I've been healthy my entire life, up until 26 when I experienced these random symptoms out of no where: severe weight loss, sharp stabbing pains in my abdomen, many trips to the ER.. symptoms started early 2016 and it took until the end of June to diagnose me with SMAS. I had the DDJ (duodenojejunostomy) surgery November 2016, and afer a few months of recovery, my GI symptoms were nearly completely alleviated. I still experience pain, which may be because of Nutcracker Syndrome (pinching the artery / kidney) but my GI symptoms have been nearly eliminated from the surgery. Very thankful for the years and extra time I've been given. My heart goes out to anyone suffering from this, it is a living nightmare
I do suffered all your symptoms with my SMAS after rapid weight loss on my gym cardio extreme diet .. back fired me .. 2 years no improvement..though gained weight..
@@gaudianiclinic Mam I was diagnosed Superior mesenteric Artery Syndrome I dont have feeding tube my weights normal 68 kg 5.5 height can. Though can eat whole food but Trouble digesting most of whole food. Had to restore the mesentery Artery fat cells between Aorta and small intestine pinch on renal veins. No cancer no diabetes no IBD No other issues CT pelvic angiogram normal no issues in pancreas but fatty liver may have on and off SiBo long term constipation stomach obstruction on and off. I never used nor trusted any elements diet orally will this helps me sir some manner to restore mesenteric artery fat cell. This is happened to me because of my rapid weight loss with rigorous gym cardio low calorie diet in past. still gained weight but still having problems symptoms like aces acnes pimples acid reflux, allergies , joint pain , bone pain stiffness it’s starts after eating food stomach rumbling gas stomach bloating and feeling full quickly less food . No vomiting problem. Please let me know any suggestions. I don’t want to do any invasive surgery or labroscopy. Will elementary diet game changer for me sir Thanks for your suggestions appreciated
@@pskpsk8663 really sorry ot hear that, I've been strugglking with daily pain too. It's like a small gripping pain, not enough to warrant concern, but enough to bug me and it can get high and really interfere with my day... I'm praying for you
@@LukerativeLion my understanding is that gas trapped in between those area SMAS May leaked to blood stream causing all those pain .. because all ways happens when my stomach makes rumbling sound can’t go gas.. makes lot of sense after I have gone through 2 years of these mysteries unexplainable symptoms.. doctor can believe some time chest pain night sweating burning skin aces achnes pimples joint pain bone pain all I suffered .. no other condition causes this to me done all the autoimmune screening test.. no Cancer no diabetes..acid reflux.. Hope is study elemental diet ..my symptoms can’t digest any food at all don’t want to go any surgery... nor feeding tube
I was diagnosed with SMAS in early 2019 after losing 40 lbs. I was overweight before I lost the weight so none of the doctors believed I had SMAS. They told me it was anxiety because I was otherwise healthy. There was a time I could not melt an ice cube in my mouth without vomiting. I had to get feeding tubes and surgery to get healthy again but every time I get a stomach ache I still have panic attacks :( SMAS is so rare and scary
True I agree with you .. annoying I try to cure my SMAS without surgery I should be able to gain weight but all my painful symptoms still there unfortunately.. not going away ..
i was diagnosed with crohns disease recently and after surgery for bowel resection i continued to go through muscle wasting and after a 40 lb weight loss i vomited bile all day and luckily was diagnosed with SMAS right away. After 4 months of no eating at all and only getting calories from a feeding tube ive regained 40 lbs and started eating again without surgery. its still an ongoing battle but im getting better
@@gaudianiclinic hello madam please give some tips , have SMAS renal vein pinch duodenum nutcracker syndrome ..on MRI enteroghraphy small bowl But no feeding tube my weights 70 normal but I am on combination of eating whole food as well as baby milk powder fruit milk shake diet. But huge digestive problem can’t digest any whole food at all .. after eating even less my stomach gets full quickly .. Muiltple food allergies causing pimples aches acnes joint pain stomach rumbling gas trapped bloating severe constipation .. other unexplainable painful symptoms .. thinking of stop the whole food diet instead going for complete elemental liquid oral diet .. I don’t want to inserting feeding or nasal tube.. nor don’t like any type of surgery.. Any suggestions please is it curable with long term liquids Oral diet it’s been 2 years misdiagnosed in past diagnosed recently no underlying condition like no diabetes no blockage in artery.. ct angiogram pelvic normal Any suggestions greatly appreciated madam.. please thanks gaudiani
@@pskpsk8663 Hi Sundar! We can't provide medical advice to individuals who aren't patients, but you can check out Dr. Gaudiani's book, Sick Enough: A Guide to the Medical Complications of Eating Disorders for more information on this topic. Thanks for watching!
