Problems with hemaroids and dumping.
Hi all,
Thanks for this site. It has helped m a lot. I had the bpdds in 2010, I started at 361 and I'm down to 224. Everything was going great until I started developing hemmaroids and getting pale stools. I went to my surgeon who after examining me sent me to a specialist. The specialist ruled out an rectal prolapse and rxommnded a pph procedure to remove and destroy th hemmaroids. On July 7 I had the procedure and for 2 weeks as in agony. On July 23 I had a 2nd procedure and was then to stay in the hospital for 23 days because I somehow got pancreatitis. I had a thorough workipby my bpdds surgeon and then had a 2nd surgery where he removed scar tissue which was chocking my lg intestine. Although I have been released from the hospital and am back to work, I am always staving and I have 12-14 movements a day. The hemmaroids are back, and I feel weak all the time. I think there is damage to my pyloric valve (just a guess). Because it seems I have developed a dumping procedure. My vitamin D is low and my vitamin A is low my vitamin b is high. It seems nobody can help and I'm in constant pain. I can't stand for more than 30 minutes or I have to poop. I can't sit for 30 minutes because my area burns. This sucks...anybody have any suggestions?
Thanks for this site. It has helped m a lot. I had the bpdds in 2010, I started at 361 and I'm down to 224. Everything was going great until I started developing hemmaroids and getting pale stools. I went to my surgeon who after examining me sent me to a specialist. The specialist ruled out an rectal prolapse and rxommnded a pph procedure to remove and destroy th hemmaroids. On July 7 I had the procedure and for 2 weeks as in agony. On July 23 I had a 2nd procedure and was then to stay in the hospital for 23 days because I somehow got pancreatitis. I had a thorough workipby my bpdds surgeon and then had a 2nd surgery where he removed scar tissue which was chocking my lg intestine. Although I have been released from the hospital and am back to work, I am always staving and I have 12-14 movements a day. The hemmaroids are back, and I feel weak all the time. I think there is damage to my pyloric valve (just a guess). Because it seems I have developed a dumping procedure. My vitamin D is low and my vitamin A is low my vitamin b is high. It seems nobody can help and I'm in constant pain. I can't stand for more than 30 minutes or I have to poop. I can't sit for 30 minutes because my area burns. This sucks...anybody have any suggestions?
puppysweets1
on 9/26/12 2:21 pm - CA
on 9/26/12 2:21 pm - CA
Sounds miserable. No helpful suggestions, but you have my sympathy.
RNY to DS 210 lbs gone for 5 years.
A. C
on 9/26/12 5:13 pm
on 9/26/12 5:13 pm
I have so much sympathy for you.
I would search to find a Gastro Dr who "REALLY" understands this surgery. It makes a world of difference. It may require visits, phone consults and co-pays, it will be worth it to you!
I've had Pancreatitis twice now after my surgery (in the hospital both times). It is extremely painful!!!
As for the hemoroids, I would go to a Colon/Rectal surgeon who specializes in Colon/Rectal issues. I would not go to the surgeon who did your surgery.
I'm a newbie so I hope some of the Vets pop in here. If you are having that many movements a day, off the top of my head, I would think your diet is too carb heavy or simple carb/sugar heavy which these will cause excessive bowel movements. Your diet needs to be protein heavy.
I have no clue why you would be starving. With the sleeve part of this surgery, the part of the stomach that makes the hunger hormone (gherlin) is taken out.
Try to keep your spirits up!
Best of luck to you!
I hope I have been of some help ... :-)
I would search to find a Gastro Dr who "REALLY" understands this surgery. It makes a world of difference. It may require visits, phone consults and co-pays, it will be worth it to you!
I've had Pancreatitis twice now after my surgery (in the hospital both times). It is extremely painful!!!
As for the hemoroids, I would go to a Colon/Rectal surgeon who specializes in Colon/Rectal issues. I would not go to the surgeon who did your surgery.
I'm a newbie so I hope some of the Vets pop in here. If you are having that many movements a day, off the top of my head, I would think your diet is too carb heavy or simple carb/sugar heavy which these will cause excessive bowel movements. Your diet needs to be protein heavy.
I have no clue why you would be starving. With the sleeve part of this surgery, the part of the stomach that makes the hunger hormone (gherlin) is taken out.
Try to keep your spirits up!
Best of luck to you!
I hope I have been of some help ... :-)
First off, I am truly sorry for what you are going through, it sounds like you are in misery. In regards to your hemmoroids I would make an appt with a Colo rectal surgeon ASAP, I think when they can control your hemmoroids the other issues may improve. Did the dr give u anything to help you hemmoroids? Also re examine your diet, I know it's hard but maybe for a week cut out ALL refined carbs. You should not be having so many bowel movements a day. So start with the colorectAl dr and go from there. Did they ever determine the possible cause of your pancreatitis?
I developed an internal hemmoroid months back, went to my family dr, did what I was told to do, I didn't notice any improvement and would be in such agony after using the bathroom ( I would go about 5 times a day. I made an appt with a colo rectal dr last week and I have a fissure ( oh extremely painful) which of course developed from having so many bm's a day. Carbs run right through me ( oh they are addicting). The dr gave me suppositories and a prescription numbing cream that works great
Please call the dr.
Keep us posted. Again I am so sorry for what you are going through
Kathy
I developed an internal hemmoroid months back, went to my family dr, did what I was told to do, I didn't notice any improvement and would be in such agony after using the bathroom ( I would go about 5 times a day. I made an appt with a colo rectal dr last week and I have a fissure ( oh extremely painful) which of course developed from having so many bm's a day. Carbs run right through me ( oh they are addicting). The dr gave me suppositories and a prescription numbing cream that works great
Please call the dr.
