Passing gas after weight loss surgery is a real problem. When you’ve had bariatric surgery, your body will experience several hormonal changes, primarily how it processes and digests the food you eat.
Increased gas production and body odor are common side effects after gastric sleeve, gastric bypass, and duodenal switch surgery. The crucial thing to remember is that you’re not alone, and once you recognize the triggers that contribute to these problems, steps can be taken to help limit or avoid them altogether.
What causes gas after bariatric surgery
Your digestive system has been shocked. You’re starting a new lifestyle with a clean slate that’s going to cause a significant change in your diet. Whatever foods you were accustomed to eating will not be the same anymore. Your gut will not allow it, and it will be up to you to determine what foods you’ll be able to handle following bariatric surgery.
This will take some time as you will feel malnourished, constipated, and fatigued since you won’t be able to obtain many fats and proteins from certain foods. Since this is the case, your body will start to look for energy in other places, mainly fat, and this will also cause weight loss and gas build-up.
How long does gas pain last?
Gas after surgery typically doesn’t last too long as it starts to alleviate after 1-2 days. Moving your body around by walking will significantly aid in eliminating gas. This helps reduce gas much quicker since it moves throughout the body, looking for an escape.
Keep in mind that gas can return at any time, and usually, the food you eat will be the culprit behind it. Keeping a clean diet and knowing what foods your body can handle will be vital in being gas-free.
Gas relief recommendations from real patients
Here are some ways to relieve gas build-up after weight loss surgery.
- Drink plenty of water (40 to 64 ounces daily)
- Try to walk around or move more often
- Gas X strips help relieve gas pain and help reduce the amount of flatulence
- Use a recliner to sleep upright for the first few days. If not, a body pillow can also be used
- Heating pads/Hot bath
- Devrom (internal deodorant)
- Papaya enzyme or extract
How to avoid painful gas after surgery?
What we eat will always produce gas in our bodies, but what about what we can’t see? That’s right, air! Inhaling too much air can also play a role in increased gas. It’s an involuntary action many of us do by swallowing air while eating, drinking, or simply talking.
To prevent too much air from being swallowed, here are some things to avoid:
- Sugary/Carbonated drinks
- Eating or drinking too quickly
- Talking while eating
- Drinking through a straw
- Smoking
Foods to Avoid
Below are some foods to avoid retaining gas after weight loss surgery:
- Empty calorie foods
- Alcohol
- Bread, Rice, Pasta
- High-fat foods
- Tough meats
- Sugar/caffeinated drinks
- Fibrous fruits/vegtables
Possible side effects
Shoulder pain
As odd as it sounds, shoulder pain is something common that many patients experience. The doctor will pump gas into the abdomen to raise the skin and operate during surgery. Sometimes gas can stay trapped against the diaphragm, which is located at the bottom of the ribcage. Phrenic nerves control the movement, but discomfort can shoot up the nerves affecting the upper arms and shoulders when irritated by gas.
Diarrhea
Diarrhea is another possible discomfort patients can experience after weight loss surgery. This is mainly caused by the lack of liquid absorption in the intestines, resulting in loose stools. It’s also common for individuals to find less tolerance for dairy products. This usually leads to a change in diet and switching to non-dairy options like soy-based products. Limiting sugar intake and consuming adequate fiber are always recommended.
Constipation
After surgery, your hunger cravings will cease to exist. This will ultimately lead to eating less fiber which can lead to constipation. One way to avoid this is by eating plenty of fibrous fruits and vegetables. Staying hydrated is another easy way to prevent constipation. After a few weeks of the initial surgery, you can look for relief with mild laxatives or fiber supplements. (i.e., Mylanta, Milk of magnesia, & Dulcolax suppositories)
Whot can I do with gas pain in the top of my back lm 2 weeks post operation. Everytimr I eat its very painful….
Hi there! Walking and moving can help with gas pain. Also when eating make sure you are eating slowly and chewing everything to applesauce consistency
17 months after Rouen x. Good success with weight loss and diabetes. A lot of gas seems to be my issue. Any suggestions?
It’s been almost 4 years since I had RYGB and when I eat sometimes it feels like gas is building up in the stomach and it hurts so bad all I can do is lay there and try not to get sick. It will bring tears to my eyes. Since the surgery I have never gotten sick but feel like I might when this happens. Does anyone have any ideas why or what can be going on or how to stop this. I already take gas x and Omeprazole sometimes I have to take Zofran. Any ideas or help would be very appreciated. Thank you so much.
It’s been almost 2yrs since my surgery and I still suffer with bad flatulence to the point I don’t want to socialise as it comes on almost immediately and can’t control it. Has anyone got any ideas as I’m at my wits end?
Hello Kathryn,
Experiencing gas after bariatric surgery is completely normal. These are gas relief recommendations from real patients: drink plenty of water, try to walk around often, heating pads/hot bath, use a body pillow or recliner, Gas X strips, and Devrom. You can also prevent gas from avoiding certain foods like sugary drinks, tough meats, high-fat foods, bread, pasta, rice, alcohol, and empty calories! If you have any questions feel free to contact our nutritionist Kristina. You can contact her through her email: nutrition@mexicobariatriccenter.com
Im 2 weeks out and during the day I’m fine. However l, when I go to bed I get about 2 hours sleep and then wake up in excruciating pain under left ribs that goes around to my back. I have been to the ER and they checked my heart and lungs, they checked my sleeve for leaks, they checked me for clots, and nothing. This pain is really unbearable. Feeling like I ruined my life. Why would gas only build up once I have gone to sleep? And how do I get rid of it or prevent it.
Hello Joyce, here is an article that can help you relieve built up gas: https://mexicobariatriccenter.com/how-to-manage-back-pain-after-bariatric-surgery/
My surgery was 2 weeks ago yesterday. My fluctuance has not decreased. I’m still on a clear liquid diet. According to this article that is not normal. Go to first follow-up next week, Any ideas in the meantime.
Hi Daniel, some common causes of gas are
Foods (including components of protein supplements; difficult to digest foods, high fiber)
Warm beverages
carbonated beverages
Using a straw
Chewing gum
Medications: NSAIDS, Statins, laxatives
Smoking
If the source of the gas is not identifiable, there are no restrictions on medications for gas: gas-x, beano, Pepto.
Thank you. Although none of these apply to me, I will try gas X. I am still on liquid diet of water and occasionally 3 oz. chicken broth 3 times a week.