Nausea and diarrhea a month after sleeve gastrectomy. Advice?

Question

the pain started a month after my sleeve gastrectomy surgery and lasted for 14 days including today, I have pain in my stomach as if it’s cramping, very bad nausea and sometimes I vomit.. I also have constant diarrhea.. I was treated for helicobacter pylori before the surgery.. what could be the cause of this?

Wiljon W. Beltre, MD · Answer

Unfortunate chronic nausea can be associated with any of the bariatric procedures.  You need to be worked up by a bariatric surgeon.  Has your gall bladder been checked? Have you had an EGD or endoscopy looking for gastritis or ulcers?  Have you received an upper gi which may show strictures or sharp angles in the sleeve.  Finally, if all these tests are negative, I do a diagnostic laparoscopy and lysis of adhesions (scar tissue removal).  A lot of the times the symptoms may be do to scar tissues.

Ali Solmaz, MD · Answer

It sounds like you're experiencing significant discomfort, and given that your symptoms started a month after surgery and have lasted for two weeks, there could be several possible causes. Stomach cramping, nausea, vomiting, and diarrhea could be signs of complications such as gastritis, bile reflux, or even a lingering issue from the H. pylori infection, especially if it wasn’t fully eradicated before surgery. Another possibility is that your body is reacting to certain foods or experiencing dumping syndrome, which can cause nausea, cramping, and diarrhea when consuming foods high in sugar or fat. If you’re having persistent pain, it’s also important to rule out ulcers, strictures, or even a bacterial imbalance from changes in your gut after surgery.
Since these symptoms have been ongoing for two weeks, it’s crucial to contact your surgeon or bariatric team as soon as possible. They may need to run tests, check for any complications, and possibly adjust your diet or medications. Dehydration is also a risk with frequent vomiting and diarrhea, so make sure you’re staying hydrated as best as you can. Don't wait too long to seek medical advice&mdash;getting checked out sooner rather than later will help identify the cause and get you back on track with healing.

Pablo Garcia, MD · Answer

Hello, There are a lot other factors which should be considered in your case, you may want to consult with your main physician or surgery provider who can assess your current health status and obtain some additional labwork and then proceed to confirm your diagnosis. My Best Wishes

Nausea and diarrhea a month after sleeve gastrectomy. Advice?

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Nausea and diarrhea a month after sleeve gastrectomy. Advice?

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