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Congrats, April!

>BUT I had a bet with my son that I would lose 80 pounds in one year.

I'm sure your son will understand why you have to postpone this bet for a

while. :)

> I did some reading, and it says that you only need to add about 300

calories to your

Like everyone has been telling you already, bring the FoodMover to the

doctor's with you and ask him/her how many calories a day you're allowed to

have. You might even be told to eat just 1200 if your doctor is fat-phobic!

In that case, follow the calorie card recommends for your current

weight. And remember to take those pre-natal vitamins.

>I think I would be doing well to force myself to eat all that while being

pregnant.......

And if morning sickness hits, you may want to keep those crackers handy, and

rely on some tummy-calming smoothies.

> keep walking and keep doing the stretching exercises, yoga type exercises.

Stop the stretches until the doc tells you it's okay to do them, especially

the yoga. Some of those moves could put too much pressure on the lower

abdominal area, and you're still too early on to risk anything. My doc told

me to stop doing any aerobics and just walk when I was pregnant (almost 20

years ago).

> It might work for me.....to keep on keeping on and let the chips fall

where they will. If I keep on the diet and lose, great, and if I don't,

then I am still healthier for it.

My doc told me not to go on any reducing diet while pregnant, and had to

keep telling me to eat *more* because I wasn't gaining any weight until

about the 6th month. I *was* eating much healthier and getting a lot of

walking in, and that was keeping my weight even. I only gained a bit over 20

pounds with Henry and my doc said I should have gained at least 30.

In other words, don't worry about your weight, as long as you're eating

healthy and getting a small amount of safe exercise in every day.

Sue in NJ

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>THEY will SCOLD YOU and

> look at you VERY funny. They will say things like: You should have lost

> weight before getting pregnant

Don't you know that doctors can't believe that any man would have sex with

women as fat as us, that they consider it a miracle that we *did* get

pregnant! LOL

Luckily, I had a doctor who *wasn't* fat-phobic (well, *then* he wasn't),

and his waiting room was *jammed* with fat pregnant women.

*Now* his entire philosophy has changed, since his son joined him in his

practice, and they're putting *all* their patients on diets (yes, pregnant

women), and encouraging the pregnant ones to have liposuction, other plastic

surgery, and even WLS (done by them, of course) after delivery. All the docs

in their practice now are certified not just for OB/GYN but for all these

other surgical specialties, too.

Needless to say, I no longer go to that place.

Sue in NJ

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Sue,

I was glad to read that you no longer go to these surgery pushing OB/GYN's.

I have never heard of such a thing. :-||

Deb/tn

> *Now* his entire philosophy has changed, since his son joined him in his

practice, and they're >putting *all* their patients on diets (yes, pregnant

women), and encouraging the pregnant ones to >have liposuction, other

plastic surgery, and even WLS (done by them, of course) after delivery. All

>the docs in their practice now are certified not just for OB/GYN but for

all these other surgical >specialties, too.

>

> Needless to say, I no longer go to that place.

>

>

> Sue in NJ

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I dont know how lucky----LOL.

Im still CONSIDERED heavy. Ha, ha.

Re: pregnancy

> In a message dated 12/8/2002 9:11:51 PM Central Standard Time,

> rdclark1@... writes:

>

> > I ate

> > everything I wanted and did not gain one extra pound!

> >

>

> - good for you! I gained 60 pounds with my daughter and lost it all

> after she was born. Then I gained 80 pounds with my son (went through a

> divorce while pregnant with him) and am still carrying around some of that

> weight now 25 years later! You are indeed a lucky woman!

>

>

>

>

>

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No, it was not like that Sue. My OB Dr. was the greatest in the world. He

is also a diet Dr. He never once mentioned *diet* to me in the 6 years of

seeing him. He is not the type to do that to people, because if you were

there for OB/GYN reasons: he discussed only that.

If you were there for DIET: he discussed only that. Not unless the

situation required the other topic to be brought in.

What I was saying was: I was seeing him for pregnancy, and I asked if I was

his *biggest* patient. He said, " no, your not! " I said, " I need to lose

some weight-I know! " He looked at me funny, and put my file down on the

table and said, " NO DIETS " . You'll not be losing weight this pregnancy and

so on..... (VERY NICE BED SIDE MANNERS.) The nurses on my way out

says, " Remember , do put yourself on a diet, while your pregnant, now

is not the time to lose weight.!! " So, I left thinking I was not going to

be able to diet. LOL.

