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Doctor insights on: Autoimmune Disease Caused By Gastric Bypass

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How long to heal after gastric bypass surgury for acid reflux disease?

How long to heal after gastric bypass surgury for acid reflux disease?

Gone in recov room: Acid reflux is virtually gone in the recovery room, since all acid and bile can no longer go up the esophagus. Some patients still have an irritated esophagus from prior acid reflux which must heal after the surgery. ...Read more

Dr. Tracy Lovell
502 doctors shared insights

Autoimmune Disease (Definition)

In auto immune disease the enemy is from with in . As name implies "auto" is self and "immune " is immune system . One 's own immune system for unknown reason turns against self and destroys or damages tissues or cells . List of auto immune disease are many and growing . End result is destruction of of tissues such as thyroid , pancreas or cells such as white ...Read more


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Mom/echo show hypertensive heart disease grade1last year, can it be reversed after gastric bypass? She had HTN with meds, now v. low pressure no meds, why

Mom/echo show hypertensive heart disease grade1last year, can it be reversed after gastric bypass? She had HTN with meds, now v. low pressure no meds, why

Syndrome X: Your mom's obesity was causing HTN, which in turn was stressing her heart. After gastric bypass & weight loss, the BP improved, so she's off medications — good! However, the structural changes on the heart from the stress will take longer to reverse, if at all. Time frame is 6 months to 10+ years. Some BP meds actually help this remodeling; others hinder it. tTYD or use HealthTap Prime to discuss. ...Read more

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Can a hiatal hernia be caused by gastric bypass?

Can a hiatal hernia be caused by gastric bypass?

Typically not. : Typically, having gastric bypass surgery would not cause a hiatal hernia, however, obesity could. The hiatus is a natural opening in the body. Being overweight naturally stretches at this opening, causing the opening to enlarge and eventually becoming a hernia. Like taking a styrofoam cup and sticking a pencil thru it and start turning the pencil. The hole gets bigger and bigger. ...Read more

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What would cause intrinsic factor to dissipate or not bind to elements in digestion, assuming no hereditary factors or gastric bypass?

Vitamin deficiency: Old age and vitamin deficiency are believed to be causes of intrinsic factor loss. It remains crucial for b 12 uptake. The stomach has cells to help but the discovery of intrinsic factor dissipation or non uptake should be thoroughly discussed with your doctor. ...Read more

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Since the gastric sleeve can cause complication with a sarcoidosis patient. Is the gastric bypass better to have done with sarcoidosis?

Since the gastric sleeve can cause complication with a sarcoidosis patient. Is the gastric bypass better to have done with sarcoidosis?

sleeve ; sarcoidosis: Neither one (bypass or sleeve) is better than the other with respect to sarcoidosis. Studies have shown that people on immunosuppressive therapy can safely undergo either operation. I would just decide which operation is best for you. In a healthy ; moderately obese person, either operation is fine. If you have gerd, diabetes, or have a bmi over 50, bypass is preferred. ...Read more

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I had gastric bypass in 2007. I have a severe eating disorder. I eat till I'm so sick I can't stand up. What kind of dr can I see for thi?

I had gastric bypass in 2007.  I have a severe eating disorder. I eat till I'm so sick I can't stand up.  What kind of dr can I see for thi?

Envision Ur Recovery: Ideally, treatment would include careful medical ; mental health assessment, followed by individualized treatment involving medical ; nutritional support, plus long-term individual ; family psychotherapy. From mental health perspective, conditions like depression ; anxiety would be treated ; treatment might include meds. The Hardest thing = finding ; sustaining motivation 2recover. Http//www.anad.org. ...Read more

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Why are you not able to have gastric bypass surgery if you have severe mental disorders?

Why are you not able to have gastric bypass surgery if you have severe mental disorders?

Major surgery: Having gastric bypas surgery is a mjor undertaking and requires the person to have stable cardiac function, stable lung function, and yes, stable mental health. Mental health willplay a large role in the eventaul succes of gatric bypass, so it is importatn to be mentally sound to get this surgery, so a person will have the best possible outcomes. ...Read more

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Friend 31,had gastric bypass nov. Now fainting 2-3 times a week.5-20 mintues.had mri, cat,doc finds nothing.possible cause?

Friend 31,had gastric bypass nov. Now fainting 2-3 times a week.5-20 mintues.had mri, cat,doc finds nothing.possible cause?

May be hypoglycemia: A possible cause is hypoglycemia. This is often relieved by an appropriate diet. A nutritionist with the bariatric surgery program is the first step. If the problem persists, it could represent pancreatic problems and will need an evaluation by the bariatric surgeon or a gastroenterologist. ...Read more

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My veins are really dark and show throughout my whole body. Could this be a cause for concern? Have had bad health since gastric bypass surgery!

My veins are really dark and show throughout my whole body. Could this be a cause for concern? Have had bad health since gastric bypass surgery!

