James Marusek

According to the internet: Nausea and vomiting are the most common complaints after bariatric surgery, and they are typically associated with inappropriate diet and noncompliance with a gastroplasty diet (ie, eat undisturbed, chew meticulously, never drink with meals, and wait 2 hours before drinking after solid food is consumed). If these symptoms are associated with epigastric pain, significant dehydration, or not explained by dietary indiscretions, an alternative diagnosis must be explored. One of the most common complications causing nausea and vomiting in gastric bypass patients is anastomotic ulcers, with and without stomal stenosis. Ulceration or stenosis at the gastrojejunostomy of the gastric bypass has a reported incidence of 3% to 20%. Although no unifying explanation for the etiology of anastomotic ulcers exists, most experts agree that the pathogenesis is likely multifactorial. These ulcers are thought to be due to a combination of preserved acid secretion in the pouch, tension from the Roux limb, ischemia from the operation, nonsteroidal anti-inflammatory drug (NSAID) use, and perhaps Helicobacter pylori infection. Evidence suggests that little acid is secreted in the gastric bypass pouch; however, staple line dehiscence may lead to excessive acid bathing of the anastomosis. Treatment for both marginal ulcers and stomal ulcers should include avoidance of NSAIDs, antisecretory therapy with proton-pump inhibitors, and/or sucralfate. In addition, H pylori infection should be identified and treated, if present. So the general advice from above if I am interpreting it properly is to eat undisturbed, chew meticulously, never drink with meals, and wait 2 hours before drinking after solid food is consumed. Also avoid NSAIDs (such as Aspirin, Ibuprofen, Diclofenac, Naproxen, Meloxicam, Celecoxib, Indomethacin, Ketorolac, Ketoprofen, Nimesulide, Piroxicam, Etoricoxib, Mefenamic acid, Carprofen, Aspirin/paracetamol/caffeine, Etodolac, Loxoprofen, Nabumetone, Flurbiprofen, Salicylic acid, Aceclofenac, Sulindac, Phenylbutazone, Dexketoprofen, Lornoxicam, Tenoxicam, Diflunisal, Diclofenac/Misoprostol, Flunixin, Benzydamine, Valdecoxib, Oxaprozin, Nepafenac, Etofenamate, Ethenzamide, Naproxen sodium, Dexibuprofen, Diclofenac sodium, Bromfenac, Diclofenac potassium, Fenoprofen, Tolfenamic acid, Tolmetin, Tiaprofenic acid, Lumiracoxib, Phenazone, Salsalate, Felbinac, Hydrocodone/ibuprofen, Fenbufen] and but use proton pump inhibitors [Omeprazole, Pantoprazole, Esomeprazole, Lansoprazole, Rabeprazole, Dexlansoprazole, Rabeprazole sodium, Pantoprazole sodium, Esomeprazole magnesium, Omeprazole magnesium, Naproxen/Esomeprazole, Esomeprazole sodium, Omeprazole/Bicarbonate ion] and/or sucralfate [Carafate] antacid. After RNY gastric bypass surgery, my surgeon put me on Omeprazole [Prilosec] for a year to lessen the affects of surgery on my stomach.

It seems that upper airway resistance UARS is a precursor to sleep apnea. http://www.alaskasleep.com/blog/uars-vs-osa-the-difference-between-upper-airway-resistance-syndrome-and-obstructive-sleep- In other words, having that condition will likely led to developing sleep apnea. One of the key differences between upper airway resistance syndrome and obstructive sleep apnea is that apneas (pauses in breathing) and hypopneas (decreases in breathing) are either absent or very low in patients with UARS. Patients with OSA are often overweight or obese (although they can be of normal weight), whereas patients with UARS are often of average weight. But if you have UARS with hypopnea, that sounds very close to sleep apnea. In my case even though I had sleep apnea, I also had several other conditions such as high blood pressure, diabetes. So many of these comorbidities are common bedfellows.

Congratulation.

Congratulations.

Congratulations.

I generally wear earplugs in my ears because I am prong to swimmers ear. There are several types and finding a good one which is inexpensive can be a problem. The reason why they need to be inexpensive is because they sometimes fall out and its difficult to spot them at the bottom of the pool when you are half blind. Water in the goggles probably means they are not fitted properly. Or your facial hair is getting in the seal. So you may need a better pair.

