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I had gastric sleeve 3 days ago and I keep getting these intense pains in my back, shoulders and neck. It’s practically unbearable. Does anyone know how long this lasts or why we get it. I keep getting really bad headaches from the pain in my neck.

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It could be from the gas used during the operation and if so it is totally normal and takes a few days to leave the body, walking helps.

I had it when I had my gall bladder removed many years ago and it was so bad I felt physically ill. I was expecting it again after sleeve was prepared with wind-eze which I did indeed need for a couple of days to help.

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To be clear, the gas used in abdominal surgery is not inside your digestive tract, thus medications to address that issue won't help. Typically they use CO2 and it's actually pumped into your peritoneal cavity to help create space between the abdominal wall and your organs. This gives the surgeon room to work more safely, as well as help visually distinguish everything.

The reason it hurts so much is because basically your abdomen has been blown up like a balloon. This pushes up on your diaphragm, which in turn irritates the phrenic nerve. It's not uncommon to have referred pain in the chest, shoulder and neck as a result. Eventually the surgical gas will be absorbed into your bloodstream and you'll breathe it out, but until then this can be quite painful.

Walking helps, but won't fix it. Overall, it should pass in a few days.

I'd also make sure you're drinking enough because headaches are a classic symptom of dehydration. Dehydration is one of the main reasons bariatric surgery patients end up back in the hospital in the early post-op period, so please do everything you can to keep up with your Fluid intake.

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@SpartanMaker is correct. It will likely be from the surgical gas rising behind the lungs & putting pressure on the phrenic nerve. From here it is absorbed into the lungs & you breathe it out. You don’t burn or fart it out.

Yes walking helps as does slow deep breathing, marching on the spot (even seated ones), lifting your arms up and down as they help you breathe it out more quickly. A heat pad can help with the shoulder & neck pain. Otherwise it’s just a waiting game. I think it took up to a week for it to abate after my gall removal surgery (I had none with my sleeve).

In saying that I had a muscle spasm in my back (I have a weakness there thanks to oozy discs) on day 2 or 3 after sleeve surgery. My surgeon suggested it was likely stress I was holding from the surgery. I had a lot of pain when swallowing due to swelling & I know I was holding myself tightly every time I had to sip or take a tablet. The spasm passed later that day.

If it persists fir more than a week & isn’t lessening, contact your team.. All the best.

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    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
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    • Doughgurl

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      1. Phil Penn

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    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

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    • Alisa_S

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      · 1 reply
      1. LeighaTR

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