A "belly doctor" typically refers to a gastroenterologist, a specialist who treats conditions affecting the stomach and digestive system. Patients see belly doctors for issues like ulcers, acid reflux, irritable bowel syndrome (IBS), and chronic stomach pain. Bariatric patients often consult gastroenterologists for pre- and post-surgery care to ensure their digestive systems are functioning well after surgeries like gastric bypass.

WLS stands for Weight Loss Surgery, and bariatric surgery is a broad term that includes procedures like gastric bypass, sleeve gastrectomy, and adjustable gastric banding. Bariatric surgery is performed to treat morbid obesity when lifestyle changes alone have failed to produce significant weight loss. It leads to long-term weight loss and improvement in health conditions like diabetes and heart disease.

The gastric sleeve or Vertical Sleeve Gastrectomy (VSG) involves the removal of a large portion of the stomach, leaving a sleeve-shaped stomach. This surgery is purely restrictive, meaning it reduces the stomach’s size to limit food intake. It’s highly effective for weight loss and requires fewer alterations to the digestive system than the gastric bypass.

A gastroenterologist is a specialist in diagnosing and treating diseases of the gastrointestinal tract, including the stomach, intestines, liver, pancreas, and gallbladder. Common conditions treated include IBS, Crohn's disease, and gastritis. They play a critical role in the care of patients post-bariatric surgery, helping manage complications and ensuring proper digestion.

The pre-surgical diet is designed to reduce the size of the liver and optimize the patient’s health before bariatric surgery. Typically high in protein and low in carbohydrates, it often involves consuming liquid protein shakes and limited solid foods for 1 to 2 weeks before surgery. This diet reduces surgical risks and prepares the body for the changes it will undergo post-surgery.

The Roux-en-Y gastric bypass is a common bariatric surgery where the stomach is divided into a small upper pouch and a larger lower portion. The small intestine is then rearranged to connect with the new stomach pouch. This procedure reduces food intake and limits calorie absorption, making it highly effective for weight loss.

A partial gastrectomy is a surgical procedure where part of the stomach is removed, often due to stomach cancer, ulcers, or other severe gastric issues. This procedure reduces the size of the stomach, leading to reduced food intake, but it also requires significant dietary changes after surgery.

Common gastrology symptoms include stomach pain, bloating, indigestion, nausea, vomiting, and changes in bowel habits. These symptoms may indicate a range of conditions from gastritis to more serious issues like ulcers or gastrointestinal cancers.

A gastric balloon is a non-surgical weight-loss option where a silicone balloon is inserted into the stomach and inflated. It takes up space, helping patients feel fuller sooner and eat less. The balloon is temporary and is removed after 6-12 months, during which patients must follow a strict diet and exercise regimen to ensure lasting weight loss.

Complications from Vertical Sleeve Gastrectomy can include acid reflux, nausea, vomiting, dehydration, and nutrient deficiencies (especially in iron, calcium, and vitamin B12). In rare cases, more severe complications like leaks from the staple line, infection, or blood clots may occur. Regular follow-ups with healthcare providers help manage these risks.

A growth in the stomach can range from benign polyps to malignant tumors. Common symptoms include stomach pain, bloating, and nausea. Early detection through endoscopy or imaging is critical, as the treatment depends on whether the growth is benign or cancerous. Surgery or medication may be necessary to remove or shrink the growth.

Weight loss tablets are medications designed to help individuals lose weight by suppressing appetite or blocking fat absorption. Common examples include Orlistat, which reduces fat absorption, and phentermine, which is an appetite suppressant. These medications are typically prescribed to individuals with a BMI over 30 or those with obesity-related conditions.

Pregnancy after weight-loss surgery is generally safe, but it’s recommended to wait at least 12-18 months after bariatric surgery before trying to conceive. This waiting period allows the body to stabilize and ensures proper nutrition for both the mother and baby. Women should work closely with their doctors to monitor their nutritional intake and ensure they are getting adequate vitamins and minerals during pregnancy.

The sleeve stomach refers to the portion of the stomach left after gastric sleeve surgery. This new, smaller stomach holds less food and limits calorie intake, contributing to weight loss. Patients must follow a strict diet post-surgery to avoid complications and ensure successful long-term results.

The choice between gastric sleeve surgery and gastric bypass depends on individual factors. The sleeve is less invasive and focuses solely on restricting stomach size, while the bypass alters both stomach size and digestive processes. Bypass surgery often results in more weight loss but comes with higher risks of malabsorption and complications.

Complications from Vertical Sleeve Gastrectomy can include acid reflux, nausea, vomiting, dehydration, and nutrient deficiencies (especially in iron, calcium, and vitamin B12). In rare cases, more severe complications like leaks from the staple line, infection, or blood clots may occur. Regular follow-ups with healthcare providers help manage these risks.

After undergoing Roux-en-Y gastric bypass surgery (RNY), the diet is critical for long-term success and recovery. Immediately after surgery, patients are required to follow a liquid diet to allow their stomachs to heal. Over time, they transition from liquids to soft foods, and eventually solid foods. This post-op diet is high in protein to support muscle retention and healing, low in fats and sugars, and carefully portioned to avoid stretching the stomach pouch. Lifelong dietary changes are necessary to avoid... +More

Common drugs for gastritis include proton pump inhibitors (PPIs) like omeprazole, which reduce stomach acid, and H2 blockers like ranitidine. Antibiotics are prescribed if the gastritis is caused by a bacterial infection, such as H. pylori.

The "fat jab," also known as Saxenda or liraglutide, is an injectable weight-loss drug that has been approved for use on the NHS in the UK for individuals struggling with obesity. It is intended for use in conjunction with a reduced-calorie diet and increased physical activity. The medication helps control appetite, leading to weight loss. It is typically prescribed to those with a BMI over 30 or individuals with weight-related health problems.

The safest form of weight-loss surgery is typically considered to be gastric sleeve surgery due to its relatively simple procedure and lower risk of complications. However, the choice of surgery should be tailored to the patient’s health needs and obesity level, as procedures like gastric bypass may be more effective for certain patients.

A mass in the stomach refers to an abnormal growth or lump, which could be benign (non-cancerous) or malignant (cancerous). It may present with symptoms such as pain, bloating, or unexplained weight loss. Diagnostic tests like imaging or a biopsy are essential for determining the nature of the mass and whether surgical removal or further treatment is required.

The decision between sleeve gastrectomy and gastric bypass depends on a patient’s health and weight-loss goals. The sleeve is simpler and involves fewer complications but may result in less An inflamed stomach, or gastritis, is caused by irritation or damage to the stomach lining. It can be acute or chronic and may result from infections, excessive alcohol consumption, or prolonged use of NSAIDs. Symptoms include pain, nausea, and bloating, and treatment involves dietary changes, medication, and avoiding irritants... +More

Irritable Bowel Syndrome (IBS) and gastritis are two distinct conditions, though both cause abdominal discomfort. IBS is a chronic condition affecting the large intestine, while gastritis involves inflammation of the stomach lining. Both can be triggered by stress, poor diet, or infections, and treatment usually involves dietary adjustments and medications to manage symptoms.

Bariatric refers to the branch of medicine that deals with the causes, prevention, and treatment of obesity. Bariatric surgery includes weight-loss procedures like gastric bypass, sleeve gastrectomy, and lap band surgery, which help patients lose significant amounts of weight and improve obesity-related health conditions.

Weight loss pills include prescription medications like Orlistat (which blocks fat absorption) and over-the-counter supplements marketed to boost metabolism or suppress appetite. While some medications are effective when used correctly, they must be combined with lifestyle changes like diet and exercise for long-term success.