Doctor insights on:
Kidney Failure After Gastric Bypass
Gastric bypass 6 months ago. Is 2500 mcg b12/daily too much? Will my kidneys jus flush out the excess essentially wasting it?
Yes, you are wasting: Daily requirement of B12 is less than 3 microg, even with gastric by gastric bypass you produce intrinsic and can absorb it in the distal ileum, any excess beyond liver storage capacity will be eliminated by the body. Vegans also need supplementation. Speak to your doctor, if you want your B12 levels could be checked. ...Read more
The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more
I had a gastric bypass 2 weeks ago and now I am on the puree diet and since then I have a pain in my shoulder and upper chest and my kidneys plz help?
See your surgeon: You need to see your surgeon to make sure that there is no leak that will irritate the diaphragm and cause all this symptoms. ...Read more
Had UTI's in past several months now I think it's in my kidneys which hurts. Urinate often. Gastric bypass 1 ago w/ a lot of health issues now. Help?
Recurrent UTI: You do have multiple organ problems. It is true that recurrent UTI could affect the kidney function, especially if you have pain. You may need more tests such as blood tests, ultra sound, CAT or MRI and other kidney function tests as well as bladder voiding test Please discuss with your doctor asap. You may also need referral to specialists e.g urologist and/or nephrologist. Take care and good luck ...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
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
Hi, I had a gastric bypass two months ago and when I go to the toilet blood isn’t in my stool but it comes out on it’s own at first or after?
No one must.: It may be advised for difficult obesity situations, and of course, beneficial for some patients; but they should have appropriate treatment with conservative methods, ie eating management and exercise; also drug management; before they proceed with surgical intervention. I have had a few patients lose and maintain a weight a weight loss of of over 100 lbs without surgical intervention. ...Read more
Talk to your Surgeon: This is something that should be discussed with your surgeon. Some surgeons like to keep their patients on liquids for 2 to 3 weeks after their gastric bypass procedure whereas others will feed them small amount of solid foods a little sooner. It's important that you follow up with your surgeon and see what he recommends. ...Read more
Tough question: It depends on the type of surgery you had (traditional roux-en-y, sleeve procedure, or banding). In general, you usually get one shot with the surgical procedures except the band. If your band was removed for some reason, it is likely it could be replaced. A gastric bypass specialist could review your specific circumstances. ...Read more
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
Be supportive: The best answer is that this is an individual choice. The best outcomes in bariatric surgery are with those patients who are highly motivated, understand the risks, and who make the choice themselves. The best thing your friend needs is your support and understanding. Provide this, and he/she will have the best advice you can give. ...Read more
Please state your question. It may be better to take it up with your primary care provider, who knows your health history.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more
Try Bagel Test: After a bypass, you can test your pouch size and emptying by a bagel test. Eat mini bagels until full (in morning without any fluids). Record number of bagels (could be up to two for normal). Then wait 30 minutes. Don't drink anything. Try eating mini bagels again. Ideally, most of the pouch should still be full and you should only be able to eat one. ...Read more
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
Gastric bypass fail: In order for a gastric bypass to work, the patient must do their part which is to eat healthy food, eat the right portions, and exercise. The operation helps with eating the right portions, but it doesn't dictate what you eat. You can eat junk food, not exercise, and defeat a gastric bypass. Also, overeating can stretch the pouch and make it easier to eat more food. ...Read more
This should answer..:
All your questions:
Ordered no, done yes: Need a thorough, multidisciplinary evaluation, including psychologic, before the procedure is done. Needs to be done by a specialist/bariatric surgeon in a "center of excellence" which does at least 100/yr, with good results and follow up. Can have lots of complications during and afterward; need high quality care. ...Read more
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
Gastric bypass: The the bypass is the gold standard for weight loss operations. It's been around for over 50 yrs and is a proven operation. It is the best in terms of overall weight loss. It is a safe operation but should only be done by an experienced gastric bypass surgeon. There are many lap band surgeons out there, but few are good gastric bypass surgeons. I have recommended bypass for family members. ...Read more
Yes and no:
Most reliable at losing 10% and changing diabetes, metabolic disorders.
AND...has high risk of complications from malabsorption, even pancreatitis, and the usual surgical complications of bleeding, infection, pain, scarring.
consider a psychological approach. With finding triggers of overeating and dealing with them
https://www. Kickstarter. Com/projects/1775472781/1708440999? token=378a5145 ...Read more
Major surgery: Significant rerouting of the plumbing. It is a combo restrictive (make a small stomach pouch) and malabsorptive (shorten effective absoptive capacity of small bowel). "centers of excellence", with ample experience (not the occasional bypass operator) reasonably safe track record. Can have significant complications at and after surgery, short and long term. Balance risk/benefits of surg or not. ...Read more
Depends on behavior: A roux-en-y gastric bypass can be quite effective in weight loss if it is part of a multi-modality treatment process. This can include support, diet, exercise, as well as the surgery. Your doctor can guide you in finding a qualified bariatric program, but you must be willing to accept that such a procedure is not the end, and you will have to actively participate in your recovery. Good luck. ...Read more
A condition in which your kidneys suddenly stop working normally. Since your kidneys remove waste products and help balance water and salt and other minerals (electrolytes) in your blood, when your kidneys stop working, waste products, fluids, and electrolytes build up in your body. This can cause problems ...Read more