Case History
Jack had a gastric sleeve surgery and is able to sustain his 75 lb weight-loss for over 4 years His BMI went from 38 to 27 and he no longer had diabetes, or hypertension, had no evidence of disease and was an excellent example of a successful and healthy WLS patient. He was compliant with post-surgery dietary guidelines, and followed a keto styled diet. Being a Southerner he attributed much of his success to his love for BBQ (rib eye steak, baby back ribs, pork belly, pork chops etc).
Symptoms Begin
Several hours after one of his Sunday BBQs he developed a headache. had stomach cramps , became dizzy, nauseous and itchy He had a sleepless night and just attributed to have eaten something that was spoiled. During that week he started recognizing similar symptoms in the early afternoon and more severe symptoms that would wake him at night. He reported this to his internist who thought it might be related to his gastric sleeve surgery. He made and appointment with his surgeon who then referred him to a GI doctor that performed an upper endoscopy and found nothing that could explain Jacks symptoms and referred him to an allergist. Continue reading
