A new question is answered every 9 seconds

Nausea, chest pain after food with GASTRIC BYPASS SURGERY.

Resolved Question:

Hi,

I had gastric bypass surgery on 8/4. I am 3 weeks post op. I have had one hospital readmission for severe abdominal pain 6 days after surgery, which eventually resolved. Yesterday, I was eating steamed broccoli and swallowed a piece that wasn't chewed well enough. I was immediately sick and threw up, and wretched over the toilet for another 30 minutes. I only had 3 bites but I don't think all of it came up. Since then, I have been eating only soft foods (applesauce, mashed potatoes, yogurt), and each time something hits my pouch, I have horrible nausea and chest pain right under my breast bone. Drinking fluids isn't much better, although I do not throw up, only feel incredibly nauseous. I have called my surgeons office several times for this concern and others. Tonight, he lectured me about overfilling my pouch, told me that I would gain weight and that 3 bites of broccoli was too much food. He said that if I didn't understand this than he would explain it to me face to face in the office. This caused me to break down in tears. I needed reassurance and compassion. This is a new experience for me! Im afraid to eat or drink because of the pain it causes. His suggestion was to go 48 hours with no food--liquids only, which I plan to do. I also plan to be a lot more mindful of making sure I chew very well before swallowing! My question is, is this normal and how long should I wait for the pain to subside before I seek medical care?

Thanks!


Category: Gastroenterologist, Medical

Ask Your Own Question

Category: Hepatologist
Dr. Ratnakar Kini is online now

Expert:  Dr. Ratnakar Kini replied 4 Days.

Hi,
Thanks for posting your query at DoctorSpring.com
I sincerely apologise for the delay in reply, as I was out travelling.
I am Dr.R.K and I am pleased to assist you.
From your post it is evident that you underwent bariatric surgery.
There are many different types of bariatric surgeries.
I would like to know which one you underwent. Because it is very important for future prognosis.
Any other medical illness?
Are you on any medications?
Please get back to me with these information and I would provide my opinion.
Regards,
Dr.R.K.


Patient replied :


Hello,
It's no problem. I had roux en y gastric bypass. I had no other medical illnesses prior to surgery or since (other than the problems I'm experiencing now).
I am on protonix (40mg 1x daily), celexa (40mg 1x daily), and Ativan (.5mg 2x daily). I do have depression and have been treated for that since 2011. I also take a daily multivitamin and a sublingual b-12 tablet daily. No other meds.
Thanks!


Expert:  Dr. Ratnakar Kini replied 3 Days.

Hi,
Thanks for the additional information.
Pain and vomiting following a Roux en Y gastric bypass can be due to two reasons. The first one is an ulcer developing at the anastamotic site
The second one is stricture(narrowing) at the anastamotic site.
An endoscopy or a barium xray or a CT scan may be done to find the cause.
Meanwhile you continue taking Protonix.
Let me know if you have any questions.
Regards,
Dr.R.K


Dr. Ratnakar Kini
Category: Hepatologist
Experience: 
Fellowship - DM - TN Dr.MGR Medical UniversityResidency - TN Dr.MGR Medical University Medical School - Stanely Medical College, TN Dr.MGR Medical University
Dr. Ratnakar Kini and 4 other Medical Specialists are ready to help you

Make informed and better medical decisions.

We believe that getting medical questions answered and getting qualified opinions from certified Doctors should be easier.



Specialists from
UK, US, Ind,
Aus & NZ


48000+ consults
in 2015


98.1% Satisfied
users


MEDNET Board,
100% Satisfaction
guarantee

How it works


  • Submit question, upload files, if any
  • Consult is assigned to a specialist
  • Doctor replies, Mean response time: 2 hours
  • Intimation by email, ask follow-ups

Recommendations based on

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in News

News

Make informed and better medical decisions.