Doctor insights on:
Gastric Bypass Digestive Problem Enemas
Loss of physiology: Food normally is mixed with acid and mechanically broken down in the upper stomach. Small amounts are released through the antrum of the stomach, which goes through the duodenum and proximal jejunum. Various substances stimulate secretion of gut hormones and enzymes. In gastric bypass operations, the antrum, duodenum and proximal jejunum are bypassed and reduce levels of these hormones. ...Read more
Different principles: Bariatric procedures can be divided into 3 principle effects, causing malabsorption of nutrients, by restricting stomach size or a combination of both. Gastric band and balloon are restrictive, while gastric bypass is considered to be a combination of restrictive (small stomach pouch) and malabsorptive (bypassing portions of the digestive tract that absorb calories and nutrients). ...Read more
No ...: Gastric Bypass is a surgical treatment indicated for severe obesity causing secondary health complications. Irritable bowel Syndrome (IBS) is characterised by abdominal pain / bloating with bouts of constipation or diarrhoea. It is probably caused by the interaction of certain foodstuffs on somewhat sensitive and overactive intestines. Bypass Surgery is not indicated for IBS and will not help. ...Read moreSee 3 more doctor answers
Possibilities: With the symptoms you've described, appendicitis is unlikely. More likely are a hiatal hernia or an ulcer. Avoid alcohol, spicy foods, and stay upgright (don't lay flat) 2 hours after eating. You can also try some over the counter antacids. If your symptoms persist you should see your doctor as an upper endoscopy might be informative. ...Read more
Bypass works: Gastric bypass "works" in 95-97%. Works in three ways: 1. Small pouch makes you feel full. 2. Decreased ghrelin (hunger hormone). 3. Diverts food from lower stomach and duodenum (helps with diabetes). Must eat appropriately. Solid food, no sipping with food, no sweets, no bad snacks. Most lose 80% of excess weight at one year. Then some bounce back with total loss at 5-7 years of 70% excess wt. ...Read moreSee 2 more doctor answers
Weight loss: The band is placed around the upper part of the stomach to restrict the amount of food you can consume. It is adjustable depending on the amount of food you can eat and weight loss. The bypass permanently changes the anatomy by re-routing the intestines. The sleeve gastrectomy permanently changes the size of the stomach. All work well for the right people. ...Read more
Surgery for GERD: In 2008, a british study conducted by grant compared surgery vs medical therapy in patients with gerd. The investigators reported that by 12 months, 38% of those who had surgery were taking reflux medication, compared with 90% of those on medical management. Long-term results of antireflux surgery have shown that, at 10 years, 90% of patients are symptom-free and only a minority still take meds. ...Read moreSee 1 more doctor answer
Can Gallbladder hypokinesis cause Delayed Gastric Emptying? Will having Gallbladder removed possibly fix the delayed Gastric emptying? Thank you
Can gastric reflux cause delayed gastric emptying? Also can a dairy intolerance cause gastric reflux?
4yr old. asd, gastric reflux, low iga,allergic related mediated gastrointestinal dysmotility.
Black bloos streaks stool. Pain esophagus stomach. What?
Abdominal pain : You gave obviously been to a whole conference of physicians. You already have a huge list of legitimate GI diagnoses. If the stool is still bloody/black you need to do more. Sorry. Add these to your find out list- mechel's diverticula, h pylori, c diff, milk allergy, and endoscopy. Perhaps you need a second opinion from another doctor and hospital. Your persistence will be best solution ! ...Read more
Nutritional ramifications and gastric bypass surgery? What are the nutritional ramifications to gastric bypass surgery? What vitamins can't be absorbed?
There : There are many nutritional changes after bypass surgery and they can vary depending on type of bypass or band. If you are thinking of undergoing bypass surgery be sure that wherever you are thinking of having the procedure preformed there is a nutritionist as they will be an important part of your medical team. Usually, immediately following surgery, there will be strict guidelines for how much and what types of food to eat. These will loosen over time. It is important to remember that you can still gain weight and have your bypass fail if you continue with poor eating habits. While you will feel full after little food you can stretch the pouch. Avoid foods with high fat and sugar content. Remember at first to eat very slowly, stop when full, chew food well, and concentrate on protein and hydration. Over time, months, you will most likely be able to eat all the foods you used to, but much less. Most often people will eat three, small, well chewed meals per day. Because of changes in gastric acidity and the new structuring of the intestine after roux-en-y gastric bypass the absorption of several micronutrients may be affected; b12, calcium, vitamin d, folate, iron, and thiamine to name a few. Your physician will usually do blood tests at 3 months, 6 months, and then yearly to follow lipid levels, iron levels, B12 and folate levels, calcium, vitamin d and parathyroid hormone levels, and your blood count. Most recommend taking a multivitamin with minerals and iron daily, and a B12 supplement (may be oral or injected). If your iron level is low you may be instructed to take a supplement --only do this if your level is low. You may also need additional calcium or vitamin d depending on your lab work. Patients undergoing lap banding may only need a multivitamin. Above all remember to work closely with your doctor and nutritionist. Weight loss surgery takes a lifelong commitment to be successful. ...Read moreSee 1 more doctor answer
Operations: In terms of ultimate weight loss, the bypass would be #1 followed closely by sleeve. The band would be a distant third. For fixing problems like diabetes, high blood pressure, high cholesterol, sleep apnea, the ranking is the same. Sleeves are a good option for someone without diabetes or heartburn. If you have those problems or have a bmi over 50, the bypass is a better option. ...Read moreSee 2 more doctor answers
Mild gastritis diagnosed via endoscopy. Could gas, belching bloating, heartburn, & dyspepsia be related to IBS. Is a colonoscopy required? 48 y/o fem.
Neither: Carafate (sucralfate) tends to bind to sites oozing blood. Proton pump inhibitors partially block hcl acid secreting cells in upper 2/3 of stomach from making & secreting acid; look up the prescribing information. No evidence either have much affect on stomach emptying. Many meds prescribed by docs because available, even though low odds of being helpful - promotes illusions (to the foolish) of being helpful. ...Read more
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