Gastrectomy and issues afterward

Posted by freeflow @freeflow, Dec 3, 2018

Looking for some advice and tips
I am 6 months out of TG which has seemingly gone very well on the recovery angle. Recently since a change in my medication (for fibromyalgia) I have started suffering from insomnia. I believe after doing some research that I have an increased bile production and bile reflux which is causing some problems. The main one is where I start to eat, can’t eat, literally and figuratively and then my intestines start to act as though something is fermenting in there, bubbling, gurgling getting bloated, this in turn leads to an increase of ‘smelly wind’. It is very similar to dumping syndrome but without the having to run to the toilet. Doctor is working on the problem but not fast enough Lol. Anyone got recommendations for remedies? Natural remedies like teas etc, any advice would be welcome.

Interested in more discussions like this? Go to the Digestive Health Support Group.

Profile picture for cyberkitty @cyberkitty

Anyone familiar with a Gastrectomy (total stomach removal. I have questions…

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Go to facebook. CDH1 gene mutation group and other cdh1
Groups. Do you have a mutation or just other issues?

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Profile picture for freeflow @freeflow

Looking for some advice and tips
I am 6 months out of TG which has seemingly gone very well on the recovery angle. Recently since a change in my medication (for fibromyalgia) I have started suffering from insomnia. I believe after doing some research that I have an increased bile production and bile reflux which is causing some problems. The main one is where I start to eat, can’t eat, literally and figuratively and then my intestines start to act as though something is fermenting in there, bubbling, gurgling getting bloated, this in turn leads to an increase of ‘smelly wind’. It is very similar to dumping syndrome but without the having to run to the toilet. Doctor is working on the problem but not fast enough Lol. Anyone got recommendations for remedies? Natural remedies like teas etc, any advice would be welcome.

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First, what isTG? I am more knowledgeable about esophagectomy problems, reflux, etc. Seldom do we have bile reflux, however.

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hi, thank you for your alerts. we appreciate a great deal to have such a support group.

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I had my stomach removed because of a bad bleed and ulcer. I don’t have trouble with any food as long I eat very slowly and chew my foods very well. I don’t have an appetite ever and your food goes cold.
You have to have lots of small meals or snacks.

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Profile picture for rm51 @rm51

@jlharsh

Hi Janell, it was more than 10 years ago since i logged on mayo connect the last time. How to do things changed and thank you for your suggestion.

The background is that he had TG in October 2025 (5 months ago). The problem started when he had stomachache on and off, and the cause was unknown until he was taken to A&E in Jan 25, when they discovered a hole and a lump in the stomach. The hospital suggested that the hole was created due to an extended use of aspirin for his heart issue. Then, the biopsy came back with cancer diagnosis with no spread. He had a course of chemo until July 25 and immunotherapy until September 25. Then he had to choose either continuing chemo for the rest of his life or TG, because the lump was right in the middle of stomach. So unlucky that it was located in the middle, so it had to be TG.

Hospital advised the new diet, which he is following to the letter. The problem is that a lot of food he is allowed to eat makes him ill. I perused the mayo connect and found that someone suggested in some discussion to log what he ate, how he prepared the food and how much he ate to identify the trigger. I thought that was brilliant and told him to start that. That is as far as we got.

We would appreciate to hear the experience of other patients and hopefully suggestions.

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@rm51 What a great idea, a food log of what and how much your friend eats. Hopefully, this will identify why he is feeling ill after eating.

I am tagging @pain3relief and @dusty73 who have experienced Total Gastrectomies (TG) and may have thoughts from their experience.

Also, here is another Connect discussion you may find helpful since your friend had his entire stomach removed because of cancer:
- Total Gastrectomy for stomach cancer: What can I expect?
https://connect.mayoclinic.org/discussion/total-gastrectomy/

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Profile picture for loispags @loispags

Go to facebook. CDH1 gene mutation group and other cdh1
Groups. Do you have a mutation or just other issues?