Jorjas Life did you cured Smas I diagnosed same too my weight normal but no blockage found on ct angiogram digestive problem joint pain pimple aches after eating food also obstruction swelling stomach...my doctor miss diagnosed in past cure without surgery possible
Thanks for this video doc! I was recently diagnosed with SMAS because I was vomiting very frequently. But sometimes I can still eat and digest normally, so I’m not on a complete liquid diet. I’m considering whether I should get the surgery. Do people usually diagnosed with SMAS not able to eat any solid food at all until they regain weight or have the surgery?
First and foremost, we always recommend discussing these issues with your personal physician as we do not provide medical advice to individuals who aren't our patients. When looking at nourishing oneself when SMAS is present, typically liquids and semi-solids are the most reliable, non-vomit-inducing nutrients that will keep one linearly restoring weight. If something yummier and more varied is desired - I'd tend to say give it a go...while making sure to chew thoroughly, eat smaller volumes and more frequently, and chase with good caloric liquids. Ultimately, restoring weight should fix this so that should be the overall goal, as fast as possible because then one can eat whatever they want!
I was wondering if your patients have experienced autophonia; the hyperperception of one's own voice and breathing. Supposedly is common in wasting disorders like anorexia. It was a regular occurence for me at my most restricted state. I referred to it as "hollow head" - ears felt full, breathing and voice where quite loud in my head makes conversation with others difficult. Its the oddest thing. I dont really see much discussion about this topic with eating disorders.
"The condition is a result of rapid weight loss and occurs when too much body fat is lost around the neck, resulting in a patulous (spread out) Eustachian tube. When this tube, which connects your ears, nose, and throat, remains open when it should normally close, you will hear sounds like your breathing directly in your ears, along with other body noises."
It happens if you drinking sugary caffeinated drinks blood sugar spike .. alternatively plenty of green tea during the day time calms our nerves system as it contain L theanine powerful antioxidant amino acid caffeine and sugar they both bad as some illegal drugs .. caffeine is one of the reason people go through malabsorption and intestine permeability.. gut dehydration.. sugar trigger the SBO and infections .. Caffeine sugary drinks any illegal drugs most prescribed medication toxic to our nervous system .. beware of it..
The SMA normally emerges from the aorta at an angle of about 45 degrees. The angle can shrink to 10-25 degrees with severe malnutrition caused by very low body weight or very rapid weight loss. Hope this helps!
@@mike0133 It haopened suddenly on Christmas, I was feeling a stomachache but it was getting worse every hour until I couldn't resist pain and I went to the hospital, it took 4 days to be diagnose with this syndrome
My husband went to the emergency room twice in a week. He was vomiting blood the first time, and vomiting bile and blood the second time. He could not keep any meal down. He was admitted to the hospital and had two scans and an MRI. A number of radiologists and doctors did not diagnose him correctly. They planned to have my husband sit in bed for a week with a nasal tube and then "see how it goes". But then one doctor came in and looked things over and recognized SMAS. They did the surgery within days and my husband is recovering. Thank goodness that one doctor figured it out -- even though, he said, he'd practiced for 17 years and never seen an SMAs patient before!
how your husband going now ?? Is he recovered well CT angiogram see any blockage in blood vessels .. CT pelvic useless (MRI Enterography ..MRCP Small bowl ) best scan deducted my SMAS .. nasal tube basically for elemental diet Bye-pass SMAS spot duodenum delivery the nutrients. Can’t eat whole food .. Is his condition improved.. now ..
