Vomiting after aneurysm repair

Hi Folks, Has anyone else coped with this and how did you manage it? My husband had a cerebellar aneurysm rupture and repair 2 months ago. He started to eat pureed food21/2 weeks ago. Five days later he started intermittent vomiting, sometimes right away, sometimes hours later. We are now back in our local community hospital and they just say ‘it must be a neuro thing’. I would be grateful to learn from the experience of others.

Yes, I had continuous nausea and occasional vomiting after my craniotomy and clipping. After 3 weeks I finally went to the ER and was diagnosed with hydrocephalus, not an uncommon "sequela". It was diagnosed via a scan that looked at the size of my ventricles, which were enlarged with cerebrospinal fluid that wasn't being purged naturally as fast as it was being produced. They installed a permanent ventriculo-peritoneal shunt with an adjustable valve, which was a huge relief; today's shunts are nothing like those of old. Definitely call your neurosurgeon with those symptoms and ask him to rule out hydrocephalus.

I had coilings and had terrible vertigo after the third coiling. I had bad nausea and vomiting from the vertigo, but I continue to have terrible headaches and occasionally get nausea with them. I am now five years out.
Do not let the doctors be dismissive. Take Ann’s V.'s advice and contact his neurosurgeon.
Please keep us posted. I will keep you in prayer.
Julie

I remember having a great deal of nausea after 3 coilings and a clipping with an ECIC bypass. I used Dramamine to help with the nausea. Only time I had vomiting was when travelling in the car. I found out after a couple of months that I was one that could not take the drug Plavix which mad me ill. In my case I feel that the nausea was drug related and after making different adjustments/changes it eventually went away.

My suggestion is to keep a daily diary of symptoms and the time it occurs and the time you take each medication so when he goes to his appointments you can download to his Dr's. He is still in early recovery and it can be tough. I will pray things improve.

Kevin

I had vomiting for months. I had a cerebral aneurysm coiled, the vomiting lasted several months, seemed like if I did a lot of bending, I would vomit. Or sometimes vomited for no reason. This was in 2013, once in a while if I gave a very active day, I will get nauseas, once in a while vomit, but much less as time goes on. Talk to your dr. I was in neuro ICU for 2 months, not alert, although they say I would talk, I don’t remember ant of it. Best of luck. Oh, and keep a daily log, might not have anything to do with food.

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Please ask the Dr. To prescribe anti-nasuea medicine. I am 3 yrs out and I just keep it in my medicine caninet. Ginger chews helped me too. Best of luck!

I agree, Leeni. Ask your Dr. for a RX to keep with you. Also a RX for stomach acid helped me. Eat healthy but light. If nothing helps, time to check your stomach, etc. inside. :slight_smile:

I would be checking blood pressure medications and asking questions

I agree with anna that he needs to have a scan to check for hydrocephalus which is not uncommon after rupture. The sah sometimes damages the area around the brain where csf gets reabsorbed and the extra csf can build up pressure. This is easily seen on a ct scan (very quick and no fuss) where they can see the size of the ventricles. A small local hospital is unlikely to have the specialist doctors to know what to look for so if you can I would take him to a major hospital where they will have the expertise to find out what it going on and at least exclude hydrocephalus and increased pressure as the cause.

Thanks Folks, I am grateful for all your input. Let me clarify a little. My husband had a shunt four weeks ago, it is from then he has begun to recover. The dr. says the shunt is compressable and not blocked, he has no headache, and in fact has become much brighter and more alert over the past couple of days, so this would not appear to be related to increased ICP. For the first 5 days he ate, there was no vomiting. It has been intermittent, perhaps once a day or every other day until the weekend when 5 meals in a row have come back. Sometimes right away, sometimes hours later. He has been started on Motilium, although I readlast night the pills should not be crushed and that is what the nurse did yesterday. sigh. So perhaps that accounts for the delay in responding. Does anyone else have experience like this?

My sister had a similar experience. We were also told that it's a neuro thing. A clinical dietician was called in. Nicky was kept on a drip, and was given anti nausea medication and vitamins intravenously. She given 10 ml of nestle Peptamin and I think 20 ml of water. Every 3-4 days the amount of peptamin was increased. The next step was to introduce Rice cereal without lactose, then potatoes, then vegetables and then other foods. We used peptamin junior since that was all that was available at the time. You might also want to test your husband's eyesight as this could also be a cause of nausea.

I had a ruptured aneurysm 8 years ago and I still have nausea and vomiting. Suffer from hydrocephalus. Opted out of having a shunt put in. This was just a personal choice. Would talk to your Neurosurgeon and see what works best for you.

I ruptured last December and had a coiling. I’m still having a really hard time with bending over. I wonder why that is? I have anther Annie that needs clipped too. … Working on it!



Katm said:

I had vomiting for months. I had a cerebral aneurysm coiled, the vomiting lasted several months, seemed like if I did a lot of bending, I would vomit. Or sometimes vomited for no reason. This was in 2013, once in a while if I gave a very active day, I will get nauseas, once in a while vomit, but much less as time goes on. Talk to your dr. I was in neuro ICU for 2 months, not alert, although they say I would talk, I don’t remember ant of it. Best of luck. Oh, and keep a daily log, might not have anything to do with food.