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If Broccoli Is So Good for Me, Why Does It Make Me Sick After Weight Loss Surgery?
People looking for healthy weight management know to stay close to the vegetarian tray at parties and buffets. After all, vegetables are good healthy food full of useful vitamins, nutrients and fiber. But some vegetables, especially cruciferous vegetables such as the ubiquitous broccoli and cauliflower, can cause severe stomach upset when eaten raw by patients of stomach weight loss surgery. In fact, there are many examples of weight loss surgery patients who have experienced such severe pain after eating raw broccoli or cauliflower that a trip to the emergency room was necessary.
The reason that weight loss surgery patients of any procedure (gastric bypass, gastric sleeve, adjustable gastric banding or lap-band) are prone to discomfort after eating raw cruciferous vegetables is a matter of balance. The vegetables are rich in enzymes that are believed to aid digestion. However, due to the shortened gastric tract and the loss of stomach acid, the vegetables cannot be completely digested during their short journey through the intestinal tract. The problem is compounded by the presence of cellulose, the dietary fiber in the vegetable that intestinal bacteria need to process. Even without gastric bypass surgery, many people do not have enough gut bacteria to break down the cellulose enough to prevent symptoms of gas, bloating and cramping.
After weight loss surgery, many patients are intensely focused on being healthy and in control of their weight through proper diet and nutrition and increased daily activity. These are admirable efforts that often lead to the problem of eating good healthy vegetables with the risk of severe stomach pain. Frustrated patients wonder, If it’s so good for me, why does it make me feel so bad? Good question. There are a few measures that can be taken to reduce the discomfort that follows eating raw vegetables so that we can have our nutrients and also enjoy them. Take a look:
- Experiment carefully. If youare not sure how you will react to raw vegetables, go easy at first and avoid any discomfort or embarrassment that may come from eating too much of the good thing. Remember that the food will be different from day to day. Always practice restraint while getting a feel for how food is with you that day.
- Lightly steam or parboil vegetables to begin breaking down the cellular structure, helping the gut acid get to work on digestion faster. Remember, if you can’t digest the vegetables, you can’t absorb the vitamins and nutrients in the vegetables. To serve the steamed or parboiled vegetables chilled, simply prepare them in advance, drain of water and pat dry. Place, cover and refrigerate. Then serve cold with a lightly spiced veggie dip made from yogurt that contains healthy bacteria that will aid in digestion. Avoid dairy-based dips, such as those made with sugar, as this can increase the chance of stomach upset.
- Take a digestive enzyme as directed before or shortly after eating raw vegetables. There are many digestive enzyme supplements available at reasonable costs. Many weight loss surgery patients report that papaya enzyme is effective in reducing digestive discomfort. According to one creator of papaya enzyme, the nutritional supplement contains “papain, a proteolytic enzyme and a popular ingredient in dietary supplements used for digestion. Taken after meals, it is a perfect natural supplement that can help with digestion and can help reduce the effects of” bad digestion, including heartburn and gas.” As with all nutritional supplements, keep in mind that the FDA does not evaluate these claims or approve supplements for their claimed uses. Consumers should consult with a healthcare professional before using a dietary supplement.
- Chew, chew, chew. Remember that digestion begins in the mouth and it is critical to chew all raw vegetables completely to give your digestive system the best conditions in which to digest your food and benefit from the vitamins and nutrients it contains.
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