation as you navigate your post-surgery recovery and weight management journey.

In conclusion, managing increased appetite and weight gain after gallbladder surgery requires a multifaceted approach that includes mindful eating, balanced nutrition, portion control, and regular physical activity. By implementing these strategies, you can work towards achieving a healthier weight and improving your overall quality of life. If you have ongoing concerns, don’t hesitate to reach out to your healthcare provider for further assistance.

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