Causes of ongoing nausea can be:

–       Medication and vitamin supplements: esp when taken on an empty stomach. Try takin with meals, or changing the brand, particularly to liquid supplements or chewable vitamins.

–       Drinking too quickly can cause nausea, as can drinking with food. Avoid drinking 10 minutes before a meal and 30 minutes after a meal.

–       Not following a gradual build up of diet. Adjusting to a new way of eating requires patience and rushing to solid food will cause vomiting.

–       Dumping syndrome– due to food moving into the small intesting too quickly can cause nausea. This can happen within minutes or hours after. Carbohydrate rich foods are the worst culprits

–       Patients can develop food intolerances after surgery. These vary from patient to patient but high sugar and high-fat foods are the commonest culprits. Try small amounts of individual foods at a time to see which might be causing symptoms.

–       Remember to follow the golden rules of eating post surgery. This means eating slowly (30 minutes a meal), putting down cutlery inbetween bites etc and also chewing thoroughly (20 chews before swallowing)

–       Overeating because of inadequate dietician supervision is common and acurate portion sizes are essential

–       Don’t lie down soon after eating, wait at least an hour after a meal

–       Obstruction due to adhesions

–       Ulcers can develop, especially in smokers and with aspirin/NSAIDs.

–       Psychological stress and anxiety