Congratulations on your surgery.

I used to get leg cramps prior to surgery and then some after surgery. Not an every day event, but a once in a while type occurrence. Normally they occurred when I was sleeping. I would get up out of bed and put some pressure on my leg for a few minutes and then it would start to go away. Sometimes I took an over the counter medication specifically designed for nighttime leg cramps. @@KristenLe mentioned that potassium in bananas might help. After a few months after surgery, I began blending in a half a banana into my Protein shakes. A typical banana has 422 mg of potassium. So that might account for the fact that for most of my 3 years post-op I have not been bothered too much with that condition.

Congratulations.

I am 3 years post-op RNY gastric bypass surgery. I was in the Weight Loss phase for around 7 months and then I transitioned into the Maintenance phase. Prior to surgery, hunger was constantly continuously gnawing at my bones. But after surgery, I completely lost my hunger. About a year later after surgery, my hunger returned. But it was not as strong as prior to surgery. The strategy during the Weight Loss phase is different than the strategy during the Maintenance stage. I am not suggesting you are in the Maintenance phase yet. It is a tad bit early. But someday you will transition into this phase and I put the strategy I use in the Maintenance phase in the following article. So this is for future reference. http://www.breadandbutterscience.com/Surgery2.pdf I believe some individuals are experiencing hunger during the Weight Loss phase because they are consuming too many carbohydrates. Meals should always begin with Protein first.

I was taking medicine for Type 2 diabetes for around 10 years prior to surgery. My blood sugar levels using 2 types of medicine still did not keep my blood sugar levels under control, and my doctor requested that I start taking insulin shots but I declined. By the time I left the hospital 2 days after surgery, I was off all my diabetes medicines and I haven't taken any since. I periodically test my blood sugar levels to verify, my blood sugar levels remain low. I am 3 years post-op RNY.

The three most important elements after RNY gastric bypass surgery are to meet your daily Protein, Fluid and Vitamin requirements. food is secondary because your body is converting your stored fat into the energy that drives your body. Thus you lose weight. Weight loss is achieved after surgery through volume control. You begin at 2 ounces (1/4 cup) per meal and gradually over the next year and a half increase the volume to 1 cup per meal. With this minuscule amount of food, it is next to impossible to meet your protein daily requirements by food alone, so therefore you need to rely on supplements such as Protein shakes. It is common for your taste buds to change after surgery. I remember in the hospital after surgery I could not drink the Water because it tasted very chlorinated. Eventually I found flavored water such as Crystal Light to work O.K. Many experience problems drinking protein shakes. I hated them. But in the beginning I drank them, three 16-ounce protein shakes a day, in order to meet my protein requirements. You do not have to like protein shakes only tolerate them. There are many varieties of protein shakes available today. Experiment until you can find one you can tolerate. Over time as your meal volume increases, if you concentrate on consuming high protein meals, you can begin to reduce your reliance on protein shakes. I went from 3 a day, down to 2, down to 1 and eventually none when I reached 1 cup per meal at a year and a half post-op. So primarily I recommend that you concentrate on the three most important elements: protein, fluids and Vitamins.

Congratulations.

Exercising can make your body sore. Feel the burn. Jumping rope exercises not only the leg muscles but also the arms and shoulders, so it could affect almost your entire body. Walking is a good exercise. I think hill walking (or walking up and down stairs) is better because you are exercising two sets of muscles in your legs. I am not big into running. Too much stress on the cartilage in the knee joints. I am 67 years old and I have no pain in my knees joints and I attribute this to not running. Both my younger sisters have already had knee joint replacements.

I am 3 years post-op RNY gastric bypass surgery. I lost a lot of weight and my health improved significantly. I went from 3X in shirts down to a size Small. Think of it, a size Small. One of the best decisions I ever made. RNY is almost a gold standard in weight loss surgery. It has been around a long time and most of the bugs have been worked out. One of the reasons why I choose this procedure was because the weight falls off the quickest, the weight loss at bottom is phenomenal. I now have a normal BMI. And more importantly it has a very low rate for revision. If I went under the knife once, I sure did not want to go through it again. Also I had severe acid reflux (GERD). For GERD, having a sleeve will only make the condition worse.

