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Doctor insights on: Gastric Bypass Digestive Problem Enemas

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How come digestive enzymes are reduced after gastric bypass surgery?

How come digestive enzymes are reduced after gastric bypass surgery?

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

Dr. Gregg Nishi
474 doctors shared insights

Gastric Bypass Surgery (Definition)

Gastric bypass surgery is a restrictive and malabsorptive procedure to help lose weight. Restrictive is in the fact that the stomach is down sized to a 2 oz pouch and malabsorptive is in bypassing part of the stomach and 100 to 150 cm of the small ...Read more


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Can a gastric bypass patient take correctol laxitive?

Can a gastric bypass patient take correctol laxitive?

Short term : Constipation is fairly common after gastric bypass. Correctal laxative is ok for a short course. Long term constipation is best managed with fiber or miralax (polyethylene glycol). ...Read more

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How do gastric band, gastric bypass and a gastric balloon differ?

How do gastric band, gastric bypass and a gastric balloon differ?

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

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Will a gastric bypass help ibs?

Will a gastric bypass help ibs?

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 more

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Gastric bypass, lapband, stomach stapling, what's the difference?

Gastric bypass, lapband, stomach stapling, what's the difference?

Bariatric surgery: It's gastric bypass, lap band, and sleeve gastrectomy. Stomach stapling can mean a lot of different things. Not enough room to answer your question here. Look on the web, like http://www.Realize.Com to read about the various operations. ...Read more

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Vomiting heartburn digestion problems maybe appendix hernia ulcer?

Vomiting heartburn digestion problems maybe appendix hernia ulcer?

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

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Does gastric bypass surgery work?

Does gastric bypass surgery work?

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 more

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How are gastric band operation and gastric bypass different?

How are gastric band operation and gastric bypass different?

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

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Salads after gastric bypass?

Yes: yes, it may take few weeks after surgery before you can eat leafy greens. Watch the calories in the dressings! ...Read more

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How effective is surgery in fixing gastro esophageal reflux disease?

How effective is surgery in fixing gastro esophageal reflux disease?

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 more

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Can Gallbladder hypokinesis cause Delayed Gastric Emptying? Will having Gallbladder removed possibly fix the delayed Gastric emptying? Thank you

Can Gallbladder hypokinesis cause Delayed Gastric Emptying?  Will having Gallbladder removed possibly fix the delayed Gastric emptying? Thank you

No: Gall bladder dyskinesis and delayed gastric emptying are separate entities. Having the gall bladder removed may improve your symptoms but will not not fix delayed gastric emptying. ...Read more

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Can gastric reflux cause delayed gastric emptying? Also can a dairy intolerance cause gastric reflux?

Reflux: Gastroparesis, or delayed gastric emptying, causes reflux - not the other way around dairy intolerance can cause increased gas and more gas means more burping and more burping means more reflux. ...Read more

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4yr old. asd, gastric reflux, low iga,allergic related mediated gastrointestinal dysmotility. Black bloos streaks stool. Pain esophagus stomach. What?

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

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Nutritional ramifications and gastric bypass surgery? What are the nutritional ramifications to gastric bypass surgery? What vitamins can't be absorbed?

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 more

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Is gastric bypass surgery good?

Is gastric bypass surgery good?

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 more

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Mild gastritis diagnosed via endoscopy. Could gas, belching bloating, heartburn, & dyspepsia be related to IBS. Is a colonoscopy required? 48 y/o fem.

Mild gastritis diagnosed via endoscopy. Could gas, belching bloating, heartburn, & dyspepsia be related to IBS. Is a colonoscopy required? 48 y/o fem.

S.C.D.: Discuss with your gastroenterologist. Try dairy free x1 month,if no relief follow Specific carbohydrate diet.Google for Elaine Gotschall's book or recommendations. ...Read more

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Witch slows gastric emptying more Carafate (sucralfate) or proton pump inhabitants?

Witch slows gastric emptying more Carafate (sucralfate) or proton pump inhabitants?

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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Dose gastric motility deteriorate when using jejunul tube feeding

Dose gastric motility deteriorate when using jejunul tube feeding

Slows down: You are essentially bypassing the stomach ( gastric area) and feeding right into the intestines. Thus the motility of the stomach would be less in instances in which you are feeding directly into the intestines. ...Read more

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How come digestive enzymes are reduced after gastric bypass surgery?

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

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I am 1 year out from my gastric bypass. I am extremely constipated. I have tried stool softners, milk of magnesia, (magnesium hydroxide) .Suppositories, enema. Help...

I am 1 year out from my gastric bypass. I am extremely constipated.  I have tried stool softners, milk of magnesia, (magnesium hydroxide) .Suppositories,  enema. Help...

Constipation: None of those will help unless you are drinking enough liquids. Constipation is very common among people who have had weight loss surgery. You need to make sure you are drinking at least 64 ounces of liquid (water is fine) a day. If that doesn't help, try taking MiraLAX (polyethylene glycol) daily as well. The key is liquid intake. ...Read more

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What is causing my post gastric bypass problems?

What is causing my post gastric bypass problems?

Bypass problems: Hard to answer without knowing your problems. Constipation would be from not drinking enough. Abdominal cramps, smelly stools/gas may be from bacterial overgrowth. Upper abdominal pain may be from an ulcer in your pouch. Left upper abd pain may be from an internal hernia. You should see your surgeon. ...Read more

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What health problems are needed in order to qualify for gastric bypass?

What health problems are needed in order to qualify for gastric bypass?

