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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Whipple Surgery And Continue To Struggle With Diet. Not Diabetic And Feel Hungry. Take Digestive Enzymes. Suggest?

I have had Whipple surgery 2 years ago and continue to struggle with a diet. I eat cooked vegetables and fruit sticking to mostly lean protein and simple carbohydrates. I am lactose intolerant. I am Not diabetic. I am hungry most of the time, seldom sated. I take Rx digestive enzymes with everything I eat.
I continue to have anywhere between 5-8 large bowel movements a day. Any suggestions?
Thu, 3 Oct 2013
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Gastroenterologist,  's  Response
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).

Continue with digestive enzymes take at least 25000IU with each three major meals. Among diet low fat and high protein diet. For bowel movements take tablet rifaximin and a course of pre and probiotic as post whipples due to decreased motility of gastrointestinal tract there is risk of small intestinal bacterial overgrowth. May take antisecretory agent like loperamide if not relieved with above

I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.
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Had Whipple Surgery And Continue To Struggle With Diet. Not Diabetic And Feel Hungry. Take Digestive Enzymes. Suggest?

Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM). Continue with digestive enzymes take at least 25000IU with each three major meals. Among diet low fat and high protein diet. For bowel movements take tablet rifaximin and a course of pre and probiotic as post whipples due to decreased motility of gastrointestinal tract there is risk of small intestinal bacterial overgrowth. May take antisecretory agent like loperamide if not relieved with above I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.