GettingHealthyAgain

Sorry, I just saw your post saying that you have already called your doc, so that's great! I like the suggestion above about frequent tiny sips. That's what I had to do - tiny, tiny sips at first. Sent from my SM-P600 using the BariatricPal App

Hi - I had surgery Aug 30. You're so soon after your surgery, if you're following all the rules about what not to consume, and you have such bad pain, definitely call the doctor that did the surgery and discuss with them. I'm a little uncertain about how knowledgeable ER docs are about bariatric surgery and related problems. I had a less than satisfactory experience going to the emergency room when I was rear-ended a week after surgery. When I told them that I'd just had a gastric sleeve, the emergency room doc palpated my abdomen, said it didn't seem distended, and encouraged me to get in touch with the bariatric surgeon...so I don't know if the average emergency room doc would have a clue about problems related to bariatric surgery. The worst pain that I've had since the surgery was pretty scary, but I figured out that it was related to eating/drinking foods that irritate my stomach lining. E.g, there's a reason for the no caffeine rule, even in very tiny amounts! (I thought coffee that was only 10% caffeinated might be okay; evidently not for my healing stomach). The pain felt like there was someone using a pick axe in my stomach, and the pain would build up and radiate throughout my chest. I theorized that it might be acid related, and the pain did respond to baking soda/Tums (chewable). While the pain was there, it seemed that consuming anything - Water, liquid Protein - would make it worse. But now it's fine. I am avoiding *all* caffeine, and am keeping the Tums close by, in case something else irritates my stomach. Don't know if "pick axe" in your stomach describes the pain you're having. But my first suggestion is call your surgeon's office ASAP. My doc has a nurse practitioner who is very helpful with post-surgery questions. However, if you aren't able to get any liquids down at all, that can quickly become life-threatening due to dehydration. And in that case, the ER may be necessary to get hydrated. Since it's the weekend, hopefully your surgeon's office phone has some instructions on their answering machine about who to contact if you're having problems when their office is closed. Sent from my SM-P600 using the BariatricPal App

Thank you, Madadams! Peppermint tea is certainly worth a try. In part, it helps just to understand the source of the pressure/pain. I have arthritis/degenerative disk disease throughout my spine, so it might be that the pressure from residual "inflation gas" is irritating the arthritis. I'm curious about how they go about "releasing" the CO2 gas used for inflation from your abdominal cavity? Do they use a vacuum of some kind? (I have this image of the surgical crew giving the patient a bear hug to squeeze the gas out )

Okay, just found this on https://obesitycontrolcenter.com/blog/2014/09/04/eliminate-intra-abdominal-co2-after-gastric-sleeve-surgery/ : "A key element of Gastric Sleeve Surgery is the use of CO2 to “inflate” your abdominal cavity in order to have room to comfortably perform the procedure, but after surgery is over, there’s some remaining CO2 inside." And on another website (http://drnowmd.com/find-the-procedure-right-for-you/gastric-sleeve/): "... At least one of these incisions is used to insert a temporary device, called a trocar, which allows the doctor to introduce carbon dioxide gas into the abdomen, inflating it, thereby creating a larger workspace in the abdominal cavity." So that explains gas introduced into the abdominal cavity, which can't be burped out, since it's not in the stomach/esophagus. (side note: I see that my signature contains lots of info from my earlier lapband operation. Not sure where to go to edit that...)

