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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lower Abdominal Pain. Operated On Duodenum. Removed Part Of Large And Small Intestine. What Can I Do?

I have had 2 operations on my duradenum inthe past 2 years. The last surgery was June 2012. Doc was supposed to bypass my duradenum and attach it direct into my stomach. When I came out of surgery he told my husband that he did the bypass of the duradenum but...... he also told himmy stomach was enlarged to he took half of that plus part of my small and large intestions as well. At the time I weighed about 160 lbs - I'm 5'4" so I was a litle overweight but not 100 lbs.I have 2 questions I need answered 1. I now weigh 94 lbs and can not put on weight and 2. I have severe pain in my left lower quadrant that does not go away. I am a female this is my husband's E-mail and it is okay to snd your response through him.
Thu, 4 Jul 2013
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General & Family Physician 's  Response
Hi,

The operation that you got done was to lose weight I guess. What happened is that by reducing the area of contact that the food gets with the intestine. This will impair absorption and not allow you to absorb food. This is why you are not able to gain weight.

Also, below I have listed all the causes of loss of weight. Go through the list and you can figure out which suits you best.

Trapped Wind
Constipation
Pulled Muscles
Kidney Or bladder Infection
Irritable bowel syndrome
Mid Cycle Pain in young women
Kidney stones
Pelvic Inflammatory Disease - PID
Gastritis (causes more of central upper abdominal pain)
Heartburn (also causes central chest or central upper abdominal pain
Diverticulitis - more in older people above 50 years of age
Pancreatitis
Food intolerance
Crohns disease
Ulcerative colitis
Twisted or Ruptured ovarian cyst
Ectopic pregnancy
Endometrosis
Fibroids
Infectious mononucleosis or Scarlet fever
Coeliac disease
Left testicular torsion
Bowel Or Intestinal Obstruction
Obstructed Inguinal Or Femoral hernia
Left lower lobe pneumonia
Myofascial pain syndrome
Spleen Pain from malaria or other causes of enlarged spleen
Lymphoma
Bowel Cancer
Adhesions
Pulmoanry embolism - blood clots in the lungs
Hereditary Angioedema
Sickle Cell Disease
Porphyria
POEMS syndrome
Eosinophilic colitis
Intestinal polyps
Typhoid fever - more common in developing countries

Go through each one of these diagnosis and then you can decide which of the following sounds like your symptoms.

I hope this helps.

Dr Vineet
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Lower Abdominal Pain. Operated On Duodenum. Removed Part Of Large And Small Intestine. What Can I Do?

Hi, The operation that you got done was to lose weight I guess. What happened is that by reducing the area of contact that the food gets with the intestine. This will impair absorption and not allow you to absorb food. This is why you are not able to gain weight. Also, below I have listed all the causes of loss of weight. Go through the list and you can figure out which suits you best. Trapped Wind Constipation Pulled Muscles Kidney Or bladder Infection Irritable bowel syndrome Mid Cycle Pain in young women Kidney stones Pelvic Inflammatory Disease - PID Gastritis (causes more of central upper abdominal pain) Heartburn (also causes central chest or central upper abdominal pain Diverticulitis - more in older people above 50 years of age Pancreatitis Food intolerance Crohns disease Ulcerative colitis Twisted or Ruptured ovarian cyst Ectopic pregnancy Endometrosis Fibroids Infectious mononucleosis or Scarlet fever Coeliac disease Left testicular torsion Bowel Or Intestinal Obstruction Obstructed Inguinal Or Femoral hernia Left lower lobe pneumonia Myofascial pain syndrome Spleen Pain from malaria or other causes of enlarged spleen Lymphoma Bowel Cancer Adhesions Pulmoanry embolism - blood clots in the lungs Hereditary Angioedema Sickle Cell Disease Porphyria POEMS syndrome Eosinophilic colitis Intestinal polyps Typhoid fever - more common in developing countries Go through each one of these diagnosis and then you can decide which of the following sounds like your symptoms. I hope this helps. Dr Vineet