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How much pain you have is variable. I had none after my sleeve but I really knew about it with my gall removal. But the surgical gas is mostly in your abdominal cavity not in your digestive tract so burping & farting have minimal impact. The surgical gas rises up behind your lungs putting pressure on nerves which cause the pain. The gas is absorbed into your lungs & breathed out. Walking, marching on the spot, pumping your arms up & down, slow deep breathing all help you breath that gas out. Heat packs can help with any discomfort. It usually takes about a week to fully pass. Additional burping or farting can be from the shakes, any sugar alcohols used in the shakes or drinking too quickly, plus the change in your digestive process could be adding to it while your body gets used to the changes. GasX may help with this gas. As with everything if it persists or gets worse give your team a call.

I think only real sugar can cause true dumping syndrome (in some people, anyway - the majority don't dump) - HOWEVER, a lot of people have issues with certain artificial sweeteners, esp sugar alcohols (those with names ending in "-itol", like xylitol). They can cause cramping and diarrhea in people who are sensitive to them.

I wondered if it could be a lactose intolerance which we can develop post wls. Diarrhoea, bloating, wind are the usual symptoms an hour or so after eating lactose. Sugar alcohols (in some artificial sweeteners) can do the same thing. And yes, as the others have said, dumping has many more symptoms which are temporarily debilitating. I don’t know about the beef. I was easily eating steak & pork pretty soon out after solid foods (probably from around weeks 9 or 10). But we are all different & our tummies can be fussy & sensitive for a time about certain foods.

The sugar alcohols used in many artificial sweeteners cause problems for many people: diarrhoea, bloating, discomfort, … Personally I try to avoid or reduce as many artificial sweeteners, sugar alternatives & sugar as I can. It’s hard because it’s in almost everything you buy. I did it to kill my sugar craving - it has. (Artificial sweeteners & sugar alternatives still feed your desire for sweet.). Also there is a lot of research being done into how artificial sweeteners still lead to weight gain, affect your immune system, etc. But this has been a personal choice for me. Generally if I want something sweet I’ll eat some fruit. But again it’s been my choice to do this. I have made chia seed pudding & used vanilla extract as flavour. There is natural & added sugar in it but it’s very little. Also added milk powder which gave some sweetness (& extra protein) & a natural sugar. What about a fruit crumble? Cook up apple, berries, rhubarb or other fruit & sprinkle the top with a mix of rolled oats, coconut, nuts, a little plain flour, cinnamon a little butter & bake until golden. Use a little monk fruit for a touch of sweetness if the fruit is a little tart & in the crumble topping. Congratulations on your daughter’s weight loss. So wonderful she’s been inspired by you to make changes in her life too.

One of the sugar alcohols gives me horrible diarrhea but I forget which one. The rest just give me gas which I can live with. I think everybody's different

I'd like to know y'all's experience with sugar alcohols/sugar substitutes. When I was in my pureed stage, my diet/menu information stated that I could eat sugar-free pudding. I had one and experienced harsh stomach pain for the entire night until the next morning. However, I recently treated myself to some plain oatmeal and added stevia packets and had no issues. I looked up the ingredients to the Jello brand sf pudding and each cup has 4g sugar alcohols. It doesn't state exactly which "itol" it has, though. Stevia (depending on how it's combined) is mostly erythritol. I'm looking for some dessert-ish foods that can satiate my sweet tooth (also trying to help my 16-yr-old daughter by replacing her regular foods with low calorie, low carb, low sugar options). When I started on my WLS journey mid-May, she became inspired and has lost 17 lbs so far! Ideas? Suggestions? Experiences?

With the sleeve, the 30/30 rule between fluids and solids is so that you do not fill up too quickly without getting in all of your nutrition. With the bypass, it's for that reason, but also so that the water doesn't push the food through the bowels too quickly causing dumping syndrome. Admittedly, eating soon after drinking is much easier than drinking after eating. What I ended up doing when I would go out was have my alcoholic drink and then eat. I also went from mixed drinks full of juice, soda, ice to just 1 or 2 straight shots of silver tequila or vodka. It kinda helped because I'd have my shots, feel my buzz, enjoy the company, and then eat (which would kill my buzz). It kinda worked out except that it got way too easy, and I started preferring drinking to eating. My meal wound end up being may be three bites/forkfuls of food because my sleeve was full of fluid (alcohol). But even if it'd been water, I still wasn't getting everything in like I was supposed to.