Hey bro it is possible by diet do some research on this drinking good quality L glutamine on empty stomach fasten healing on internal inflammation on SMAS spot it massively reduced my painful symptoms and additional to that hydrolysised collagen, peptide collagen ..get good quality one they as all made from concentrated predigested collagen protein building blocks of connective tissues grass feed organic bovine .. better . Easy for your body digest fasten your healing process .. my functional gastroenterologist suggested for short term only therapeutic you still need to stick with elemental liquids nutriental diet keep feeding gut. my gastroenterologist also prescribed me CBD oil medicinal cannabis.. but very expensive so I don’t want to buy it. Stay away from caffeine sugary drink spicy food at least for 6 months .. Thanks for your time good luck with your everything god bless you .. hope we all win this battle .. thanks to this doctor too though she didn’t replied me yet..
Forget about your symptoms just focus on strategies prioritize liquids elemental nutritional diets is a main additional to that try glutamine and hydrolyzed collagen protein helps heal your SMAS spot.. .. faster .. mesentery fat cells also act like connecting tissue .. just do MRI enterography small bowl to review the ankle improvement.
Mam I was diagnosed Superior mesenteric Artery Syndrome I dont have feeding tube my weights normal 68 kg 5.5 height can. Though can eat whole food but Trouble digesting most of whole food. Had to restore the mesentery Artery fat cells between Aorta and small intestine pinch on renal veins. No cancer no diabetes no IBD No other issues CT pelvic angiogram normal no issues in pancreas but fatty liver may have on and off SiBo long term constipation stomach obstruction on and off. I never used nor trusted any elements diet orally will this helps me sir some manner to restore mesenteric artery fat cell. This is happened to me because of my rapid weight loss with rigorous gym cardio low calorie diet in past. still gained weight but still having problems symptoms like aces acnes pimples acid reflux, allergies , joint pain , bone pain stiffness it’s starts after eating food stomach rumbling gas stomach bloating and feeling full quickly less food . No vomiting problem. Please let me know any suggestions. I don’t want to do any invasive surgery or labroscopy. Will elementary diet game changer for me sir Thanks for your suggestions appreciated
I also have some of your symptoms, I also thank good can eat but I have very early satiety. You should go to a dietititan. I am probably going for the surgery due that even I already gained almost 6 kg I still get satiated extremely fast. Do not be affraid of the surgery just be sure that your Dr. has already done it before and is someone serious and with experience.
@@raulhenaine6111, surgery is almost 100% risky business quick fix but long term deadly side effect have seen vedio of surgery it’s labrosopy scary risky even experienced doctors could easily puncture our internal organs easily no responsibility if anything go horribly wrong beside .. after you could develop chronic gut infections on wonder area trigger autoimmune disorder and under this pandemic it’s even more dangerous.. people had any major surgery and if they infected covid19 it’s going to be deadly it trigger Cytokine Strom rapidly patient die from medical complications and surgery wound healing can take longer then few years sometimes it may never heals completely that’s the reality .. it’s quite dangerous if you not under weight we can still restore the mesenteric fat cells by elemental liquid diet.. worst situation feeding tube as last option only if patients conditions deadly.. surgeon they see patients like repaired car required some mechanical work they simply can’t have time to worry future consequences that’s the reality .. it’s ok for elderly people over 60 years old in order to increase their life span not good for people in middle aged group it’s too early for them to go for complex surgery like laparoscopic.. Are you also Suffering from joint pain aches acne’s pimples bone pain nerve swelling.
@@pskpsk8663 actually my only problem Is that I used to eat way more. Right now I feed mostly from enteral nutrition. I already gained a lot of weight but the problem is that I still get satiated very very fast
@@raulhenaine6111 do you have other symptoms like me chronic fatigue syndrome pain all over your body ???? Please answer this question .. have you repeated your MRI Entroscopy small bowl again ..any changes happening there .. you know why your stomach getting full quickly because gas trapped in between that area or else your food sitting in your gastric bag for long time ..you considered to be very lucky if you don’t get all my painful symptoms like join pain bone pain .. ?????
