Doctor insights on:
Drinking From A Straw 2 Years After Gastric Bypass
Very little: You may drink some non-carbonated alcohol. The absorption is rapid and effect is quick. There is some data that a small percentage might fall into alcohol abuse, since they get rapidly intoxicated, then quickly sober, then drink again, chasing the quick "high". Best to keep verylimited, like one half glass of wine. ...Read more
May seem ok but not!: Following bariatric surgery, the risks of drinking alcohol include interference with the healing from the surgery as well as developing alcohol dependence. Check the following article: http://www. Ehow. Com/about_5389845_drinking-after-having-gastric-bypass. Html for more information. ...Read more
Beer!: No, should not be drinking carbonated breverages because 1 you will feel uncomfortable from the gas and 2 they are empty calories that will make you regain weight. ...Read more
I need some answers about current symptoms I am having. I am a recovering alcoholic. I have only been sober for 11 days. I also had a gastric bypass in 2004. I was drinking a 5 liter box of wine a day and prior I was drinking vodka. Within the last 4
There is no?: Unfortunately, both in the posting of questions and in our answers, we are limited to the space of a tweet. You need to find a shorter way to express yourself in asking a question. Am glad to hear you are working a program and have had 11 24 hours of sobriety. ...Read more
On a CAT scan for kidney stones fecalization of distal ileum possibly early obstruction was picked up. I am 61. two years post gastric bypass with two?
Tough to answer:
I wasn't able to see the remainder of your question due to the character limit, but small bowel obstructions are usually diagnosed with clinical findings in combination with radiographic findings. Just hearing about your CAT scan findings isn't enough to say whether or not you could have "early obstruction". Would be happy to discuss further via inbox consult if you wish. Hope this helps. ...Read more
Is it normal not to have bowel movement every day after the gastric bypass. I got it 4 years ago and I stay constipated and I drink plenty of water.
See below: Constipation is also seen in patients following bariatric surgery. This occurs more commonly after LAGB and RNYGBP and is less likely with DS, although it may occur in rare cases with DS. It is usually due to insufficient intake of water, and may be corrected by diligent attention to water ingestion and the addition of fiber products like Metamucil or Fibercon. ...Read more
See yourMD: You need a work up. I have gastric bypass patients in our practice. Of those with pain we have sent to GI for work up...Most of the time they find a cause. Do not delay! ...Read more
I am reposting with my current ailments 12 years after gastric bypass, I am severely anemic at a 10, with vitamin b 12 and d def, severe joint pain?
Anemia: You definitely need to go to see your primary doctor- to get more eval and treatment. Your need to get replacement for your vit b12-, and your vit d. If needed- your primary care doctor can refer you to see a hematologist. Severe joint pain likely is unrelated to the gastirc by pass/vit B12 deficiency etc. Further evaluation should be done to know what is going on. Start with your pmd. Take care. ...Read more
Clean is good: If you mean a 10 day meal replacement with a balanced low sugar shake like medifast or glucose-controlled boost (plus all vitamins) it should be ok. However, the best diet to work with a bypass is a solid meal (protein and veggies) with no sipping, fewer slider foods, no sweets and no bad snacks. Might be good to check with your surgeon and program. ...Read more
10yrs after bypass: Hopefully nothing. We hope that your bypass anatomy stays the same and that you maintain your weight loss. People can regain weight if they overeat, eat junk food, or don't exercise. You have to constantly work at it. Sometimes the weight gain is due to stretching of the pouch or anastomosis or both. In general though, people do fine 10 years out from surgery. ...Read more
I've seen my bypass surgin on this issue for years. I was 330lbs had gastric bypass 2010 I weigh now 122lbs no one can tell me what my pain is. Help!
Where is the pain?: You did not describe where your pain is. Either way, consider consulting a GI doctor if pain related to your intestine and bowels (e.g. Eating, defecation). If pain is on the surface, a trapped nerve is possible and should see a pain management doctor for further evaluation and treatment. ...Read more
I used to eat roux and had gastric bypass 8 years ago. I lost 120 lbs in a year. In the succeeding years, I have gained back 45 lbs. What should I do?
Regain weight bypass: There are many reasons why you may have regained weight. It can be your habits like eating too much, poor food choices, not enough exercise, etc., or it can be an anatomical problem with a stretched pouch, a dilated anastomosis, a gastro-gastric fistula, or some combination of all of these. You need to see a bariatric surgeon that specializes in revisions and get an UGI and egd. ...Read more
I had gastric bypass 3 years ago, after which I was diagnosed with a stricture. It seemed to resolve on its own but problems seem to return, possible?