I'm home right now too until Aug 8th when I go back. Initially when I detoxed from carbs and alcohol (semi-liquid diet), I did not feel weak. The first three days were a b*tch because withdrawal. Yes, even from carbs. But on like day 4, I was really feeling good. I had energy, I was in ketosis, and I was sleeping sooo much better at night. I think you'll do great at the beach, just please hydrate and take your shakes, maybe even no sugar, super low-carb protein bars, and have a good, healthy dinner.

I am slowly preparing with dieting as well. I'm eating all the right foods, but probably not limited my intake as much as I should. I completely cut out alcohol too and don't plan on drinking again. I never liked soda or carbonated drinks so that part will be easy for me, but I love water haha and right now I drink a lot of water. I was worried that it would be hard for me not to drink water because some medications I'm on give me dry mouth and make me really thirsty. How far in advance did they tell you to do all liquids before surgery? Mine is two days but I thought maybe i should try to do it for a week to shrink my liver more too. I asked the office and they told me no I don't need to do that but I want the best recovery possible...

What helped me pre-op was I started detoxing and dieting a whole month before my surgery. I started with a semi-liquid diet on May 11th. Protein Shake for breakfast and lunch and a healthy, no carb dinner. I stopped drinking alcohol and upped my water to 6 or 7 bottles a day. Then 10 days (because they had a cancellation and asked if I wanted it sooner than scheduled) before surgery, I started on all liquids. In the first 24 days before surgery, I lost 23 lbs. That really, really motivated me and made me feel so good both physically and emotionally. It also helped the surgeon with a successful surgery because of the liver shrinkage. Y'all have some awesome ideas!

Hey all, back from my 2+ week vacation and wanted to give an update: First, you look awesome Lindsay! Second, the update (2 weeks traveling around Germany and Italy): Protein was VERY hard to hit. The "on the go" protein mixes that I brought got real tiresome real quick. I wasn't able to do them everyday. Thankfully, I got approved to have protein bars the day before I left, so I made use of those pretty heavily. Water was also VERY hard to hit. I wasn't keeping exact track, but based on the color of my urine, I wasn't doing great. I was also sweating a substantial amount too, so I needed even more water. The 30m no-drink after eating restriction was a killer. We would stop for some food, I would grab a nice cold bottled water, then have to wait 30m for it to warm up to 80 degrees before I could drink it (I never realized how spoiled I was with cold water) Exercise was easy. Nothing specific, but we averaged 15000 steps a day so I counted that There was a significant amount of cheating: I would usually order a meat based meal, but then try a bunch of different pastas from my family (tiny bites, but 3 or 4 different ones usually). I also occasionally had a bite or two of bread, and ate a piece or two of pizza. I drank wine...quite a bit. We had a couple of wine tastings booked, but I would also do wine before dinner with all my family. I had a grand total of 3 bites of gelato (which I am pretty proud of). The kids got gelato pretty much every night, and I only stole 3 bites as I wanted to try the flavors (coconut, stratiacello, and milk???) In addition to wine, I did have a glass+ of champagne (so double dip of alcohol and carbonation) I had unapproved meats. I didn't always have good options for meat, so there was a couple of nights I shared steak with somebody, or had some other non-approved meat. That being said, I only ever had one stomach issue on the whole trip. I ordered a plate of various meats (ribs, bacon, sausage). I am not sure what the problem was, if I ate too fast, didn't chew enough, or it was too fatty, but I had a pretty quick reaction and didn't feel good at all. There was pain in my stomach area for about 15 minutes. After getting up, walking around, and burping a WHOLE lot, the pain passed. Overall, I was very happy with how it all went. While I have a decent list of cheats above, other than the wine, I really only had a bite or two of non approved stuff each meal. My stomach felt great 98% of the time, and....I lost 9 pounds!!!