@@raulhenaine6111 I tell you now you know why you getting full so quickly ?? No angry after feed because the enteral nutrition liquids it’s elemental are packed with whole nutritional contain like proteins, all minerals all Muiltple vitamins, fiber antioxidant as well as carbohydrates.. though they in small quantity they concentrated with all those nutrients required for your body.. when you or people eat the whole normal food like rice meat bread or anything else your body only absorbs 10% to 15% of nutrition out of 100% of food you eat.. less nutritional goes to your body and it never satisfied crave for more food but because of you feeding elemental liquids nutritional diet all the necessary nutrients concentratedly in it . It satisfies your cellulars of body quickly with less quantity. So don’t get hungry.. even normal people take liquid nutritional or element diet their craving will be controlled .. even some times normal people with obesity wants to lose weight or maintain the healthy weight they do take elemental liquids diet .. they won’t crave for sugar or junk food ... So don’t panic until unless if you experiencing any pain on stomach .. or chest or acid reflux.. okkkk now you understand.. this .. better now Please reply me .. You don’t have any of your symptoms I am experiencing right or not ??? Please read it properly understand it and answer me ....thanks
I've been healthy my entire life, up until 26 when I experienced these random symptoms out of no where: severe weight loss, sharp stabbing pains in my abdomen, many trips to the ER.. symptoms started early 2016 and it took until the end of June to diagnose me with SMAS. I had the DDJ (duodenojejunostomy) surgery November 2016, and afer a few months of recovery, my GI symptoms were nearly completely alleviated. I still experience pain, which may be because of Nutcracker Syndrome (pinching the artery / kidney) but my GI symptoms have been nearly eliminated from the surgery. Very thankful for the years and extra time I've been given. My heart goes out to anyone suffering from this, it is a living nightmare
So glad you're feeling better!
I do suffered all your symptoms with my SMAS after rapid weight loss on my gym cardio extreme diet .. back fired me .. 2 years no improvement..though gained weight..
@@gaudianiclinic Mam I was diagnosed Superior mesenteric Artery Syndrome I dont have feeding tube my weights normal 68 kg 5.5 height can. Though can eat whole food but Trouble digesting most of whole food. Had to restore the mesentery Artery fat cells between Aorta and small intestine pinch on renal veins. No cancer no diabetes no IBD No other issues CT pelvic angiogram normal no issues in pancreas but fatty liver may have on and off SiBo long term constipation stomach obstruction on and off.
I never used nor trusted any elements diet orally will this helps me sir some manner to restore mesenteric artery fat cell. This is happened to me because of my rapid weight loss with rigorous gym cardio low calorie diet in past. still gained weight but still having problems symptoms like aces acnes pimples acid reflux, allergies , joint pain , bone pain stiffness it’s starts after eating food stomach rumbling gas stomach bloating and feeling full quickly less food . No vomiting problem.
Please let me know any suggestions. I don’t want to do any invasive surgery or labroscopy. Will elementary diet game changer for me sir
Thanks for your suggestions appreciated
@@pskpsk8663 really sorry ot hear that, I've been strugglking with daily pain too. It's like a small gripping pain, not enough to warrant concern, but enough to bug me and it can get high and really interfere with my day... I'm praying for you
@@LukerativeLion my understanding is that gas trapped in between those area SMAS May leaked to blood stream causing all those pain .. because all ways happens when my stomach makes rumbling sound can’t go gas.. makes lot of sense after I have gone through 2 years of these mysteries unexplainable symptoms.. doctor can believe some time chest pain night sweating burning skin aces achnes pimples joint pain bone pain all I suffered .. no other condition causes this to me done all the autoimmune screening test.. no Cancer no diabetes..acid reflux..
Hope is study elemental diet ..my symptoms can’t digest any food at all don’t want to go any surgery... nor feeding tube
I was diagnosed with SMAS in early 2019 after losing 40 lbs. I was overweight before I lost the weight so none of the doctors believed I had SMAS. They told me it was anxiety because I was otherwise healthy. There was a time I could not melt an ice cube in my mouth without vomiting. I had to get feeding tubes and surgery to get healthy again but every time I get a stomach ache I still have panic attacks :( SMAS is so rare and scary
So scary! Glad to hear you're feeling better. Thanks for lending your voice and evidence that SMAS affects individuals experiencing rapid weight loss.
