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Suggest Treatment For Nausea And Cramps After Gastric Bypass Surgery
Question: I had a gastric bypass about a year ago now. Around the 4 month make I ha several episode of Haematemesis and had an endoscopic which showed gastritis and was re-started on PPI. Then four months ago i started getting cramping digestive like pains, with nausea, vomiting and reflux/heart burn symtoms which often seemed to be related to eating or certain. I was recommence PPI and another drug carafrate and had a diagnostic lap to rule out internal hernias and another endoscopy which showed i still had gastric and some small ulceration of the anastomosis. I'm now a year post and am having ongoing problem with nausea, severe reflux, burning/cramping pains which often leads to me vomiting. I tested negative for H Pylori. Why aim i still get reflux/gastrtis and what can i do as it seems to be worse?
Brief Answer:
Barium swallow test should diagnose where is the problem.
Detailed Answer:
Hello!
Thank you for the query.
As you have had gastric bypass surgery, most likely you have two anastomosis, not just one. Your symptoms clearly indicate that one of this anastomosis is too tight and does not pass foods freely. This causes all your symptoms.
When you perform gastroscopy, you put some air inside the stomach, so the pressure is much higher than in normal conditions. That is why, the result of this test can be negative, and the narrowing is still present.
Seeing stomach and intestines from the outside (during laparoscopy) does not tell anything about the anastomosis.
In my opinion you should have barium swallow test to see how the food acts in normal conditions and where is the narrow area.
Ulceration is only the result of food and acid remaining in the intestines and stomach.
Hope this will help. Feel free to ask further questions.
Regards.
Barium swallow test should diagnose where is the problem.
Detailed Answer:
Hello!
Thank you for the query.
As you have had gastric bypass surgery, most likely you have two anastomosis, not just one. Your symptoms clearly indicate that one of this anastomosis is too tight and does not pass foods freely. This causes all your symptoms.
When you perform gastroscopy, you put some air inside the stomach, so the pressure is much higher than in normal conditions. That is why, the result of this test can be negative, and the narrowing is still present.
Seeing stomach and intestines from the outside (during laparoscopy) does not tell anything about the anastomosis.
In my opinion you should have barium swallow test to see how the food acts in normal conditions and where is the narrow area.
Ulceration is only the result of food and acid remaining in the intestines and stomach.
Hope this will help. Feel free to ask further questions.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks, I'll follow this up with my specialist. I've noticed two other random thinks. I'm suddenly able to swollen a whole glass of liquids approx 300-500 mls in one go without any problem. I was super thirst once and did it without thinking and I've tried since to confirm. It seems and feels like when I drink liquids it processes straight through my pouch . Does it ?. Also when I'm vomit, it's isuslly initially liquid, then partly digested food and them sometimes liquid again. Does that indicate anything? The frustrating part is some days/weeks I'm fine and others in sick and extremely nauseated and restless I don't know what to do with myself. Would you recommend any other medication to try?
Brief Answer:
Narrow anastomosis can easily pass liquids.
Detailed Answer:
Liquids usually can easily pass even narrow parts of the digestive tract. This applies to narrow anastomosis as well. So it kind of confirm the theory about narrow anastomosis.
From the other hand, the vomiting sequence is typical. And it does not indicate anything special.
Before any medicines, narrow anastomosis must be ruled out.
Narrow anastomosis can easily pass liquids.
Detailed Answer:
Liquids usually can easily pass even narrow parts of the digestive tract. This applies to narrow anastomosis as well. So it kind of confirm the theory about narrow anastomosis.
From the other hand, the vomiting sequence is typical. And it does not indicate anything special.
Before any medicines, narrow anastomosis must be ruled out.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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