Brief Answer:
You should consider evaluating...
Detailed Answer:
Hi,
I went through your details with diligence. The described symptoms are typical features of
indigestion. As this surgery was almost 4 years before the symptoms appeared, I wouldn't obviously relate it to the surgery. But it does make sense to change to small volume, less greasy and frequent meals instead of regular 3-4 meals a day.
While you do the necessary dietary changes, I would also evaluate for other causes, specifically the following:
1. Since you listed
furosemide, diuretic induced
hyponatremia strikes me first. Low sodium can cause lethargy, nausea, reduced appetite and so on. And as the symptoms are getting worse rapidly over a month, I will first get your electrolytes checked.
2. An inflamed stomach wall / ulcers secondary to
gastric banding and stressful factors also very well explain the symptoms. So if
ultrasound scan is normal, discuss about upper GI endoscopy with your doctor. You can as well add
proton pump inhibitors now (prilosec OTC) especially as you will be starting ibuprofen.
3. Your doctor should look at
gall bladder, liver and position of band while performing. Gall bladder dysfunctions secondary to stones and rarely band slip can lead to similar indigestion complaints.
4. Soreness of shoulder is most likely related to the fall. Adequate rest and minimal physical activity will help you recover.
5. Lastly, I would also include testing hormones especially the thyroid hormones.
If you haven't discussed about the aforementioned conditions with the doctors, please do it.
Let me know if you need clarifications.
Regards
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