what is the cause for this symtom

[pookies695]

my friend as been having nausea feeling dizzy and the shivers,he recently back at the beginning of the year he had that gastor by pass to loss weight and he is also considered diabetic but its under control

[Dr. Kokil Mathur]

Hi
Welcome to the MedHelp forum!
What your friend has is called Dumping Syndrome or rapid gastric emptying following gastric bypass surgery. Symptoms include nausea, vomiting, dizziness, shivering etc. This is treated by taking small frequent meals, drinking fluids in between meals, taking more of proteins and less of carbohydrates and simple sugars (total no).
Shivering is due to low blood sugar or hypoglycemia. Generally this is due to increased secretion of insulin from the pancreas. This can be overcome by increasing fiber in diet which along with reduced insulin secretion delays gastric emptying. Drugs like octreotide, cholestyramine or proton pump inhibitors such as lansprazole help slow down digestion. At times surgery is required where Roux-en Y gastrojejunostomy is done.  Please discuss this with the surgeon who performed the bypass and get this treated. Hope this helps. Take care!

[M_Pounce]

Nausea, feeling dizzy and shivery?  Controlled Diabetes, but recent weight loss related to gastric bypass?

I'm thinking he needs to visit his PCP and a nutritionist to make sure his current diet is satisfying his nutritional needs. What worked before his surgery, is not going to work after his surgery. And as he loses weight his nutritional needs will change.  It's also going to be easier for him to move around and increase his activity level, which will again, change his nutritional needs.

Kick his bum and make him go to the doctor! And then let us know how it goes :) Good luck!

[timslou]

he should get to a doc perhaps he isnt getting all the nutrients he needs or it could be a sign of infection the doc might advise vitamins and do blood tests  hope this helps

[crackerjack4u2]

Hello it is impossible to say for sure on the net.  More information is needed also.   Has he been eating?  Is he running a temperature?  Has he checked his blood sugar?  He may have the flu or a virus or he could have an infection or blockage.  Not eating or eating too much can cause nausea.  Low blood sugar levels can cause dizziness, as can the flu, virus, ear infection, or low blood pressure.   A temperature can cause shivers as can an infection that has entered the blood stream.   I recommend he see his doctor to have some labs/testing done to determine exactly what is causing his symptoms, so he can get started on the road to recovery.  

I Hope This Helps  Good Luck and Get Well Soon.