Re: New member, question about nausea after gastric bypass

[Guest guest]

Ashely,

The general nausea can be tamed with phenergan suppositories. However, a lot of

the time the nausea my patients experience is from taking in too much liquid or

too fast, so make sure this isn't the case before suggesting the rx. Also,

varying the temperature of the liquids (no extreme hot or extreme cold liquids)

can also help.

Hope this helps.

>>> earich1976@... 06/13/03 11:27AM >>>

Hello!

I am a new member and have really enjoyed reading the messages so

far. It is nice to know that there are others out there dealing with

similar issues!

Do you all have a lot of patients complain about constant nausea for

the first 4-6 weeks after gastric bypass surgery?? If so, what do you

suggest?? I am having hard time coming up with things to tell them.

Of course, flat, diet gingerale is always an option but it doesn't

seem to work!

Thanks to anyone who can help!

[Guest guest]

Fortunately I haven’t heard that

complain much with population I’ve seen. However it’s my

understanding that there often isn’t much ginger in most gingerales –

mostly flavoring. If I wanted the effect of ginger, I would recommend sipping

on ginger tea with artificial sweetener if desired. Otherwise I would recommend

eating the small amounts of foods tolerated, separated from the liquids. I am

wondering if anxiety regarding eating is a factor? I

look forward to hearing other thoughts.

+++++++++++++++++++++++++++++++++++++++++++++++++++++++++

J. Bethel, MS, RD, LD/N

BETHEL NUTRITION SERVICES

1526 Nuremberg Boulevard, Punta Gorda, FL 33983-6015

Telephone: 941.624.5002; E-mail: lbethelrd@...

+++++++++++++++++++++++++++++++++++++++++++++++++++++++++

New member, question about nausea after gastric

bypass

Hello!

I am a new member and have really enjoyed reading

the messages so

far. It is nice to know that there are others out

there dealing with

similar issues!

Do you all have a lot of patients complain about

constant nausea for

the first 4-6 weeks after gastric bypass surgery??

If so, what do you

suggest?? I am having hard time coming up with

things to tell them.

Of course, flat, diet gingerale is always an

option but it doesn't

seem to work!

Thanks to anyone who can help!

[Guest guest]

Thanks for your input! One patient that I talked to attributed the

nausea to her iron supplementation (Chromagen), so that one I figured

out. A lady I spoke with today said that her nausea does not seem to

be related to her food/liquid intake. She said she feels sick to her

stomach ALL DAY no matter what she does. The phenergan suppositories

are a good idea. The surgeon that I work with only allows his

patients protein (NO CARBS, except a few from non-starchy vegetables)

because he likes to keep them in ketosis as long as possible. He does

not allow them to eat anything with carbohydrates until they get to

their goal weight. Of course they cheat, but this really concerns me.

Have you all ever heard of surgeon's managing their patients this

way? He won't even let them have fruits, even after long

conversations with me. I wonder if this might be causing nausea.

Any ideas on this sort of diet would be greatly welcomed!!

> Fortunately I haven't heard that complain much with population I've

> seen. However it's my understanding that there often isn't much

ginger

> in most gingerales - mostly flavoring. If I wanted the effect of

ginger,

> I would recommend sipping on ginger tea with artificial sweetener if

> desired. Otherwise I would recommend eating the small amounts of

foods

> tolerated, separated from the liquids. I am wondering if anxiety

> regarding eating is a factor? I look forward to hearing other

thoughts.

>

>

>

> +++++++++++++++++++++++++++++++++++++++++++++++++++++++++

> J. Bethel, MS, RD, LD/N

> BETHEL NUTRITION SERVICES

> 1526 Nuremberg Boulevard, Punta Gorda, FL 33983-6015

> Telephone: 941.624.5002; E-mail: lbethelrd@c...

> +++++++++++++++++++++++++++++++++++++++++++++++++++++++++

>

> New member, question about

> nausea after gastric bypass

>

> Hello!

> I am a new member and have really enjoyed reading the messages so

> far. It is nice to know that there are others out there dealing

with

> similar issues!

>

> Do you all have a lot of patients complain about constant nausea

for

> the first 4-6 weeks after gastric bypass surgery?? If so, what do

you

> suggest?? I am having hard time coming up with things to tell them.

> Of course, flat, diet gingerale is always an option but it doesn't

> seem to work!

>

> Thanks to anyone who can help!

>

>

>

>

>

>

>

>

[Guest guest]

For nausea we recommend:

1) if it occurs in the morning to nibble on saltine crackers.

2) do not drink fluid for 1 hour before or after meals.

3) eat slowly. Take a full three minutes between bites.

4) avoid foods which ahve caused nausea in the past.

5) avoid foods that have a strong odor or flavor.

6) avoid foods or drinks that are high in sugar or fat.

7) use Lactaid with dairy products if you don;t tolerate them well.

8) Take all vitamins after meals, never on an empty stomach.

Hope this helps. Penny(IL)

> Hello!

> I am a new member and have really enjoyed reading the messages so

> far. It is nice to know that there are others out there dealing with

> similar issues!

>

> Do you all have a lot of patients complain about constant nausea for

> the first 4-6 weeks after gastric bypass surgery?? If so, what do you

> suggest?? I am having hard time coming up with things to tell them.

> Of course, flat, diet gingerale is always an option but it doesn't

> seem to work!

>

> Thanks to anyone who can help!

>

>

>

>

>

>