Pain after MGB surgery
Discussion in 'All Categories' started by Siddharth - Jan 5th, 2024 8:50 am.
Siddharth
Siddharth
I had MGB surgery. After MGB surgery I have pain. What are the common reasons for pain after MGB surgery?
re: Pain after MGB surgery by Dr. B. S. Bhalla - Jan 5th, 2024 8:59 am
#1
Dr. B. S. Bhalla
Dr. B. S. Bhalla
MGB (Mini Gastric Bypass) surgery is a weight loss procedure that involves creating a smaller stomach pouch and rerouting a portion of the small intestine to reduce the amount of food absorbed. Pain after MGB surgery is common, and there are several potential reasons for it. It's important to note that any persistent or severe pain should be promptly discussed with your healthcare provider to rule out complications. Common reasons for pain after MGB surgery may include:

Surgical Trauma: Pain is a normal response to any surgery, and the body may experience discomfort due to the trauma from the procedure.

Inflammation: The surgical site may become inflamed, leading to pain. Inflammation is a natural part of the healing process.

Gas Pains: After abdominal surgery, it's common for patients to experience gas pain. The use of carbon dioxide during surgery can cause discomfort, and trapped gas in the abdomen may lead to pain.

Staple or Suture Pain: The use of staples or sutures to close incisions or secure tissues during surgery can contribute to pain. As the body heals, these structures may cause discomfort.

Muscle Spasms: Surgical procedures can lead to muscle spasms as the body adjusts to the changes. This can result in pain around the surgical site.

Nerve Irritation: Nerves in the abdominal area may be irritated during surgery, leading to pain. This is typically temporary, but in some cases, it may take time for nerves to settle.

Referred Pain: Pain may be felt in areas away from the surgical site due to nerve pathways. This is known as referred pain.

Postoperative Infections: Infections at the surgical site can cause pain. If there is redness, swelling, or discharge, it could be a sign of infection and requires prompt medical attention.

Digestive Changes: As the digestive system adapts to the altered anatomy, there may be discomfort and pain during the initial stages of recovery.
re: Pain after MGB surgery by Karthik - Feb 7th, 2024 8:33 am
#2
Karthik
Karthik
Are there any medications or treatments specifically for post-MGB pain?
re: Pain after MGB surgery by Dr. Bishal - Feb 7th, 2024 8:51 am
#3
Dr. Bishal
Dr. Bishal
Here are some approaches that may be used to manage post-MGB pain:

Medications: Pain relief medications such as acetaminophen (Tylenol) or nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen may be recommended for mild to moderate pain. Opioid medications may be prescribed for severe pain, although they are usually used cautiously due to the risk of dependence and other side effects.

Anti-nausea medications: Nausea and vomiting are common after gastric bypass surgery, and medications like ondansetron (Zofran) or promethazine (Phenergan) may be prescribed to help manage these symptoms, which can indirectly alleviate discomfort.

Gastric protectants: Proton pump inhibitors (PPIs) or H2-receptor antagonists may be prescribed to protect the stomach lining and reduce the risk of ulcers or gastritis, especially if NSAIDs are being used for pain management.

Physical therapy: In some cases, physical therapy or gentle exercise may help alleviate discomfort and promote healing after surgery. However, this should be approached cautiously and under the guidance of healthcare professionals to avoid complications.

Dietary modifications: Following the recommended postoperative diet plan can help prevent additional discomfort and promote healing. This typically involves a gradual progression from clear liquids to soft foods and eventually solid foods over several weeks.

Supportive care: Rest, hydration, and proper wound care are essential components of postoperative recovery and can help alleviate discomfort.
re: Pain after MGB surgery by Shivnath - Jun 6th, 2024 10:22 am
#4
Shivnath
Shivnath
I had MGB surgery. After MGB surgery any medications or supplements I should avoid?
re: Pain after MGB surgery by Dr. Rishi - Jun 6th, 2024 10:24 am
#5
Dr. Rishi
Dr. Rishi
After MGB (Mini Gastric Bypass) surgery, there are certain medications and supplements you should avoid or use with caution to ensure your recovery and overall health. It's crucial to follow your healthcare provider's specific recommendations, but here are some general guidelines:

Medications to Avoid or Use with Caution:
NSAIDs (Non-Steroidal Anti-Inflammatory Drugs):

Examples: Ibuprofen (Advil, Motrin), Naproxen (Aleve), Aspirin.
Reason: These can increase the risk of gastrointestinal ulcers and bleeding, which is particularly risky after gastric bypass surgery.
Oral Bisphosphonates:

Examples: Alendronate (Fosamax), Risedronate (Actonel).
Reason: These can cause irritation and ulceration of the esophagus and stomach.
Extended-Release or Enteric-Coated Medications:

Reason: The altered digestive system may affect the absorption of these medications, making them less effective.
Steroids:

Examples: Prednisone, Cortisone.
Reason: Long-term use can cause complications, including gastrointestinal issues.
Supplements to Avoid or Use with Caution:
Iron Supplements:

Reason: Should be taken with caution as they can cause gastrointestinal irritation. Use the type and dosage recommended by your doctor.
High-Dose Vitamin A:

Reason: Excessive intake can be toxic and should be monitored closely.
St. John's Wort:

Reason: Can interfere with medication absorption and metabolism.
Ginkgo Biloba:

Reason: May increase the risk of bleeding.
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