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Topic: RE: What is this severe abdominal pain???
hello,
I have had many surgeries, although I am waiting for the sleeve to be done, may I ask what went wrong with your sleeve?
from my surgeries, I developed adhesions (scar tissue) which rapidly spreads, this could be what is happening to you. It is like cobwebs invading, and yes your intestines could be stuck to the lining of your stomach or where abouts. It happens when maybe your food moves inside the intestines....... if feels like something is stuck, I know when I get it.... its hard to breath, I squirm with discomfort until it passes through my body....a relief.
I find it happens when I eat red meat....so I try not to .
take care
Robyn
I have had many surgeries, although I am waiting for the sleeve to be done, may I ask what went wrong with your sleeve?
from my surgeries, I developed adhesions (scar tissue) which rapidly spreads, this could be what is happening to you. It is like cobwebs invading, and yes your intestines could be stuck to the lining of your stomach or where abouts. It happens when maybe your food moves inside the intestines....... if feels like something is stuck, I know when I get it.... its hard to breath, I squirm with discomfort until it passes through my body....a relief.
I find it happens when I eat red meat....so I try not to .
take care
Robyn
Topic: RE: Patient Contacts
I just recently had a mini gastric bypass in Mexico, went well, I'm 14 days since surgery, pretty much pain free, doing all the stuff I did before, minus of course big eating. It taks some getting used to and there is some pain the first couple of days, maybe 3, and then nagging little pain from the tiny incisions where the laparascope was inserted. All in all, it went well and I've already lost 24 lbs. Are you having surgery in the US?
Topic: RE: Pricing for mini gastric bypass?
I was always curious about Mexico and how they did it there. Thanks for the info
Topic: RE: What is this severe abdominal pain???
A couple of questions first - do you have your gallbladder? It is very common after rapid weight loss to develop gallstones and the pain your describe is very constistant with gallbladder disease. You should ask for 2 tests = an ultrasound of your gallbladder and billary tract to check for stones. and a HIDA scan which can determine if your gallbladder is functioning. You can have no stones but if it isn't functioning, it still needs to come out. This can be very painful. Even if you don't have a gallbladder, you can develop stones in the bile ducts, so you need to ask for an MRCP - it is an MRI of the bile ducts as well as the entire abdomen - a great test.
You should ask for a CT scan of your kidneys but with no contrast - oral or IV. When you have a regular CT of your abdomen with the oral contrast, it is hard to see kidney stones, the contrast blocks the stones. You can also get a KUB which is an XRay to detect kidney stones but not all stones show up on x-ray, a CT is the best way to diagnose stones. These cause severe back pain and abdominal pain.
You should ask for a CT scan of your kidneys but with no contrast - oral or IV. When you have a regular CT of your abdomen with the oral contrast, it is hard to see kidney stones, the contrast blocks the stones. You can also get a KUB which is an XRay to detect kidney stones but not all stones show up on x-ray, a CT is the best way to diagnose stones. These cause severe back pain and abdominal pain.
Topic: How much protein do we need?
There are often a lot of questions and concerns about how much protein we need after bariatric surgery. This is a link to a paper that appeared in Bariatric Times. This paper titled Protein and the Bariatric Patient by Laura Frank, PhD, MPH, RD, CD, October 2008 appeared in the Bariatric Times (http://bariatrictimes.com/2008/10/07/protein-and-the-bariatr ic-patient-2/)
The conclusion of this discussion appears below:
Protein Prescription for the Bariatric Patient
Usual protein recommendations for the post-bariatric surgery patient are anywhere from 1 to 2g protein per kg of adjusted body weight—calculated as current body weight (CBW) minus ideal body weight (IBW) multiplied by 25 percent plus IBW [CBW-IBW x 25% + IBW]).25 A minimum of 60 to 70g of protein per day should be ingested.13 Many programs recommend a range of 60 to 80 grams total protein intake per day or 1.0 to 1.5g/kg IBW, although exact needs have yet to be defined. The use of 1.5g/kg IBW/day beyond the early post-surgical phase is probably above metabolic requirements for non-complicated patients and may prevent the consumption of other macronutrients in the context of volume restrictions. An analysis of the RYGB patient’s typical nutrient intake at one year postoperative found no significant changes in albumin with daily protein consumption at 1.1g/kg IBW.12 Following BPD/DS procedures, the amount of protein should be increased by approximately 30 percent to accommodate for malabsorption, making the average protein requirement for these patients approximately 90g/day.30
Here is a link to a Pound to KG conversion calculator you can use to determine your weight in KGs if you want to use the formulas above to determine the amount of protein necessary to support a healthy body post op. Please make sure to check with your Dr. or Nutritionist before making any changes to the protein levels in your diet.
The conclusion of this discussion appears below:
Protein Prescription for the Bariatric Patient
Usual protein recommendations for the post-bariatric surgery patient are anywhere from 1 to 2g protein per kg of adjusted body weight—calculated as current body weight (CBW) minus ideal body weight (IBW) multiplied by 25 percent plus IBW [CBW-IBW x 25% + IBW]).25 A minimum of 60 to 70g of protein per day should be ingested.13 Many programs recommend a range of 60 to 80 grams total protein intake per day or 1.0 to 1.5g/kg IBW, although exact needs have yet to be defined. The use of 1.5g/kg IBW/day beyond the early post-surgical phase is probably above metabolic requirements for non-complicated patients and may prevent the consumption of other macronutrients in the context of volume restrictions. An analysis of the RYGB patient’s typical nutrient intake at one year postoperative found no significant changes in albumin with daily protein consumption at 1.1g/kg IBW.12 Following BPD/DS procedures, the amount of protein should be increased by approximately 30 percent to accommodate for malabsorption, making the average protein requirement for these patients approximately 90g/day.30
Here is a link to a Pound to KG conversion calculator you can use to determine your weight in KGs if you want to use the formulas above to determine the amount of protein necessary to support a healthy body post op. Please make sure to check with your Dr. or Nutritionist before making any changes to the protein levels in your diet.
Barbara
ObesityHelp Coach and Support Group Leader
http://www.obesityhelp.com/group/bcumbo_group/
High-264, Current-148, Goal-145
Topic: RE: Can anyone recommend MGB surgeons in Mexico?
In 04/11 I paid $7,000 for the doctor and surgery, plus about $2,000 in travel costs. So total $9,000.
Topic: RE: Can anyone recommend MGB surgeons in Mexico?
Susan,
So if you dont mind me asking what was your total cost? I want to couple my surgery with our 25th wedding anniversary get away?
Loni
So if you dont mind me asking what was your total cost? I want to couple my surgery with our 25th wedding anniversary get away?
Loni
Topic: RE: Patient Contacts
Hi,
Yes I am the one who e-mailed you. Thank you so much for taking the time to e-mail me back with so much information. I have an appointment with my primary care doctor to start all the labs. Just will need more patient contacts. Alot to go through but I know it is well worth it. Scary to realize that I have over 140 lbs to loose. Again, thanks for you help and reply.
Anita
Yes I am the one who e-mailed you. Thank you so much for taking the time to e-mail me back with so much information. I have an appointment with my primary care doctor to start all the labs. Just will need more patient contacts. Alot to go through but I know it is well worth it. Scary to realize that I have over 140 lbs to loose. Again, thanks for you help and reply.
Anita
Topic: RE: What is this severe abdominal pain???
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Yes the MRI is better. It's like looking at very thin slices and all the way across the area being scanned and much more detailed.
Clueless about weight loss and weight loss surgery of any kind.
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