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Ask Dr. Callery Do you have a general question about weight loss surgery? Ask our very own Dr. Callery!

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Old 08-09-2009, 03:47 PM   #1 (permalink)
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Default Gas after surgery

Dr. Callery, any advice on speeding up the process of getting rid of gas after surgery? Walking helps, and simethicone seems to help a little, but is there something else that might speed up the process?
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Old 09-28-2009, 10:58 PM   #2 (permalink)
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Default Gas after gastric bypass

It's pretty common for people to have some gas pains during the first several days after abdominal surgery. Some tips include avoid drinking through a straw to minimize swallowed air, use simethicone or a simethicone containing product, and change position frequently.

One can roll from side to side every 10 or 20 minutes while in bed or on the couch. Walk. And here's a good tip, try standing with your hands resting on the arms of a chair or on the bed and let your abdomen hang down for 5 minutes from time to time. Some people have had good results by getting in the kneeling position on the floor or on their bed. Moving potion like this seems to allow gas pockets to pass along the intestine and often relieve gas pains.

After 3 or 4 days with no bowel movement, some people get results with a Fleets enema, ducolax suppository, or tap water enema. These stimuli from below help empty the rectum and stimulate movement of gas higher in the colon. Taking milk of magnesium or other laxatives from above tends to make things worse.

If you are lactose intolerant, beware of milk containing products. Some people become lactose intolerant

If your are having progressively worse gas pains, and especially if you are having nausea and or vomiting, get in touch with your surgeon at once.
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