Need advice regarding current medical issue
I'll try to give the best explanation I can to cover the full length of what's going on.
6 days ago, about 2 hours after dinner I suddenly got the chills, started heaving as if going to vomit, and became extremely fatigued. I spent the night getting up at least once an hour due to diarrhea. It also felt like I wa*****hed on the last two ribs on my left side with aches in my left shoulder, elbow, hips, and knee. I went to my primary physician the next day who suspected some sort of intestinal virus and basically told me to wait it out. He also told me to take some Mylanta to coat my stomach and seemed to look at me quizzically when I tried to explain that I've had RNY and that wouldn't work (I'm working on finding a new primary since mine has retired and this doctor has taken over his practice). I've spent the days since then on mostly clear and full liquids since it seems that whenever I eat anything solid I'm fine for about an hour or so and then I start to get some abdominal discomfort, a bit of sweating, some burping, and depending on how much I ate or how solid it was, nausea. I plan on calling an office that deals exclusively with bariatric patients, actually the facility where I had surgery back in 2007. Since it's the weekend I just wanted to get some idea of what might be going on.
I have a couple of questions:
1. Any idea what kind of problem I'm dealing with here?
2. Should I not wait to get an appointment and just go to the hospital?
3. I can keep eating yogurt and drinking fluids to get by but should I keep trying to introduce solid foods or will that likely do more harm than good?
4. Any other general advice that might help?
Thanks for any help. It's been a long time since I've been on OH but I was confident it's a good community for advice.
-Brian
Consult/Surgery/Current
on 1/17/15 8:42 am
Oh, that sounds bad. My sympathies. I've been having nausea attacks and some abdominal pains. Due for a gastroscope to check for ulcers. You might want to read up on ulcers, it could be relevant.
Referred to Guelph, Dec. 3/12. Orientation: Mar 7/13. NUT/SW/RN Jun 18/13. Nutrition Class Jul 3/13. NUT/SW/RN Aug 19/13. Post-op Nutrition Class Dec 30/13. Approval for surgery from Dr. Jules Foute Nelong Feb 10/14. Surgery Apr 23/14.
on 1/17/15 9:44 am
When was your surgery. What did you eat the night this happened?
"The first thing I do in the morning is brush my teeth and sharpen my tongue." --- Dorothy Parker
"You may not like what I say or how I say it, but it may be just exactly what you need to hear." ---Kathryn White
If you still have your gallbladder, that could be the culprit.
I would suggest that you try to get in as quickly as possible to see a doctor in the office. Emergency rooms are for true emergencies not for diagnostic services, and unless you are in some type of medical danger, they are likely just going to do some testing, rule out anything serious enough to require immediate medical intervention, and then send you home with instructions to follow up with your own doctor anyway.
Since no one here can tell you what the problem is, we also cannot tell you whether eating solid food again is a good idea or not. Personally, if solid food was making me sick every time I ate it, then I wouldn't eat it!
Get into a doctor as soon as you can (although a doctor that deals "exclusively" with bariatric patients also may not be necessary). Any doctor can order an ultrasound to rule out your gallbladder (if you have one still), run blood tests to rule out pancreatitis or liver issues, and can order an EGD to check for ulcers or something else wrong internally.
Perhaps going back to your own doctor and letting him know that clearly this isn't something that is just going tto pass might get you treated sooner than getting an appt elsewhere.
Lora
14 years out; 190 pounds lost, 165 pound loss maintained
You don't drown by falling in the water. You drown by staying there.
The gallbladder came out in 2009. I didn't really plan on the emergency room unless I stopped defecating or couldn't pass gas or keep fluids down. I mostly came up with the questions in a brainstorming fashion and didn't really edit them. Part of the post was just geared towards seeing if the symptoms were consistent with the experiences of others. Personally I've just had better experience with bariatric specialists for anything related to intestinal issues. All the other doctors seem to get the concept of what RNY is but they rarely understand it fully.
Consult/Surgery/Current
on 1/17/15 11:09 am
You can have Mylanta. You shouldn't be eating Tortolini and sauce. I think you should go back to the basics. Clears for a few days, then gradually work back up and revisit the origional plan and reason for the surgery.
"The first thing I do in the morning is brush my teeth and sharpen my tongue." --- Dorothy Parker
"You may not like what I say or how I say it, but it may be just exactly what you need to hear." ---Kathryn White