I was sleeved in Mexico in 2009, and two years later I lost my gall bladder because all I did was focus on protein and nothing else. I wish I had known that we CAN overdo protein. I wish I'd known that too much protein will kill your gall bladder, your kidneys, and your liver. I wish I'd exercised from the get-go instead of waiting 3 years to finally start getting on that elliptical. It would have given me more muscle tone and less hanging skin. I wish I'd stuck to my exercise instead of letting myself get overwhelmed with all the tragedies I experienced from 2014-2020. I wish I'd gotten therapy instead of looking to Xanax, Ambien, and alcohol to distract me. I'm 23 days out of a revision from a sleeve to a bypass due to weight gain. This journey is going to be much harder than my sleeve. Treasure your sleeve, work with it, respect it. *Edit: You're goal right now should be to hydrate and keep walking. Even just the shuffling around the house is good. It helps prevent blood clots and helps flush out the anesthesia and water retention from the IV fluids. Shuffle around the house 3 or 4 times a day. Count 500 or 600 steps each time. It gets easier. Don't be bending over to grab stuff from the floor. Ask someone to help or get a $10 extended arm grabber thingy. That helped me a lot when I would drop my sock or my vitamin on the floor. 😊

Yes, you can certainly manage that. Just keep in mind that “enjoying it” will mean something different. Can you have a sip of alcohol or a taste of cake? Likely without issue, but just small toast kind of thing. Can you eat a whole meal? Get really inebriated? Probably not. But, you will likely have the energy to dance the night away if you stay hydrated and stick to your program— I know RNY is more invasive, but after my VSG I have had incredible energy. Heres hoping you do too!

I went to a friend's for xmas dinner at exactly the same point post op. I got to sit the whole time obviously so I hope the standing isn't too long for you, but if you make an average/good recovery I think you'll have no problems at all. Bet you're looking forward to some major last minute alteration of that bridesmaid's dress too (and please can we have a photo in the OOTD thread in the lounge?? I'm a bit obsessed with weddings). I'm sure you'll enjoy it. My dietician cleared me to have a glass or two of bubbles at my dinner but might be worth just checking with your team if you intend to drink any alcohol. And - definitely the chicken, just a tiny portion. And then hide most of that under the salad/veg, LOLOL!!

