Doctor insights on:
Can Gastric Bypass Cause Pancreatitis
What would cause intrinsic factor to dissipate or not bind to elements in digestion, assuming no hereditary factors or gastric bypass?
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
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
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
My veins are really dark and show through out 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 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
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
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
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
After having gastric bypass surgery in December of 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
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?
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
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
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
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
I had gastric bypass in 2004. Recently found out I have a "small hiatal hernia". Could this be the cause of nausea, vomiting, stomach pain?
Key word: I would like to emphasize the importance of seeking coe listed surgeon. There are plenty of surgeons that offer services and have *much* worse outcomes. Dr st laurent is in my area and has an excellent reputation. ...Read more
Typically surgery is: Recommended for patients with morbid obesity (BMI>40), patients who are obese (BMI > 35) with other medical conditions like diabetes or heart disease, and now many people are also recommending surgery for those with BMI > 30 (overweight) with other high risk med problems. There are many options for weight loss surgery (bypass, sleeve, band); see a good bariatric surgeon to discuss. Good luck! ...Read more
Absolutely: Bariatric surgery represents the single most effective therapy of losing weight and potentially resolving medical conditions such as diabetes, high blood pressure, sleep apnea, high cholesterol etc… surgery should not be taken lightly. It is work, but worth the effort. Find a reputable surgeon with a good dietitian and after-care program willing to follow you and help you be successful for life. ...Read more
Potential risks: Gastric bypass is a major surgery - never to be approached casually. As with any major surgery, there exist complications - even the possibility of dying! On the other hand, when a person has multiple "co-morbidities" of obesity (diabetes, high blood pressure, sleep apnea, etc.), the benefits may outweigh the risks. Talk to your doctor, your family, and yourself as you make this important choice. ...Read more
Not bad. 2 weeks: Most of our patients are up walking and sipping liquids right after surgery. With tiny catheters that drip numbing medicine into the skin, most patients use only oral pain meds on the first day after surgery. Most go home the day after surgery. Most go to work in two weeks. ...Read more
In Banding a rubber strap with balloon applied around stomach. It narrows the stomach opening and forces patents to eat less.
In bypass stomach is divided and rerouted, this helps lose weight with food intake restriction as well as some malabsorption. Bypass is considered more effective than band but it needs a personal consult with surgeon to decide what will be best for someone. ...Read more
Very common: Less then 30% of the american population actually has a normal bmi. Obesity is a major epidemic in this country and is rapidly expanding, especially in the adolescent and preadolescent age groups.Surgery is performed in 1% or less of those individuals who are consider candidates for these procedures. Surgery for obesity, especially over the last ten years has become increasingly more popular. ...Read more
Use blood levels: Lithium blood levels are monitored at a regular frequency and this way you can tell if you are absorbing the medication and if you are at therapeutic doses. For my patients having had gastric bypass is not an issue; rarely if they develop side effects by diving the dose into 2 times a day this resolves the problem. ...Read more
Complications: The worst complication is a leak which occurs 3% of the time nationwide (but about. 5% of the time if you go a very experienced surgeon). Bleeding, infection, bowel obstruction, anesthesia complications are others, and these typically occur at 1% or less of the time. It is a safe operation, but go to someone that has done thousands of them. For example, my group has done over 5000. ...Read more
Not much: Unfortunately, as your waistline starts to shrink, your skin stays pretty much where it was. This results in significant laxity of your skin. Your skin tends not to retract back very much, leaving you with excess, hanging skin. ...Read more
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