Suggest treatment for fatigue,diarrhea and nausea after surgery
Patient: Hi, I had a whipple procedure done in 2009 at age 56(benign mass on the head of the pancreas) had my gallbladder and part of my stomach removed. nearly 2 years down the line and trying kreon and nexiam, i have feeling weak,tired, increased pulse rate, weight loss, constant diarea,nausia and labour type cramps. I burbe alot and recently had another scan done. was told that there was no recurrance other than hernia and polyps on my colon. I am due to have a colonos--that word shoild i be worried Doctor: Hi, I had gone through your question and understand your concerns.Whippče is extensive and complex surgery with clear negative efect on digestion so certain degree of abdominal discomfort is expected. it looks to me like malnutrition syndrome which has all these symptoms and this occurs in about 30 percent of patients who undergo whipples procedure. usually this is  transient, and rarely persistent or lifelong. However, tumor recurence should be ruled out first. Some individuals may benefit from diet modification, such as a reduced fat diet, following cholecystectomy since it may be more difficult for digestion of fatty foods.  Typically, the patient is recommended dietary restriction table with fatty foods, enzyme preparations, antispasmodics and Kreon pills.ALso, octreotide may be beneficial but is pretty expensive medication.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.