Make sure you take a good before photo so you have something to compare it with when the weight begins to fall off. Good luck on your surgery.

I had RNY gastric bypass surgery over 3 years ago. Overall I lost almost 120 pounds total (20 pounds pre-op and 100 pounds post-op) I now fall in the normal BMI category. Many of my health conditions (high blood pressure, diabetes, sleep apnea, severe acid reflux) have gone into remission and stayed there. I consider the surgery to be one of the best decisions that I ever made.

I think you need to figure out what is going wrong first. What is causing these issues?

@@WLSResources/ClothingExch wrote , I googled Juvenon and found that it's a brand name. My guess is that you take Juvenon™ Cellular Health Supplement because of the Biotin. Please confirm. I'm also curious about the brown color that was restored. Would you say it was your original brown or something different and, perhaps, not quite what is considered a natural sort of brown? My original hair color was brown, a natural brown. The supplement is called Cellular Health Supplement. I take one tablet per day. This was their original and only supplement when I started taking it. They added many others to their product line since. The supplement contains biotin but its primary ingredients are Acetyl L-Carnitine HCI and Alpha Lipoic Acid. Several others on this board have reported using biotin but were not pleased with the result. So I think it is more than just biotin that is at play here.

I agree with @AvaFern. Focus on meeting your Protein requirements. The calorie requirements are less important at your stage. Adding one more Protein shake a day. As an example using the brand of powder that I used Muscle Milk Light [vanilla Creme] would add 210 calories, 25 grams of protein, and 16 ounces of Fluid to your diet. That would put you right where you need to be across the board.

Congratulations.

I didn't lose any hair, but several people report hair loss. Generally this will occur during the weight loss phase. Once you get into the maintenance phase, things should level out. Many report that the hair grows back at this point. So it is sort of a temporary problem. Make sure you are meeting your daily Protein requirements. A lack of protein will make this condition worse. In my case I have been using a supplement called Juvenon (available over the internet) for around 10 years now. One of the side-effects of this supplement is that it seems to halt hair loss. I am 67 years old and I began going from gray to white hair and also going bald around 10 years ago. When I began using this product, my hair loss stopped and it even restored a little of the brown color in my hair. I had to halt using this product right after surgery for a couple months (doctor's orders), but when he gave me the green light again, I was back on it. And as I said, I did not experience any hair loss from my RNY gastric bypass surgery.

Generally pre-op physicals are required by the surgeon. Mine took almost a full day at the hospital. Several types of tests. If any areas of concern are identified during these physicals, they can lead to a second round of individual tests under specialized doctors in their respective field. Also I underwent a half day of training that went over everything required for surgery and also post-op requirements. They gave me a 1/2 binder full of information of rules to follow after surgery.

Meal requirements can vary between surgeons post-op. In my case I was given substantial guidance of how much I could eat per meal and what I could eat. The reason why you might not want to transition too quickly to solid foods after RNY gastric bypass surgery is to allow the staple lines in your stomach to heal and to prevent nausea and vomiting. The other concern is that you need to limit your sugar and fat intake because the part of your stomach that normally processes sugar and fats has been cut away and it you take either of these in sufficient quantity, it can lead to dumping. So my direction was to start at 2 ounces of food per meal, 3 meals per day. Weeks 1-4 were full liquids, Weeks 5-8 were pureed foods, Weeks 9 and beyond were solids. So if you run into problems transitioning, there is nothing to say that you could slow down the transition until you feel more comfortable to move on. The three most important elements after surgery is to meet your daily Fluid, Protein, and Vitamin requirements. Food is secondary because your body is converting stored fat into the energy that drives your body. Thus you lose weight. Weight loss after RNY surgery is achieved through meal volume control. At 2 ounces of food per meal, it is almost impossible to meet your daily protein requirements without relying on Protein shakes. So fluids are no problem. Good. Any issues with protein or Vitamins?

I saw this post and I didn't see anything that was objectionable in it. Generally the job of a moderator is to eliminate SPAM. This website gets hit with a lot of spam. Some of it is computer generated. And that waste a lot of time for the members of the site. These can be spotted fairly easily - first time poster, filled with babbling words, not on topic, a link at the end that leads to a sales pitch. This post was not spam. Although I saw the post I didn't follow it throughout the day. It might be that one of the comments posted went way over the line.