True I agree with you .. annoying I try to cure my SMAS without surgery I should be able to gain weight but all my painful symptoms still there unfortunately.. not going away ..
Kara kamlowsky what type of surgery did u have? And r u completely fine now.
i was diagnosed with crohns disease recently and after surgery for bowel resection i continued to go through muscle wasting and after a 40 lb weight loss i vomited bile all day and luckily was diagnosed with SMAS right away. After 4 months of no eating at all and only getting calories from a feeding tube ive regained 40 lbs and started eating again without surgery. its still an ongoing battle but im getting better
So happy to hear you're feeling better! Thanks for sharing your experience.
@@gaudianiclinic hello madam please give some tips , have SMAS renal vein pinch duodenum nutcracker syndrome ..on MRI enteroghraphy small bowl
But no feeding tube my weights
70 normal but I am on combination of eating whole food as well as baby milk powder fruit milk shake diet.
But huge digestive problem can’t digest any whole food at all .. after eating even less my stomach gets full quickly .. Muiltple food allergies causing pimples aches acnes joint pain stomach rumbling gas trapped bloating severe constipation .. other unexplainable painful symptoms ..
thinking of stop the whole food diet instead going for complete elemental liquid oral diet .. I don’t want to inserting feeding or nasal tube.. nor don’t like any type of surgery..
Any suggestions please is it curable with long term liquids Oral diet it’s been 2 years misdiagnosed in past diagnosed recently no underlying condition like no diabetes no blockage in artery.. ct angiogram pelvic normal
Any suggestions greatly appreciated madam.. please thanks gaudiani
@@pskpsk8663 Hi Sundar! We can't provide medical advice to individuals who aren't patients, but you can check out Dr. Gaudiani's book, Sick Enough: A Guide to the Medical Complications of Eating Disorders for more information on this topic. Thanks for watching!
I have this condition and I’ve got a feeding tube and a Hickman line xx
Glad you are getting some medical support!
Jorjas Life did you cured Smas I diagnosed same too my weight normal but no blockage found on ct angiogram digestive problem joint pain pimple aches after eating food also obstruction swelling stomach...my doctor miss diagnosed in past cure without surgery possible
Thanks for this video doc! I was recently diagnosed with SMAS because I was vomiting very frequently. But sometimes I can still eat and digest normally, so I’m not on a complete liquid diet. I’m considering whether I should get the surgery. Do people usually diagnosed with SMAS not able to eat any solid food at all until they regain weight or have the surgery?
First and foremost, we always recommend discussing these issues with your personal physician as we do not provide medical advice to individuals who aren't our patients. When looking at nourishing oneself when SMAS is present, typically liquids and semi-solids are the most reliable, non-vomit-inducing nutrients that will keep one linearly restoring weight. If something yummier and more varied is desired - I'd tend to say give it a go...while making sure to chew thoroughly, eat smaller volumes and more frequently, and chase with good caloric liquids. Ultimately, restoring weight should fix this so that should be the overall goal, as fast as possible because then one can eat whatever they want!
@@gaudianiclinic i have also SMAS. But i m going for surgery
@@basitbutt6145ماهي اعرضك يا صديقي وكم المده مع هذا المرض
I was wondering if your patients have experienced autophonia; the hyperperception of one's own voice and breathing. Supposedly is common in wasting disorders like anorexia. It was a regular occurence for me at my most restricted state. I referred to it as "hollow head" - ears felt full, breathing and voice where quite loud in my head makes conversation with others difficult. Its the oddest thing. I dont really see much discussion about this topic with eating disorders.
"The condition is a result of rapid weight loss and occurs when too much body fat is lost around the neck, resulting in a patulous (spread out) Eustachian tube. When this tube, which connects your ears, nose, and throat, remains open when it should normally close, you will hear sounds like your breathing directly in your ears, along with other body noises."
