You should see a doctor if the symptoms do not resolve. It is difficult to make a diagnosis without a careful examination of the lesion.

Patient should be cared for under a comprehensive integrated center that have the patient needs taken care of. A dedicated team of Bariatric surgeon, dietician and related specialties is usually required to motivate and guide the patient in going through the correct steps to maximize the weight loss after bariatric surgery.

At Surgicare Bariatric and General Surgery clinic, we implement a comprehensive work up and goals guided plan prior to surgery as well as after bariatric surgery to reduce the risk during and after the surgery, as well as making sure the patient understand the journey that he or she will be taking after the surgery. Dietician will come on board as well guiding the correct eating habits. Relevant specialties will be referred to for comprehensive work up. 

Bariatric or metabolic surgery actually refers to the same type of surgery. While the term bariatric surgery is more targeted at surgery performed with the intention for patient to lose weight, metabolic surgery is more targeted at surgery to be performed to improve the metabolic parameters of the patient including reducing cardiac risk parameters, improving diabetes and possibly resolving it in some cases, improvement in hypertension profile. 

The discussion you should have with a specialized trained Bariatric Surgeon will be the beneficial effects of surgery versus the risk of surgery. He will also discuss the different options available according to your individual Body Mass Index and related co-morbidities, and then make the relevant recommendations. 

I work with a team of specialist who will help take care of my patients after bariatric surgery. A specially trained Bariatric dietician is very important in helping our patient achieve his/her nutrients requirement after surgery. Failure to pay attention to such nutrition may lead to long term problems of nutrition deficiency. 

Before undergoing Bariatric and Metabolic surgery (weight loss procedure), I will get the patient through a proper assessment to ensure the side effects after surgery such as those described in your questions are minimized. Working with an anesthetist who is specially trained with Bariatric and Metabolic surgery is also important in reducing the post operative nausea and vomiting.

Here in Surgicare Bariatric and General Surgery, I work with a team of doctors who are specially trained in Bariatric and Metabolic surgery, to ensure our patients have the best outcome and minimize their side effects after surgery.  

Within the same day after Bariatric and Metabolic surgery, my patients are able to walk to the toilet and around the room. They are usually discharged from hospital within 1-2 days after surgery. They will be encouraged to resume walking activities as soon as they are discharged. As for cycling and biking, perhaps a week or two after surgery will be a reasonable time period for him/her to get back to those activity.

Depending on the type of Bariatric and Metabolic surgery performed, existing chronic condition such as Diabetes, hypertension or hyperlipidemia will see improvement within a certain period of time. It may also improve to an extend that it may enter remission. 

The exact mechanism of resolution of morbidities related to obesity improvement after Bariatric and Metabolic surgery may be unknown, but we know that there is a good chance of decreasing the dose requirement of medications for Diabetes, hypertension after surgery. For a certain group of people, there may also be a chance of causing these conditions to be in remission. 

Speak to your Bariatric surgeon to find out more, individualized to your own condition and whether it is recommended that Bariatric and Metabolic surgery is suitable for you.

After Bariatric and Metabolic surgery, one's diet will have to be changed drastically. It would be best to be advised by a specially trained Bariatric dietician. For example, the emphasis would be more protein based, rather than carbohydrate and fat based. Once you have achieved the protein intake requirements for the meal, one would usually be full and not wanting to ingest any more food. 
Our Bariatric dietician will guide you along the way after surgery. 

After undergoing Bariatric and Metabolic surgery, it would also take dietary changes to maximize the effect of surgery, and achieve maximal weight loss. One's diet may never go back to previous ways, so as to achieve better weight loss, and cause remission of medical conditions. 

Yes, lots of my patients have remarkable turn around in their lives after bariatric surgery. There is improvement in Diabetes control, Hypertension, Hyperlipidemia. Some patients mentioned that their back pain, ankle pain, knee pain have disappeared. 

Not just medical conditions improvement, there are also documented psychosocial improvements. One would feel more confident and go out to socialize more, getting a job, getting a life partner.

Depending on the severity of obesity, there are different classification and grades of obesity. Bariatric and Metabolic Surgery (the correct term) is most effective for patients with higher grade obesity or those with associated obesity related medical conditions. 

Effectiveness of surgery will be looking at excess weight loss of 50-80%, compared to medication or insulin shots which will be lower. This will have to be weighed against the risk of surgery. For people who qualify and want the surgery, Bariatric and Metabolic surgery is an effective, safe and long term solution against obesity and it's related co-morbidities. For the higher grades obesity or those with medical conditions associated with it, the benefits of Bariatric and Metabolic surgery far outweighs the risk associated with it. 

Make an appointment and speak to your bariatric surgeon who will be able to answer your queries individualized to your needs.  

Bariatric surgery is more targeted at losing weight. Metabolic surgery is more indicated for surgery for the improvement of metabolic parameters, such as reducing the risk of hypertension, diabetes, heart attack and stroke. Differences is in the terminology. Type of surgery is the same.

The correct term we use now is Bariatric and Metabolic surgery. The 2 most common operations are laparoscopic sleeve gastrectomy and laparoscopic roux-en-y gastric bypass (also known as gastric bypass)

These surgeries are known to be most effective and long lasting for people with severe obesity, as they not just limit the food intake, but also make hormonal changes, alter the body set point and metabolism.

You may want to make sure it is not too hot during the steam inhalation to reduce the burning sensation in the nose. Consider a nasal douche as an alternative. 
 
I hope this information is helpful! Thanks again for asking.