Unfortunately, I can't ad anything new to what my colleagues have already expressed: dehydration, BP issues, sinus problems, etc. Go back to your surgeon please. If needed hw will send you to other specialists. st4op the heavy exercises at this stage....

Having gastric sleeve surgery is major surgery and your body requires several days of light activity before thinking on doing exercise as you have tried to, definitely it is very very soon to start doing weightlifting, I ask my patients not to lift more than 30 pounds for the first 30 days, so doing weights 6 days after is just too soon, my recommendation at this point is to do some walking and two weeks out some aerobic exercise such as elliptical or stationary bicycle. Your symptoms could be related to dehydration as they have mentioned but it could only be that your calorie intake is low and with the kind of activity you are trying is to intense for the moment. Besides this, lifting weights at this point could lead you to develop a hernia on one of the incision sites. You should ask your surgeon to give you a complete explanation on the recovery process and steps to follow.

You should not be exercising so soon after surgery. You should be resting for at least 2 weeks even after laparoscopic surgery.

The most common thing that would give you headaches after surgery would be dehydration. Make sure you remain well hydrated within the limits off your post op bariatric diet. Another thing, sinus pressure can cause bad headaches. Try a decongestant and see if the headaches clear. Finally, if worse or not improving see your surgeon.

Did they do a spinal or epidural anesthetic? If so, go back to see the anesthesiologist. This can be a spinal fluid leak which will cause this headache and sounds exactly like what it is. many of these are done with spinal, so it's always good to ask. A technique called "blood patch" can be used to seal the leak.

Congrats on your surgery. It sounds as though you have bounced back quickly given the fact that you are in the gym. I do not perform gastric surgery. However, this surgery can be done under epidural anesthesia.

Epidural anesthesia is sometimes followed by headaches; these traditionally resolve on their own. However, I suspect that your surgery was done under traditional general anesthesia. You may have some minor electrolyte or other issues, but these will most likely resolve without any other issues.

Good luck!

Outside of the vagus nerve, there is no direct neural interface between the stomach and the brain. Most metabolic communication occurs via hormonal or peptide signaling. It is therefore unlikely that the headache is caused by your recent gastric procedure. The issue is CAUSATION vs CORRELATION. It is more likely that the two are temporally related, happening relatively close to each other. However, is is quite possible that the headache may be related to a specific intracranial anatomic issue (aneurysm, mass), a vascular etiology (inflammation, migraine), or a side effect of a medication that you may have been taking post operatively. The specific association with exercise provoking the onset is interesting, and suggests an underlying vascular pathology. While bending forward, and while laying down, the relative pressurehead required for intravascular flow is reduced, as the force equation is F = mgh. It takes more force to "move" a given volume (mass) of water to a greater height (the relative positional difference between standing, stooping, bending, and laying down in a supine position). Normally, the proprioceptive coordination of the body reads and relays both positional and biomechanics motor activity to the brain, which then coordinates with the carotid body and the heart to adjust the blood pressure by changing vascular smooth muscle tone and cardiac rate and contractility. In other words, if you are laying down, your brain knows this and reduces the pumping force of the heart and relaxes the walls of the blood vessels. Similarly, when you get up in the morning, your heart should beat faster and pump harder, and your vascular tone should increase to permit cerebral perfusion pressure to be maintained within your normal range. The difference of approximately 3-4 feet in your sleeping vs standing position requires a proportional increase in the propulsive force to maintain blood flow to your brain. In some patients, this does not happen in a coordinated manner, and they experience "postural hypotension". I suspect that you may be experiencing a related by opposite phenomena, where your forward perfusion pressure is NOT REDUCED when you are bent forward or laying down. This inappropriately high perfusion pressure can cause distention of the intracerebral arteries and arterioles, with stretching of the perivascular nerves, resulting in a symptom similar to that which some migraine sufferers experience.

Some additional information would be helpful...is it generalized to the entire cranial vault (head) or is it hemispheric (on one side) or localized to a specific area (front, back, side)? Do you experience any associated symptoms such as visual disturbance, noise or "pounding" in the ears, dizziness, weakness, difficulty standing or walking, or any other feature related to those episodes?

I would consider starting by having your surgeon evaluate you, review your medication list, and perhaps refer you to a neurologist. Most surgeons are trained in vascular surgery and can evaluate vascular pathology. An MRA (MRI / angiogram) of the cervical vessels and the brain may evaluate if there is any underlying anatomic reason for this. The Neurologist should be able to assess if there is any neurologic basis for this as well. In either case, the neurologist may have some management recommendation depending on the identified etiology.

This is a very specialized surgery that I do not perform. You should discuss your concerns with your surgeon, as he has experience with the numerous patients he has treated over the years.

Go back to your surgeon. You may be dehydrated, or you may be having some sinus issues related to the anesthesia. This is an important thing to discuss with your doctor.