Hi - This may sound dumb, but I'm unclear on the source of the "gas" that people discuss, that may be causing the back and side pain I've had since being sleeved on August 30. I'm guessing that it's a different gas from air that we swallow when drinking, and that feels like a golf ball stuck in your sternum/throat, until you can work it free by moving and/or belching? That gas I'm very familiar with. But the aching pain in back and sides - if it's caused by gas, where does that gas come from? When first waking up from surgery, there was a lot of pain in my middle back. Also some pressure on shoulders and chest, making it feel hard to breathe, similar to what I remembered from having the lap band. But the back pain this time was new. Didn't have that before with lap band surgeries. For the first few days after surgery, I had practically no pain in my belly from the sutures. But my back ached so much that my husband and I joked that the surgeon and staff had hung me up and beat me like a pinata during surgery! And the back pain is in the middle of my back, which isn't where I normally have any back pain (my neck can hurt from too much computer time, and lumbar because of a bad disk, but mid-back usually isn't a problem). This feels like a small horse had danced across the middle of my back, and maybe jumped up and down a few times. The on-demand morphine at the hospital would make the pain disappear, but I had to pushing the button on schedule for the first 36 hours. Pain diminished considerably by end of second day. But 5 days out my back is still very achy. (my abdominal muscles are sore too, of course, feeling bruised, but that's to be expected with all the incisions.) So...does anyone have an idea as to what they did during surgery to cause the back pain? If it's "gas", what is the source of the gas? I've read/heard that the surgical team injects gas (of some kind) into your abdominal cavity to create room for the surgeon to work, and that's the source of pressure, and it takes a while for the gas to work itself out. But I can't find any reference to this procedure when I do a web search. Is the "injected gas" story a myth, or does that really happen? Or did they really hang me upsidedown and beat me like a pinata? I'll bet the video is on YouTube!

I was sleeved on August 30. sleeping is quite a challenge. Normally I'm a side sleeper. Sleeping flat is a problem because I'm more likely to be woken up because I've inhaled and am choking on whatever I drank shortly before going to bed (even water) - I am learning that I need to wait an hour or two after my last swallow of anything before lying down. In the meantime, I'm using an adjustable wedge (Brookstone 4-in-1) so that I can sleep in bed in a semi-upright position. Use memory foam neck supports to keep my head from falling around. Put a pillow under my knees. This seems to work fairly well so far at preventing the regurgitation/choking. Still taking Lortab for tummy and back pain. When it says take every 6 hours, it's like there's a clock in your body! I took the Lortab at 9 pm, and at 4 am (7 hours later) had to get up to address pain. Back and tummy ached liked I'd been beaten on with a baseball bat. Put hot pad on tummy, drank warm tea, took Lortab. We have a 15-year-old massage chair that I used to give myself a back massage. Watched a funny children's movie on TV. After about 1.5 hours, pain much diminished, and went back to bed (using wedge to elevate upper body, etc.) Since I'm taking Lortab, am also using milk of magnesia (with doctor's approval) to prevent constipation. Seems like I'm aching more now that I did the first few days after surgery! But from what I read, by next week the pain should be much better.

My experience as been similar, with the GERD, so that I can't tolerate fills that are effective in helping me lose weight. So after an initial weight loss of 25 lbs, which has stayed off, I've been stable for about 2 years, although I need to lose 50-60 pds to be at best weight. Since an upper GI showed signs of esophageal dilation above the band, which may not be reversable, the doc says that band needs to come out. He would like to do an RNY, but I've decided I don't want that - too radical an alteration in how the organs work for my level of overweight. Because I'm able to exercise regularly, go for long walks, etc., I don't have many of the usual co-mobidities. So I'm not ready to have an RNY... Keeping my eyes out for the new, improved Phen-fen.

Hi all- I'm wondering if the ability to swallow pills or big Vitamin tablets could be used as an indicator of degree of restriction? Do those of you who have good restriction (losing weight, feeling full easily) also have the ability to swallow regular size pills, e.g., aspirin, without the pills getting stuck? How about standard vitamin tablets - much bigger than aspirin? Or do you have to take chewable Vitamins or grind up your pills? I'm trying to figure out whether I need a little more fill - I'm finally losing weight, but it's very slow, and I am able to eat considerably more than many of you - it generally takes a cup of food or more to feel "full", if I'm chewing well enough that nothing gets stuck. However, I'm a little reluctant to get more fill because I currently can just barely swallow a regular vitamin tablet or capsule; that is, I swallow the tablet with a little Water, and it may take 10-15 minutes for it to work its way all the way through the "stoma" where the band is - I can feel it moving through. Then I can take the next tablet. This is an improvement from immediately after my last (5th) fill - for a few weeks, I couldn't swallow any pills whole - had to grind or chew them (and some taste horrible!). Is the fact that I am indeed still able to swallow a good-size vitamin tablet, albeit slowly, a sign that I could use more fill in order to get the full benefits of the lap band? Thanks for any feedback, Julie

Hi Hotrod, I've read a number of people's posts who say they are "tight" in the morning; some say that drinking something warm helps loosen up the band. I guess a question for both of us is how slowly is "too slowly"? I'm trying to tell myself that the general rule for lapbanders is a weight loss of 1-2 lbs/week. I've been averaging about 1 lb per week, but sure would like to go up to 2 lbs/week. I'm exercising regularly (walking 2 to 2.5 miles/day, 4-5 times/week, plus some strength training...though need more strength training), so it's got to be that I'm still taking in too many calories to lose weight more quickly. So either I need to improve my food choices, which is always a struggle if I'm still feeling hungry/unsatiated, or get more restriction so that I fill up more quickly, and find a way to deal with getting my prescription pills and vitamins down, and remember to chew everything very well. Actually, your problem of being tight in the morning doesn't sound so bad to me, since staying full a long time on very little is a good thing, isn't it? The main downside is that more fill might make it impossible to take your regular vitamins. Or are you concerned about how hard it will be to eat other foods throughout the day? Julie

(I hope this is okay - I also posted this on the "Fill discussion group", but since a lot more people read this group, am duplicating here): Hi all- I'm wondering if the ability to swallow pills or big Vitamin tablets could be used as an indicator of degree of restriction? Do those of you who have good restriction (losing weight, feeling full easily) also have the ability to swallow regular size pills, e.g., aspirin, without the pills getting stuck? How about standard vitamin tablets - much bigger than aspirin? Or do you have to take chewable Vitamins or grind up your pills? I'm trying to figure out whether I need a little more fill - I'm finally losing weight, but it's very slow, and I am able to eat considerably more than many of you - it generally takes a cup of food or more to feel "full", if I'm chewing well enough that nothing gets stuck. However, I'm a little reluctant to get more fill because I currently can just barely swallow a regular vitamin tablet or capsule; that is, I swallow the tablet with a little Water, and it may take 10-15 minutes for it to work its way all the way through the "stoma" where the band is - I can feel it moving through. Then I can take the next tablet. This is an improvement from immediately after my last (5th) fill - for a few weeks, I couldn't swallow any pills whole - had to grind or chew them (and some taste horrible!). Is the fact that I am indeed still able to swallow a good-size vitamin tablet, albeit slowly, a sign that I could use more fill in order to get the full benefits of the lap band? Thanks for any feedback, Julie

Thanks for the info. It was over 4 months and 5 fills before it became at all challenging to swallow any pills or Vitamins, that it's a rather new experience for me, so it's useful to hear that it's to be expected if you've got good restriction. Julie

Thanks, that's helpful! A question: When you've got good restricion, about how much solid food - e.g., meat, fruit, vegies - can you eat before you have reached your limit and/or are full? 1/4 cup, 1/2 cup, 1 cup, or more? I rather dread the thought of being any more restricted, because I'll have to be that much more careful about chewing thoroughly, etc., in order to avoid PBs or blockages. But if the weight loss gets any slower, it might be advisable. After all, we got the lapband to help with weight loss, and fills as needed are part of the process... Thanks again, Julie

Hi Josephine - Congratulations on getting to your goal weight! It sounds like you had good restriction without needing a fill? What I'm trying to figure out if "good" restriction essentially means that the opening is small enough that taking pills is not possible (or inadvisable). If that's the case, then I may need a little more fill (to get to where you are without any fill), and to switch over to chewables/liquids.

Hi - It took 5 fills before I felt any real restriction - some of us just need more Fluid than other people to get restriction. Evidently (I've read) it all has to do with how we're built on the inside in the spot where they put the band, i.e., how much fat is lining the outside of the stomach - literally fat attached to the stomach organ. The more fat, the tighter the band will be, and the less fill will be required to get good restriction. And that's why many people need more fill as they loose weight. So don't give up yet! You might be really close to the "sweet spot". Everybody's different. And, yes, it helps to follow to guidelines re eating solid food, Protein first, etc. But until you've got decent restriction, it's hard to get that feeling of fullness/satiety even when following the rules. And it's that feeling of fullness which makes it easier to change the eating behavior. Otherwise, what was the point of getting the band? Julie

Hi - when you say it hurts, is it intense pain, or more "discomfort"? If it's intense pain, then please call your doctor. If it's discomfort/mild pain, then that sounds like what I get when I eat dry, solid food, e.g. roast chicken, ever since I had my last fill about a month ago. When I swallow, it feels like the food is rubbing on tissue as it passes through the narrow opening of the lap band. It feels like my tissues are being a little irritated. It's gotten less over the past few weeks. I've just assumed this is normal, but never asked... Julie

Hang in there! It might take a few more fills for you to get to the right restriction - I was banded in May, and have had five fills since then, and have finally gotten to where my quantity is limited and I stay full a long time. Now I'm finally losing...slowly, but the scale is going down. Plus, with the restriction, I feel more optimistic that I can lose weight, so I'm exercising more consistently. A positive feedback loop. Re the junk food cravings: I've still got some chocolate cravings, and I do indulge some, but if I'm full from having eaten "real" food (Protein, etc.), as I'm more likely to be now with the restriction, the cravings don't hit as hard or as often. I totally know how frustrating it is to be where you are, since I was there up until two weeks ago. Hang in there! If it's been two weeks since your last fill and you're not yet feeling restriction or losing weight, see if your doc would be willing to let you get another fill early (without waiting the full 4 to 6 weeks). My doc was willing to do that. I know it's expensive, but you went through the ordeal of the surgery, so the sooner you can get to the good part, the better!

For my first fill I had to wait 6 weeks after surgery. However, since then I've been having them at about 2 week intervals, because I didn't feel any restriction and wasn't losing any more weight. Generally, my doctor likes to wait 4 to 6 weeks between fills, but didn't object to my having them more frequently when it was clear that I wasn't losing weight. This past Monday I had my 5th fill since the surgery on May 24th (see signature). I may finally have the "proper" restriction, in that I fill up quickly when eating solid food. And if I try to eat past the point of feeling full, I go straight to PBs and that awful sliming. Still getting used to this restriction and making mistakes, such as not chewing well enough, taking my Vitamins too quickly and they get jammed up, etc. But at least there's finally some significant restriction! So now we'll see what happens...

Thanks for the reminder! That does make it more challenging, though, when you get the golfball stuck in there, and it just isn't working its way through the little hole. I'd hate to have to walk around for hours with that feeling. Hopefully I'll get better at knowing which foods will go down and which won't. This definitely is not the easy path, is it?

Jack, Mary, all the people who've posted on this thread - thank you! I've finally got some restriction following my 4th fill, and now am really in lapbandland, finding that I can't do pasta or white bread, and have to chew meat very very well. I am still able to eat some popcorn and a few other things a lot of people have trouble with. About once a day since the last fill I've had "the golfball" experience, and had to throw up to get it dislodged. No big deal - I was a failed bulemic as a teen (meaning I stayed fat despite being bulemic), so the mechanics of the thing are easy, even though it's not something I really want to have to do everyday. But I'm also fighting my chocolate addiction, which unfortunately is not controlled by the band. I knew from the start that was going to be a challenge. And I'm finding it tempting to snack when I get hungry between meals, one of the things that defeats the band. So the challenge is to experiment with snacking more on the healthy stuff, and see if I can get full on apples etc, and maybe the craving for the junk will go away... And I'm still wanting my beer and cheese, which do still go down easily, unfortunately. And I KNOW how easily that combo adds on the pounds. I started feeling a little scared and despairing a few days, after first reading this thread (though I'm soooo appreciative for these posts! It's so helpful to hear from people dealing with similar struggles....not that I want you all to be struggling but...you know what I mean...) So, after having a middle of the night panic attack about possible failure of the lapband, that it was all a waste of time and surgery, it occurred to me to (duh!) instead focus now on learning to use the "rules" to help me...eat the healthy food so I can feel full, then hopefully I won't want to snack as much, eat chocolate (as much), etc. The times this week that I've been eating regular meals with other people - meat, vegies, salad - I do fill up on much less than everyone else, although because of the need to chew so well, I'm still eating when they're done. So the band is working in that sense. Finally. So, I'm trying to drill it into my consciousness: use the band to help me feel full, so it's easier to skip the snacks and beer and chocolate. I'm hoping this will work. This is very far from effortless, that's for sure. I just thought I'd get full quickly and stay feeling full and not want to eat anything for hours and hours. I do stay full longer, but not as long as I'd hoped. Even if the lapband doesn't work for me in the long term, I don't know if I could face having the other gastric surgeries. Much as I envy the results weight-wise, they scare me too much. Another motivation for really trying to work with the lapband to make this approach work for me. Maybe LapBand *AND* calorie counting????

Thanks, everyone, for sharing your experience. I'm up to 1.9 cc in a 4 cc band (3 separate fills), and just barely feel the restriction. Still not losing any weight (though some of that is bad habits I need to break regardless). I get frustrated and wish sometimes the doctor would be more aggressive with the fills, then read the awful stories of what can happen if it goes to far...I live a 3 hour drive away from the doctor, so it would be a long drive to get an unfill - there's no docs that I know of that do fills/unfills in my County. After the last fill, when I went up 1.9 cc's, the next day I "tested" it (my doc only requires liquids/mushies for one day, then you can go back to solids - just start carefully). The day after the fill I prepared brown rice and pinto Beans, mixed together, with a little avocado, feta cheese and soy sauce - that probably sounds weird to most people, but I love it. I was able to eat over 1.5 cups at a sitting, with no liquids, and still didn't feel quite full. So, am going in for another fill on Monday, just two weeks after the last fill. Will let you know what happens.... Julie

I've got a 4 cc Inamed band, just had my third fill yesterday, to a total of 1.9 cc. And still don't seem to have a lot of restriction, though am feeling it a little more. There sure is a wide range of experience with this. By the way, my doc only suggests 1 day of liquid/mushies after a fill, before trying solid food. And that's worked for me - no problems so far. But I see that some of the docs require 3-5 days of liquids/mush post-fill...one gets the impression that there's a lot of trial and error going on here, even among the docs.

Vegas - glad to hear your fill was successful! Yesterday I got my third fill, two weeks after the second fill, and still don't seem to have much restriction...so maybe I'll be back for a fourth fill in a couple of weeks... LynnAnn - my doc yesterday, during my third fill, said that sometimes it can take a day or two to feel the complete restriction, but it was just a guess as to why - whether it's swelling of the stomach, or some other reason, they don't know. But a full week before you feel restriction after a fill? I've haven't heard that before. Still waiting for the "sweet spot" myself...

My impression from reading and talking to people is that the biggest determining factors in speed and amount of weight loss are how good your restriction is, that is, whether you at a fill level that is really helping limit food intake, and type and intensity of exercise. And when I lost weight on phen-fen, I definitely experienced the phenomenon of weight loss slowing down as I got slimmer. The first 50 lbs came off effortlessly, because I wasn't eating much. Then I plateau'd. The last 30 lbs required exercise - both aerobic and weight training - 4 or 5 times a week. Without the exercise, the weight loss stopped. I got down to my "high" goal weight of 135 lbs, and felt great. So I'd guess the same might be true with the lap band - whether or not that last 35% of the weight comes off might be exercise-dependent, as well as dependent on being persistent about getting a good fill (which I'm still working toward - just had the third fill yesterday, am at 1.9 cc in a 4 cc band, and still don't have much restriction....sigh....)

Hi Carlene - I was surprised that you said that you had lost over 80% of your excess weight - at 127 lbs, surely there can't be much more weight for you to lose?!? Is there another 20% that you consider "excess"? Just wondering, because I'm 5'2", so the charts say I should weigh somewhere between 115-135, but I'd be thrilled to weigh 135.