OK, now some issues........(semi-graphic)

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By Sdbrown72 - 1/7/2013 9:49:32 AM
Hello everyone,

I had my surgery on November 12th and have lost a good amount of weight (40llbs) despite hitting a little plateau right now.  My issues however began a few weeks before Christmas.  It was over a month since the surgery and I had been doing very well.  No pain or discomfort.  Then I played a gig.  I am a professional musician.  On the gig I played trombone for a few hours for the Salvation Army while standing in the cold.  During the gig I started to feel very gassy and belched some very long deep belches which is very uncharacteristic of me.  The next day I had to play in church and felt discomfort.  For the next 2 weeks I felt quite a bit of discomfort as well while working (I teach).  Any time I would be standing for any length of time over 10 minutes I felt pain in the front of my right rib cage and it would go around to the middle of my back.  I experienced bad gas pain and loose, greasy dark colored stool.  The only comfort I felt would be either sitting or laying down. I played again on Christmas eve and Christmas day and felt the same discomfort while standing and playing.  There is a lot of deep breathing and use of abdominal/diaphragm muscles when playing.  I was able to see Dr. Okalika (sp) while Dr. Holland was out.  We ran a battery of tests for my gall bladder which came back negative. I haven't played since Christmas and have felt better, however still not 100%.  My stool has been much lighter in color, but not 100% formed.   This is keeping me from the treadmill/eliptical as I still experience the back pain followed by large amounts of gas anytime I am active for 20-30 minutes.

Has anyone out there experienced anything like this?  I am afraid that I did something by playing that may have caused a strain on my innards.  I am also afraid to play my instrument, which is odd because for the first time in 30 years I am not playing it every day consistently.


By Nadia - 1/7/2013 2:03:39 PM
Hi Scott.  I am a professional musician and music teacher in the Poconos.  I am a singer and play the piano and violin.  I had the RNY surgery with Dr. Holland 3 1/2 years ago.  Here is my take on what possibly happened:

You were out playing in the cold air using your abdominal muscles and rib cage area.  This area still needs to heal.  You are a newbie out of surgery if you had it on Nov. 12th.  Not even 2 months out.  The RNY is major surgery which requires sufficient recovery.  You may have aggravated the muscles/rib cage/abdominal areas nearby where your surgery incisions are or the laproscopic surgical areas. 

The dark greasy stool is not good, but you said that that is no longer an issue now.  That sometimes is the case right after surgery with some folks if htere is internal bleeding of sorts.

Bear in mind that you lost 40 pounds, and of course, your weight will shift on your body as you continue to lose weight.  Due to the extra weight from obesity, your body was compensating for the extra weight and now you can stand straighter without the extra 40 pounds.  YOur body will continue to get adjusted to the new weight.  Everything takes time.  You may suffer infrequent backaches from overexertion or while the weight shifts occurs.  That happened to me.

You have to build up your internal abdominal muscles once again post op.  I know that you played for so many years, but surgery changes thinsg and makes you a beginner at breath control once again!  Personally, I think you overdid it since you jus had surgery on Nov. 12th.

As a singer, I had to tread very slowly post op.  I could sing, but my breath support was poor for a few months post op as I healed from the RNY and I used the spirometer (breathing mechanism daily).  As I exercised and walked 2-3 miles daily, things became normalized.  It took a few months for healing to occur.  That is my take on things.

Anyway, I hope that things are getting better for you.  Keep us posted on how you are doing.
By Sdbrown72 - 1/7/2013 3:31:32 PM
Thanks Nadia,

I figured it to be something like this.  
By Nadia - 1/8/2013 12:28:34 PM
Scott,  This too shall pass.  Just be patient.
By Sdbrown72 - 1/9/2013 5:40:05 AM
Thanks Nadia.

Each day is better, although not playing has meant changing some of my teaching style.  Not that I mind adapting, just different not being able to play as an example.  WillYou be at district chorus?
By Nadia - 1/9/2013 2:21:41 PM
  • No, but I will be attending PMEA in Erie, PA on April 18-19th.  How about you?
By Sdbrown72 - 2/14/2013 7:44:37 AM
Depending on whether or not my choral student makes it. He placed high as a bass II at districts so I am hoping.