Dietary plan after the Orbera™ intragastric balloon placement
Clear Liquid Diet: 24 – 48 Hours
Let your stomach rest and adjust to the gastric balloon. Follow your doctor’s instructions and stay hydrated throughout the day. For the first two to three days, you are recommended to drink clear liquids only. When your stomach adjusts to the balloon, you can intake more varieties of liquids. Some examples of clear liquids are water, ice chips, sugar-free popsicles, crystal light, and strained clear broth (i.e. chicken, beef, and vegetables stock).
- Drink 64 oz. (about 8 cups) of fluid, including water
- Follow your doctor’s instructions
- Take vitamins and supplements as directed
- Focus on low calorie beverages such as water, nonfat milk, no-calorie flavored water, no-sugar added apple juice
- Avoid sodas and alcoholic beverages
- Avoid caffeinated coffee and caffeinated tea as it may lead to dehydration.
- Schedule a follow up visit with your doctor
Examples Of A Clear Liquid Diet
Water: Bottled, tap, spring, no-calorie vitamin-enrich water
Clear chicken, beef, and vegetable stock
Full Liquid Diet: Day 2-7
At this point your body is adjusting to the balloon and after about two days you will be able to enjoy full liquids. Examples of full liquids include protein shakes and strained soup. Remember to take small sips and drink liquids slowly. Wait about one to two minutes between sips. Some individuals may have to wait as long as 10 minutes between drinks. It is important to have at least 8 cups of liquid intake per day to stay hydrated. If you are taking medications, please contact your medical staff to see they may have liquid or other alternatives. Clear liquids are also acceptable in this stage.
Follow your doctor’s instructions and stay hydrated throughout the day. For the first three days, you are recommended to drink clear liquids only. When your stomach adjusts to the balloon, you can intake more varieties of liquids. Some examples of clear liquids are water, ice chips, sugar-free popsicles, crystal light, and strained clear broth (i.e. chicken, beef, and vegetables stock).
- Take your time between sips
- Take smaller sips to help your stomach adjust
- Fluid intake should not be less than 8 cups per day
- Meal replacement shakes can help meet your calorie intake (Contact your dietician or staff for more information)
Examples of a Full Liquid Diet
Everything in the Clear Liquid Diet Above
Low-calorie soy milk
Clear juices such as apple or grape juice. Can be diluted with water
Vegetable soup without the chunks such as tomato, cauliflower, and pumpkin soup (strained)
Pureed Food: Week 2
How to make a simple puree:
- Step 1: Cut food in to small pieces and place in to a food processor or blender
- Step 2: Add liquid (such as water, low fat chicken broth or apple juice) to cover the blades
- Step 3: Blend until smooth apple sauce like consistency
- Step 4: Strain out any pieces of food, seeds or lumps
- Step 5: Add spices to flavor the puree. Avoid hot spices such as hot sauce, cayenne, and jalapeno peppers)
Examples of Pureed Food
Soft Food: Week 3
In this stage, the transition is from puree to soft foods, is designed to prepare you to return to solid foods. Select soft foods that are low in calories, fats and carbs. Always listen to your body to see how well you are adapting to the current transition. Notice any feeling of discomfort, fullness or pressure. These may be signs to slow down or to stop eating completely.
- Use 20/20 rule: Chew food at least 20 times + a meal should take about 20 minutes to finish
- Eat Slowly
- Slow down or Stop eating if discomfort occurs
- Only progress to the next stage if you are comfortable with the current consistency stage
Examples of Soft Food
Soft Fruits Such as banana and citrus fruit. (remove the membrane)
Canned Chicken, Tuna, or Salmon
Solid Food: Week 4
The fourth week is the final dietary transition, which introduces solid foods in to the diet. This is the consistency of food that you will be able to eat from this point forward. The gastric balloon is designed to be a tool to re-train your appetite to help you with your weightless goals. Contact your dietician or clinical staff member if you have any problems, questions or concerns regarding diet and food intake.
- Introduce one solid food at a time and see how it makes you feel. Start with cooked foods before going to raw or hard foods
- Limit starches such as rice, bread and pasta as these foods can cause bad breath by sticking to the balloon
- Drink a glass of water 30 minutes before every meal
- Drink two glasses of water 30 minutes after each meal to rinse the balloon
- Refrain from drinking water during the meal
- Take a multivitamin as directed by your medical practice
- Avoid fried foods, instead bake, boil, barbecue or broil foods
- Limit use of oil, butter, cream, sugar, mayonnaise, jelly, jam, and margarine as they may be high in fat or sugar content.