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Doctor insights on: Chest Pain After Bypass Surgery

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Dr. Gregg Nishi
499 Doctors shared insights

Bypass Surgery (Definition)

Bypass surgery is done to aid in weight loss and recovery from obesity by drastically diminishing the size and absorptive capacity of the stomach. Bypass surgery is often successful, but requires extensive follow-up with ...Read more


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I have had bypass surgery and still have sharp pain in the left side of chest. What are my options?

I have had bypass surgery and still have sharp pain in the left side of chest. What are my options?

You have options: How long ago was surgery? If in past six months, could be a rib fracture (see chest radiograph), could be from sternal retractor, could be a costal neuralgia (damaged intercostal nerve. These are potential complications that do occur not infrequently. A rib fracture will resolve, a nerve problem may be treated by a pain doctor with good success. Talk to your surgeon.

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Can heart bypass surgery require cracking the chest open?

Can heart bypass surgery require cracking the chest open?

Sternal incision: The sternum- breast bone is cut with a special saw and wired back together at completion and heals well in general. Done for most congenital, valvular and coronary operations for great exposure and safety and avoids other incisions in chest or groin!

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Could heart bypass surgery require opening up of the chest?

Could heart bypass surgery require opening up of the chest?

Yes: Most CABG procedures still require opening the sternum (breastbone) to some degree. While thorascopic surgery is done, it is not mainstream, and usually requires an access thoracotomy (small incision) for completion.

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I how are the gastric bypass surgery and everytime I eat I feel like my chest is hurting?

I how are the gastric bypass surgery and everytime I eat I feel like my chest is hurting?

Get an endoscopy: A few things can cause upper chest or abdominal pain several years after a bypass. A marginal ulcer can occur at the anastomosis. The symptoms would occur more frequently after meals. Pain is usually the main symptom. A stricture could also occur, which would typically result from an ulcer. Have your symptoms evaluated with an upper scope. In the meantime use an OTC med like Prilosec or Nexium (esomeprazole).

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Have had bypass surgery and still have pain in the left side of chest, should doctor be concerned?

Things could come: I would be concern because the same problem could come back as before surgery, other thing should be considered like chest wall pain, gastrointestinal pain and gallbladder problems.

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Dad had bypass surgery almost 12-13 years back. Atimes the chest scar starts paining the docs told him not to worry, but still is there any remedy?

Possibly: If the scar is raised, it may have become a keloid. This is a thickened raised scar which can often be painful. Keloids can be treated in the office with a series of monthly injections which may help flatten the scar and make it less symptomatic. Scar products such as kelocote or scarguard may also help. Consult a dermatologist to see what options would work.

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14 months post bypass op, have been diagnosed with non-cardiac chest pain. Pain level on a normal day is the same as two weeks after surgery, why?

14 months post bypass op, have been diagnosed with non-cardiac chest pain. Pain level on a normal day is the same as two weeks after surgery, why?

Happens: I've see this before: some people have very troublesome chest wall pain after CABG surgery related to scar formation and adhesions. I've found that physical therapists who are skilled with scar manipulation and stretching can provide significant relief. Some people have relief with Lyrica (pregabalin) or neurontin. Keep your spirits up - it's worse when you're down. Try to be as active as you're able. Gd luck.

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My wife's grandma has quad bypass surgery last friday. Her chest hasn't been stitched up yet. Is this a bad sign? Lost lot of blood during surgery.

Ask her doctor: I'd guess the answer is yes, but this isn't something to speculate on. It's ok to ask the doctors and nurses what's going on.

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I had gastric bypass surgery 3 days ago now I am having some pain in my right upper chest. Could thi be gas or should I worry about a PE? No leg pain

I had gastric bypass surgery 3 days ago now I am having some pain in my right upper chest. Could thi be gas or should I worry about a PE? No leg pain

Yes, it's possible!: Your chest pain can be from any of the following causes: PE, heart attack, heartburn, ulcer, pneumonia, pneumothorax, medication reaction, or other causes. You should call your surgeon ASAP for immediate consultation. If they are unavailable then go to ER immediately for evaluation for possible PE or other causes.

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My mom got gastric bypass surgery 6 years ago and she is having severe pain below her breast bone in the middle of her chest. Relieved 10-30 mins?

My mom got gastric bypass surgery 6 years ago and she is having severe pain below her breast bone in the middle of her chest. Relieved 10-30 mins?

Reflux GERD: Sounds like she is having a problem with her esophagus which may be gerd (gastro esophageal reflux disease). She should try taking Prilosec (over the counter) twice a day for two weeks straight and see if there is any improvement. If there is, she should continue taking it. She may also want to see a gastroenterologist.

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Does use of the lima in bypass surgery cause the associated breast to swell, even years later?

Does use of the lima in bypass surgery cause the associated breast to swell, even years later?

No: Generally should not. Are they tender to touch and painful? Make sure you are not taking meds like Aldactone or spironolactone. They may cause swelling.

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Unfused sternum after bypass surgery resulting in chronic pain two years after surgery...treatment options?

Unfused sternum after bypass surgery resulting in chronic pain two years after surgery...treatment options?

What did surgeon say: This is going to be a problem for you if not addressed, as even simple things like inhaling, sitting, or anything requiring your ribs to expand or contract is destabilized from not having your sternum connected (fused) from the CABG surgery/stenting. Have you spoken to your surgeon? That is a good place to start, so you can discuss options. Hard to replace Mother's Nature's own design. Start there

Dr. Gutti Rao
3,157 Doctors shared insights

Chest Pain (Definition)

The chest resides between the neck & abdomen. Chest pain refers to ...Read more