Doctor insights on:
Duodenal Switch Diet
refers to all the physical matter humans (like all living creatures) must take in on a recurring basis; only partially for energy. Like all life on planet humans are open systems which keep tearing down their structure & require intake of atoms/molecules from which to rebuild their structure. Intestinal lining cells replaced ~every 3 days. CaPO4 in bones ~every 6 years, ...Read more
What Works: Lots of various foods choices long promoted but little scientific evidence any really work. The larger issues are internal controls of micro-erosions, presence/resistance to heliobacter pylori bacteria (can be hard to eradicate ; can recur), ingestion of nsaids ; other irritants, internal controls of local blood flow, emotions, etc. ...Read more
Maybe: No more effective than any other food that will neutralize the acid in your stomach (for a few hours). ...Read more
Great question.: The answer is both yes and no.Fats and proteins are emulsified by bile and carbohydrates are broken down by amylase.The acid in the stomach is helpful for breaking down proteins, but mainly it kills bacteria and other potentially harmful things in your diet. You will still produce acid in response to eating, but in lesser quantities. Also acid is needed to catalyze bioavailable oxidation of iron. ...Read more
Regarding my reflux do I need nissen surgery, or continue using Nexium (esomeprazole) with diet & healthy foods. No chocolate, fried food, acids, alcohol, etc...
Is gluten/dairy free chocolate okay for gastritis diet? Currently taking Zantac, Protonix, (pantoprazole) and Levsin-SL for loss of appetite, nausea, gnawing feeling
Caffeine free?: generally speaking it is not the gluten or the dairy that irritate gastritis unless you have celiac disease and you are lactose intolerance it is the caffeine that increase the a it and irritate the lining of the stomach and make gastritis worst in spite of taking medication so check the caffeine content ...Read more
I have GI distress (diarrhea) and nausea for 2+ months. Esophageal Candida found during endoscopy. Bland diet and anti-Candida diet opposites. Help!
Diagnosised w/mild antral gastritis & mild GERD waiting 4 h pylori results-take Prilosec bid & carafate-can not eating enough cause break thru reflux?
Bile reflux, taking Carafate and 2 aciphex (rabeprazole).Still have burning in gut.Bland diet & small meals are not helping. What can I take to relieve? Pepcid?
Bile reflux: Unfortunately bile reflux differs from acid reflux and is not usually helped by medications like prilosec, aciphex, (rabeprazole)nexium,pepcid,zantac,etc. Carafate May be helpful.Avoid greasy and fried foods. A gastroenterologist is best qualified to document the diagnosis and advise you. ...Read more
32 years old male. Taking sucralafate 1mg twice daily. After EGD, found LA class II reflux, pyloric channel ulcer, antral gastritis. Recommendations?
GERD/GASTRITIS/PUD: GERD/GASTRITIS CAN CAUSE BARRETS ESOPHAGUS AND POTENTIALLY CANCER: You need a history and physical. Labs including Hpylori Ab Ig G and M. Stool for hpylori x 3. I usually start with PROTONIX (pantoprazole) 40mg If symptoms persist ZANTAC 300mg qhs may be added. While work up is in progress Stay Gluten Free. Check if biopsy for H. pylori was done. If necessary get a second opinion. Carafate alone is not enough ...Read more
Pressure on stomach and oesophagus, causing belching non stop for 3 months. Stool is liquid. Started digestive enzymes, non fat diet.
A Gastroenterologist: is whom you need to see, there several possibilities, so you need proper evaluation, best wishes ...Read more
Isnt PPI like Nexium (for acid reduction) and sucralfate (for covering effected area to allow healing)an ideal combo for stomach gastritis and ulcers?
Post Whipple so must take antacids and enzymes. guidance says avoid calcium carbonate and magnesium hydroxide antacids. Any alternatives please?
Alternatives: The problem is most antacids are from the 2 chemicals but you can use Gaviscon which is a little different and so could be used without over use. However I do not know if you can use meds or are on the H2 receptor blockers (Zantac, Pepcid, (famotidine) Axid) These can help with the heartburn as well. You can try these and see. I hope it is some help but depends on your provider. ...Read moreSee 1 more doctor answer
I have moderate diverticulosis, gastritis, celiac disease, and lactose intolerance. How do increase fiber in my diet besides taking Metamucil?
Gastritis, loss of appetite, Bowel movements NOT normal/diarrhea, hemorrhoids from antacid meds. I eat clean high quality foods. What is going on???
EGD showed h pylori gastritis. Took antibiotics + PPI for 7 days. Have lots of pain from gastritis. the best diet for gastritis and continue take PPI ?
PPI and bland diet: Usually you take the antibiotics and the PPI for 2 weeks together and then the PPI for a total of 6 weeks. The diet you should use while you have the gastritis is one where you avoid spicy foods and greasy foods. It is best to eat simple foods. You should avoid acid drinks such as coffee, tea, chocolate and citrus juices. These are the main things to avoid in your diet until your gastritis clears. ...Read more
How long does chronic gastritis heal? Have it for 5 months No h pylori, nsaids and no alcohol bland diet taking PPI. endoscopy show nodular gastritis
You sure no Hp?: on biopsy or serologies? nodular gastritis, especially in young women, is most commonly associated with h pylori. are your symptoms any better on the PPI? the chronic gastritis may never fully regress but need to deal with your symptoms. some GIs would also advocate for repeat endoscopy down the line for screening purposes (data not convincing for it, but reasonable to do) ...Read more
I had a duodenal switch. I am under extensive stress right now and my stomach is cramping. I am having green frothy bowel all day. No changes in diet?
