[36M] Post-ETS surgery with gastrointestinal symptoms

Patient Description

A 36-year-old male reports upper stomach pain, diarrhea, dizziness, acid reflux, bloating, and upper stomach cramps upon standing. These symptoms have been noted following endoscopic thoracic sympathectomy (ETS) surgery. The patient is experiencing gastrointestinal distress, which may or may not be related to the recent surgical procedure. Further evaluation is needed to determine the cause of these symptoms and to develop an appropriate treatment plan.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possible conditions:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Symptoms can include diarrhea, stomach pain, bloating, and sometimes nausea and vomiting.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if it's caused by bacteria.
  • Gastric Ulcer: This is a sore that develops on the lining of the stomach, upper small intestine or esophagus. It can cause upper stomach pain, bloating, and acid reflux.

    • Treatment usually involves medications to decrease stomach acid. In some cases, surgery may be required.
  • Gastroesophageal Reflux Disease (GERD): This is a chronic disease that occurs when stomach acid or bile flows into the food pipe and irritates the lining. This can cause upper stomach pain, acid reflux, and bloating.

    • Treatment usually involves lifestyle changes and over-the-counter medications. Prescription medications or surgery may be necessary in severe cases.

Please note that these are just possibilities and not a definitive diagnosis.

What you can do

  1. Over-the-counter antacids can help with acid reflux and stomach pain.
  2. Avoid foods that trigger your symptoms. Common triggers include fatty and fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
  3. Try to eat smaller meals more frequently instead of three large meals a day.
  4. Don't lie down after a meal. Wait at least three hours.
  5. Avoid tight-fitting clothing. Clothes that are tight around your waist can put pressure on your abdomen and the lower esophageal sphincter.
  6. Maintain a healthy weight. Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to back up into your esophagus.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe, persistent abdominal pain
  • Bloody or black stools
  • Bloody vomit or vomit that looks like coffee grounds
  • Difficulty swallowing
  • Unexplained weight loss

Remember, it's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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1 yr ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


Can endoscopic thoracic sympathectomy (ETS) surgery cause gastrointestinal symptoms?

While ETS surgery primarily affects the sympathetic nervous system, it can sometimes lead to changes in bodily functions, including gastrointestinal symptoms. It's important to discuss these symptoms with your doctor to determine if they are related to the surgery.


What lifestyle changes can help manage symptoms of acid reflux and bloating?

Lifestyle changes that can help manage acid reflux and bloating include avoiding trigger foods (such as fatty foods, alcohol, and caffeine), eating smaller meals more frequently, not lying down immediately after eating, wearing loose-fitting clothing, and maintaining a healthy weight.


When should I seek medical attention for stomach pain and related symptoms?

You should seek immediate medical attention if you experience severe, persistent abdominal pain, bloody or black stools, bloody vomit or vomit that looks like coffee grounds, difficulty swallowing, or unexplained weight loss.


What are common treatments for gastroesophageal reflux disease (GERD)?

Common treatments for GERD include lifestyle changes, over-the-counter antacids, H2 blockers, proton pump inhibitors, and in severe cases, surgery. It's important to consult with a healthcare professional for a treatment plan tailored to your needs.


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