Keep us posted. Again I am so sorry for what you are going through
Kathy
Okay, we can probably help you, but we need more info first. Can you post a typical day's food, so we can see what you're eating? We also need to know exactly what vitamins and supplements you're taking, and when.
Pale stools can indicate trouble with the liver. When did you have your most recent lab work done, and can you post your results here?
Please describe exactly what's happening that you're calling a "dumping procedure".
Pale stools can indicate trouble with the liver. When did you have your most recent lab work done, and can you post your results here?
Please describe exactly what's happening that you're calling a "dumping procedure".
According to your surgeon's page, he does a BPD not a DS...he uses the Biliopancreatic diversion (BPD), or Scopinaro procedure.
Scopinaro BPD, you have a very large pouch, distal RNY. It looks like this:
A true DS (sometimes called a BPD with DS/duodenal switch) looks like this:
You need to get your weight loss surgical report to find out what you really had. Then you can go from there...what works for the DS won't always work for a Distal RNY.
Liz
Scopinaro BPD, you have a very large pouch, distal RNY. It looks like this:
A true DS (sometimes called a BPD with DS/duodenal switch) looks like this:
You need to get your weight loss surgical report to find out what you really had. Then you can go from there...what works for the DS won't always work for a Distal RNY.
Liz
Duodenal Switch (Lap) 01-24-11 | Surgeon: Stephen Boyce | High weight: 250 in 2002 | Surgery weight: 203 | Lowest weight: 121 | Current weight: 135 | Goal weight: 135
Besides being the ABSOLUTE devil to live with, the pouch is the main difference between the two. The DS is much easier than the Pouch. You really need your surgical report...esp since his web site does not list the Hess method but the Scopinaro.
If you have the pouch, you do NOT have your pyloris and that is why the dumping.
We typically do not dump with a DS...we more likely have the foamies. About 30% of RNY'ers dump...
Liz
Editing to add: thinforlife.med.nyu.edu/surgical-weight-loss/surgery-options
Biliopancreatic diversion (BPD), or Scopinaro procedure, is a malabsorptive operation that causes food to be poorly digested and absorbed.
If you have the pouch, you do NOT have your pyloris and that is why the dumping.
We typically do not dump with a DS...we more likely have the foamies. About 30% of RNY'ers dump...
Liz
Editing to add: thinforlife.med.nyu.edu/surgical-weight-loss/surgery-options
Biliopancreatic diversion (BPD), or Scopinaro procedure, is a malabsorptive operation that causes food to be poorly digested and absorbed.
Duodenal Switch (Lap) 01-24-11 | Surgeon: Stephen Boyce | High weight: 250 in 2002 | Surgery weight: 203 | Lowest weight: 121 | Current weight: 135 | Goal weight: 135
I agree with everyone else about getting your operative report and making sure of exactly what anatomy you have. It's important.
Regarding the diarrhea, it sounds like you may have either bacterial overgrowth or your colon, or C. diff, which is a very specific overgrowth with a nasty bug (clostridium difficile). You need to be tested for both. Both are treatable, and with treatment you will feel so much better, and both the diarrhea and related hemorrhoid problems should improve. You were probably given antibiotics while in the hospital with the pancreatitis, and even one dose can cause bacterial overgrowth by killing off the "good" bugs.
Vitamin D - get the 50,000 unit dry D From Vitalady. The stuff at the drug store won't do the trick, and the prescription stuff is packed in oil and you won't absorb it. Same for Vitamin A - get the dry form, I think it's either 5,000 or 10,000 units a dose.
Get on the vitamins RIGHT NOW before things get worse - catching up is far more difficult than keeping up.
Larra
PS if the surgeon won't order the stool tests for you, get your pcp to do it. I think there is more going on than too many carbs in your diet.
Regarding the diarrhea, it sounds like you may have either bacterial overgrowth or your colon, or C. diff, which is a very specific overgrowth with a nasty bug (clostridium difficile). You need to be tested for both. Both are treatable, and with treatment you will feel so much better, and both the diarrhea and related hemorrhoid problems should improve. You were probably given antibiotics while in the hospital with the pancreatitis, and even one dose can cause bacterial overgrowth by killing off the "good" bugs.
Vitamin D - get the 50,000 unit dry D From Vitalady. The stuff at the drug store won't do the trick, and the prescription stuff is packed in oil and you won't absorb it. Same for Vitamin A - get the dry form, I think it's either 5,000 or 10,000 units a dose.
Get on the vitamins RIGHT NOW before things get worse - catching up is far more difficult than keeping up.
Larra
PS if the surgeon won't order the stool tests for you, get your pcp to do it. I think there is more going on than too many carbs in your diet.
I Made an appt with my pcp to get a stool test. I currently take 700,000 units of Vitamin D a week. And a bunch of other vitamins. I had 2 courses of 300,000 units of Vitamin A. I'm getting my bloodwork done this weekend. I've had CDiff it isn't fun. I will ask the doc for specifics of my surgery. But he did say I had the bpdds. It's just frustrating and painful. I'm a teacher and I can hardly stand. With the increase in pooping the colo/rectal surgeon should never have recommended the pph procedure for the hemmaroids because it is so damn irritated. At this rate I can't see it healing without a colostomy bag. I've also been tested for gluten which was negative. Is it normal for the body to sound and feel like a feet train after the procedure? I'm nearly 2 years out. I'm very satisfied with the results I'm down nearly 140 pounds. But I'm just really frustrated and in pain. By the way thank you all for your help.
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