I was at the dr. Friday and was told my pouch was enlarged. I have to be on liquids for 2 weeks and then be re-evaluated. I did not have any symptoms nor did they tell me what the symptoms would be. I was however vomiting but it wasn't the first time and the first time my pouch was not enlarged. That doesn't answer your question but I can tell you from experience that I do not have any symptoms. I would call your doctor, I do all the time even for what I think are dumb questions.