Weight loss: The veins may be more visible from the weight loss. The benefits of the weight loss however far outweigh the risks of the excess weight. It depends on of course how much weight you've lost, when you had the bypass, and your medical conditions. I would suggest you call your surgeon for a follow-up evaluation and see if they have any suggestions. Hope this helps! ...Read more

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What vitamin deficiency usually causes memory lapses? Post gastric bypass 9/2011

Vitamins: The most common vitamin deficiencies seen after gastric bypass are with vitamin b12, vitamin d and iron. Some have low calcium. Vitamin B12 deficiency can affect the central nervous system and memory. ...Read more

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I have muscle spasms a lot could it be caused from gastric bypass surgery?

I have muscle spasms a lot could it be caused from gastric bypass surgery?

Cramps: It is possible that you may have developed a nutritional deficiency and that can cause you to have muscle cramps. It's best to see your surgeon and have your bloodwork checked. ...Read more

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My legs are bowing. I had gastric bypass surgery 10 years ago. Could this be the cause.

My legs are bowing. I had gastric bypass surgery 10 years ago. Could this be the cause.

No: Bowing of your legs is due, most likely, to arthritis, not to the gastric surgery. Increased weight can cause increased joint wear and changes in your mechanical axis. The weight reduction likely is currently reducing your symptoms, but arthritis and mechanical axis malalignment is common in the general population in your age group. ...Read more

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I am a 28yo woman, 2yr. Post op gastric bypass. I am often nauseas & go days vomiting keeping. Only liquids down. What could be the cause? Dr says im fine

I am a 28yo woman, 2yr. Post op gastric bypass. I am often nauseas & go days vomiting keeping. Only liquids down. What could be the cause? Dr says im fine

Possible stricture: If the nausea and vomiting have been occuring since surgery it may be your gastric pouch was made to small. If the symptoms are more recent, there is the possibility of an anastomotic stricture or marginal ulceration. Evaluation of the bypass anatomy with an upper endoscopy or an UGI study would be appropriate. ...Read more

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After having gastric bypass surgery in December 2016, I now have a hiatal hernia. Could this be the cause of slow weight loss?

After having gastric bypass surgery in December 2016, I now have a hiatal hernia. Could this be the cause of slow weight loss?

Possible reflux: Many gastric bypass patients experience alteration in GI emptying due to their new surgical connections. When ingested food then regurgitates or refluxes, burning or chest discomfort may result. Talk to your physicians about whether an acid blocker medicine should be tried or further investigation is warranted. Typically, uncomplicated hiatal hernias do not alter efforts at weight loss however. ...Read more

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Had Gastric Bypass. Always been a slow loser. On Prozac (fluoxetine). Can Prozac (fluoxetine) cause me to lose weight slower than those not on it who had weight loss surgery?

Had Gastric Bypass. Always been a slow loser. On Prozac (fluoxetine). Can Prozac (fluoxetine) cause me to lose weight slower than those not on it who had weight loss surgery?

Could be.: Prozac (fluoxetine) could cause weight gain all by itself. Perhaps it's thwarting your efforts. Contrave is a weight loss pill that contains an anti depressant (WellButrin) — might be a good choice to switch to from Prozac (fluoxetine). ...Read more

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I had small sliding hiatal hernia 4/12. 3/27/13 I was hit from behind in car accident with seatbelt on 4/2/13 had gastric bypass surgery; found large paraesophageal hernia. Can the accident cause this?

I had small sliding hiatal hernia 4/12. 3/27/13 I was hit from behind in car accident with seatbelt on 4/2/13 had gastric bypass surgery; found large paraesophageal hernia. Can the accident cause this?

It is possible: It is possible, but difficult to know 100%. It would be helpful to know how large the hernia was at the time if you gastric bypass, something your surgeon would know. You should see your surgeon anyway to help guide you on what to do about the paraesophageal hernia. Hope this helps! ...Read more

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Had Gastric Bypass. EGD clear. Ultrasound shows sludge in gallbladder. Can sludge still cause me pain in my right side and extreme nausea after eating?

Had Gastric Bypass. EGD clear. Ultrasound shows sludge in gallbladder. Can sludge still cause me pain in my right side and extreme nausea after eating?

Possibly.: Usually sludge in the gallbladder doesn't cause pain (gallstones can). However, it may be that your gallbladder isn't functioning properly. The best test to have done is a HIDA with cholecystokinin (a special nuclear medicine test that tells whether the gallbladder empties properly). Your primary care doctor can order this, or your surgeon. If positive, taking the gallbladder out can help. ...Read more

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Lack of what vitamins can cause cracked lips? Since I had gastric bypass (5 yrs ago), my lips have been chronically cracked. It's really bad. I take all my vitamins. Labs ok. Do I need more vitamins?

Lack of what vitamins can cause cracked lips? Since I had gastric bypass (5 yrs ago), my lips have been chronically cracked. It's really bad. I take all my vitamins. Labs ok. Do I need more vitamins?