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I honestly don’t know if I have been tested for that. I don’t have stomach cancer and they sent my DNA to be analysed. I will definitely ask at my next doctor’s appointment.
Thank you!

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Profile picture for hikeema123 @hikeema123

Best of luck. I just want to die!!

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So do I on bad days. Power through and you will amaze yourself what you can live through. Message me anytime. I would like to chat with you. I have some really bad days too.
Current weight 81 lbs. Pre surgery 140 lbs. Funny thing is that I tried every fad diet for years. They say ‘Be careful what you wish for”.

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Profile picture for riflemanz64 @riflemanz64

Were you ever checked for H Pylori? Were you put on a PPI?
Sorry to hear about your condition.

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Negative for H Pylori, but am on a PPI. I believe they said I will be on that medication for life.
Thank-you for replying.

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Profile picture for rozy288 @rozy288

My friends brother had that surgery where his stomach was removed .
First he had a gastric sleeve for years than he got worse and they removed his stomach . I think 💭 like you he went through a lot afterwards. He’s 59 now and doing better.
I have a whole lot of chronic gastrointestinal issues myself . 10 years and counting . Hope things ease up soon .

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Would appreciate any articles or persons with any post gastrectomy tips.
Desperately seeking nutritional meals/meal plans. Tips for gastrectomy eating by patients like me would be more than welcome.
I’m desperately trying to outrun a feeling tube in Feb.
Apologies for the typos - wrote this at the dr’s office without my glasses.

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Sorry to hear about your challenges. In a quick response to the issue of "wind", I did get a simple resolution-BUT, please be sure to ask your physician first to determine if this is all right. I use an over the counter chewable pill called Devrom. It is bismuth subgallate. I was told this was the same as Pepto Bismol- not so much. I found immediate relief of the smelly part; it does not control gas- that is some other digestive function. I get it online via amazon and it is very affordable. There are several variants of the bismuth subgallate, but I find that Devrom works best for me and choose to leave well enough alone!!
I also get the chewable version as it seems to work with all the other digestive complexities from my gastrectomy.
I have a sub-total gastrectomy, which means almost the entire stomach was removed as a result of two failed surgeries to correct acid reflux- I can give more detail about this but my surgery was not for weight loss, however it did certainly result in weight loss.
The gurgling I found to occur was very prominent early after my surgery-- was not the old "stomach growling" (no stomach!) but longer in duration, and certainly louder. I had to share with friends, colleagues, supervisors etc that it was an artifact of the surgery and not a call for food. I do need to exercise care about "slippage" and choose to excuse myself from an area just in case. I learned that since the stomach completes a major part of digestion as a result I do have some amount of undigested food getting through. Just needing to slow down, way down, the eating/chewing processes.

In terms of Devrom usage, I take three per day, one in the morning before breakfast, one around lunch time and one usually after dinner. That's the good part-staying on this routine has all but cleared up the smell. However, if I miss one, game over. I do not double dose- just get back to the schedule ASAP. To that end, I always carry pills with me- and I usually carry 3 or 4- why? Because I cannot afford to lose one or drop one is a bad place- redundancy x 2!
And the last place I want to be unpopular is in an airplane as I travel quite a bit.

I have been so pleased with the results of Devrom I am glad I found it- I always order 2 bottles at a time so I am never without.
What long answer to your question- I hope this helps.
My only other caution: I had some dental work done and the dentists gave me an antibiotic that I later found our I did not need (no aspersions on the dentist). The antibiotic pretty much destroyed the little gut bacteria I had and the odor was magnified beyond belief- needed to get some serious doses of probiotics and these corrected everything- these were very short term. I no longer take those.

Best to you- wish I had known some this before my gastrectomy, however can't rewrite history- I am happy to share my experiences with others so they may not have the same challenges--no stomach is challenge enough! As aways, keep a sense of humor- it does help in some odd way.

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