Just responding to my own post to have everything in one place. General Down almost 60lbs after surgery on May 18th. No complications. I followed the rules exactly on the diet, but continued to push the exercise because that's my personality. In fact, I would say I've become a little obsessive with the exercise, walking/running/biking everyday. I have also experienced a lot of ups and downs since the surgery. Food The first week after surgery I was fine with the limited clear liquids, however, near the end of the first week I was sick and tired of the clear liquids. The second week was the same. First part of the week was good because of new liquids, but near the end of the second week I was sick of the limitations. Basically I was excited every time I got new foods, and was sick of it by the end. This was not so much because I was having cravings for fatty or sugary foods, I just needed variety. Now I'm opened up to try whatever I want, except carbonation. I'm still not trying bread, but have had really small tastes of pasta (really small) or eaten really small keto tortillas without issue. I'm still keeping a daily log of all food eaten and hitting my macros on most days. I'm really focusing on my protein (100+ grams a day; I've really been aiming for 130+ grams, but it's tough) intake as I don't want to lose any more muscle. I do notice that I get the hiccups when I'm full. Sometimes my nose runs when I'm full as well. I did get the "slimes" once. I was trying to eat a breakfast taco on the keto tortilla and I guess it was too dry. I only got half down (the tortillas are only about 3.5 inches across; really small) and it felt like it was stuck. So what do you do when food is stuck, DRINK! That was a mistake. Got the slimes and eventually threw up. That's the only time that has happened. Fortunately, it was like 5 weeks after surgery, but I was worried I had done something to my stomach. Went out to eat with the family a week ago and tried ghost pepper wings (which I'm normally fine with). I also put ghost pepper hot sauce on my refried beans, without issue. The spicy wings did not go well. It was much spicier than normal and I ended up drinking water and almost threw up. Prior, I had eaten 3 wingstop wings with blue cheese and was fine (mango habanero). We went out to dinner again last night and I had a few bites of salad, about 2 ounces of chicken breast with BBQ sauce and a few bites of sweet potato and was stuffed. I used to get a 16 ounce ribeye with mushrooms and onions, mashed potatoes, veggies and a couple of tall beers. I did not feel like I was missing out, which feels kind of weird. My kids got a dessert and I wasn't interested in it. Sugar free popsicles taste really good and are almost too sweet now. I was really worried about eating out (what I was going to eat; how it was going to go, etc). I feel more comfortable now for when we go out with friends. Bonus, I have saved a TON of money on food and alcohol. Like a crazy amount. I did have a glass of bourbon on the rocks last week. Drank it slow and it went down just fine. Zero issues. I'm not going to start drinking though, and will just stick to an occasional drink. Exercise I started walking very soon after surgery, 10K steps a day, and pushed it too far too early. I dialed it back for the first two weeks, but then picked it back up. Now I either walk for 15K+ steps a day or ride the bike for an hour. Every day. I get a more intense workout on the bike plus it's better on my joints. Walking seems to hurt my hips and back, but I'm powering through. I'm going to a physical therapist on Thursday to try to figure that out. As I said above, I'm definitely obsessive about my exercise. Sometimes to the point where I wear myself out and am exhausted for the rest of the day. Some of that is a mix of the intense exercise and limited calorie intake. I've also told myself that I was not going to obsess about the scale and I was only going to weigh once a week, because the weekly/monthly trend is the only thing that matters (my weight fluctuates up and down daily, but trends down weekly/monthly). However, I find it really difficult to avoid weighing myself multiple times a day. I'm obsessed with the scale as well. Mood Overall, I'm OK. Weight loss is really good. Hit a couple of short stalls. No complications, but my mood is really up and down, which is not normal for me. So much so, that I have scheduled an appt with a therapist next week (first time in my life). The doldrums are real, especially after VSG, so take care of yourselves, physically and mentally. Meds I'm completely off my BP meds and it's currently averaging 120/80. I have GERD with a history of Barrett's Esophagus, and I'm currently taking 40mg omeprazole daily. I was really worried about it getting worse after surgery, but I have had zero issues. I have a follow up appt with my VSG doc next week and I'm going to see if I can test 20mg. I would love to get off all meds. I tried the barimelts at the suggestion of my doctor, and they were OK the first couple of days. Then they totally grossed me out. I mean, like I was about to vomit and dreaded taking them every day. I only made it about a week before I gave up. I'm back on regular vitamins for now and tolerating them just fine. I'm going to ask the doc about that next week as well. Misc Because of the connective tissue disorder, my shoulders are really messed up. My right one especially. I'm glad it's not affecting my exercising. I just saw an orthopedic and she described my shoulder as "gnarly". Reverse shoulder replacement is in my future, but in the meantime, I'll have it scoped for labrum and rotator cuff repair, plus Bankart repair with the remplissage procedure. I am looking forward to relief from the chronic pain, but not the recovery. I hear it is brutal. TLDR Wished I would've had the surgery sooner. Plan for some ups and downs. Follow the plan. Take care of yourself. Don't be afraid to ask for help.

Good afternoon, everyone. I'm new here. I was looking for some kind of forum where I could interact with others like me. I think I may have found it. I live in South Texas, and I had a sleeve gastrectomy in Mexico in 2009 when I was 35. I initially weighed 340 lbs and lost 149 lbs. and went from a size 32 to a size 14. My goal was a 12, but I was really happy. I was exercising 5x a week on the elliptical for a whole hour nonstop! I kept the weight off for approximately 6 years. Unfortunately, all kinds of tragic events started changing my life. In 2014 my father passed away, and I took it really, really hard. I ended up on Xanax and Ambien. In 2015, I got divorced. In 2016, my mother passed away. In 2017, I was transferred from a job I really enjoyed to a brand new location with all different people to work with. Then the COVID Pandemic kept me teaching from home for a year and a half. It was literally one heartbreak after another. Rather than looking for actual help, I helped myself... to pills, alcohol, and crap food. Over the past 9 years, I regained all my weight. Even though I still felt restriction in eating (i.e. only half a burger or 1.5 slices of pizza, with no sides or drinks and I was done). I was 10 lbs away from my original weight before my sleeve. Last year, though, my school district sent out an email stating that WLS was now covered by our insurance. I was so excited! I looked into it, made many calls, and thought coverage was out of the question because I had already had a surgery. Our insurance covers "one surgery per life." However, since my first surgery was private pay, they went ahead and accepted covering my revision to a bypass. Today is my 18th day post op. I've lost 42 lbs altogether since May 11, but only 10 of those lbs since the surgery. I feel a little blue because I was hoping for more than a 10lb loss in 3 weeks. I lost more weight at the beginning when I started a semi-liquid diet to prepare for surgery. I was doing 3 shakes and one solid, no-carb meal. I know that revisions are slower than virgin surgeries. I am doing as much reading and research as I can. I just can't help it, I guess. After my sleeve, the weight loss was phenomenal. Right now I am consuming 450 cals, 60 g protein, and keeping my carbs under 40g. I am walking around my house (not outside because South Texas) 4x a day and was told I could start on the treadmill this coming Monday. Maybe I'm doing something wrong? I'm also trying to find ways to consume fiber without a lot of carbs. I've eaten 1/2 cup of pinto beans twice but, man, that's a lot of carbs. I wanted to try raspberries, but I'm afraid of the little seeds getting stuck in my sutures. Any advice, thoughts, suggestions?

