#152: Conquering the Big C: Constipation after WLS

bariatric surgery success podcast

HOST: Registered Dietitian Nutritionist Dr.

Susan Mitchell 


Do you feel blocked up, you know, like there’s a cement block in your colon? What a pain, literally, constipation can be after bariatric surgery or any time. Bariatric dietitians Gayle and Isabel join me to share nutrition strategies that are specific to constipation to help prevent and relieve it…tips you don’t want to miss and can help you feel better.

Podcast Guests: 

Bariatric Dietitian Isabel Maples, RD

Bariatric Coordinator

UVA Health in Haymarket, Virginia

Email: [email protected] 


Gayle Brazzi Smith MS, RDN, CSOWM, LDN

Registered & Licensed Dietitian

Weight Loss and Bariatric Surgery Institute

Orlando, FL

Email: [email protected]

Website: OrlandoHealth.com/Bariatrics  


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Mentioned in this podcast: Episode 132 15 Bariatric Friendly Carbs


Topics covered:

Do you think constipation varies with the type of surgery…do you think sleeve gastrectomy and lap band have more issues or what do you typically see?

Constipation can occur for a number of reasons. Run thru a checklist with me and ask yourself how many of these speak to you. Any or all of these items can increase the chance that you’re constipated.

Looking at constipation from the nutrition perspective Gayle, typically when do you start to increase the consumption of higher fiber vegetables, beans and lentils and do you have favorites to help prevent constipation? 

Isabel, talk about the goal for fiber and what’s realistic. Plus secrets to help meet that fiber goal too.

Gayle, what about adding fiber supplements or a laxative when you feel block up? I’m not a big fan for rushing into this, are you?

Tip: start by adding high fiber foods slowly to avoid gas and bloating. As you add foods with fiber, increase your fluids…they are team mates. Spread fiber sources throughout the day versus loading up at one meal.

Gayle, is your protocol similar? Do you use a stool softener like Colace or a gentle laxative like Miralax?


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