Kim M

Not sure if this is dumping? HELP!!

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It starts at about 11:30 last night.  Lots of cramping and then a feeling that everything just dropped into my lower intestine.  I went to the bathroom and began to sweat and become weak.  I know this is way too much info, but small amounts all night long with severe cramping.  I am still in pain 14 hours later,  I did not eat anything with sugar.  I wasn't feeling hungry yesterday ad skipped my morning shake.  I has a few mouthfuls of chicken salad  at lunch as I was at a training at work.  I fell asleep after work and woke at 8 pm,  I tried a a piece of grilled chicken with some cauliflower, but couldn't finish it.  That was my food intake for the day.   

Given my history of IBS-C I find it hard to believe a spontaneously just started to have a BM all night long,  The pain is really bad still.  Is this dumping and how long will it last?   I appreciate any input anyone can give.  TIA

 

 

 

 

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I have never known dumping to go on for that long Kim but it doesn't sound like regular dumping to me either.  I would urge you to contact your surgeon's office.

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2 minutes ago, cinwa said:

I have never known dumping to go on for that long Kim but it doesn't sound like regular dumping to me either.  I would urge you to contact your surgeon's office.

thanks

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I agree, doesn't sound like dumping.  In another lifetime ago when I worked in a nursing home we'd get residents with a fecal impaction who would have liquid stool around it and were in pain with it.  Given the length of time you've been constipated I'm wondering if that's what is happening, that is if the BM's were liquid?  No worries about TMI around here lol.  I also agree that anything that is new and causing that much pain and distress is cause for a call to the surgeon's office.  I am so sorry you are having so much trouble!  Keep us posted!

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My dumping episodes only last about 20-30 minutes, so I doubt that what you are experiencing is dumping. 

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Doesn't sound like dumping to me....maybe it's all your attempts to get things moving all coming together at once.

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Did you call the dr?  Keep us posted.  Doesn’t sound normal.  I get really tired afterwards.  I often feel like I’m burning up during.  But the episodes don’t last that long..

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4 hours ago, msmarymac said:

I agree, doesn't sound like dumping.  In another lifetime ago when I worked in a nursing home we'd get residents with a fecal impaction who would have liquid stool around it and were in pain with it.  Given the length of time you've been constipated I'm wondering if that's what is happening, that is if the BM's were liquid?  No worries about TMI around here lol.  I also agree that anything that is new and causing that much pain and distress is cause for a call to the surgeon's office.  I am so sorry you are having so much trouble!  Keep us posted!

I really don't know who to call.  When I saw my surgeon last, he said that the lower intestine was not within his realm.  My partner wants me to go to the ER but I am so over hospitals.  I will see how my night goes and decide.  I am not sweating anymore and no more BM just terrible spasms.  I have only been able to take in a small amount of liquid.  If not better by tomorrow, I will go to the ER as I am probably getting dehydrated.  Thanks for the support.

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3 hours ago, Res Ipsa said:

My dumping episodes only last about 20-30 minutes, so I doubt that what you are experiencing is dumping. 

I don't think it is dumping at this point either.  Thanks

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3 hours ago, Aussie Bear said:

Doesn't sound like dumping to me....maybe it's all your attempts to get things moving all coming together at once.

I haven't taken anything since Saturday, but who knows.

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2 hours ago, Cheesehead said:

Did you call the dr?  Keep us posted.  Doesn’t sound normal.  I get really tired afterwards.  I often feel like I’m burning up during.  But the episodes don’t last that long..

No.  I guess I will try but don't have much faith in him.  I am exhausted but probably because I was up all night.  Thanks for your concern.

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I think you need to go to ER now Kim.

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11 hours ago, Kim M said:

I really don't know who to call.  When I saw my surgeon last, he said that the lower intestine was not within his realm.  My partner wants me to go to the ER but I am so over hospitals.  I will see how my night goes and decide.  I am not sweating anymore and no more BM just terrible spasms.  I have only been able to take in a small amount of liquid.  If not better by tomorrow, I will go to the ER as I am probably getting dehydrated.  Thanks for the support.

Who manages your non-bariatric GI stuff?  If you have a specialist for your IBS-C, call that office ASAP, if you don't have a specialist, you need one.  Maybe not a solution for this urgent situation but for the long-term management it seems you need someone besides your bariatric doc and a primary.  If you have a specialist and they are not helpful, get another opinion.  It is time for some answers, you have been suffering too long!

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6 hours ago, msmarymac said:

Who manages your non-bariatric GI stuff?  If you have a specialist for your IBS-C, call that office ASAP, if you don't have a specialist, you need one.  Maybe not a solution for this urgent situation but for the long-term management it seems you need someone besides your bariatric doc and a primary.  If you have a specialist and they are not helpful, get another opinion.  It is time for some answers, you have been suffering too long!

I do have a GI doc.  He referred me to another GI doc for a motility test.  I met with her last week and she informed me she no longer does motility testing and referred me to someone who doesn't except my insurance.  I would have to go to one of one sister hospitals in the city.  I have no time at work.  I don't even have time for the last 2 days I have been off.  Since the merger with a very large hospital, my insurance has changed and we can only use their doctors, or go out of network and they just increased the deductible from 2,500 to 7,500.  Medicare is starting to look good.   

I was able to get a protein shake in today and more fluid.  Still have spasms but not as much.  Hoping this episode, of whatever it is, will be better by tomorrow.  

Thanks for your caring and support.  