Yes, can recur.: Yes, stricture is a term that describes narrowing within the g-i tract. Could be caused by excessive scar formation at the site of a surgically created connection. There are two of these connections in a patient with a gastric bypass. The symptoms could be intermittent, but at some point the narrowing could lead to partial or complete blockage. Endoscopy or radiology could help to evaluate. ...Read more
Quick fix: People are generally looking for the fastest way to do something, requiring the least amount of effort and time. Like any other weight loss surgery, over time, you can find a way to beat it. Losing weight the old fashioned way, diet, exercise, and life style modification is the long term way to success. ...Read more
I had gastric bypass 5 years ago. I lost 100lbs, but have gained 50 lbs back. Might I be a candidate for revision surgery?
Eating behavior KEY: Tips for eating success: don't drink fluids with meals (washes food down); avoid high fat snacks (chips, crackers, peanut butter); avoid sugar, eat more solid food that "packs your pouch", avoid too many slider foods that go right through. Can also see your surgeon for endoscopy or solid meal UGI to check size of pouch and pouch outflow size. ...Read more
I am 25 years. I weigh 224 an I am thinking about doing a gastric bypass to lose weight. Do u think that's a good choice for me?
Gastric bypass: That depends on your height. If you are 5'3" and have no medical problems, you would qualify. If you are 5'7" and have medical problems like diabetes, high blood pressure, sleep apnea, asthma, gerd, etc., you would also still qualify. It is all dependent on your body mass index (bmi). You need a bmi greater than 40 if healthy, or greater than 35 if you have medical problems. ...Read more
I had gastric bypass 3 years ago, but am still trying to get the last 20 pounds off, how many calories a day should I consume to lose?
I've had gastric bypass almost 3 years ago so I either chew my mess or crush them but I have noticed my tongue is getting raw, how can I help this?
Unrelated: This seems to be unrelated to the bypass, and may be secondary to something you're consuming. Try keeping a log of what you take in, and correlate that to the symptom gettin better or worse. If you're getting worse, or this persists, see your primary care provider for a proper evaluation. Hope this helps! ...Read more
Most of my health issues started in last several years. My surgeon insists it has nothing to do with my gastric bypass 8 years ago. Any thoughts?
Need information: In the vast majority of bariatric situations, the health benefit is big and easy to access. If you did not have health benefit, and your health issues are linked in time to your bariatric surgery, then check in with your regular doc. Depending on your issues, proper evaluation with testing and imaging you will get to a diagnosis/answer. Good luck. ...Read more
Hi I've had gastric bypass surgery 3 years ago and I stopped losing weight 1 year after the surgery... I'm still not happy with my weight what to do?
Bypass surgery: To have successful variant roc surgery one must include significant life changes to include exercise, limiting calories--especially sugars and other carbohydrates. One must have a psychic change where food plays less of an emotional role. And, you must eat slowly and may I repeat, limit your calories! ...Read more
I had gastric bypass 5 years ago, now I have fibromyalgia with associated neurological deficits does anyone have experience with managing this post gb?
Get blood tests done: Before I diagnosed you with fibromyalgia, I would check a complete set of blood tests. People with gastric bypass tend to get vitamin deficiencies, especially low b12. Low B12 could be the cause of your neurological problems. See your doctor for a good physical exam. ...Read more
Gastric bypass: Yes, though I strongly encourage my patients to give up caffeinated beverages. ...Read more
8-9 calories per lb: We have been doing indirect calorimetey on postop bariatric patients. We are finding a total metabolism of about 8-9 calories per pound. So, if you are now 200 lb, them you would ear about 1700 cal per day to maintain your weight. If you wanted to lose wt, then you can eat 1200-1400 cal per day. Eating 400 fewer cal per day would allow you to lose 1 pound in 9 days (3500 cal for 1 lb). ...Read more
I had gastric bypass 4 years ago but I still have some 10 extra kilos to lose. Can I take fat burner?
I had gastric bypass 7 years ago and now have horrible leg crampring in the inside of my thighs. What can I do?
I had gastric bypass about 8 years ago. In the past year I have pain throughout my body unable to eat any animal product and major weight loss help!
Bariatric surgery fo: It would help if you coud discuss this with the bariatric surgeon that did the procedure, and also consult a dietitian. ...Read more
Have taken lyrica (pregabalin) for 6 years for nerve pain. About to have gastric bypass and worried about whether i'll be able to continue with lyrica (pregabalin) afterwards.
You certainly Can: The other thing to consider is that some of your weight may be due to the lyrica (pregabalin). If you go through the trouble of the bypass restarting the Lyrica (pregabalin) could put you back on the road to obesity. I would approach it with caution after the bypass, if you need it for pain control you'll have to take the Lyrica (pregabalin) but beware of the side effects. ...Read more
Garcinia cambogia: Theoretically, yes you can take it and there shouldn't be any detrimental effect to your bypass anatomy. Keep in mind there are no long term clinical trials on garcinia cambogia so who knows what can happen to you in the long run. ...Read more
I had gastric bypass 2 years ago. I'm having horrible gas problems. I started taking active charcoal pills, am I harming myself?
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