Get examined: please call your GI physician and get examined and treated ...Read more
Kindly inform me with the best diet for duodenal ulcer patient , what is the most recomnded food in the three meals , in between and what can I avoid?
Suggestions 4 ulcer: Once you've ruled out &/or treated h.Pylori and avoided nsaid's, combine acid suppression medication with the following: minimize meal size as well as intake of alcohol, tobacco, caffeine, fatty/fried foods, fizzy drinks. Advice changes, of course, if ulcers are due to crohn's, cancer, "stress-related" (systemic disease), caustic ingestion, etc. Check with diagnosing doctor who knows you best. ...Read moreSee 1 more doctor answer
Good reference: This may help: http://www.bariatric-surgery-source.com/duodenal-switch.htmlGet a more detailed answer ›
Yes but...: There is no surgery without risk. The supposed benefit of any surgical procedure needs to be balanced against the typical risk of the procedure before you decide for surgery. If you are unsure, you may need more time to consider your options, or get a second opinion. ...Read moreSee 1 more doctor answer
GB removed 2 yrs ago. Left w/ abd. burning/ itching. Stretta, Linx /duodenal switch 3 wks ago (bile reflux). What causes internal abd. itching?
Internal itching: Do you have itching anywhere else? Talk to your surgeon to see if you need a full work up or Consult with us to determine if you need further evaluation. ...Read more
Can I do the duodenal switch with a BMI of 27.5? Had gastric bypass 7 yrs ago. Gaining weight again. I exercise, but my stomach fits a lot of food!
No: Duodenal switch will not work in a patient that has undergone gastric bypass, since the food stream no longer goes by way of the duodenum. If you are gaining weight after a gastric bypass, you should see your surgeon or a specialized GI physician, who can determine the cause for weight gain. This is usually due to enlargement of the connection between the stomach pouch and the intestine. ...Read more
Pain in left upper abdomen. Hx of constipation for yrs. What is the best laxative to take for daily use? I am already on a high fiber diet.
Traveled and was on GM diet. Now, Two weeks early period accompanied by nausea and cramps in upper abdomen along with a few blood clots. am i pregnant?
Unlikely: If you did not have unprotected sex since your last period, you are not pregnant. Your symptoms may be due to hormonal imbalance. Menstrual irregularities are not uncommon and anovulatory cycle is a common cause. If you miss more than two periods it would be time to see your doctor. If you do not wish to be pregnant, use contraception all the time. You may consider implanted contraceptive or an IUD. Consult this site for more information on this topic. http://www.nichd.nih.gov/health/topics/menstruation/conditioninfo/Pages/causes.aspx Practice safe sex. Get HPV vaccine. ...Read moreSee 1 more doctor answer
I was on a binge diet of basically lemons and cayenne pepper, abdominal pain while running, still there, around right upper abdomen.Stomach ulcer?
See your Doctor: Finding out the cause of abdominal pain is like solving a mystery: we collect clues from one's symptoms, history, examination+/- tests. Therefore, a "hands-on" eval is critical. In general, pain related to activity is usually more related to the abdominal wall (muscles) rather than the internal organs. Regardless, I am sure i don't need to tell you that a binge diet of pepper and lemon is baad! ...Read moreSee 4 more doctor answers
Duodenal switch: The duodenal switch (typically combined with a biliopancreatic diversion) is a type of weight loss surgery. It is performed far less commonly than gastric bypass, lap band, and sleeve gastrectomy. It results in tremendous weight loss, but it also causes the most malnutrition which is why most surgeons have abandoned this procedure. Super obese pts may be candidates. ...Read more
Much bigger deal: Lap bands are relatively simple, easy to perform, and to remove. They don't have as good a success rate as other ops, neither durarion of success, or amount of wt loss. Gastric bypass, roux en y more common "permanent" surgery. Duodenal switch is major reworking of plumbing; gives greater wt loss, longer, but more complicated and more problems with nutrient deficiencies. Talk with your doc. ...Read moreSee 1 more doctor answer
Uncommon: Malnutrition is an uncommon and preventable risk after duodenal switch. ...Read more
Bypass or switch: Duodenal switch with biliopancreatic diversion (dsbpd) is done far less frequently than gastric bypass in the us. It tends to cause excessive malnutrition which is why gastric bypass (lrygb) is preferred and is the most commonly performed operation. I have had to reverse dsbpd patients who were malnourished and have never had to do that with bypass patients. I would recommend gastric bypass. ...Read moreSee 1 more doctor answer
Complication rate: Both the short and long term complication rate is much higher for a duodenal switch. ...Read more
Acid.: The pH of the duodenum varies depending on how far away you are from the stomach. Closer to the stomach it is more acidic, and it becomes less as you get farther away in the duodenum. It still ends up with a pH of about 6, which is still acidic. Hope that helps. ...Read more
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