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Bariatric Surgery/Constipation after RNY surgery

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Expert: - 7/16/2009


Question
I am 5 weeks after RNY surgery. I am drinking 68 ounces of fluid a day(Most days). I am constipated its very painful when I try to go and all I have been able to pass through is about a tablespoon of bright red blood. I am taking benifiber and stool softeners for the last three days. I am eating less than what they suggest because any protein that I put in my mouth makes me feel nauseated. The broth and non fat cottage cheese is the only thing that sits well.
any suggestions or is this normal. I have an appointment with the trainer today and thought I might talk to the nurse then. Should I do my first training session?

Answer
Ms. Gill,
Constipation is fairly common after gastric bypass, though usually not at this early stage.  You seem to have the correct understanding that fluids are important for bowel function.

I hope this situation has improved since you wrote your question.  If not this would be best handled directly with your surgical team.

Best Wishes,
Dr JP

Bariatric Surgery

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Volunteer

John Pilcher, MD

Expertise

I can answer medically oriented questions about bariatric surgery including: patient selection, preparation for surgery, differences between types of bariatric surgery, aftercare following bariatric surgery. I can answer detailed questions about gastric bypass, Lap-Band, gastric sleeve, and revision bariatric surgery. I am only somewhat familiar with Biliopancreatic diversion. I am not prepared to answer insurance or other financial questions related to bariatric surgery.

Experience

I have been a practicing bariatric surgeon since 1995. About 85% of my current practice consists of bariatric surgery, including all of the above procedures except biliopancreatic diversion. I am the senior surgeon of a 5-surgeon group. I am recognized among surgeons and other medical professionals as the most experienced bariatric surgeon in my region.

Organizations
Fellow of American College of Surgeons Member, American Society for Bariatric Surgery

Education/Credentials
BA in Biochemistry - University of Virginia Medical Degree - University of Virginia Surgical Residency - University of Virginia

Awards and Honors
Alpha Omega Alpha

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