Roux-en-Y gastric bypass (RYGB)

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Common Questions & Answers

141. Can getting a flu shot cause or worsen symptoms of Reynaud's disease or other autoimmune disorders?

Ans:

Ø There is no proof that getting vaccinated against the flu might aggravate or induce Raynaud's disease or other autoimmune illnesses. The flu vaccine works by boosting the immune system to provide defense against particular influenza virus strains.

Ø A virus that has been attenuated or rendered inactive is injected into the body to cause an immunological reaction.

Ø Although a flu shot can occasionally cause modest side effects, such as discomfort at the injection site, a low-grade fever, or muscular aches, these reactions are often transient and unrelated to autoimmune diseases.

Ø  In fact, getting vaccinated can be particularly crucial for people with autoimmune illnesses since they may be more likely to experience complications from the flu.

Ø If you have any questions about getting the flu vaccination or if you have a particular autoimmune illness, it's crucial to speak with your doctor. They can help you with any queries or concerns you may have and can offer you personalized advice depending on your medical history.

142. What are the effects of steroids on your heart and blood vessels?

Ans:

A number of impacts that steroids, especially anabolic steroids, can have on the heart and blood arteries can be harmful to cardiovascular health as a whole. Here are a few possible outcomes:

1.     Increased blood pressure: An increase in blood pressure brought on by steroids might place additional strain on the heart and blood vessels. The chance of having hypertension (high blood pressure) and subsequent cardiovascular issues may increase as a result.

2.     Lipid profile changes: Steroids can change the blood's levels of lipids, including cholesterol. They frequently lead to a rise in low-density lipoprotein (LDL), also known as "bad" cholesterol, and a reduction in high-density lipoprotein (HDL), also known as "good" cholesterol. These alterations can increase the risk of heart disease and stroke by causing atherosclerosis, or plaque formation in the arteries.

3.     Cardiac hypertrophy: Cardiac hypertrophy is a condition where the heart muscle grows abnormally as a result of long-term usage of steroids, particularly at high doses. Arrhythmias, compromised heart function, and a higher risk of heart failure can all result from this.

4.     Blood clot formation: A condition known as hypercoagulability can be exacerbated by steroids. Blood clots can stop blood flow, which can result in life-threatening consequences including heart attack or stroke.

5.     Risk of heart disease and heart attacks: Chronic steroid use has been linked to an increased risk of coronary artery disease and other cardiovascular disorders. The advancement of existing heart problems and the risk of heart attacks may both be accelerated by steroids.

It is crucial to keep in mind that these effects can change based on the type of steroids taken, the dosage, the length of usage, and specific conditions. Regarding the possible dangers and side effects of steroid use, it is always advisable to speak with a medical expert.

143. Is Litchi a summer fruit and good for your health?

Ans:

v Litchi, which is often spelt lychee, is generally regarded as a summer fruit. It is popular for having a juicy and sweet flavour, which makes it a cooling option throughout the sweltering summer.

v Litchi is a fruit that is nourishing in terms of its health advantages. It is high in vitamins and minerals and low in calories and fat.

v Vitamin C, an antioxidant that supports collagen formation, the immune system, and body defence against free radical damage, is present in abundance in liches.

v Additionally, liches provide dietary fibre, which facilitates digestion and encourages a healthy gut.

v They offer a number of crucial minerals, including manganese, copper, and potassium, which are important for a number of body processes.

v However, it's important to keep in mind that litchis include a fair amount of natural sugars, so it's best to eat them in moderation, especially if you have diabetes or are limiting your sugar intake.

v As with any fruit, it is recommended to incorporate litchi into a well-balanced diet that also includes a range of fruits, vegetables, whole grains, and other nutrient-rich foods in order to reap the benefits of litchi's general health.

144. What are the long-term effects of a Roux-en-Y gastric bypass?

Ans:

The Roux-en-Y gastric bypass (RYGB) is a surgical operation that is frequently used to help severely obese people lose weight. A small stomach pouch is made, and a section of the small intestine is redirected to join the pouch. The body may experience a number of long-term repercussions from this surgery, both beneficial and harmful. The following are some typical long-term consequences of Roux-en-Y gastric bypass:

1.     Significant and sustained weight loss: Weight reduction is one of the main objectives of RYGB, and it often works well in assisting patients in losing a large amount of weight over time. Many people lose weight permanently and are able to keep it off for years following their procedure.

2.     Improvement in obesity-related health conditions: RYGB can result in significant improvements or remission of a number of obesity-related health issues, including type 2 diabetes, high blood pressure, sleep apnoea, and high cholesterol. Weight loss and metabolic changes are frequently cited as the causes of these enhancements.

3.     Changes in dietary habits: Dietary modifications are necessary for people who have undergone RYGB to account for their altered digestive systems. They must eat smaller portions, stay away from items heavy in calories and sugar, and prioritise meals that are high in protein and nutrients. Although these dietary modifications can be difficult, they are necessary for long-term success.

4.     Nutritional deficiencies: Because RYGB causes the digestive tract to change, it may interfere with the body's capacity to absorb some nutrients. Iron, vitamin B12, calcium, and vitamin D deficits are typical. To avoid deficiencies and the resulting health problems, lifelong monitoring and the proper supplements are required.

5.     Dumping syndrome: After RYGB, food may pass through the small intestine excessively quickly, resulting in dumping syndrome. This may result in symptoms like nausea, vertigo, weakness, perspiration, and diarrhoea. Dumping syndrome can be controlled by avoiding specific foods, eating smaller meals, and eating a balanced diet.

6.     Gallstones: Following RYGB, rapid weight loss may increase the risk of gallstone development. If gallstones create symptoms, treatment may be necessary, such as medication or surgery.

7.     Effects on psychological and emotional health: RYGB may have a profound effect on a person's mental and emotional health. While many patients report increased mental and emotional well-being, others could encounter problems with body image, despair, or anxiety. To address these issues, regular follow-up appointments, counselling, and support groups are frequently advised.

The long-term impacts can differ from person to person, and based on their unique situation, some people may encounter additional difficulties or advantages. It's critical for people thinking about RYGB to have in-depth conversations with their healthcare practitioners to fully grasp any potential dangers, advantages, and long-term effects of the surgery.