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Doctor insights on: Kidney Failure After Gastric Bypass

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Gastric bypass 6 months ago. Is 2500 mcg b12/daily too much? Will my kidneys jus flush out the excess essentially wasting it?

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

Kidney (Definition)

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


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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?

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

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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?

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

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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?

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: Hi
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

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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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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?

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?

Need to examine: It is not feasible to provide a meaningful opinion without taking additional history, and physical examination. It would be prudent to see your doctor as bleeding from any orifice warrants an evaluation.
Wish you good health!
Get HPV vaccination. ...Read more

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Does it hurt to get a gastric bypass done?

Does it hurt to get a gastric bypass done?

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

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Can I have gastric bypass done without insurance?

Can I have gastric bypass done without insurance?

Gastric bypass: Yes, you can have any operation you want without having insurance as long as you can afford to pay for it yourself. ...Read more

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What should I eat the second week after gastric bypass?

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

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Can you let me know how many times can you have a gastric bypass?

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

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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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What would you suggest I do to convince my friend to get gastric bypass?

What would you suggest I do to convince my friend to get gastric bypass?

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

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Gastric bypass yrs ago Having issues now Would like to ask Thanks val?

Gastric bypass yrs ago Having issues now Would like to ask Thanks val?

Ask: 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

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How can I tell if I have stretched out my gastric bypass pouch, are there any symptoms?

How can I tell if I have stretched out my gastric bypass pouch, are there any symptoms?

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

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Can I still drink after I've had gastric bypass?

Can I still drink after I've had 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

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Can you have gastric bypass after total colectomy?

Can you have gastric bypass after total colectomy?

Bypass: If you have extensive abdominal surgery such as a tital colectomy a gastric bypass is not a good choice for you however you can look into other options such as the band or the sleeve gastrectomy. ...Read more

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For what reason wouldn't gastric bypass work on some people?

For what reason wouldn't gastric bypass work on some people?

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

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Do I have to see a specialist to get a gastric bypass ordered?

Do I have to see a specialist to get a gastric bypass ordered?

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

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Is diabetes a risk factor for complications in gastric bypass?

Is diabetes a risk factor for complications in gastric bypass?

Yes, poor control..: Of diabetes prior to op can increase complications of surgery

so get control of sugars prior to operation to then get benefit of operation in decreasing medication need in treating diabetes. ...Read more

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How much should I be eating 3 months post-op from gastric bypass?

Whaever is comforrta: The purpose of a gastric bypass is to lose weight safely. The easy way to do that is to drink lots of fluid and eat several small meals a day. It is possible to out-eat your bypass and regain lost weight. Don't get caught in that trap. ...Read more

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What is the medical connection between gastric bypass and fibromyalgia? O

What is the medical connection between gastric bypass and fibromyalgia? O

Not really: I am not aware there is no connection between gastric by pass or fibromyalgia peopld should watch B12 level after gastric bypass. ...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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How risky is gastric bypass surgery?

How risky is gastric bypass surgery?

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

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Are nsaids ever safe after gastric bypass?

Are nsaids ever safe after gastric bypass?

NSAIDS after: Weight loss surgery is discouraged. Acetaminophen is ok, the rest carry the risk of causing ulcers in the stomach. Topic compounded medications may be a solution to acute, localized pain. ...Read more

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Does gastric bypass best choice for obesity?

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

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How extensive is the gastric bypass surgery?

How extensive is the gastric bypass surgery?

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

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How effective is the rny gastric bypass surgery?

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

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What can be expected from gastric bypass surgery?

Weight loss: Other benefits include better sugar control, BP control. Better health and exercise tolerance and feeling good about oneself. ...Read more

Dr. Tarek Naguib
600 Doctors shared insights

Kidney Failure (Definition)

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


Dr. Gregg Nishi
473 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