Nausea and fatigue after eating

[fourmonthspreop 494]

Hey! I had my bypass Feb 14 this year. It's been pretty smooth sailing honestly up until the last week. Everytime I eat, about 15 minutes later I get extremely nauseous and even start retching. I threw up the other day actually after eating a Protein yogurt but nothing came out. Just some red stuff from a pill I took. I'm not eating sugar or high carb foods. It's all stuff I ate before no problem. liquids seem to be fine but I've had things like eggs, avocado, protein yogurt, cheese and cooked vegetables and wow do I feel like I need to throw up after. I eat slow and stick to small portions too. And then every now and then after eating I get incredibly fatigued and feel like I need to go to sleep. I've never had issues with insulin/pre diabetes or diabetes and feel like that's unlikely since I've been in weight loss mode and barely eating. It's getting difficult to reach my protein goal because I get so sick all of a sudden after eating. I really don't want to fall behind on things. Wondering if this is a stricture or normal? Am I becoming intolerant to certain foods or is the restriction just going strong? Feels so all of a sudden.

Is there something I can do for a couple days to "reset" like only liquids or something?

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[fourmonthspreop 494]

Just to reiterate, I'm going to ask my doc about this but it's getting incredibly expensive and I owe them money already so I wanted to just check first if random nausea is a normal thing this far into it.

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[PhantumBelly 7]

Hi I enjoy your food pics in the other thread. I am glad you are approaching your doc about this. I will say sometimes pouch decides it doesn’t like a food all the sudden even if I’ve had it before then I just ban that food for awhile and try to reintroduce it later. I do recommend you to have a glucometer just the cheap one. I am one of the lucky ones who has non diabetic reactive hypoglycemia as a result of the rny. I would not have known if I didn’t check the sugar in a “nap desiring” state after consuming a little higher carb than my norm

[fourmonthspreop 494]

Hi I enjoy your food pics in the other thread. I am glad you are approaching your doc about this. I will say sometimes pouch decides it doesn’t like a food all the sudden even if I’ve had it before then I just ban that food for awhile and try to reintroduce it later. I do recommend you to have a glucometer just the cheap one. I am one of the lucky ones who has non diabetic reactive hypoglycemia as a result of the rny. I would not have known if I didn’t check the sugar in a “nap desiring” state after consuming a little higher carb than my norm

Thanks! I'll look into a glucose monitor. Would you say the biggest symptom is nausea? That seems to be the overbearing feeling I have been experiencing after eating foods I tolerated before. And its like a discomfort in my organ/stomach area, not too high or too low, just in the middle.

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[PhantumBelly 7]

Hi again. There is nausea sweating and tiredness for me with the hypoglycemia. The nausea is for me from a food intolerance. Try eliminating that food for awhile and see if it goes away

[PhantumBelly 7]

If it’s just nausea and some chest comfort that’s when I eliminate the food and if it’s food intolerance it goes away

[GradyCat 3,692]

Just to clarify . . . are these foods you tolerated AFTER surgery? For example, BEFORE surgery I could eat tortillas. But post-surgery my body won't tolerate them. I get the "foamies" if I eat certain foods like tortillas. That's where you throw up mucus/liquid but no actual food. It's your body saying it doesn't like the food you're trying to eat.

[catwoman7 10,845]

if this is happening right after eating, another strong possibility is a stricture. They happen to about 5% of gastric bypass patients, and you're in the right window of time for it (they almost always occur within 1-3 months post-op. They're very rare after that point).

I had two of them - one at four weeks out and the other at around eight weeks out. They're an easy "fix". Regardless, let your clinic know what's going on. What you're experiencing is not normal.

[fourmonthspreop 494]

Just to clarify . . . are these foods you tolerated AFTER surgery? For example, BEFORE surgery I could eat tortillas. But post-surgery my body won't tolerate them. I get the "foamies" if I eat certain foods like tortillas. That's where you throw up mucus/liquid but no actual food. It's your body saying it doesn't like the food you're trying to eat.

It's been happening the past couple of days. My diet the past couple of days has been things like eggs, avocado, cooked vegetables, raw minced garlic, cheese, yogurt, soy Protein, tahini, potatoes. I've had foamies before and this isn't it. It's like a delayed nausea that moreso sits in my stomach/organ area rather than my esophagus or throat. There's no foam or hiccuping. I just get really nauseous and feel like I need to lay down. It usually passes in an hour.

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[fourmonthspreop 494]

if this is happening right after eating, another strong possibility is a stricture. They happen to about 5% of gastric bypass patients, and you're in the right window of time for it (they almost always occur within 1-3 months post-op. They're very rare after that point).
I had two of them - one at four weeks out and the other at around eight weeks out. They're an easy "fix". Regardless, let your clinic know what's going on. What you're experiencing is not normal.

That's what I'm thinking since it's all of a sudden and with foods I was eating before. How much did your stricture procedure cost with or without insurance? I don't have insurance right now so I'm dreading the doctor

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[catwoman7 10,845]

4 hours ago, fourmonthspreop said:

That's what I'm thinking since it's all of a sudden and with foods I was eating before. How much did your stricture procedure cost with or without insurance? I don't have insurance right now so I'm dreading the doctor

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my insurance covered all of it since I'd already met my deductible, so I don't know what it cost. I'll see if the original bill is still on MyChart (although since it's been seven years, it may not be - but if so, I'll get back to you). Although if it's a stricture, you'll need to get it "fixed". If and when it gets to the point you can't even keep fluids down, your days will be numbered. People can go without food for awhile, but not fluids. Anyway, if the bill is still on MyChart, I'll let you know how much it was.

UPDATE: well, the record of the visits (I had two strictures) is still on MyChart, but not the bill. Sorry about that!!

Edited April 28, 2022 by catwoman7

[fourmonthspreop 494]

I think im okay. The nausea went away. I think I was just recovering from being om vacation, late nights, no sleep and wasn't on my typical eating routine. I've felt pretty normal the last week except one day I ate some almond flour crackers and felt really sick after bur I think it's because my stomach didn't like it.

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