Struggling with liquids and food 30 days post op

[Xavierdh1 0]

I had my bypass procedure July 5th in Mexico. The procedure went fine and after 2days recovery I was released and back in the States.

I have pretty much struggled with my diet since getting home. I did the liquid diet but everything from the broth to Water was causing nausea.

After dealing with this for about 2 weeks I found myself in the ER being treated for dehydration. Since then I've made 2 more trips for the exact same.

It has now been 6 days since I've eaten anything. I'm struggling with my water intake. I experience what would be vomiting but dince my stomach is empty nothing comes out. This is the worse thing I've experienced in my life and I've been through some tough situations. This I can't seem to get control of though. Any ideas on what is causing the vomiting even though I'm not eating? Tips for getting my intake in?

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[#fitnotfat 42]

I was very similar to yourself and it took me 13 weeks to see my surgeon, during that time I could not eat and even drinking was making me sick and nauseous, turns out I had a stricture, the gap for food to go down is meant to be 3 çm and mine was 6mm so the stretched it twice and got it to 12mm and things are getting better slowly but surely, I'm 6 months post op and have lost 8stone in total, I would do it again even though it has been awful. I would suggest to speak with your consultant and you may need a endoscope to see what is happening. I hope that you feel much better soon x

[Xavierdh1 0]

I was very similar to yourself and it took me 13 weeks to see my surgeon, during that time I could not eat and even drinking was making me sick and nauseous, turns out I had a stricture, the gap for food to go down is meant to be 3 çm and mine was 6mm so the stretched it twice and got it to 12mm and things are getting better slowly but surely, I'm 6 months post op and have lost 8stone in total, I would do it again even though it has been awful. I would suggest to speak with your consultant and you may need a endoscope to see what is happening. I hope that you feel much better soon x

Thank you for your response. They thought that was my issue, but I did all the testing and everything was normal. The pouch was normal, the opening between the pouch and intestine was normal, the Ct scan and xrays with contrast were normal. Everything was normal aside from me being able to eat or drink as I should be able to. This is beyond frustrating and right now I'm regretting the procedure. Hopefully once I find a way to push through this I will be in better spirits.

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[PrayingForWeightLoss 340]

Have they prescribed Zofran for you to stop the vomiting and nausea?

[James Marusek 5,244]

The three most important elements after RNY gastric bypass surgery are to meet your daily Protein, Fluid and Vitamin requirements. food is secondary because your body is converting your stored fat into the energy that drives your body. Thus you lose weight.

I am concerned that you are not meeting your fluid and probably protein requirements. You did not indicate if you had any problems meeting your daily vitamin requirements.

It is common for your taste buds to change after surgery. Be willing to experiment. After surgery, my taste buds changed dramatically. Even Water changed. In the hospital it tasted excessively chlorinated and I could not drink it. So I experimented. sugar free popsicles became my best friend. Some individuals find hot or cold can help with fluids. For me, I found that I could tolerate flavored water. So I began using Crystal Light. I also found a new drink Bai which I liked cold. In the winter, I found that I tolerate Hot Drinks such as piping hot cocoa. But you have to use the "No Sugar Added" variety. Also fine English teas were very good.

The fluid requirement is met by a combination. It is not only the water that you drink each day. But also the water you drink when you take your Vitamins and medicine. It is the milk you drink. It is the fluids content of the Protein Shakes. It is the water component of the Soups you take. It is met by flavored water such as Crystal Light. It is met by sugar free popsicles. It is met by tea and Decaf coffee. It is a combination of all the fluids that you consume during the day.

If you are 30 days out and struggling with fluids there is a problem that needs to be run to ground.

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 the general advice from above if I am interpreting it properly is to eat undisturbed, chew meticulously, never drink with meals, and wait 2 hours before drinking after solid food is consumed. Also avoid NSAIDs (such as Aspirin, Ibuprofen, Diclofenac, Naproxen, Meloxicam, Celecoxib, Indomethacin, Ketorolac, Ketoprofen, Nimesulide, Piroxicam, Etoricoxib, Mefenamic acid, Carprofen, Aspirin/paracetamol/caffeine, Etodolac, Loxoprofen, Nabumetone, Flurbiprofen, Salicylic acid, Aceclofenac, Sulindac, Phenylbutazone, Dexketoprofen, Lornoxicam, Tenoxicam, Diflunisal, Diclofenac/Misoprostol, Flunixin, Benzydamine, Valdecoxib, Oxaprozin, Nepafenac, Etofenamate, Ethenzamide, Naproxen sodium, Dexibuprofen, Diclofenac sodium, Bromfenac, Diclofenac potassium, Fenoprofen, Tolfenamic acid, Tolmetin, Tiaprofenic acid, Lumiracoxib, Phenazone, Salsalate, Felbinac, Hydrocodone/ibuprofen, Fenbufen]. Most forms of Excedrin contains aspirin. Use proton pump inhibitors [Omeprazole, Pantoprazole, Esomeprazole, Lansoprazole, Rabeprazole, Dexlansoprazole, Rabeprazole sodium, Pantoprazole sodium, Esomeprazole magnesium, Omeprazole magnesium, Naproxen/Esomeprazole, Esomeprazole sodium, Omeprazole/Bicarbonate ion] and/or sucralfate [Carafate] antacid. And have yourself tested for Helicobacter pylori infection.