I honestly can say that I have never had a Dr. that thought I was to fat to

have sex with and have child. That would be sorry of a Dr. to think such a

thing! And any woman that would do plastic surgery, severe dieting,

starvation, drugs or whatever *unless in a life or death situation* is in my

opinion NUTS.

Have a great day!

Re: pregnancy

> >THEY will SCOLD YOU and

> > look at you VERY funny. They will say things like: You should have

lost

> > weight before getting pregnant

>

>

> Don't you know that doctors can't believe that any man would have sex with

> women as fat as us, that they consider it a miracle that we *did* get

> pregnant! LOL

>

> Luckily, I had a doctor who *wasn't* fat-phobic (well, *then* he wasn't),

> and his waiting room was *jammed* with fat pregnant women.

>

> *Now* his entire philosophy has changed, since his son joined him in his

> practice, and they're putting *all* their patients on diets (yes, pregnant

> women), and encouraging the pregnant ones to have liposuction, other

plastic

> surgery, and even WLS (done by them, of course) after delivery. All the

docs

> in their practice now are certified not just for OB/GYN but for all these

> other surgical specialties, too.

>

> Needless to say, I no longer go to that place.

>

>

> Sue in NJ

>

>

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> To receive individual messages instead of digests, send email to:

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  • 1 month later...

Shelli, what is your achalasia "status"?

Do you eat fairly normally, are you able to force food down w/ water or other liquids, or are you on a liquids-only diet and barely able to manage that?

Have you had any treatments of any kind yet? Dilation, botox, myotomy? Were they at all successful? How long did the effects last?In my case, I had my second dilation in May 1998 b/c we were getting married in November 1998. We got pregnant in April 1999 (the first month we "tried"). Because of my dilation, I was able to eat fairly normally as long as I had plenty of water to wash the food down.

If your symptoms keep you from eating mostly normal foods right now, my suggestion would be to seek some form of treatment before you get pregnant. If I had known in 1998 what I know now, I would have gone in for a laparoscopic myotomy THEN. Now I'm looking at a return of symptoms and having to try to work a major surgery into my life, which is NOT simple -- I have a 3yo son and my husband travels regularly for his work, plus I have no family that is able/willing to help me out, and on top of that I have a job that makes it virtually impossible to be gone for more than 2 weeks at a time, and even 2 weeks is extremely difficult to arrange and manage.

If I had to do it all over again, I would have had the myotomy the year before I got pregnant -- once you have kids, it's pretty hard to find the time (and energy) to take care of yourself the way you should.

Again, let me know if you have any specific questions about my situation -- I'm happy to share anything I can!Debbi in Michigan

Pregnancy

Hi All!I thank all of you for answering me on the question of pregnancy. When I have a little more time I will get into the archives and see what I can find. I apologize that I cannot post daily. Someone ask if I am pregnant now. No, I am not. We are thinking about it in the near future. We have to know the risk as I am sure all of you can understand that. You know when I was younger I use to say "When I get older I do not want to have kids" it is so much easier to say that then when having a choice is a possibility but, I regret ever saying that. Some days I get so depressed over the fact I have this and I am so young and then I remember that it could be worse. Shelli in NC

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In a message dated 2/6/2003 11:53:41 AM Central Standard Time,

lisa.5791@... writes:

> Hi. Are there any ladies out there with SMA who have gone through or

> are going through pregnancy? I have SMA type II and am 25 weeks

> pregnant.

>

> Drop me an email, I'd love to hear from you.

Hi ,

Just wanted to say good luck with your baby. I'm Amy, 23, type II. I was

pregnant 5 years ago, but sadly we lost her very early into my pregnancy.

There are at least 2 other women on here who've had healthy babies, though.

Tell us more about yourself!

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In a message dated 2/6/2003 7:50:02 PM Eastern Standard Time,

laurenmarie791@... writes:

> lisa,

> please tell us about your pregnancy so far, how it has been, the precautions

drs have taken, etc. many of us would love

> to hear.

