Doctor insights on:
Rash On Arms After Gastric Bypass
Injection given correctly? I recently underwent gastric bypass surgery. During the recovery I was given an injection in my stomach to prevent blood clots. A few days into my recovery I was given an injection in my arm for the the same thing. I was under t
This was: Probably Lovenox (enoxaparin) to help reduce the risk of developing blood clots in your calves. Usually given in the abdominal wall as a sub q injection. Check with the ordering physician as to the length of treatment recommended and the proper administration of lovenox (enoxaparin). ...Read more
I have been full of stress for the last 6 months with an undiagnosed problem-, yesterday had a dermitius rash on arms and stomach- can rashes come from stress it did not itch but was warm to touch?
Hepatitis C: Yes if you don't have active liver disease like acute hepatitis or cirrhosis. ...Read more
Hepatitis c and gastric bypass surgery? Can you have gastric bypass surgery if you have hepatitis c?
Yes: But you have to commit to eating well and avoiding junk. Or you could make your liver worse. ...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?
S/p gastric bypass sugery by you 12/2010. I have a high pth level w/low calcium levels, 4 tests all high, can this be parathroid cysts? Scan was?
High PTH low ca: This condition is due to your gastric bypass. Calcium and vitamin D are absorbed in the small bowel. This is now bypassed. The PTH is elevated due to low calcium absorption and likely low vitamin D. This can be corrected medically, but in rare cases the bypass had to be reversed to correct the condition when it resulted in severe hypocalcemia. ...Read more
Any dr.'s in my area that use methadone in tx of chronic pain. My options for prescription limited by gastric bypass & min. Help by oct/ other narcotic rx?
Fentanyl: Fentanyl patches are an option. They diffused an opioid directly through your skin. Not affected by gastric bypass. In general, I frown on Methadone for chronic pain. It is approved to get people off of opioids, and not as a drug for "chronic pain", but I realize it is used "off label" for this. The labeling is for "restricted to authorized opioid addiction detox/maintenance tx facilities. ...Read more
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
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
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
Mini gastric bypass: The mini gastric bypass is not endorsed by any asmbs or any of the top academic bariatric surgery programs in the country. It is safe, but it is basically a billroth 2 operation which can cause bile reflux. The fix for that problem is a roux-en-y gastric bypass meaning that for 50 years we have known that a roux-en-y is better than a billroth 2. The b2 is just easier for the surgeon to do. ...Read more
It is effective: If you do the research it is one of the most prescribed diet pills. It has a few side effects, but is one of the most prescribed diet pills out there. I would suggest that people who are looking to start it look up its mechanism of action and risks. If it falls within the range of safety for the individual definitely it can be taken ...Read more
Gastric bypass diet: Ideally, a gastric bypass patient should be able to eat "normal food" long term. However, you should minimize the amount of carbohydrate (bread, rice, pasta) that you eat, and eat more protein and vegetables. You should also avoid foods with a high sugar content as this can cause both weight gain and dumping syndrome. Basically just healthy eating. ...Read more
Gastric bypass: You need to see a bariatric surgeon for a consultation. Go to a practice that is well established, has been around for years, and has done thousands of operations. ...Read more
10yrs after bypass: Hopefully nothing. We hope that your bypass anatomy stays the same and that you maintain your weight loss. People can regain weight if they overeat, eat junk food, or don't exercise. You have to constantly work at it. Sometimes the weight gain is due to stretching of the pouch or anastomosis or both. In general though, people do fine 10 years out from surgery. ...Read more
Gastric bypass risk: It depends on where you have surgery. Nationwide, the risk of death is about 1/500 to 1/1000 operations. However, if you go to a highly specialized center with a long track record, the risk can be much less than that. A bypass is a fairly difficult operation, whereas a lap band is very easy. I would only trust my associate and a handful of colleagues to do a bypass on myself or a relative. ...Read more
Depends: Please seek the opinion of another skilled bariatric surgeon in your area to get an opinion. ...Read more
Really rare: Really rare to require trips back to surgery. Gallbladder is most common (2-5%). Ulcers very rare unless a smoker or taking advil, alleve, ibuprofen. Bowel obstruction should be rare with modern techniques. For your friend, you might consider a second opinion or a referral hospital. ...Read more
Morbid obesity: Gastric bypass and other weight loss operations are indicated for patients with a body mass index (bmi) greater than 40, or greater than 35 with significant weight-related medical conditions including but not limited to diabetes, high blood pressure, high cholesterol, sleep apnea and many other diseases. ...Read more
What is that?: What is it for? Usual rule if it has a weird name don't take it. ...Read more
To my knowledge there is a range of requirements for gastric bypass.
Many bypass surgeons will put you on a diet for a month or more before making a decision about bypass surgery.
Once you have listened to and been evaluated by a bypass surgeon you will spend some time thinking about future steps. ...Read more
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
Many factors: Primary factors include how much weight you need to lose and the presence or absence of diabetes and other comorbidities. Gastric bypass and sleeve gastrectomy tend to be better in patients with higher bmis and diabetes. In any event would consult with a bariatric surgeon in your area to help you decide. ...Read more
Support groups: Find some bariatric support group meetings in your area. They are generally held a couple times a month and include people who have had different types or weight loss surgery as well as people like yourself thinking of having surgery. You'll be able to meet others like you and those who have been through it all and have lots of experiance. That will be your best bet to get advice. ...Read more
Soda: Carbonated soda is bad for everyone. Regular soda has way too much sugar. Diet soda has sugar substitutes that are bad for you. So soda isn't good for anyone. For bypass patients, the co2 gas can build up in the gastric remnant and you can't burp that out. This can cause discomfort, but will eventually get absorbed. I tell my patients not to drink soda anymore. ...Read more
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