Running nose? Hiccups? Due to Bariatric Surgery?

fleemore1
on 8/28/08 3:15 am - Harrah, OK
I saw this article on the main board today and thought it was really interesting.  I am copying and pasteing here to share with others:

Default Vagus Nerve

Vagus Nerve


Running nose? Hiccups? Due to Bariatric Surgery?
Quite possibly…Specifically a common post-op experience due to distorted signal transmitted by the Vagus nerve.

Vagus Nerve:The Vagus nerve is the longest of the nerves.

Its name is derived from the same root word as "Vagrant," and "Vagabond."
(A wanderer; a rover. - Wandering from place to place and lacking any means of support.)
This "Vagabond" originates in the Cranium but wanders from the brain stem
through organs in the neck, thorax and abdomen, all the way to the first third of the colon.
It has motor functions in the larynx (voice box), diaphragm, stomach, and heart, and sensory functions in the ears and tongue.
It has both motor and sensory functions in the pharynx (sinuses) and esophagus.

Stimulation of the vagus nerve is thought to affect some of its connections to areas in the brain that are prone to seizure activity.
It is a "Hot Topic" for research in areas of Depression, Obesity, Epilepsy,
and is responsible for some phenomenal sensory and motor responses even without WLS.

Emotions running high?
Feeling a lump at the back of your throat that you didn’t put there?
That’s the Vagus Nerve at work.
Can’t tickle yourself, except the roof of your mouth? (try it)
Because when you try to tickle your armpit-
The same nerves that perceive the tickle also "know that it’s coming,"
and thus the "surprise" aspect that allows "tickling" to occur have been preempted.
But- Roof of the mouth? Different selective dumping of info prior to reaching the brain.
That’s the Vagus nerve "sharing" some info with sensory and motor controls while "not telling others."

The Vagus nerve is known as a "mixed nerve"
meaning it both receives input from the body and sends signals to various muscles and organs of the body.
It is the primary nerve of the Parasympathetic Nervous System.
It isn’t an even mix, though, about 80% of the axons inside the vagus nerve
are sending signals from the body to the brain.
The Vagus nerve consists of Five Components with distinct functions:
--Brancial motor:
(special visceral efferent) Supplies the voluntary muscles of the pharynx
and most of the larynx, as well as one extrinsic muscle of the tongue.
--Visceral motor:
(general visceral efferent) Parasympathetic innervation of the smooth
muscle and glands of the pharynx, larynx, and viscera of the thorax and abdomen.
--Visceral sensory:
(general visceral afferent) Provides visceral sensory information from the
larynx, esophagus, trachea, and abdominal and thoracic viscera,
as well as the stretch receptors of the aortic arch and chemoreceptors of the aortic bodies.
--General sensory:
(general somatic afferent) Provides general sensory information
from the skin of the back of the ear and external auditory meatus,
parts of the external surface of the tympanic membrane, and the pharynx.
--Special sensory:
(special afferent) A very minor component.
Provides taste sensation from the epiglottis region.

A simplified explanation to describe "how it works"-
Rather than sending signals out from brain, or bringing sensory info
back to the brain, it does both, and it allows "pieces parts"
or "stations" along the way to communicate with each other
without directly routing through the brain.

It controls much of the movement of the mouth and let’s the esophagus
"synch up" with back of tongue motions in order to make swallowing possible.
And signals the lower organs of the digestive tract to adjust activity when "food is on the way!"

The Vagus nerve also sends signals to and for those "unconscious" or reflex reactions-
such as swallowing when not thinking about it consciously.
Often the example given is- "swallowing while sleeping so you don’t drown in saliva."
It is associated with Nausea governing factors, Relaxation,
(particularly pulse rate) digestion synchronization, etc..

