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I’m almost 3 weeks post op gastric bypass and struggle to keep anything down. The Protein Shakes make me sick, tried several different kinds and I just can’t tolerate it. I take my Vitamins and usually throw them back up. Anytime I eat or drink anything it goes down and then feels like it’s coming back up, like it’s in the back of my throat. 9 times out of 10 I vomit. If I don’t get sick I’m so nauseous I can’t move for fear I will get sick. I was a lower BMI when I went into surgery and have already lost 27 lbs in 20 days. I have an appt with my surgeon today. Hopefully answers. Anyone else feel like this 3 weeks out?

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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.

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So sorry to hear this. I'm 3 weeks post-op tomorrow and haven't had this at all (I've very slowly progressed from liquids to puree and will start "soft foods" tomorrow) but I've been lucky to keep things down. I do wake up nauseous every morning and have to take Zofran before I get out of bed, though. Have you tried any anti-nausea meds? Hopefully your surgeon will be able to help today. GOOD LUCK!

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So sorry to hear this. I'm 3 weeks post-op tomorrow and haven't had this at all (I've very slowly progressed from liquids to puree and will start "soft foods" tomorrow) but I've been lucky to keep things down. I do wake up nauseous every morning and have to take Zofran before I get out of bed, though. Have you tried any anti-nausea meds? Hopefully your surgeon will be able to help today. GOOD LUCK!


Thank you for the reply. I do take Zofran multiple times a day. Can’t really tell if it helps or not cuz I’m just sick most of the day. I am Very hopeful I will get answers today.


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I just had surgery on January 2 and I have thrown up maybe three times. In retrospect, I believe the reason I threw up was because I was eating too fast. Make sure you are chewing thoroughly (my program said at least 32 times for meats) and set a timer for at least 20 minutes - it should take you that long to eat about 1/4 cup. Good luck!


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I don’t even try to eat meat cuz I know I will throw up. I’m throwing up liquids too. They sent home health to my house to hook me up to iv fluids for the next four days. While I don’t think that will solve whatever problem this is, I am so thankful to be on fluids because in just so thirsty and exhausted all the time from not eating or drinking. Surgeon said we will start here fix the immediate problem first, because even if it was a stricture I’m not far enough out to fix it yet anyway. Baby steps I suppose. [emoji846]


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My surgeon ordered a swallow study 6 weeks after my surgery. The reflux was so bad they called me within an hour of the test scheduling an endoscopy. The next day I went in for endoscopy and the stricture was so severe they couldn’t even stretch it at that time. Went in two days later to the hospital where they had X-ray to assist them and were able to stretch it a bit. They weren’t able to stretch it enough but it’s already SO MUCH BETTER. I was so used to throwing up Everything. For the first time in 6 weeks I feel like I might be okay... I go back in 2 weeks for repeat dilation.


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