Yes I would love to

~s, the unique princess~

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Hello lisa.5791@...,

In reference to your comment:

è Are there any ladies out there with SMA who have

è gone through or are going through pregnancy? I have

è SMA type II and am 25 weeks pregnant.

I was diagnosed with SMA Type 1, and had a baby in 1999. I'd be glad to

talk...

Amy M. Marquez

Carol Stream, Illinois

Families of Spinal Muscular Atrophy - Vice President Chicagoland Chapter

Spinal Muscular Atrophy (SMA) - Type 1

Mom to le - Born July 19, 1999

Ella - Active Service Dog

Colette - Retired Service Dog

========Original Message========

Subj: Pregnancy

Date: 2/6/03 12:53:46 PM Eastern Standard Time

From: <A HREF= " mailto:lisa.5791@... " >lisa.5791@...</A>

Reply-to: <A

HREF= " mailto: " > </A>

<A HREF= " mailto: " > </A>

Sent from the Internet (Details)

Hi. Are there any ladies out there with SMA who have gone through or

are going through pregnancy? I have SMA type II and am 25 weeks

pregnant.

Drop me an email, I'd love to hear from you.

.

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  • 5 months later...
Guest guest

I stress getting in enough protein each meal, making sure they have a

minimum 30-45 grams of carb each meal (at least 130 grams a day to keep them

out of ketosis), and that they drink enought fluid. Most tend to have

trouble with hypoglycemia. So at least 3 meals a day and maybe snacks in

between. She may need iron supplementation if she is not already taking

them. 3 yrs. out she should do just fine. I had a patient get pregnant 2

months out, that scared me.

J. Sams

Samaritan Hospital

Lexington, KY.

>From: " Ellis-Wood " <kellis@...>

>Reply-

>< >

>Subject: Pregnancy

>Date: Mon, 14 Jul 2003 14:06:57 -0400

>

>Would anyone being willing to pass along info/guidelines r/t pregnancy in

>s/p gastric bypass patients? I know this has been discussed in the past,

>but of course never saved any of the discussions! I will be seeing her

>Wednesday - she is ~3 years post op and is 19 wks pregnant.

>Thank you,

>

>

>

> Ellis-Wood, RD, CDN

>Alice Hyde Medical Center

>Malone, NY

>kellis@...

>

_________________________________________________________________

MSN 8 helps eliminate e-mail viruses. Get 2 months FREE*.

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  • 2 months later...

Attached is a letter that I have created for the surgeon that we work with

related to preg.

Hope this helps.

Chrisine Buttrey

, SC

>>> maryellen.sabatella@... 9/17/03 8:36:12 AM >>>

I have my first pregnant gastric bypass who had surgery on 7/22/03 (8 weeks

ago). Pt says she is 3 weeks pregnant now. What do you recommend for

vitamin/mineral supplements also how many calories at this point and overall and

how do you best recommend to get calories in.

Any info would be helpful.

Thanks

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Attachment didn't come thru. Can you cut and paste on to the body of the

email?

Kendra W. McConahy, R.D.

> Re: Pregnancy

>

> Attached is a letter that I have created for the surgeon that we work with

> related to preg.

> Hope this helps.

> Chrisine Buttrey

> , SC

>

> >>> maryellen.sabatella@... 9/17/03 8:36:12 AM >>>

> I have my first pregnant gastric bypass who had surgery on 7/22/03 (8

> weeks ago). Pt says she is 3 weeks pregnant now. What do you recommend

> for vitamin/mineral supplements also how many calories at this point and

> overall and how do you best recommend to get calories in.

> Any info would be helpful.

> Thanks

>

>

>

>

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This is the letter that was sent to the surgeon to hand out to his pregnancy

pt's. Hope this helps!

If anyone has anything to add to this please feel free!!!

Buttrey,RD

Area Medical Center

Pregnancy after Gastric Bypass

? The prenatal vitamins should be given in addition to the patient’s usually

prescribed vitamin supplementation and not instead of the supplementation.

? Multi-vitamin with iron. Ferrous fumerate is found to be the best tolerated

and most effective iron supplementation when the duodenum is bypassed.

? Calcium supplementation is needed for mineralization of the fetal skeleton.

? Folic acid supplementation to avoid neural tube abnormalities.

? Vitamin B12 and Vitamin A.

