Guest guest Posted June 24, 2006 Report Posted June 24, 2006 I will be meeting with a pt who had RNY 10/25/2005 who is now having dysphagia with solids. Unable to eat significant amounts of food and continues to lose wt-now 135# at 5'5 " (243# at surgery). She was dilated in January. Has had a nl UGI. Protein stores have been nl up to last check in May. She continues to complain of upset stomach and increased nausea after eating. She reports she is unable to drink more than about 16oz per day and it is usually Crystal Light or some other flavored SF liquid. She has tried multiple small meals per day and that has not worked either. Has anyone seen something similar to this? Any suggestions? I am not sure what exactly I am going to do to try and help this woman. Any help would be greatly appreciated! Hosier, RD, LD Clinical Dietitian Member ASBS www.asbs.org St. Luke's Regional Medical Center 381-2425 __________________________________________________ Quote
Guest guest Posted June 25, 2006 Report Posted June 25, 2006 Is she on Nexium or another similar medication? She may even need it BID. Some insurance companies dictate which of these meds they will cover. Pt may need to pay for Nexium out of pocket. Hope this helps. a Serafino-Cross, MS, RD Baystate Medical Center Springfield, MA Quote
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