We do! Dr. G even recorded a Medical Minute on this topic: czcams.com/video/3XzQwPaZewY/video.html
It happens if you drinking sugary caffeinated drinks blood sugar spike .. alternatively plenty of green tea during the day time calms our nerves system as it contain L theanine powerful antioxidant amino acid
caffeine and sugar they both bad as some illegal drugs .. caffeine is one of the reason people go through malabsorption and intestine permeability.. gut dehydration.. sugar trigger the SBO and infections ..
Caffeine sugary drinks any illegal drugs most prescribed medication toxic to our nervous system .. beware of it..
What should the AOM angle be? Mine is 22° with symptoms. Should that be suspected?
The SMA normally emerges from the aorta at an angle of about 45 degrees. The angle can shrink to 10-25 degrees with severe malnutrition caused by very low body weight or very rapid weight loss. Hope this helps!
@@gaudianiclinic yes thank you so much! I’m diagnosed with smas and getting a GJJ surgery soon cause my fat pad won’t regain 💗
@@iilavenderii21 why it won't regain ? And how did you know that ?
I was diagnose 2 months ago and now I'm with a liquid diet but I don't know how much time
how are you doing now?
just curious
@@FunkySpunky91 I'm doing well, i have gain 17 kilograms since the syndrome appeared but, I'm still on a liquid diet
@MP Tech how did you get diagnosed?
@@mike0133 It haopened suddenly on Christmas, I was feeling a stomachache but it was getting worse every hour until I couldn't resist pain and I went to the hospital, it took 4 days to be diagnose with this syndrome
@@mike0133 the stomachache was different, in a particular of my body that I had never felt before
My husband went to the emergency room twice in a week. He was vomiting blood the first time, and vomiting bile and blood the second time. He could not keep any meal down. He was admitted to the hospital and had two scans and an MRI. A number of radiologists and doctors did not diagnose him correctly. They planned to have my husband sit in bed for a week with a nasal tube and then "see how it goes". But then one doctor came in and looked things over and recognized SMAS. They did the surgery within days and my husband is recovering. Thank goodness that one doctor figured it out -- even though, he said, he'd practiced for 17 years and never seen an SMAs patient before!
So glad he figured it out!
how your husband going now ?? Is he recovered well CT angiogram see any blockage in blood vessels .. CT pelvic useless (MRI Enterography ..MRCP Small bowl ) best scan deducted my SMAS .. nasal tube basically for elemental diet Bye-pass SMAS spot duodenum delivery the nutrients. Can’t eat whole food ..
Is his condition improved.. now ..
@@pskpsk8663 I'm sorry for your difficulties. My husband is fully recovered and has gained some extra weight.
What type of surgery did he have?
@@akremwahib238 DDJ... duo deno I forget-the-j-words
Thanks for the info Doc. So I can recover just by gaining wieght?
Yes! A dietitian can help with this important nutritional rehabilitation work.
@@gaudianiclinic Thanks, I gained almost 5 kg and I still have the symptoms probably I am getting the laparoscopic surgery.
Hey bro it is possible by diet do some research on this drinking good quality L glutamine on empty stomach fasten healing on internal inflammation on SMAS spot it massively reduced my painful symptoms and additional to that hydrolysised collagen, peptide collagen ..get good quality one they as all made from concentrated predigested collagen protein building blocks of connective tissues grass feed organic bovine .. better . Easy for your body digest fasten your healing process .. my functional gastroenterologist suggested for short term only therapeutic you still need to stick with elemental liquids nutriental diet keep feeding gut. my gastroenterologist also prescribed me CBD oil medicinal cannabis.. but very expensive so I don’t want to buy it. Stay away from caffeine sugary drink spicy food at least for 6 months .. Thanks for your time good luck with your everything god bless you .. hope we all win this battle .. thanks to this doctor too though she didn’t replied me yet..
Forget about your symptoms just focus on strategies prioritize liquids elemental nutritional diets is a main additional to that try glutamine and hydrolyzed collagen protein helps heal your SMAS spot.. .. faster .. mesentery fat cells also act like connecting tissue .. just do MRI enterography small bowl to review the ankle improvement.