It’s "Fence-sitting" behavior as both Voluntary and Involuntary signal provider,
makes it a key factor in most Bio-Feedback processes for reducing stress levels.
-http://www.bio-medical.com/product_info.cfm?inventory__imodel=STRESSERASER

How does this effect or associate with Bariatric Post-Op patients?
Signals from the Stomach are "distorted somewhat"
and often Disrupted or damaged by the Gastric Bypass.
The signals from the pouch often trigger the Vagus nerve
to "fire" unique reflex responses.
The Vagus nerve transmits the signal to the brain when we are full.
It seems to "drop off" some info to other stations on the way to the brain.
It is responsible for Diaphragmatic "Dry Heaves" that some experience
in the early days following Bariatric Procedures,
and longer term is often associated with rapid gastric emptying.
(Dumping Syndrome/Dumping)


Many Post-ops claim to have their nose start running
when they take "that last bite" just before feeling too full.
Some experience sneezing or hiccups if they eat a bite too much.
Both are actions inextricably bound to Vagus nerve signals.
Many claim to get a "runny nose" with one bite too much food for their pouch,
and hiccups from eating too fast.

Many Gastric Bypass Post-ops have similar odd signals
associated with the connections that the Vagus nerve makes along it’s wandering path.

For more info on the interconnections of Vagus Nerve and Obesity-
Vagus Nerve Stimulation May Help Prevent Obesity:

(Medical University of South Carolina 02/07)- http://www.musc.edu/pr/vns.htm
The Use of Electrical Stimulation of the Vagus Nerve to Treat Morbid Obesity:
(Roslin M.; Kurian M, Epilepsy & Behavior, June 2001) -http://www.ingentaconnect.com/content/ap/el/2001/00000002/00000003/art00213
Interfering With Vagal Nerve Activity In Mice Prevents Diabetes And Hypertension:
(Washington Univ. School of Medicine 02/07) -http://www.medicalnewstoday.com/medicalnews.php?newsid=62543
Rapid Gastric Emptying and Gastroparesis: Motility Disorders:
(GI Tract.info 02/07) -http://www.gitract.info/stomach-disorders/gastric-emptying.php



 

This is the ride of my life.....what an amazing tool I now have!!!
Bvrwrer
on 8/28/08 4:38 am - Edmond, OK
I'm a believer!  I have both the hiccups and runny nose since surgery that I very rarely experienced prior.  My "one bite too many" hiccups are particularly loud and violent, but don't usually last too long.

I've seen other threads here about the vagus nerve changes following surgery, but none that have been nearly as complete and informative.  Thanks for posting this, Deb!

John
Bvrwrer
on 8/28/08 4:38 am - Edmond, OK
fleemore1
on 8/28/08 4:42 am - Harrah, OK
I am too.  I experience both every day...many times.  I think the runny nose part is especially weird.  I was glad to read that it wasn't just "all in my head"!!!

This is the ride of my life.....what an amazing tool I now have!!!
GlitterGal
on 8/28/08 4:57 am - Edmond, OK
I asked Walton about the Vagus nerve before surgery and he said for the sleeve, they don't cut it!  I do sometimes have 1 loud, large hiccup and figure that means I've had enough!
fleemore1
on 8/28/08 5:02 am - Harrah, OK
I'm with you on that...when I have the large hiccup I'm done for sure!!   I wish I were going on vacation with you.  Hope you're going somewhere fun!!!  Have fun enough for us all.

This is the ride of my life.....what an amazing tool I now have!!!
GlitterGal
on 8/28/08 5:31 am - Edmond, OK
We are!  Puerto Vallarta for our 17th wedding anniversary!  Should be a blast!
Anna R.
on 8/28/08 6:12 am - Yukon, OK
GlitterGal, have a great time! I have been to PV once, it's really nice! I LOVED shopping there!!!
(50 lbs lost pre-op)
 
 
fleemore1
on 8/28/08 6:18 am - Harrah, OK
That's awesome....and the new skinny you at that.  You'll have all kinds of energy for your trip.  Enjoy. 

This is the ride of my life.....what an amazing tool I now have!!!
Morganbrooke
on 8/28/08 12:37 pm - OK
it's true.. i get them everyday mostly when i drink water????  morgsn
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