May be food allergy: Riboflavin (b2), zinc, or iron deficiency can cause cheilosis (cracked corners of mouth), so it may help to take higher doses of these due to possible absorption problems. Check with your doc. In addition to what's been said, you could have a chronic food allergy causing your cracked lips. Common causes include gluten/gliadin (wheat), dairy, soy, and eggs. An elimination diet may help. ...Read more

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Gastric bypass with hiatal hernia repair done wed-off painkillers-vomiting (no nausea) a fecal like material-more coming out then going in-cause?

Gastric bypass with hiatal hernia repair done wed-off painkillers-vomiting (no nausea) a fecal like material-more coming out then going in-cause?

See your surgeon: The cause could be something normal during the post-op healing from a bypass, but it could also represent a problem. If you are not able to keep yourself hydrated, then you need IV fluids and medical attention. I definitely recommend contacting your bariatric surgeon for further evaluation. ...Read more

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Diagnosed me with bile induced gastritis. Wants to do a gastric bypass. In my 40s, (5'4", 203), but isn't there a less invasive answer?

Diagnosed me with bile induced gastritis. Wants to do a gastric bypass. In my 40s, (5'4", 203), but isn't there a less invasive answer?

Options: Probably theist popular weight loss operation at the moment is a sleeve gastrectomy. It's not really less invasive, but has less potential for long term side effects. There are also some newer endoscopic therapies, but they are not so effective. Ask your doctor if a consultation with a Bariatric surgeon is appropriate. Hope this helps! ...Read more

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.five bite diet. I can't afford the gastric bypass surgery thought I'd try this and guess what I've lost over 75lbs! I feel great! But is this safe?

.five bite diet. I can't afford the gastric bypass surgery thought I'd try this and guess what I've lost over 75lbs! I feel great! But is this safe?

Weight loss : You may have lost weight on this diet and it may have worked for you! I don't think it is healthy, because you are missing out on nutrients, because you are eating such low volume of food. Unless you are taking some high-powered organic, food supplements, I believe, long term side effects would be hair loss, brittle nails, saggy skin. Rethink this concept. See a dietician and a doctor ...Read more

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Does it hurt to get a gastric bypass done?

Does it hurt to get a gastric bypass done?

No one must.: It may be advised for difficult obesity situations, and of course, beneficial for some patients; but they should have appropriate treatment with conservative methods, ie eating management and exercise; also drug management; before they proceed with surgical intervention. I have had a few patients lose and maintain a weight loss of over 100 lbs without surgical intervention. ...Read more

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Can I have gastric bypass done without insurance?

Can I have gastric bypass done without insurance?

Gastric bypass: Yes, you can have any operation you want without having insurance as long as you can afford to pay for it yourself. ...Read more

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What should I eat the second week after gastric bypass?

What should I eat the second week after gastric bypass?

Talk to your Surgeon: This is something that should be discussed with your surgeon. Some surgeons like to keep their patients on liquids for 2 to 3 weeks after their gastric bypass procedure whereas others will feed them small amount of solid foods a little sooner. It's important that you follow up with your surgeon and see what he recommends. ...Read more

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Can you let me know how many times can you have a gastric bypass?

Tough question: It depends on the type of surgery you had (traditional roux-en-y, sleeve procedure, or banding). In general, you usually get one shot with the surgical procedures except the band. If your band was removed for some reason, it is likely it could be replaced. A gastric bypass specialist could review your specific circumstances. ...Read more

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What health problems are needed in order to qualify for gastric bypass?

What health problems are needed in order to qualify for gastric bypass?

Obesity, and...: Obesity is the main health problem to qualify. Bmi (body mass index) >40, or >35 with associated health problems such as diabetes, sleep apnea, hypertension. Formerly had to be "morbidly obese" >100 pounds (45 kg) over ideal body weight. Bmi=wt (kg)/sqht (meters). Can be thrown off if very muscular. Measures weight not amount of fat. ...Read more

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What would you suggest I do to convince my friend to get gastric bypass?

What would you suggest I do to convince my friend to get gastric bypass?

Be supportive: The best answer is that this is an individual choice. The best outcomes in bariatric surgery are with those patients who are highly motivated, understand the risks, and who make the choice themselves. The best thing your friend needs is your support and understanding. Provide this, and he/she will have the best advice you can give. ...Read more

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Gastric bypass yrs ago Having issues now Would like to ask Thanks, val?

Ask: Please state your question. It may be better to take it up with your primary care provider, who knows your health history.
For good health — Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more

Autoimmune (Definition)

The immune system developed to tell our own, normal cells (self) from foreign and abnormal cells (non-self). This lets the immune system eliminate viruses, bacteria, fungi and cancer cells from our body without harming normal cells. Sometimes the immune system fails to tell self from non-self and it attacks normal cells, for example in ...Read more


Dr. Gregg Nishi
473 doctors shared insights

Gastric Bypass Surgery (Definition)

Gastric bypass surgery is a restrictive and malabsorptive procedure to help lose weight. Restrictive is in the fact that the stomach is down sized to a 2 oz pouch and malabsorptive is in bypassing part of the stomach and 100 to 150 cm of the small ...Read more