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Latest update.  I went to work today with less spasms.  By noon my stomach started to rumble.  I had to hit the restroom quickly and just in time.  So constipation to the very opposite.  this happened twice.  My only concern was the blood.  I did put a call into my GI.  He finally got back to me about 5.   He knows my hx and was looking at my diagnostic colonoscopy he had done in 12-16.  He said sometimes this happens with IBS and thought the blood was from internal hemorrhoids that he had seem.  It was quite a bit of blood.  He said if the bleeding gets worse I should go to the ER and have blood work done.  He also wants me to schedule an appointment with his for next week.  

I managed to get a protein shake in which took about 4 hours.  No other food.  Just chamomile tea.  Everything ingested is causing spasms. 

So this crazy saga continues.  I will see what tonight brings and will go to the ER if needed,  

Thanks again for all your concern and support.

Edited by Kim M

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Kim, How are you doing?  We all are worried and are here to support you.

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@Kim M Hang in there. 

Good best friend with IBS. I hope you are on the anti-inflammation stuff like Asacoll (sp?) 

Yes agree Medicare looks good. This is a WLS support site but I could rave, absolutely rant, about how stupid and inefficient and costly our current health care system is. As, one supposes, could many of us who have to travel to another country from the US to get surgery because of some stupid barrier or hoop. Think of @NerdyToothpick who essentially cured her diabetes, which had already led to retinal damage and required many drugs, but whose weight was not quite high enough for her surgery to qualify for coverage. How many of us have struggled to cover costs while clearly extending our lifespans and reducing our costs to society by having this surgery? 

Am hoping you are ok and please do post as you are able. Empathy and best wishes, BB

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Believe me @BurgundyBoy, government funded health care has even higher hurdles to scale for all sorts of surgeries with wait times blowing out to around 8 years for WLS. Knee  and hip replacements have average waits in Australia of 5 years. It's a nightmare that costs even more in lost productivity and medications that would be unnecessary if they didn't have such long waits. I looked at the requirements for WLS at the hospital where I had my surgery and it was BMI >45 with at least one comorbidity (from a very specific list), or >40 with 2 comorbidities.  They have actually just closed their wait list and won't even assess any new patients for surgery. Another has kept their bariatric clinic open for consults but stopped all bariatric surgeries because they've no budget for surgeries..... the same thing happened with their orthopedic centre and is the reason I had no option but to selfpay for my foot surgery. When they pull this sort of action, they lose their experienced surgeon to the private health sector. According to my surgeon, none of them want to work in a system where they see patients in desperate need of surgery, but can't offer it, so they leave and go to a system where they can actually follow through and make a difference even if only to those patients with an ability to pay the costs involved.

Honestly, would you really want someone like Trump responsible for determining whether you could have surgery or not.... dependent on his budgetary restraints.....because that's really what public healthcare comes down to.

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21 hours ago, Aussie Bear said:

Believe me @BurgundyBoy, government funded health care has even higher hurdles to scale for all sorts of surgeries with wait times blowing out to around 8 years for WLS. Knee  and hip replacements have average waits in Australia of 5 years. It's a nightmare that costs even more in lost productivity and medications that would be unnecessary if they didn't have such long waits. I looked at the requirements for WLS at the hospital where I had my surgery and it was BMI >45 with at least one comorbidity (from a very specific list), or >40 with 2 comorbidities.  They have actually just closed their wait list and won't even assess any new patients for surgery. Another has kept their bariatric clinic open for consults but stopped all bariatric surgeries because they've no budget for surgeries..... the same thing happened with their orthopedic centre and is the reason I had no option but to selfpay for my foot surgery. When they pull this sort of action, they lose their experienced surgeon to the private health sector. According to my surgeon, none of them want to work in a system where they see patients in desperate need of surgery, but can't offer it, so they leave and go to a system where they can actually follow through and make a difference even if only to those patients with an ability to pay the costs involved.

Honestly, would you really want someone like Trump responsible for determining whether you could have surgery or not.... dependent on his budgetary restraints.....because that's really what public healthcare comes down to.

I had no idea the wait was so long.  I am grateful that I have insurance that has covered my last 3 major surgeries.  I can no longer see the surgeon that did my knee replacements due to the high deductible.  Even with insurance I have come out of pocket for almost 10,000 for the last 2 years.   I just can't do it anymore.  My therapist, chiropractic and acupuncturist are all out of pocket.  I can't even image how hard it must be to know there is a surgery that can help you and have to wait so long.  Stay well.  

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On 2/2/2019 at 12:52 PM, Res Ipsa said:

Kim, How are you doing?  We all are worried and are here to support you.

Thanks so much for your support.   Everything has stopped for now.   I am weak and it is hard to get anything down.  I am focusing on liquids.  I am going to schedule an appointment with the GI doc next week.  Hoping for something to help.  Feeling a bit defeated but trying to stay positive.   

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I have not heard of the above medication.  I am not on anything for the IBS.  I will defiantly ask the doctor next week.  Thanks for the information. 

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On 2/3/2019 at 6:07 PM, Kim M said:

I have not heard of the above medication.  I am not on anything for the IBS.  I will defiantly ask the doctor next week.  Thanks for the information. 

Hi Kim Hope all well... 

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My symptoms are a bit better.  No tx.  I met with the gastro and it was a frustrating experience.  I was given a medication that was supposed to be sublingual for when the spasms come strong.  I picked it up at the drug store.  When I got home, it was pills that I was to take with a full glass of water.  I called the pharmacist  and was told that is what the doctor had ordered.  They could not refund it as it had already gone through my insurance.  My insurance will not cover the same medication in another form for another 30 days.  So basically a waste of time and money,   He wants me to have the motility test and I have asked my HR department to make an exception as I would have to travel to the city to get the test as there is no one in my area that does it that accepts my insurance. so in a holding pattern.  I would go to the city except I have no time to take off as I was out so long from the surgery.  Honestly, I am doctored out.  Thanks for thinking of me. 

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