Is it normal to have diarrhea after gastric sleeve? For some patients there may be diarrhea after gastric sleeve surgery, and this is a serious problem if it persists. This can occur for a number of reasons, including changes in the gut microbiota and rapid exposure of the small intestine to undigested nutrients.
Although you have diarrhea in the first periods after surgery, over time your digestive system will adapt to its new shape and the problem will disappear.
However, if you encounter this problem, it may be recommended that you consume a lot of fluids and adjust your own diet by avoiding foods that you notice cause diarrhea. If you are still having problems, your doctor may recommend some effective medications.
In some types of surgery that bypass the duodenum, bile salts and fats pass into the small intestine before they can be sufficiently broken down due to the “lipase enzyme deficiency” secreted from the pancreas.
When undigested fat comes to the large intestine, it causes fatty diarrhea, bad-smelling gas symptoms on the one hand, and impaired absorption of vitamins A, D, E and K on the other.
Stomach acid secretion and an enzyme called “pepsinogen” are needed for the digestion of proteins. Since a significant part of the stomach is removed after stomach operations, there is a decrease in both acid secretion and pepsinogen secretion.
It has been reported in studies that the absorption of proteins decreases by 50%, and that some of the patients may develop serious protein deficiencies, related anemia and hormone deficiencies in the following years.
What causes diarrhea after gastric sleeve surgery?
For some patients, diarrhea is a serious problem that can persist after gastric sleeve surgery. This can occur due to a number of reasons, such as changes in the intestinal microbiota and rapid exposure of the small intestine to undigested nutrients.
In some types of surgery that bypass the duodenum, bile salts, and fats pass into the small intestine before they can be sufficiently broken down due to a “lack of lipase enzyme” secreted from the pancreas.
When undigested fats get into the large intestine, on the one hand, they cause fatty diarrhea, signs of foul-smelling gases, and on the other hand, impaired absorption of vitamins A, D, E, and K. For the digestion of proteins, acid secretion of the stomach and an enzyme called “pepsinogen” are needed.
Since a significant part of the stomach is removed after gastric operations, there is a decrease in both acid secretion and pepsinogen secretion.
What should I do if I have diarrhea after gastric sleeve?
If you have temporary diarrhea, you don’t have to worry. Because diarrhea after gastric sleeve is a normal condition. But you still have to be careful.
You may have lactose intolerance after surgery. Do not consume lactose-containing foods in this case. Do not drink water with food. Do not eat too fat, too many calories, or use too spicy food. Try probiotic yoghurts if you have diarrhea.
Bile and pancreatic enzymes have a large share in the digestion of the foods we eat. With this method, absorption is greatly reduced, as these enzymes and foods meet near the end of the small intestine.
After these operations, patients should be fed more often with meals. But since the gastric bag is quite large, there is no serious volume restriction, except for the first periods. After surgery, side effects such as diarrhea, intense smelling gas, eating problems and vomiting may occur.
Stomach ulcers can be seen, especially in patients where the lower half of the stomach is left inside. Because there is a very serious absorption disorder, it is necessary to take a lifetime of iron, vitamins, minerals and calcium supplements.
Although not as much as operations that change the natural flow of the digestive system, such as gastric bypass, you may also experience problems such as diarrhea and constipation after gastric sleeve operations. After all, gastric sleeve surgery also changes the way your digestive system works.
Since most of the stomach is removed, adaptation to the new condition can take time. After surgery, bowel habits can take several weeks to last. The two most common side effects of gastric sleeve surgery are diarrhea and constipation.
When you encounter these problems, don’t panic first. Remember, you’ve decided on a procedure that will change your life, and minor problems will of course arise.
Diarrhea After Gastric Sleeve Surgery
Following gastric sleeve surgery, you may find yourself prone to diarrhea after a period of fasting. This is normal and can be treated with antacids or proton pump inhibitors. Your doctor will be able to advise you on how to increase your fiber intake and determine the best balance.
However, it’s important to remember that diarrhoea will most likely settle on its own after a few days or weeks. If you notice it persists, you should contact your surgeon for advice.
Diarrhea is usually temporary and may be triggered by an underlying condition. You may have to take certain medications or modify your diet to control your symptoms until your body adjusts to the surgery. In some cases, you may never require medication again.
If your diarrhea persists, your doctor may suggest a revision of the initial surgery. If your symptoms don’t improve after several days or a week, it’s time to seek medical attention.
Caffeine-filled products can also trigger diarrhea. However, if you are sensitive to gluten, you may try taking a gluten-free supplement. Another cause of diarrhea is lactose intolerance, a side effect of bariatric surgery.
During a postoperative period, milk passes through the gastric pouch at a faster rate than it would otherwise, over-working the lactase enzyme. To counteract this, you should consume milk products slowly or completely avoid them altogether.
How Do You Stop Diarrhoea After Gastric Sleeve Surgery?
Diarrhoea is a typical side effect of gastric sleeve surgery and may occur because of dietary changes, changes in the gut, and changes in how well the body can absorb nutrients. It’s crucial to gradually increase food and fluid intake to treat diarrhoea while avoiding foods high in fat, sugar, and processed ingredients.
You should also stay hydrated and stay away from caffeine, carbonated beverages, and alcohol. Probiotics to aid in bowel regularity, medication taken as prescribed by the surgeon or doctor, and a gradual increase in high-fiber foods like fruits, vegetables, whole grains, and legumes can all be helpful. However, if diarrhoea persists, it’s crucial to speak with the surgeon or doctor to identify the problem and create an effective treatment strategy.