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What Causes Constant Vomiting After An AAA Repair?
Desperate please read Hubby underwent Aortic Abdominal Aneurysm AAA, with thrombus on 24/5/15 he is in hospital still 8/5/15 it was supposed to be 7-10 day stay they had to move the intestines and clamp kidney for the operation, He had two IV contrast, and ist one in the first week of his surgery included a oral contrast nothing is showing up on the scan except on the first scan noted slight damage o kidney but specialist said nothing to worry about, Gastrointrologist, vein specialist, and kidney doctor are looking after him they have all seen the scan and are not worried, he had numours blood cultures done and also lFT , FBC CRP done until 3 days ago he had temps with high C reactive protein, this has come down, to 55 and temps are alright, 5 days into operation he was on saline and ice, 5th day vomited bile and since then nausea, churning of the tummy that is making him unable to eat, without feeling vomit, now he can even put anything down without chucking, says he is weak, lost weigh, doctors are not sure did stool test normal, no blood seen by the way stool is just water, he says he feels sicker than after the operation saying feels bloated too, he is given tablets to stop vomitig ad even that is not stopping the nausea issue. Dietician comes ad see him says to have milk could this be the cause, but he cant even eat a piece of his favorite toasted sandwich, Wound is healing fine, ct showed normal bowel movements inside, no blockages, If not for the vomiting he can come home, I am going to ask the doctor if he was checked for h pylori, or if it could be IBS my daughter got t last year out of no where, he used to o to toilet, after a few hours after meals, will a ct be ale to show if there is any scar tissues in bowel, I dont know what to do. Yesterday he had some breakfast but no lunch r no dinner as he took one mouthful ad vomited, he had vomited in the morning too, before breakfast. Please how long did you have vomiting for , after the operation, today is 2 weeks days and still in hospital. I am desperate please help . God Bles you all heather Note no gastroscopy or colonoscopy done as he has just had operation and not sure if you can do that so soon, all cts are with doctor if there was an issue wih bile ducts, spleen scar tissue in stomach would they see on scan even the recturm area, they said no blockages would they see heital hernia, are there any other test other thank h pylori or coeliac test they can do is there anything else missing that they can follow up on
Thu, 29 Sep 2022
Hello,
Vomiting post AAA repair is really a serious thing. Gastrointestinal complications post repair account to significant morbidity and increased hospital stay. Here are few complications of GI tract post repair:
1) Gastritis
2) Duodenal ulcer
3) Adynamic ileus
4) GI hemorrhage
5) Enterocolitis
6) Gastric ulcer
7) Cholecystitis
8) Ischemic colitis
9) Ascites
The following are some important points to be noted:
1) You may have a nasogastric (NG) tube from your nose to your stomach for a few days to keep your stomach empty until your colon starts to function again.
2) Although an NG tube may be somewhat uncomfortable, it prevents nausea, vomiting, and other complications.
3) When you start to pass gas, it is a sign that your colon is working again and you’ll be started on a liquid diet.
4) You will progress to a soft diet “as tolerated,” that means as long as you don’t experience nausea or vomiting.
5) You will continue a soft diet for 2 to 8 weeks after surgery.
6) Ondansetron can be given to control vomiting. Tab. Ondem MD 4mg as and when required.
7) Nausea is common after surgery. Be sure to take your pain medication on a full stomach.
8) Stick to a soft bland diet for the first few weeks after surgery.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist
Vomiting post AAA repair is really a serious thing. Gastrointestinal complications post repair account to significant morbidity and increased hospital stay. Here are few complications of GI tract post repair:
1) Gastritis
2) Duodenal ulcer
3) Adynamic ileus
4) GI hemorrhage
5) Enterocolitis
6) Gastric ulcer
7) Cholecystitis
8) Ischemic colitis
9) Ascites
The following are some important points to be noted:
1) You may have a nasogastric (NG) tube from your nose to your stomach for a few days to keep your stomach empty until your colon starts to function again.
2) Although an NG tube may be somewhat uncomfortable, it prevents nausea, vomiting, and other complications.
3) When you start to pass gas, it is a sign that your colon is working again and you’ll be started on a liquid diet.
4) You will progress to a soft diet “as tolerated,” that means as long as you don’t experience nausea or vomiting.
5) You will continue a soft diet for 2 to 8 weeks after surgery.
6) Ondansetron can be given to control vomiting. Tab. Ondem MD 4mg as and when required.
7) Nausea is common after surgery. Be sure to take your pain medication on a full stomach.
8) Stick to a soft bland diet for the first few weeks after surgery.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist
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