Bloating/SIBO Post Abdominoplasty (Photo)

Question

I'm 5'4, 113 lbs (same weight for the last 20 years), healthy female. I developed severe bloating 24/7 immediately post-op umbilical float with umbilical hernia repair and abdominoplasty. I also had breast implants (silicone 255 cc). I am a little over 1 year post op and still have severe bloating and was also diagnosed with SIBO. After 3 rounds of Rifaxamin (anti biotic), my symptoms have not improved. I was fine before surgery- what could be going on?

J. Timothy Katzen, MD, FACS · Answer

Hello, and thank you for your question regarding your ongoing bloating and SIBO diagnosis following your abdominoplasty, umbilical hernia repair, and breast augmentation. Congratulations on your commitment to your health, and I understand how frustrating unresolved symptoms can be.

Based on your history and provided photo, it is highly unlikely that your Small Intestinal Bacterial Overgrowth (SIBO) is directly related to your plastic surgery procedures. Abdominoplasty and hernia repair primarily affect the structure and skin of the abdominal wall, while SIBO involves bacterial overgrowth in the small intestine, a condition unrelated to surgical manipulation of the external abdominal area.

That said, post-surgical changes such as scarring, adhesions, or altered intra-abdominal pressure could theoretically contribute to gastrointestinal symptoms in rare cases. To explore this possibility and get to the root of your symptoms, I strongly recommend consulting a gastroenterologist. Additional diagnostic procedures like an upper and lower GI endoscopy, imaging, or a hydrogen breath test might provide more insights into your ongoing bloating and the persistence of SIBO.

Although you've already undergone three rounds of Rifaximin without improvement, a gastroenterologist may consider alternative treatments or therapies tailored to your condition. In the meantime, adhering to a low-FODMAP diet and addressing any potential contributing factors like stress or lifestyle habits may help manage symptoms.

I hope this provides clarity about the likely lack of connection between your SIBO and plastic surgery. Wishing you the best in resolving these concerns with the help of a specialist.

Sincerely,
Dr. Katzen

Ajaya Kashyap, MD · Answer

Thank your query.  The SIBO seems to be the cause of your symptoms. It may have little to do with your abdominoplasty, other than perhaps peri-operative antibiotics. It will be best to seek the help of a specialist for the problem. Please find an experienced board certified Gastroenterologist who can examine you and help you with all your concerns. All the best!

Camille Cash, MD · Answer

I'm sorry to hear of the issues you are experiencing with bloating.  It is possible that your SIBO flared due to your abdominoplasty.  I encourage you to work with your GI specialist for resolution.

Connie Hiers, MD, FACS · Answer

Several things could be happening and some not related to surgery except that surgery was a stress and stress can trigger reactions. I would suggest being checked for food allergies and getting an abdominal CAT scan to check the hernia repair.

Daniel P. Markmann, MD · Answer

Sorry to hear about your situation.   I don't know what could have caused this bloating from a mini tummy tuck.   The only things I can think of are..... 1) Possibly having caught the bowel with a stitch while repairing the hernia.  2) Developing adhesions of your bowel to each other or the abdominal wall, which can happen anytime the abdomen is opened.  3) Having left something in the abdomen.   I assume your doctor has worked you up.  Maybe a CT scan would be of help.

Mats Hagstrom, MD (license on probation) · Answer

There are two reasons why someone may have a bulging abdominal wall.
One is muscle separation from previous pregnancies, and the second is excess visceral fat.
If Your bulging after a correctly done tummy tuck then the problem is more likely excess visceral fat, which should’ve been identified during your consultation before surgery.
Differentiating between the two shouldn’t be rocket science.
Including before and after pictures is always needed if you want an assessment regarding the outcome of any plastic surgery procedure.
If you don’t have before and after pictures and ask your surgeon to forward the pictures they took.
I also suggest you follow up with your surgeon regarding the outcome of your procedure.
Best,
Mats Hagstrom MD

Bloating/SIBO Post Abdominoplasty (Photo)

Answers (6)

More Tummy Tuck Questions

WE SEND PRETTY
EMAILS

Answers (6)

More Tummy Tuck Questions

What are those scars around circular scar on my belly button?

I want a tummy tuck to remove loose skin. What would be the best option? (Photo)

Sutures folding over themselves. Is this normal?

Do I need a tummy tuck?

What would be the best treatment for the condition of my stomach? (Photo)

How long after a tummy tuck, can you remove the belly button stitches?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS