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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Left Abdominal Pain And Nausea With A History Of Gastric Bypass Surgery?

I had gastric bypass four years ago. I have pain in my left upper quadrant and nausea for about three weeks no appetite. This week I have had an upper endoscopy , laproscopy and an upper GI. Essentially all were normal with the exception of the GI which showed the fluids passing slowly. I have been on a liquid diet per the doc for four days now. This morning they wanted me to try scrambled eggs and a English muffin. It made me feel ill and the pain is still there. What is wrong with me???
Mon, 4 Apr 2016
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted your history of gastric bypass surgery 4 years ago - pain in left upper quadrant, nausea and loss of appetite for 3 weeks, laparoscopy normal, Upper GI endoscopy shows slow passage of fluids. Been on liquid diet only and took scrambled eggs and English muffin which made you feel ill and the pain is still there.
I appears from your history that there is gastroparesis meaning slow down of the normal peristaltic movement or there may be a partial obstruction that Laparoscopy could not detect.
I would advise you the following:
You need a contrast study of the stomach, intestines preferably with a water soluble contrast dye under fluoroscopy to detect the movement of the dye whether normal or slow, whether there is hold up of the dye, kinking, narrowing somewhere along the tract and so on.
The treatment will depend upon the findings.
If these studies are normal, serum electrolytes will help more.
All these thing together will give a proper diagnosis and a plan for medical or surgical treatment.
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What Causes Left Abdominal Pain And Nausea With A History Of Gastric Bypass Surgery?

Hi. Thanks for your query. Noted your history of gastric bypass surgery 4 years ago - pain in left upper quadrant, nausea and loss of appetite for 3 weeks, laparoscopy normal, Upper GI endoscopy shows slow passage of fluids. Been on liquid diet only and took scrambled eggs and English muffin which made you feel ill and the pain is still there. I appears from your history that there is gastroparesis meaning slow down of the normal peristaltic movement or there may be a partial obstruction that Laparoscopy could not detect. I would advise you the following: You need a contrast study of the stomach, intestines preferably with a water soluble contrast dye under fluoroscopy to detect the movement of the dye whether normal or slow, whether there is hold up of the dye, kinking, narrowing somewhere along the tract and so on. The treatment will depend upon the findings. If these studies are normal, serum electrolytes will help more. All these thing together will give a proper diagnosis and a plan for medical or surgical treatment.