? This is not the time to loose additional weight. Ideally, the patient should

gain the usual weight (15 – 20 pounds) in order to develop a healthy fetus.

? To assure adequate calories and protein, patients may need to consume 3 meals

and 3 snacks per day.

? Following weight-loss surgery, the patient should be under surveillance to be

sure she gains weight. Pre-natal care is best with coordination between the

obstetrician and the bariatric surgeon.

? If the woman who has had bariatric surgery does not gain weight or gains very

little during pregnancy, the fetus risks intrauterine growth retardation, fetal

abnormality, or a small-for-dates neonate.

? Some important points from one study;

? Glucose tolerance testing should not be performed. The test is potentially

dangerous after surgery, and the results are uninterpretable and useless.

? Average weight gain with pregnancy was much less, and weight was usually lost

within 5 weeks after delivery.

? Baby weights were less, and in a healthy weight range.

? Use of vitamin and mineral supplements is very important.

? Nutritional deficiencies can be avoided with good medical and pre-natal care.

>>> Kendra.McConahy@... 9/18/03 9:55:31 AM >>>

Attachment didn't come thru. Can you cut and paste on to the body of the

email?

Kendra W. McConahy, R.D.

> Re: Pregnancy

>

> Attached is a letter that I have created for the surgeon that we work with

> related to preg.

> Hope this helps.

> Chrisine Buttrey

> , SC

>

> >>> maryellen.sabatella@... 9/17/03 8:36:12 AM >>>

> I have my first pregnant gastric bypass who had surgery on 7/22/03 (8

> weeks ago). Pt says she is 3 weeks pregnant now. What do you recommend

> for vitamin/mineral supplements also how many calories at this point and

> overall and how do you best recommend to get calories in.

> Any info would be helpful.

> Thanks

>

>

>

>

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I wasn't aware that ferrous fumarate is the more effectively absorbed form of

iron supplement

for patient's with gastric bypass. Is this a known fact? I recently found out (6

months ago) that calcium citrate is the best absorbed form of calcium for

gastric bypass patients and started telling my patient's to purchase this form

of calcium. Should I also be telling them to purchase ferrous fumarate? Please

let me know.

Kathy Hill

Nassau University Medical Center

Re: Pregnancy

>

> Attached is a letter that I have created for the surgeon that we work with

> related to preg.

> Hope this helps.

> Chrisine Buttrey

> , SC

>

> >>> maryellen.sabatella@... 9/17/03 8:36:12 AM >>>

> I have my first pregnant gastric bypass who had surgery on 7/22/03 (8

> weeks ago). Pt says she is 3 weeks pregnant now. What do you recommend

> for vitamin/mineral supplements also how many calories at this point and

> overall and how do you best recommend to get calories in.

> Any info would be helpful.

> Thanks

>

>

>

>

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  • 1 month later...

I will keep you in my prayers!

And you have lost more weight - must be the newlywed status!! Oh to

be experiencing fresh new love.......

hugs, cindy lee

>

> in WA

> 12/14/00 380 lbs , open DS with Dr. K

> 11/9/03 158 lbs

>

>

>

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In a message dated 11/10/2003 8:27:21 AM Central Standard Time,

SassyNpink@... writes:

> I know of one open patient who had a baby a

> couple years after having an open DS, and it did not cause any problems.

> Were you

> thinking on the terms of scar tissue? I will be starting invitro (had

> previous

> infertility issues) in three months. I have asked about how the surgery

> affects pregnancy. As far as getting pregnant, carrying and delivering, no.

> You

> will need to intake extra protein and vitamins (essentially, double). It is

> a lot

> to consume unless you drink protein shakes in addition to regular meals. I

> have already increased my vitamin intake.

>

> in WA

>

and ,

As far as pregnancy goes, the open incision makes no difference whatso

ever. I had and open VBG in 1982 and had my daughter in 1987 and my son in

1990. I had both natural(Through no desire of my own, it was just to fast with

and with he had problems that we couldn't do the epidural).

Anyway there were no issues whatsoever with the open scar. They are in different

parts of the abdomen.

