Help... What can this pain be???

I had RYN on April 6... I have had zero problems... But last night I was eating dinner and had to get up after 3 bites and run to bathroom to vomit... My entire stomach hurt and it felt like it was contracting and twisting... I was nausea and in pain the rest of night... I woke this morning no pain... Ate breakfast... Sick but no vomit... 45 mins later Drank lots of water I was fine... Ate lunch sick but no vomit just extreme nausea another 45 mins then fine... I have this horrible burning sensation from my breast down my entire stomach... No specific place just all over... And pain under my rib areas both sides as well as back... Super nauseas now... Oh yeah and 2 bouts of extremely loose stool this am... Is it a bug??... Sorry it's long I'm just concerned it's my first issue and I'm in pain... Thanks in advance... Debbie

Could be a stomach virus, if you still have these symptoms tomorrow I'd call the doctor. Better safe then sorry.

Could be food poisoning or could be that a piece of food got stuck somewhere. You may have to do a swallow study to see if your pouch is being obstructed. Hope you feel better.

I posted something similar to this a while back and your symptoms sound strangely familiar to mine. Nausea, pain under the rib cage and back, burning or knawing sensation in chest. I had to be admitted to the ER for internal bleeding on 2 occassions and on both occassions an endoscopy was performed which revealed mild erosive duodenitis, which I think is sort of like small ulcers in the duodenum - first part of the small intestine. So basically I had a small erosion somewhere which had to be cauterized. I had been prescribed Carafate and an antibiotic and I have been pain free ever since. Something to consider. I hope this helps. You should get an endoscopy right away before it turns into internal beleeding, IF it is an ulcer. If it is not, at least you will know.

 Do you still have your gall bladder?   My pain seemed similar to what you're describing everytime I ate

Thanks for the replies... I have called the on call doctor because the burning pain is still strong... And I'm worried... And no I do not have a gall bladder... I am praying it's not an ulcer but like you said Zombie at least I will know once I get checked... Thanks!

It sounds like it could be either gallbladder issue or ulcers. Even though you don't have a gallbladder, you can still get gallstones lodged in the bile duct especially after rapid weight loss, so either are a possibility.  Being you are only 4 1/2 months out, are you taking both Actigall and a PPI?  Actigall is to prevent gallstones?  Very rare to take with a gallbladder but sometimes it is still given to prevent the stones in ducts.  PPI's should be taken by all for atleast 6 months preferably a year and many surgeons have patients with any history of reflux or ulcer history to take for life.  You have a newly healing pouch that needs to be protected from acid and if you don't take a PPI for this initial period time, ulcers are almost guaranteed.  We have had several with marginal ulcers which are ulcers at the staple line and are very serious.  Others just get severely erosive ulcers in the pouch.  You need to have an Endoscopy to see if this is the case and get on the proper treatment ASAP because the longer you go undiagnosed, the harder they are to treat.  You also need a biopsy during the Endoscopy for HPylori which is a bacteria that causes ulcers. Everyone should be screened for this preop to prevent this problem but unfortunately not all surgeons do this. IF you have HPylori, you need to take a course of 2 antibiotics plus prevacid for 2 weeks and then go on carafate and prevacid for 8 weeks and get another endoscopy to see if healed.  You also need to be retested for hpylori to make sure it is gone but not via blood test since this just says if you have ever had in your lifetime, doesn't say if current.