Body Aches and nausea

[pdallariva 57]

My surgery was 06/16 and I am nausea everyday. Last week I had my 6th scope to look for a stricter which came out negative. My surgeon said try allergy meds for post nasal drip. I tried the Med's for one week with no success. Now he said to stop taking all Vitamins and start taking enzymes. It's annoying because I cannot find enzymes. I also take zofran 8mg, zofran 8mg under tounge and phenegren suppositories 50 mg a day. I do not take all at once. The suppositories work wonders but I'm restricted to 50mg a day and only work for 4 hours also they make me so sleepy. My body has bruises all over it from low zinc all over it and it hurts so bad. I was taking zinc Vitamins but my levels never increased. I had a massage therapist come out this am and now I hurt even worse. Any help out there for me?

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[James Marusek 5,244]

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 interpreting the above, the recommendations is to avoid NSAIDs such as aspirin.

Take proton-pump inhibitors. My surgeon prescribed Omeprazole (over the counter Prilosec) for the first year to allow my stomach to heal properly.

The third recommendations is to be tested to make sure that you do not have an Helicobacter pylori infection. This might be the root cause of your problem. Some individuals on this website reported this infection was the cause of their problems.

You surgeon recommended start taking enzymes. I suspect he/she is talking about taking Probiotics. Whenever you take antibiotics, it kills not only the bad bacteria but also the good bacteria in your gut. This good bacteria must be reestablished after surgery. That is what Probiotics do.

If you underwent RNY gastric bypass surgery, your body no longer makes the Vitamins that your body needs so therefore you will need to take Vitamin supplements for the rest of your life. If you fail to take these Vitamins, your body will develop major deficiencies and seriously affect your health. So since you said that your surgeon recommends that you stop taking vitamins does not make any sense to me. This really needs to be rechecked.

You mentioned that your body bruises very easily. Normally this is caused by a blood thinner. Aspirin is a blood thinner and because it NASAID and should be avoided. Also many products such as Excedrin and other over the counter pain medicine also contains aspirin. These products should be avoided.

[pdallariva 57]

I am allergic to all NSAID and I follow my diet. I told him I am taking a Probiotic and he said to add enzymes. My body bruises because of the low zinc. I am confused about the Vitamins too. I think it's time for a second opinion.

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