When I went for my teaching I remember Dee saying that for the first 2

years post DS to be extra careful with birth control as if you get pregnant

they reccomend abortion because of the high risk of vitamin deficiencies that

can cause mental retardation and blindness. After the active weight loss period

the pregnancy is permitted with careful monitoring of the labs. One lady in

The north just had a baby and had multiple problems with the pregnancy due to

her noncompliance but the only problem that affected the baby was low birth

weight, Nothing long term. There was a lot of concern prior to delivery because

she was so low in Vitamin A and as I understand this can cause blindness in a

developing fetus.

in Bama

<A

HREF= " http://hometown.aol.com/mdl1031/myhomepage/profile.html " >

http://hometown.aol.com/mdl1031/myhomepage/profile.html</A>

Rny to Ds revision 12/06/02

Down111lbs!!

Thanks to Dr. K!

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  • 1 month later...

Bettylou Ross wrote:

> Hi All,

> I have been contacted by a 25 year old married woman with type 2 (I

> think) who wants to get pregnant. She'd like to email with others who

> have successfully carried a child. Amy, I know you won't mind if I

> pass on your name to her but I'm not sure of your email - may I pass

> on anyone else's name and email to her? If so please respond - if you

> prefer off the list to bettylou@...

> Many thanks and Happy New Year to all,

> Bettylou

I'd be willing to email her. I have SMA 2 and am the mom of two girls.

My address is nekrosys@....

--

Jenn Malatesta

--------------

My web page: http://www.isoc.net/brokeninside/nekrosys/

------------------------------------------------------------

Philo of andria:

" Be kind, for everyone you meet is fighting a great battle. "

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  • 2 months later...
Guest guest

Hello,

It is great to have you here with us.

Congratulations if you are pregnant. How wonderful. There is nothing more

precious than a new baby.

There is a warning at the beginning of the Life Lift Original video about doing

Life Lift if you are pregnant, however if you consult your doctor he may very

well give you the go ahead. I have heard from many women over the years who have

done just that and the answer they received was that they could do Life Lift

without any problem.

I have not been told of a doctor who found Life Lift to be harmful, however you

should trust your own personal doctor. He is the expert in his field and he

knows your situation. Let him make the ultimate decision.

Take care,

Rashelle

The Body You Have Always Wanted is Coming Soon!

What can changing the way you breathe do for you?

More than you can imagine!

Remember that it is oxygen that burns fat, tones muscle, reduces stress and

increases strength and endurance.

Learn to breathe in the most efficient way possible with Life Lift!

Click here to see why tens of thousands agree, Life Lift is the best!

http://www.oxygenlift.net Life Lift is the Original Aerobic Breathing.

Pregnancy

Is it safe to lifelift while pregnant?

Thanks

jnjgange

What can changing the way you breathe do for you? Everything!

See why tens of thousands agree, Life Lift is the best!

http://www.oxygenzoo.com

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  • 5 months later...

Hi ,

So sorry to hear that your daughter has been treated so unkindly

by some doctors.

I had achalasia when very young and .....I managed through my

pregnancies and have 3 very heathly kids ages 15,13,11. I had had a

dilitation prior to my pregnancies, but not the Heller, so my

situation is different. I can say that the dilitation was so

extremem that I experienced terrible reflux for years and during the

later stages of my pregnancies..when the baby was pushing on all my

stomach I would get reflux and chest pains often. One of my greatest

fears going into delivery was not of labor pains, but rather that I

would get chest pains. Funny, but something about the soft, warm

pastiness of a bean burrito calmed, coated and soothed and protected

me from reflux and spasms. I used to think my kids would come out

looking like burritos I ate so many of them!!!

Anyway, your daughter has an advantage, I hadn't been diagnosed

formally. So, I was living with all the symptoms but all I could

tell the Dr.s was that I was having indigestion from the dilitation.

The Dr. that did the dilitation when I was younger didn't tell me I

had Achalasia. It always felt really silly for me acting like a

ninny over " indigestion " - so, I just thought it was sort of normal

and plugged along - eating my burritos. Everything turned out GREAT

and my kids are healthy.

YES took supplements - the pre-natal vitamins the OB Dr. gave me

Joy (in Michigan)

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I think my daughter is

also worried that she might

pass this condition on to her children - I am sure our consultant has

says it is not heriditary? Am I right?

I think you are right, but it is complicated, and

heredity, while not causing it, probably plays a part.

