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What Causes Weight Loss, Diarrhea And Stomach Pain After Fundoplication Surgery?

Posted on Tue, 12 Jul 2016

Question: I had a nissen fundoplication in XXXXXXX of 2015. ver since I have had weight loss diarrhea, and stomach pain. I consulted a gastroenterologist who did an EGD. It waqs suggested that my symptoms may be related to post-operative gastroparesis as a result of damage or injury to the vagus nerve. I had a gastric emptying scan done and it was ok. However, my current symtoms is a flipping or a thump in my stomach area which results in nausea and a feeling of weakness. My medical history is that I have a left branch bundle block and I had a stent done in 2011. I am also a diabetic. Please help or explain my current

Answered by Dr. Dr. Muhammad Sareer Khalil (3 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello and Welcome

I appreciate your concern

Based on your description, nexium (esomeprazole) though correctly prescribed should be supplemented initially with pro kinetics like metoclopramide or itopride.
Bismuth subsalicylate and sucralfate can be added if metoclopramide also doesn't lead to significant improvement. A spasmolytic agent can also help in the overall symptomatic relief. Mebeverine or hyosine can be employed for that purpose.

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

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Dr. M.S. Khalil

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar