According to the internet:
Nausea and vomiting are the most common complaints after bariatric surgery, and they are typically associated with inappropriate diet and noncompliance with a gastroplasty diet (ie, eat undisturbed, chew meticulously, never drink with meals, and wait 2 hours before drinking after solid food is consumed). If these symptoms are associated with epigastric pain, significant dehydration, or not explained by dietary indiscretions, an alternative diagnosis must be explored. One of the most common complications causing nausea and vomiting in gastric bypass patients is anastomotic ulcers, with and without stomal stenosis. Ulceration or stenosis at the gastrojejunostomy of the gastric bypass has a reported incidence of 3% to 20%. Although no unifying explanation for the etiology of anastomotic ulcers exists, most experts agree that the pathogenesis is likely multifactorial. These ulcers are thought to be due to a combination of preserved acid secretion in the pouch, tension from the Roux limb, ischemia from the operation, nonsteroidal anti-inflammatory drug (NSAID) use, and perhaps Helicobacter pylori infection. Evidence suggests that little acid is secreted in the gastric bypass pouch; however, staple line dehiscence may lead to excessive acid bathing of the anastomosis. Treatment for both marginal ulcers and stomal ulcers should include avoidance of NSAIDs, antisecretory therapy with proton-pump inhibitors, and/or sucralfate. In addition, H pylori infection should be identified and treated, if present.
So interpreting the above, the recommendations is to avoid NSAIDs such as aspirin.
Take proton-pump inhibitors. My surgeon prescribed Omeprazole (over the counter Prilosec) for the first year to allow my stomach to heal properly.
The third recommendations is to be tested to make sure that you do not have an Helicobacter pylori infection. This might be the root cause of your problem. Some individuals on this website reported this infection was the cause of their problems.
You surgeon recommended start taking enzymes. I suspect he/she is talking about taking Probiotics. Whenever you take antibiotics, it kills not only the bad bacteria but also the good bacteria in your gut. This good bacteria must be reestablished after surgery. That is what Probiotics do.
If you underwent RNY gastric bypass surgery, your body no longer makes the Vitamins that your body needs so therefore you will need to take Vitamin supplements for the rest of your life. If you fail to take these Vitamins, your body will develop major deficiencies and seriously affect your health. So since you said that your surgeon recommends that you stop taking vitamins does not make any sense to me. This really needs to be rechecked.
You mentioned that your body bruises very easily. Normally this is caused by a blood thinner. Aspirin is a blood thinner and because it NASAID and should be avoided. Also many products such as Excedrin and other over the counter pain medicine also contains aspirin. These products should be avoided.
Our surgical group really stresses that left side pain is to be expected. They say this is the largest incision, whether it be sleeve or RNY (those are the only two surgeries our group does now) and that is does involve the muscle. Also, they said this is where they pass the stapler through. They suggest we wear our binders as long as necessary as the pressure helps relieve some of he pain. I didn't need any pain meds after 24 hours when they took away the PCA pump at the hospital until 2 weeks out. I've had 3 doses now, all for this left side pain. The girls in my group say that one day, it will just be gone. I'm hoping it goes soon! Hope yours goes away soon too!
@@Allyson, I also had and was told by my surgeon that the incision the excess stomach is pulled through is also tacked down internally to muscle and until stitches dissolve I will feel pulling and pain. But you should call your surgeon's office to make sure of problem.
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I have a really tight stricture that will need to be dilated which will happen on Thursday. I also start Fluid infusions on Monday. Cat Scan showed everything else is ok no leaks or anything. I'm home now resting. Just really tired.
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I'm approved!!!????????????. Dec 30th is my new surgery date. Im so excited. Wish my luck hope and happiness guys.
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