Re: can we NOT vomit after HM?

[Guest guest]

Hi, I had my HM a couple of years back now and must admit I have vomited a

couple of times so we can still do it but it is different but nothing to

worry about.

Andy

England

On Sep 22, 2011 8:15 PM, " kimellenbailey " <kimellenbailey@...> wrote:

> i had my HM sept . my dr said do NOT throw up, gave me phen. for nausea..

i have not thrown up . doing really good.bent over a couple times and stuff

came up in mouth.. oops.. but can we NOT throw up after a HM?? that makes me

almost feel panicked... kim bailey

>

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>> > > ... If we can't vomit after the HM, what happens when we get those 24

>> > > hour stomach bugs?

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[Guest guest]

Kim wrote:

>

> ... but can we NOT throw up after a HM?? ...

>

To quote my earlier message, " some can, some can not. "

Some who can will think everyone can and some who can not will think

everyone can not. Also, it isn't just a thing of having had the surgery

or not. Some people before the surgery also have trouble because they

have higher LES pressure than some of the others, or high spasm

pressures in the esophagus. If the stomach does not overcome these

pressures it isn't going to happen. After surgery it depends on a number

things, including, LES pressure and fundoplication type and tightness.

The more restrictive the fundoplication the more the stomach has to

overcome to vomit. We know our nerves for controlling the area where the

esophagus and stomach meet don't respond correctly. They may not respond

correctly to retching either. More so for some people than for others.

I wonder what it is like for those with badly dilated or sigmoid

esophagi to vomit. Before or after surgery.

notan

[Guest guest]

Notan wrote:

 

" I wonder what it is like for those with badly dilated or sigmoid

esophagi to vomit. Before or after surgery. "

 

 There is probably going to be a different answer for each person who responds.

As you know, after surgery I have a badly dilated and sigmoid esophagus. In my

case, when my stomach experienced a " condition " that would normally result in my

having to vomit, I would go thru all the sensations leading up to vomiting, then

start " retching " away as if I was vomiting, and then feel much better right

afterwards, as I " normally " would in my " pre-achalasia " days, the only

difference being that nothing came up. 

 

So, a " simulated " vomiting experience tended to have the same results as would a

real vomiting experience.  The " good " news was that I seemed to get all the

benefits of a " productive " vomit without the " mess. "  

 

Is this " TMI? "

 

>

> ... but can we NOT throw up after a HM?? ...

>

To quote my earlier message, " some can, some can not. "

Some who can will think everyone can and some who can not will think

everyone can not. Also, it isn't just a thing of having had the surgery

or not. Some people before the surgery also have trouble because they

have higher LES pressure than some of the others, or high spasm

pressures in the esophagus. If the stomach does not overcome these

pressures it isn't going to happen. After surgery it depends on a number

things, including, LES pressure and fundoplication type and tightness.

The more restrictive the fundoplication the more the stomach has to

overcome to vomit. We know our nerves for controlling the area where the

esophagus and stomach meet don't respond correctly. They may not respond

correctly to retching either. More so for some people than for others.

I wonder what it is like for those with badly dilated or sigmoid

esophagi to vomit. Before or after surgery.

notan

[Guest guest]

> Notan wrote:

>

> " I wonder what it is like for those with badly dilated or sigmoid

> esophagi to vomit. Before or after surgery. "

>

wrote:

>

>

> ... I would go thru all the sensations leading up to vomiting, then

> start " retching " away as if I was vomiting, and then feel much better

> right afterwards, as I " normally " would in my " pre-achalasia " days,

> the only difference being that nothing came up. ...

>

Is it possible that you moved contents from your stomach to the big

esophagus? I picture some of these megaesophagi just filling up with and

not conveying out the stomach contents. Then there are those with kinks

and twists. Just seems like to much to hope for that they would actually

work in this context.

notan

[Guest guest]

What you are suggesting, Notan, is entirely within the realm of possibility. My

esophagus, described by some as a " second stomach " is so huge that if I was

going thru the motions of a vomiting " reflex " it could have sent particles up to

the base of my esophagus. Without " reverse peristalsis " it could not travel any

further. Since there is no sensation in the base of the esophagus (unless being

stretched by too much food in there at one time, thereby feeling " pressure " ), I

would remain unaware that anything did in fact come up to that point.

 

What you have said makes sense to me that if the stomach wants to expel

" foreign " matter that it finds " annoying, " how else would I feel better

immediately afterwards unless it really did push it up and out (or down and out

the other way, though less likely).

 

In all other respects it felt like I was vomiting. It probably has now been over

10 years since it last happened.

 

>

>

> ... I would go thru all the sensations leading up to vomiting, then

> start " retching " away as if I was vomiting, and then feel much better

> right afterwards, as I " normally " would in my " pre-achalasia " days,

> the only difference being that nothing came up. ...

>

Is it possible that you moved contents from your stomach to the big

esophagus? I picture some of these megaesophagi just filling up with and

not conveying out the stomach contents. Then there are those with kinks

and twists. Just seems like to much to hope for that they would actually

work in this context.

notan

[Guest guest]

I am pretty much unable to throw up after HM (10 months ago). I took two of one

of my daily prescription pills (seriously, it was an accident), and was totally

unable to do anything about it. It was quite the ordeal.

> >>

> >> > >

> >> > > ... If we can't vomit after the HM, what happens when we get those 24

>

> >> > > hour stomach bugs?

> >>

> >>

> >>

> >>