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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Persistent Bloating Post Gastric Bypass Surgery

I m a 45yr old female.. I ve had the gastric bypass surgery in 2005.. For the last 2 yrs Ive been nauseated.. Then the last 1year started getting worse. Then the last 5-6months, very badly nauseated.. I m in bed 24/7 .. I see a GI Dr for my acid reflux. He has ran all kinds of tests on my stomach. All the tests r coming back inconclusive.. I m being referred to Cleveland Clinic Hospital on November 3rd to see a GI specialist.. I m so sick I can only eat jello, chicken noodle soup, drink sprite, water, tea.. It s getting very depressing because I can t do anything.. When I do eat a bite or 2, I start coughing and gagging like I m going to vomit.. It takes about 15-20 minutes to get my self calmed down. I take 4 teaspoons of carafate 4 times a day, I take 8mg zofran every 8 hours, I take 1and a half phenergan every 6 hours, I take 20mg of amitriptyline at bedtime.. Is it possible I could have a leak in my stomach pouch?? Also my liver enzymes ho up and down at times.
Mon, 16 Nov 2015
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General & Family Physician 's  Response
Hi,
Welcome to health care magic,

Stomach constant bloating is caused mainly because of air swallowing known as erophagia.

The other causes for stomach pain are irritable bowel syndrome,acute gastritis ,celiac disease,sprue,bowel obstruction which all are must be ruled out by complete medical history and thoroughly clinical examination with some relevant tests.

You should undergo routine blood count,ESR, ultrasound abdomen and upper GI endoscopy (if not done earlier) to detect the underlying cause.

Chances of stomach leak would be very rare and if so,you would have severe abdominal pain along with acute abdominal wall infection (peritonitis) which is a medical emergency.So do not bother about it.

You should do regular exercises to avoid bloating,distension and excessive wind and if you are still having abdominal bloating or distension then you should start some medication like proton pump inhibitors,avoid excess carbohydrates and fatty foods, avoid oily and spicy foods.

Continue with your zofran 8 mg every 8 hourly and phenergan every 6 hourly.

If you still have these problems then u should go to gastroenterologist to treat underlying cause after going through all the investigations.

Regards,
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Suggest Remedy For Persistent Bloating Post Gastric Bypass Surgery

Hi, Welcome to health care magic, Stomach constant bloating is caused mainly because of air swallowing known as erophagia. The other causes for stomach pain are irritable bowel syndrome,acute gastritis ,celiac disease,sprue,bowel obstruction which all are must be ruled out by complete medical history and thoroughly clinical examination with some relevant tests. You should undergo routine blood count,ESR, ultrasound abdomen and upper GI endoscopy (if not done earlier) to detect the underlying cause. Chances of stomach leak would be very rare and if so,you would have severe abdominal pain along with acute abdominal wall infection (peritonitis) which is a medical emergency.So do not bother about it. You should do regular exercises to avoid bloating,distension and excessive wind and if you are still having abdominal bloating or distension then you should start some medication like proton pump inhibitors,avoid excess carbohydrates and fatty foods, avoid oily and spicy foods. Continue with your zofran 8 mg every 8 hourly and phenergan every 6 hourly. If you still have these problems then u should go to gastroenterologist to treat underlying cause after going through all the investigations. Regards,