There are some studies that have found that some genetic traits (in the

HLA genes) are more common in people with achalasia than in the general

population, or in specific populations. However, it is still rare for

people with those genetic traits to get achalasia. It would be something

like if 99 out of a hundred people with achalasia had blue eyes, but only

one person out of a million with blue eyes gets achalasia. That would not

then imply that blue eyes caused it, but maybe that it did not provide as

much protection against it. (That was just for example and I know of no

eye color connection). The actual traits have to do with the immune

system and how the immune system determine body cells from invaders, and

which traits make a difference may be race dependent.

The genetics in question are also related to the production of

antibodies. It has been reported that some people with achalasia have

myenteric antiplexus antibodies. These would target myenteric plexus. In

achalasia only the esophageal myenteric plexus are damaged and destroyed.

If this were just an autoimmune attack on myenteric plexus you would

think that more than just the esophagus would be damaged. There are other

diseases that have been reported to have myenteric antiplexus antibodies

involved, such as, GERD/GORD. In these other diseases other plexus are

damaged, but not the same ones as in achalasia, or the damage is

different. It does not seem likely that myenteric antiplexus antibodies,

and the related genetics, are the complete story.

There probably is something more than heredity that determines that the

esophageal myenteric plexus are going to be damaged. The odds are very

very against a child getting idiopathic achalasia when a parent has

it.

notan

Myenteric antiplexus antibodies and class II HLA in

achalasia.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve & db=pubmed & dopt=Abstract & list_uids=11837716

or

http://tinyurl.com/7ymu8

Presence of a protective allele for achalasia on the central region of

the major histocompatibility complex.

(Protective means people with it are less

likely to get achalasia).

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve & db=pubmed & dopt=Abstract & list_uids=11019915

or

http://tinyurl.com/4s6p5

Association of HLA-DR and -DQ alleles with idiopathic

achalasia.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve & db=pubmed & dopt=Abstract & list_uids=10381906

or

http://tinyurl.com/6cj7o

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Windy, there has been several members of this board who

have achalasia and have given birth within the past few

months. They have all reported fine and healthy babies.

I would have thought you'd have heard from more of them

but maybe they have not been reading the mail lately.

I think your daughter will make it fine and please keep in

touch, let us know and continue to ask any questions you'd

like.

Congratulations on becoming a grandma! There is nothing

like it. :)

Hugs

Maggie

Alabama

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Hello,

I had a Heller with a partial wrap in Feb of 2003 and am now 8 months

pregnant.

I have had no real problems with my pregnancy, other than the usual

nausea the first tri-mester. When I would have to throw up it was

just like having the dry heaves. Nothing really came up from my

stomache just some clear fluid from my e.

I am getting a few more spasms in the middle of the night than usual

now that I am nearing the end of my pregnancy, I think it is just the

pressure because the baby is getting so big now.

I can still eat just fine. With my first two pregnancies I had

a little heartburn. This pregnancy (my first since having achalasia)

I have had no heartburn.

Before I tried getting pregnant I asked my surgeon what he thought.

He said it would be just fine. I am very happy I decided to go

ahead and have another baby. I feel just as good as I did with

my first two pregnancies. I think your daughter would have a

harder time if she became pregnant before her Heller.

Best of Luck

Jenifer

> Hi

> My daughter has just found out that she is pregnant.

> She had a heller myotomy July 2003 - and has been

> really quite well since then.

> She is very concerned that being pregnant will effect

> her well-being re achalasia.

> Is there anyone out there who can give us their

> experiences - and of what to do and not do during

> pregnancy?

> I have written this on her behalf as she is still

> quite traumatised by the events surrounding her

> diagnosis.

> ie

> addmittance to a psychiatric unit for an eating

> disorder and treated terribly by therapists and placed

> for day therapy with alcoholics and depressives.

> Her doctors thought that she and we, her family had

> difficulty in coming to terms with the fact she had

> annorexia!

>

> As my daughter said did they think she was Houdini?

> Holding food overnight to regurgitate in the same

> state it went down?

>

> Anyway that is in the past but still has its effect

> but I would like to try and lay some fears re

> pregnancy.

>

> She has put back the four stone she has lost and tends

> to now put weight on easily - she is eating as

> healthily as she can - did anyone take any

> supplements?

