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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Nausea With More Bowel Movements Indicate Post Esophagus Surgery?

Hello...had corrective Hiatal Esophagus surgery repair. After coming home and slowly eating small amounts of regular food I have been burden with severe nausea, my stomach is extended and bowel movements are not happening. I cannot eat due to the severity of the nausea. What could be causing this?
Tue, 1 Mar 2016
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted that you had Hiatus Hernia Surgery, came home, started eating small amounts of regular food. Then started the problem of severe nausea to the extent that you can not eat. The stomach is extended and bowel movements are not happening.
Here the most important reason looks to be severe constipation, may be due to inadequate food intake.
I would advise you the following:
First of all get an enema and oral laxative to clear the intestines of the fecoliths.
This should solve the problem to a greater extent.
Take motility regulator like Domperidone or Metoclopropamide.
Take antacid 3 hourly and then start orally after one hour of taking all these medicines. I hope this helps you.
If no relief, you need upper GI endoscopy to see where the problem is.
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What Could Nausea With More Bowel Movements Indicate Post Esophagus Surgery?

Hi. Thanks for your query. Noted that you had Hiatus Hernia Surgery, came home, started eating small amounts of regular food. Then started the problem of severe nausea to the extent that you can not eat. The stomach is extended and bowel movements are not happening. Here the most important reason looks to be severe constipation, may be due to inadequate food intake. I would advise you the following: First of all get an enema and oral laxative to clear the intestines of the fecoliths. This should solve the problem to a greater extent. Take motility regulator like Domperidone or Metoclopropamide. Take antacid 3 hourly and then start orally after one hour of taking all these medicines. I hope this helps you. If no relief, you need upper GI endoscopy to see where the problem is.