*Welcome to the OutUK series looking at gay men and their health brought to you in association with the NHS* website.**
	Each week we'll tackle a different topic in our A to Z of Gay Health. We'll have features and advice on everything from relationships, sexual health, mental and physical conditions and how to stay fit. You can follow any of links provided below for more information direct from the NHS website, or see this week's feature P: Personality Disorders.

Complications

Possible complications of weight loss surgery

Weight loss surgery is a common and safe procedure. However, as with any operation there are risks. Your doctor will explain these to you.

Blood clots

Blood clots are possible after weight loss surgery because of how the blood flows and clots after surgery. Blood clots often start in the lower leg (deep vein thrombosis) or may sometimes dislodge and travel to the lungs (pulmonary embolism).

If you have a blood clot that causes pain or swelling, your doctor can give you anticoagulant medicines to help.

Stomach leak

In the days or weeks after a gastric bypass or sleeve gastrectomy, there's a small chance that food could leak out of your tummy (abdomen).

This can cause a serious infection inside your tummy that will need antibiotic treatment.

Gastric band slipping out of place

If you have gastric band surgery, there's a small risk that the band could move out of position.

This can cause:

heartburn
nausea (feeling sick)
vomiting (being sick)

See a GP if you have these symptoms and they do not go away. If your band has moved, you'll need further surgery to put it back in place or remove it.

Wound infection

Wounds can become infected after surgery. Keeping a wound clean will reduce the risk of infection and encourage the healing process.

Blocked gut

The stomach or small intestine sometimes becomes narrower or blocked after weight loss surgery and food can get stuck.

This can be caused by scarring and reduced blood flow to the area.

Reduce the risk of a blockage by:

cutting food into small chunks
chewing thoroughly
not drinking during meals

Gallstones

Gallstones are small stones, usually made of cholesterol, that form in the gallbladder. They can form if you lose weight quickly.

Excess skin

As you lose weight after surgery, you may be left with excess folds and rolls of skin, particularly around your breasts, tummy, hips and limbs.

Surgery, such as a tummy tuck, can be used to remove the excess skin. But it's usually considered cosmetic surgery so it's not always available on the NHS.

Ask a GP if surgery to remove excess skin after weight loss surgery is provided on the NHS where you live.

Call 999 or go to A&E if:

you have difficulty breathing and pain and swelling in your leg
you have chest pains and pain and swelling in your leg
you have severe tummy pain
you're bleeding non-stop from your bottom
there's a lot of blood, for example, the toilet water turns red or you see large blood clots
you're vomiting blood or poo, or your sick looks like coffee grounds or soil

Find your nearest A&E

Ask for an urgent GP appointment or get help from NHS 111 if:

You've had weight loss surgery and you have:

redness, tenderness, swelling or pain in your leg that is not getting better or gets worse
a high temperature or you're feeling hot and shivery
a fast heartbeat
tummy pain
fast breathing
difficulty swallowing
regular vomiting (being sick)

These symptoms could be a sign of a blood clot or a problem with your stomach.

You can call 111 or get help from 111 online.

See a GP if:

you have pain in or around a wound
you have red, hot and swollen skin
pus is coming from a wound

OutUK's A to Z of Gay Health continues and you can read this week's feature P: Personality Disorders. We have covered many subjects in this series and you can catch up with all of our Previous A to Z Features. If you want to find out more about this particular topic you can visit the Original article on the NHS website. If you are worried by any aspect of your health make sure you go and see your doctor or book an appointment at your local clinic.
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