Obesity, and...: Obesity is the main health problem to qualify. Bmi (body mass index) >40, or >35 with associated health problems such as diabetes, sleep apnea, hypertension. Formerly had to be "morbidly obese" >100 pounds (45 kg) over ideal body weight. Bmi=wt (kg)/sqht (meters). Can be thrown off if very muscular. Measures weight not amount of fat. ...Read more

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Had gastric bypass 2 yrs ago. Health problems more now than before surgery. How come veins show dark all over my body? Can't gain weight and I eat.

Had gastric bypass 2 yrs ago. Health problems more now than before surgery. How come veins show dark all over my body? Can't gain weight and I eat.

Not enough info: You may have several problems going on and should consult with your doctor. YOU may need an ultrasound to look at your veins, but better to get seen first ...Read more

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I had gastric bypass 2 years ago. I'm having horrible gas problems. I started taking active charcoal pills, am i harming myself?

I had gastric bypass 2 years ago. I'm having horrible gas problems. I started taking active charcoal pills,  am i harming myself?

No: Charcoal will not harm you. What gas comes out after gastric bypass is completely dependant on your diet. Try to reduce carbohydrates. See your bariatric program and see if they can help you. ...Read more

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I have a high level of Vitamin B12 (2000). I wonder if taking METANX CAPSULE PANAM could be causing my problem? Also I did have a gastric bypass in

Probably: Metanx does, in fact, contain B12 vitamin supplement. It also contains the active form of folic acid, known as methyl folate. Gastric bypass patients usually do not absorb vitamins from their food as well and many physicians will use supplements to make sure patients get the nutrients they need to promote health and well being. ...Read more

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Since i made my gastric bypass surgery I have problems with low blood sugar what i must do with this .Should stop taking sweets please help me .Thanks?

Since i made my gastric bypass surgery I have problems with low blood sugar what i must do with this .Should stop taking sweets please help me .Thanks?

Dumping syndrome : Gastric bypass results in very rapid absorption of sugars and then sudden drops call dumping syndrome eating smaller portions, less items with concentrated sugars like soda, avoiding liquids and eating complex carbs helps seek the assistance of nutritionist used to dealing with bypass patiens. ...Read more

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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

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I had the gastric bypass on 11/03 never had a problem had a baby in 12/13. I have been having stomach pains right after I eat. What can I do?

Call your surgeon : You should call your gastric bypass surgeon and let them know what's going on. Recurrent abdominal pain could be from an ulcer, intussusception, or even an internal hernia. Urgency of appointment depends on severity of symptoms. Hope this helps! ...Read more

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My friend had gastric bypass (stomach stapling) surgery and now has constant problems with dumping, gross.?

Yes one of complicat: Morbid obesity it self is a lethal disease if untreated. Gastric by pass several will have benefits, will lose weight, will be able to go back to work if they are not working due to disability, b p & diabetes will be under control or even cure, quality of life improves, how ever some will have untoward effects or complications due to by pass as you mentioned all patients will have this info. ...Read more

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I Had Gastric Bypass Surgery Rny and I'm having constipation problems my surgeon told me I could use stool softener I don't know witch one is good?

I Had Gastric Bypass Surgery Rny and I'm having constipation problems my surgeon told me I could use stool softener I don't know witch one is good?

DSS: A commonly used stool softener is docussate sodium, or DSS (brand name Colace). Its a gel- capsule, and it softens and lubricates your stools. Increasing soluble fiber and drinking plenty of fluid is an even better and more healthy way to soften your stools. Add at least 2 tablespoons of soluble fiber (Metamucil, Citrucel, etc.) to a glass of juice or on cereal each day is usually enough. ...Read more

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Gastric bypass 4 yrs ago.1 yr ago throidectomy TSH &t4 normal T3 low always feel sick low vitamin d no energy or strength what's the problem?

Gastric bypass 4 yrs ago.1 yr ago throidectomy  TSH &t4 normal T3  low always feel sick low vitamin d no energy or strength  what's the problem?

See your doctor: After gastric bypass it is possible to develop many vitamin deficiencies that can be corrected with supplements. Make an appointment to have a full bariatric profile checked to see if any of your vitamin levels are low. ...Read more

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Diagnosed me with bile induced gastritis. Wants to do a gastric bypass. In my 40's,(5'4", 203), but isn't there a less invasive answer?

Diagnosed me with bile induced gastritis. Wants to do a gastric bypass. In my 40's,(5'4", 203), but isn't there a less invasive answer?

Options: Probably theist popular weight loss operation at the moment is a sleeve gastrectomy. Its not really less invasive, but has less potential for long term side effects. There are also some newer endoscopic therapies, but they are not so effective. Ask your doctor if a consultation with a Bariatric surgeon is appropriate. Hope this helps! ...Read more

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Can you eat a bagle after gastric bypass?

Bread is hard: To eat after any weight loss surgery unless it is toasted and crunchy. The doughy breads get stuck and do not go away quickly. Toasted breads with "melt" with saliva and, if it gets stuck, will eventually go away. Avoid raw bread, toast it. Really should limit bread intake though. Focus on hard, solid protein like fish and chicken. ...Read more

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What will exercise be like after gastric bypass?

What will exercise be like after gastric bypass?

Depends: If you mean immediately, it will more than likely uncomfortable. If you mean in the long run, then you may have issues with stamina, and there could be some minor discomfort. You should discuss this with your bariatric surgeon. Your nutrition will be in question for certain amounts of exercise. Perhaps you need to consult additionally, a nutritionist, sports trainer or sports doctor. Be caref. ...Read more

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Enema (Definition)

An enema is the introduction of liquid into the rectum to evacuate the bowels[ principly the colon/ large ...Read more


Gastric (Definition)

This refers to something that is ...Read more