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I have a patient who admitted for observation who had a Roux-en-Y in

February of this year. We do not do surgery here, but I do see some

patients pre and post op.

About a month after surgery she began having problems with vomiting.

She was not eating large amounts of food or eating too fast. She has

been able to tolerate fewer and fewer foods over time. She recently had

a dilitation. She is eating a small amount of food (she tolerated 1/8

cup of applesause at lunch), but continues with nausea, dizziness, dry

heaves and a head ache. She has not had good luck with tolerating

protein supplements in the past, so she is declining them now. She did

agree to try some milk with beneprotein this afternoon. Her lipase and

amylase are elevated.

Any ideas?

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