I underwent total hysterectomy four months ago, with salpingectomy from the left. My appetite is down, it's summer and I don't even eat well. But I continue to gain weight. Is that hormonal? Thanks in advance.
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Weight gain after surgery.
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Post-surgical weight gain is commonly observed after the general anesthesia. The following mechanisms could be in charge:
(1) FLUID RETENTION (edema): Water is retained in the interstitial (visceral) space– between the organs. This leads to weight gain.
(2) TRAUMA: Trauma and stress cause inflammation, which in turn leads to fluid retention.
(3) STRESS triggers a plethora of hormonal imbalances, resultant in excessive fluid retention. Surgery related stress results in high levels of anti-diuretic hormone or vasopressin, which makes increased the renal reabsorbtion, by inducing translocation of aquaporin-CD water channels in the nephron collecting duct plasma membrane. This may too, lead to intangible weight gain.
(4) STAGNATION: After surgery, especially of the volume you indexed (hysterectomy), patients are most likely to reduce their physical activity.
(5) POST-SURGICAL MEDICATIONS: When you intake pills, you also drink a certain amount of liquids. The more drugs you take the more liquids you drink per day. Also, the fluid shifts caused by intravenous drugs can also cause water retention. Certain drugs increase the ADH secretion: acetaminophen (Tylenol), antidepressants, nonsteroidal anti-inflammatory drugs.
SOLUTIONS: Reduce daily intake of salt, sugar, and liquids. Increase your physical activities, but don't carry more than 2 kg weight. The main triggers of the ADH in serum are sodium, potassium, chloride, and CO2. Therefore, avoid beverages, like coke or soda. Address your thirst problem by consuming more fruits and rough vegetables. Don't salt your salad. Avoid alcohol.
Often check your blood pressure and discuss with your GP whether you need diuretics. In case a diuretic is prescribed, make sure you take supplementary potassium (Potassium Chloride, Potassium-Rougier, Effer-K, K-Lyte, Kaon) to prevent cardiac palpitations or other problems. Your condition is transient and there is not need to worry much.
(1) FLUID RETENTION (edema): Water is retained in the interstitial (visceral) space– between the organs. This leads to weight gain.
(2) TRAUMA: Trauma and stress cause inflammation, which in turn leads to fluid retention.
(3) STRESS triggers a plethora of hormonal imbalances, resultant in excessive fluid retention. Surgery related stress results in high levels of anti-diuretic hormone or vasopressin, which makes increased the renal reabsorbtion, by inducing translocation of aquaporin-CD water channels in the nephron collecting duct plasma membrane. This may too, lead to intangible weight gain.
(4) STAGNATION: After surgery, especially of the volume you indexed (hysterectomy), patients are most likely to reduce their physical activity.
(5) POST-SURGICAL MEDICATIONS: When you intake pills, you also drink a certain amount of liquids. The more drugs you take the more liquids you drink per day. Also, the fluid shifts caused by intravenous drugs can also cause water retention. Certain drugs increase the ADH secretion: acetaminophen (Tylenol), antidepressants, nonsteroidal anti-inflammatory drugs.
SOLUTIONS: Reduce daily intake of salt, sugar, and liquids. Increase your physical activities, but don't carry more than 2 kg weight. The main triggers of the ADH in serum are sodium, potassium, chloride, and CO2. Therefore, avoid beverages, like coke or soda. Address your thirst problem by consuming more fruits and rough vegetables. Don't salt your salad. Avoid alcohol.
Often check your blood pressure and discuss with your GP whether you need diuretics. In case a diuretic is prescribed, make sure you take supplementary potassium (Potassium Chloride, Potassium-Rougier, Effer-K, K-Lyte, Kaon) to prevent cardiac palpitations or other problems. Your condition is transient and there is not need to worry much.
Best to have hormone levels checked.