>

> Would appreciate some advice

> Thanking you

>

> - UK

>

> __________________________________________________

>

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  • 4 weeks later...

Hi

I can absolutely understand your daughter concerns re; pregnancy.

I had surgery last september 2003 and fell pregnant only 5 weeks later.

I was very nervous throughtout the pregnancy that something was going to

happen, but my surgeons and specialist reassured me that it would be

highly unlikely. The worst the could imagine for me was an increase in

reflux, but most pregnant women have to contend with that anyway.

Fortunately for me I had a pretty fantastic pregnancy, no reflux at all.

Developed hypertension in the last few weeks and had to be induced, but

nothing else to speak of went wrong.

I would advise to start taking iron supplements, I found the blackmores

range the celluiod ones to be the best. Did not bind to food, and restored

my iron levels pretty quick. No constipation that many other varieties can

cause. Also to protect her bones and teeth perhaps a calcium vitamin would

be good too. Be assured even though her body has been through alot, her

baby will take from her body everything it needs. They can be quite

selfish like that. Keep up the water intake and try and eat a regular

diet. I kept drinking a vitamin supplement drink Vitaplan throughout my

pregnancy and also took a pregnancy vitamin everyday.

I felt great throughout. Keeping active a short 20minute a day walk will

do her the world of good also. Keeps things from getting stiff and achy.

I hope this helps.

I was induced 1 week early and had a healthy 9ib 2oz baby boy.

He is now 9 weeks old and growing bigger by the day.

I can't stress enough the importance of hot baths and relaxing evenings.

That baby and your daughter don't need any more stress. Easier to say than

actually do. But the more relaxed they both are the better in the long

run.

I wish you all much enjoyment with your soon to be new addition.

Let us know how you get on.

Wishing your daughter a healthy pregnancy

Kim in NZ

Quoting Dixon <wendixon@...>:

>

>

>

>

> Hi

>

> My daughter has just found out that she is pregnant.

>

> She had a heller myotomy July 2003 - and has been

>

> really quite well since then.

>

> She is very concerned that being pregnant will effect

>

> her well-being re achalasia.

>

> Is there anyone out there who can give us their

>

> experiences - and of what to do and not do during

>

> pregnancy?

>

> I have written this on her behalf as she is still

>

> quite traumatised by the events surrounding her

>

> diagnosis.

>

> ie

>

> addmittance to a psychiatric unit for an eating

>

> disorder and treated terribly by therapists and placed

>

> for day therapy with alcoholics and depressives.

>

> Her doctors thought that she and we, her family had

>

> difficulty in coming to terms with the fact she had

>

> annorexia!

>

>

>

> As my daughter said did they think she was Houdini?

>

> Holding food overnight to regurgitate in the same

>

> state it went down?

>

>

>

> Anyway that is in the past but still has its effect

>

> but I would like to try and lay some fears re

>

> pregnancy.

>

>

>

> She has put back the four stone she has lost and tends

>

> to now put weight on easily - she is eating as

>

> healthily as she can - did anyone take any

>

> supplements?

>

>

>

> Would appreciate some advice

>

> Thanking you

>

>

>

> - UK

>

>

>

> __________________________________________________

>

>

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  • 2 months later...

We actually had this happen about 10 years ago, now we routinely screen for pregnancy prior to surgery. In our case, it was necessary to support the pregnancy with TPN in order to minimize the weight loss and support fetal growth. If she has excessive nausea and vomiting, TPN would allow her to remain hydrated, receive nutrition (both macro and micronutrients) and to minimize or stop weight loss. Some practitioners are leary of using TPN with pregnancy, but we are not. It is used for pregnancy with hyperemsis and with ulcerative colitis safely and rather routinely. Hopefully she has had good wound healing, but you would need to adjust the TPN to address this as well. If you need more info, e-mail me at jeanne.blankenship@....

Jeanne Blankenship, MS RD

University of California, Medical Center

Sacramento, CA

916-734-7260

-------------- Original message from "kroehling" <kroehling@...>: -------------- We have a patient who was just admitted to our hospital with nausea and vomiting. She had an open gastric bypass surgery 4 weeks ago. She is 7 weeks pregnant.Any help/suggestions???? The inpatient dietitian just called for assistance.Thanks.Kathleen Rigol,RD

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