Question 1

8 wks post-op gastric sleeve surgery. down 70#'s blood work came back w/low hematocrit, hemoglobin & mpv were low. folate (folic acid) & b12 were norm what's wrong?

Accepted Answer

Post op anemia: Most likely is a reflection of some blood loos during the surgery, which is not unusual. It takes around 3 months for your blood levels to normalize. At this point it is very unlikely that your anemia is due to some sort of vitamin deficiency. I would not worry about. Just continue taking your vitamin supplements. And follow up labs in a few months.

Question 2

what are some complications of gastric surgery?

Accepted Answer

Pre-op prevention...: While UR surgeon's skill is important, UR own actions matter more than you may think. Some tips:1) Get your blood sugar tested; 2) toss the cigarettes; 3) put on walking shoes/ get fit; 4) ease up on the nightly martinis; 5) ditch the supplements; 6) address heavy snoring (got sleep apnea?); 7) follow advise regarding which medicine to take or stop; 8) optimize nutrition pre-op. (Ref. AARP 9/2014)

Question 3

could you tell me what are some complications of gastric surgery people have had?

Accepted Answer

Multiple: Complications can include anastomotic leak, bleeding, and/or stenosis with obstruction. Blood clots, pneumonia, and even death are possible. Post discharge complications can include dumping syndrome, which is caused by a high carbohydrate diet, and causes flushing, fast heart rate, diarrhea, and a faint feeling. Discuss with your surgeon, regardless of the indications for surgery.  Good luck.

Question 4

causes of reactive hypoglycemia with no history of gastric surgery?

Accepted Answer

Be sure glucose low: True reactive hypoglycemia is probably not as common as some might think, as many things can cause similar symptoms. To be reactive hypoglycemia, symptoms should occur shortly after a meal (when inssulin is released), the glucose level needs to be less than 60, and symptoms resolve with glucose. Sometimes people with a tendency to diabetes can first have this irregularity. Rare tumors can cause.

Question 5

i'm having gastric surgery in the next couple of months. the dr. will not operate until i've not smoked for 2 months. if i get a vape and only put cbd oil, no nicotine will that hinder as well?

Accepted Answer

: Anything you dose through your lungs can alter your anesthesia risk for such a procedure. Anything you vape can alter the blood flow in tiny capillaries and impair healing, not just nicotine. DeBakey, the famous heart surgeon had all cigarettes removed from soldiers rations because they increased losses.  Be smart about it and you can recover faster.

Question 6

my mom was just told she has an enlarged heart. they said she wasn't able to get her gastric surgery b/c of it. anything i can do to help her?

Accepted Answer

Yes: Get another opinion from a bariatric surgeon that is a center of excellence. They  usually are able to perform surgery on higher risk patients.

Question 7

i have hypothyroidism. gaining weight since meds. is gastric surgery possible? developed medical probs since.  sleep apnea, hbp, borderline dm

Accepted Answer

Gastric surgery: Gastric surgery is always the last resort for weight loss, and a good surgeon and pt will have the understanding that all underlying medical conditions should be stable and well treated.  A Cardiac evaluation, Pulmonary evaluation (including Sleep apnea eval in your case), psychiatry evaluation and a general Medical Clearance will be required before any surgery with most centers. Best wishes.

Question 8

i had gastric sleeve surgery in may 2013, i've lost 90 lbs, my fasting blood sugar average is 90 since the surgery. i'm i doing ok?

Accepted Answer

Terrific: What you are reporting sounds very good!  congrats.

Question 9

what are the blood testing procedures before gastric bypass/ any surgery?

Accepted Answer

Pre op labs: Blood tests before surgery are basically safety checks. A hematocrit, white cell count, platelet count and electrolyte panel give a lot of information to the surgery team about how the patient's organs are functioning. Surgery and recovery are hard work for the organs, so any dysfunction (yet without symptoms) is important to know.

Question 10

hi dr. i did gastric sleeve surgery before 3 months, and today i did blood test, every thing is within the limit but my rdw is 17.8.

Accepted Answer

See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, an RDW of 17.8 is inconsequential if you are well and all of the other test results were normal.

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HOW CAN CERTAIN GASTRIC SURGERIES POSSIBLY CREATE PROBLEMS WITH LOW WHITE BLOOD COUNTS

A member asked:

8 wks post-op gastric sleeve surgery. down 70#'s blood work came back w/low hematocrit, hemoglobin & mpv were low. folate (folic acid) & b12 were norm what's wrong?

A member asked:

What are some complications of gastric surgery?

A member asked:

Could you tell me what are some complications of gastric surgery people have had?

A member asked:

Causes of reactive hypoglycemia with no history of gastric surgery?

A member asked:

I'm having gastric surgery in the next couple of months. the dr. will not operate until i've not smoked for 2 months. if i get a vape and only put cbd oil, no nicotine will that hinder as well?

A member asked:

My mom was just told she has an enlarged heart. they said she wasn't able to get her gastric surgery b/c of it. anything i can do to help her?

A member asked:

I have hypothyroidism. gaining weight since meds. is gastric surgery possible? developed medical probs since. sleep apnea, hbp, borderline dm

A member asked:

I had gastric sleeve surgery in may 2013, i've lost 90 lbs, my fasting blood sugar average is 90 since the surgery. i'm i doing ok?

A member asked:

What are the blood testing procedures before gastric bypass/ any surgery?

A member asked:

Hi dr. i did gastric sleeve surgery before 3 months, and today i did blood test, every thing is within the limit but my rdw is 17.8.

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