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Weight gain after treating for Achalasia - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3620 Questions
User :   what happens if i stop eating but still use energy drink twice a day?                                                            
Doctor :   hi
User :   hello
Doctor :   food has essential nutrients that is not available with drinks.
Doctor :   you may be fine for sometime, until your body has reserves
Doctor :   after that you will start having symptoms showing deficiency problems.
User :   i've been through not eating for almost 6 months from my achalasia, and all that happened was lost weight, so i was just assuming to lose the weight that i gained after the corrective surgery that slowing down my eating and still getting the nutrients from the ensures and boosts would work
Doctor :   please describe your problem in detail with details of past medical illness and treatment.
User :   achalasia is a disorder when the esophagus closes not letting food into the stomach have you not heard of it?
Doctor :   yes I have heard of it and I know what it is . I meant to ask you to describe your current symptoms, when was the surgery done? what medications are you taking?
Doctor :   are you able to eat now?
Doctor :   are you able to swallow food at present?
Doctor :   please provide your height, and weight.
User :   i'm not on any meds now, i had to have 2 surgeries and no progress but i'm gaining weight from me trying to eat more since a lot of it comes back up
User :   i'm 5'3" and i weigh about 160
Doctor :   what foods are you taking at present?
User :   i've been eating regular meals, pasta, hamburgers etc
User :   but everything gets 'stuck'
Doctor :   if you are gaining weight on the foods that you are taking, you have to check on the calories it contains, and make sure you take low calorie foods.
Doctor :   is the 'stuck' feeling there when you take liquids and semi solid food?
User :   yeah.
Doctor :   have you consulted any dietitian/nutritionist for your weight gain problem?
User :   i've been to a 'world known esophagus expert' and he said he doesn't know what's wrong and he did the last surgery.
Doctor :   ok
User :   my main question is, how much weight do you lose if you stop eating for a week?
Doctor :   how was the achalasia diagnosed for you?
Doctor :   you will not lose much weight if you stop eating for a week, you will be hypoglycemic and have gastritis related problems.
Doctor :   weight loss is a long term process, and should be done with a proper diet and fitness regime.
Doctor :   such that your body continues to get the essential nutrients
Doctor :   how was the achalasia diagnosed for you? what investigations were done?
User :   i had to get an xray for a rib injury and they saw the food stuck then it took 3 doctors a few weeks to diagnose me
Doctor :   was an endoscopy done anytime to confirm the diagnosis?
User :   i've had so many endoscopies i can't even count haha
Doctor :   please provide your age.
User :   20
Doctor :   what were the endoscopy fondings?
Doctor :   *findings
Doctor :   do you have a copy of the recent endoscopy report?
User :   a lot of stomach acid, and narrowing
Doctor :   if yes please send for me to have a look
User :   i don't have one with me at the moment, sorry.
Doctor :   where was the narrowing detected, which part of the esophagus?
User :   i've done barium tests too
User :   the lower half
Doctor :   ok
User :   i've had this problem since i was 16
Doctor :   ok
Doctor :   during your last endoscopies, were intra-sphincteric injections tried to solve the achalasia?
Doctor :   for the patients in whom the surgery fails, there is endoscopic dilatation and injections that are given.
User :   yeah, that was tried, also pneumatic dilation, botox injections, and the ballooning
Doctor :   ok
User :   they would work for at most a week
Doctor :   if all these have failed then a 'fundoplication' or a 'esophagectomy' should be tried as a last option to treat it.
Doctor :   for the weight gain issue you have to count your calories intake and stick to a low carbohydrate and low protein diet (low calorie).
ser : i've had 2 fundoplication's the second was a redo
Doctor :   ok
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