@@raulhenaine6111are ok now
Mam I was diagnosed Superior mesenteric Artery Syndrome I dont have feeding tube my weights normal 68 kg 5.5 height can. Though can eat whole food but Trouble digesting most of whole food. Had to restore the mesentery Artery fat cells between Aorta and small intestine pinch on renal veins. No cancer no diabetes no IBD No other issues CT pelvic angiogram normal no issues in pancreas but fatty liver may have on and off SiBo long term constipation stomach obstruction on and off.
I never used nor trusted any elements diet orally will this helps me sir some manner to restore mesenteric artery fat cell. This is happened to me because of my rapid weight loss with rigorous gym cardio low calorie diet in past. still gained weight but still having problems symptoms like aces acnes pimples acid reflux, allergies , joint pain , bone pain stiffness it’s starts after eating food stomach rumbling gas stomach bloating and feeling full quickly less food . No vomiting problem.
Please let me know any suggestions. I don’t want to do any invasive surgery or labroscopy. Will elementary diet game changer for me sir
Thanks for your suggestions appreciated
I also have some of your symptoms, I also thank good can eat but I have very early satiety. You should go to a dietititan. I am probably going for the surgery due that even I already gained almost 6 kg I still get satiated extremely fast. Do not be affraid of the surgery just be sure that your Dr. has already done it before and is someone serious and with experience.
@@raulhenaine6111, surgery is almost 100% risky business quick fix but long term deadly side effect have seen vedio of surgery it’s labrosopy scary risky even experienced doctors could easily puncture our internal organs easily no responsibility if anything go horribly wrong beside .. after you could develop chronic gut infections on wonder area trigger autoimmune disorder and under this pandemic it’s even more dangerous.. people had any major surgery and if they infected covid19 it’s going to be deadly it trigger Cytokine Strom rapidly patient die from medical complications and surgery wound healing can take longer then few years sometimes it may never heals completely that’s the reality .. it’s quite dangerous if you not under weight we can still restore the mesenteric fat cells by elemental liquid diet.. worst situation feeding tube as last option only if patients conditions deadly.. surgeon they see patients like repaired car required some mechanical work they simply can’t have time to worry future consequences that’s the reality .. it’s ok for elderly people over 60 years old in order to increase their life span not good for people in middle aged group it’s too early for them to go for complex surgery like laparoscopic..
Are you also Suffering from joint pain aches acne’s pimples bone pain nerve swelling.
@@pskpsk8663 actually my only problem Is that I used to eat way more. Right now I feed mostly from enteral nutrition. I already gained a lot of weight but the problem is that I still get satiated very very fast
@@raulhenaine6111 do you have other symptoms like me chronic fatigue syndrome pain all over your body ???? Please answer this question .. have you repeated your MRI Entroscopy small bowl again ..any changes happening there .. you know why your stomach getting full quickly because gas trapped in between that area or else your food sitting in your gastric bag for long time ..you considered to be very lucky if you don’t get all my painful symptoms like join pain bone pain .. ?????
@@raulhenaine6111
I tell you now you know why you getting full so quickly ?? No angry after feed because the enteral nutrition liquids it’s elemental are packed with whole nutritional contain like proteins, all minerals all Muiltple vitamins, fiber antioxidant as well as carbohydrates.. though they in small quantity they concentrated with all those nutrients required for your body.. when you or people eat the whole normal food like rice meat bread or anything else your body only absorbs 10% to 15% of nutrition out of 100% of food you eat.. less nutritional goes to your body and it never satisfied crave for more food but because of you feeding elemental liquids nutritional diet all the necessary nutrients concentratedly in it . It satisfies your cellulars of body quickly with less quantity.
So don’t get hungry.. even normal people take liquid nutritional or element diet their craving will be controlled .. even some times normal people with obesity wants to lose weight or maintain the healthy weight they do take elemental liquids diet .. they won’t crave for sugar or junk food ...
So don’t panic until unless if you experiencing any pain on stomach .. or chest or acid reflux.. okkkk now you understand.. this .. better now
Please reply me ..
You don’t have any of your symptoms I am experiencing right or not ??? Please read it properly understand it and answer me ....thanks
N