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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 29251
Experience:  MD
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I had a fundoplication 5 weeks ago but since then i have

Customer Question

I had a fundoplication 5 weeks ago but since then i have been experiencing low blood sugar (hypoglycaemia)
several times a week and i have cut sugars etc but still experiencing this
If i have the fundoplication reversed will this get better because i never had this pror to the operation
Many thanks
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.
Hello, this is Dr. David. I have read your question and I'm ready to help.

yes your fundoplication surgery could be causing your stomach to have difficulty absorbing sugar

you might need to eat more complex carbohydrates like whole wheat grains in cereal and breads to help keep your sugar levels normal

you also need your blood insulin levels checked to see if they are too high. if your blood insulin levels are too high, this can drop your blood sugars.

you might need to eat more small meals regularly throughout the day to keep your blood sugar levels up.

I would try all of these steps first before getting your fundoplication surgery reversed .

how low down does your sugar levels go?

are you eating complex carbohydrates in your diet now?

have you had your insulin levels checked?

have you talked to your doctors about these episodes of hypoglycemia?
Expert:  Dr Basu replied 2 years ago.

Hi there,

I have a different opinion.

Fundoplication does not cause delayed absorption of sugar.

You are having excessive insulin response from the nerve mediated action.

So reversing surgery may not fix the problem in 10%

We recommend trying a medication called Acarbose first with lunch daily starting at 25 mg daily.

The dose can be increased by 25 mg every week.

Usually this helps with high fiber diet.

please discuss with your doctor also.

Thank you for sharing your concerns with us today. If you have any additional questions or need further clarifications, please do not hesitate to ask. I am here to answer them. I wish you good health. Regards, ***** *****