i was given the full go ahead for anything and everything (except alcohol) at 1 month post op. i didn't have any salads nor veggies at 1m post despite the all-clear cuz of food aversion issues...but that's another story. i think, if i remember correctly, i probably had my first go at raw veggies around 3 months (?) post-op and had zero issues.

Spent the last 4 days at the lake. I tried a few new foods with no nausea. I was released to drink alcohol at 3-month post-op, so I tried 1 shot of Vodka mixed with sugar free cranberry juice at the recommendation of my nutritionist. Fresh air and sun. Boating, fishing. friends and family. Great fireworks show Sat. night. Sitting around the firepit till 3 am nursing my drink. I had 2. Nice little buzz without getting drunk or passing out as I've heard some WLS patients have experienced. Weighed myself when I got home and dropped 3 more pounds FTW. Happy 4th of July!!!

@ms.sss and @Fred in Pa, hear you both on the topic of addiction. I agree with Fred... addiction is sneaky. My brain will tell me "one piece of candy is not going to kill you" and then five pieces later, I start to feel the guilt sink in. I know 5 pieces won't kill me, but it's 100 calories more than I promised myself I would eat that day. Like @ms.sss said, addiction is a slippery slope. Right when you *think* you've beaten it, it comes crawling back out to remind you that you're not in as much control as you thought. Of course, this doesn't go for everyone. But it certainly goes for me. Someone above said, why eat carbs when there are so many healthy options out there? I swear to you, I don't wake up *wanting* to eat carbs. My brain starts rattling the cage with unbearable thoughts of eating. These thoughts invade the movie I'm watching or work I'm trying to get done. Why does my brain do this to me?? I don't know. As my brain runs the tin can along the bars, I find myself wishing I could just have some alcohol or SOMETHING to shut it up. But those things don't work, either. They're just another version of the addiction I've had to deal with all my life. These forums have helped me more than I can explain. Just being able to type out these words makes me feel a little less "broken" and a lot more human because I KNOW some of you will see me. ❤️

Hi @LibrarianErin I work for an American company and have some US based family and friends so I am well aware of the 4th July. I told my boos (American) that I was having my own freedom day on the 4th I had my pre-op consultation yesterday at the hospital with the anesthetist and floor nurse. Lots of questions for me, an EGC and blood test. I asked if there was anything to do in advance food and drink wise and they said no, just fasting from the night before when I arrive to the hospital. When I said I had given up alcohol three weeks ago they said that was a "good idea" and when I then said that as of the start of this week I had switched to decaf they asked me why I would do that, there was no need!! I explained I had read online a lot where it said not to have caffeine before or after surgery, the nurse laughed and said one of the things they give as a liquid after the op is a coffee. I didn't even tell them that I had started my own version of a liquid diet for the two weeks lead up. Protein shake for breakfast and one for lunch or dinner and then a meal for the other. I am trying to reduce my portion sizes and eat slower but it is really hard. I think that is what I worry about most, being able to slow down and be more mindful. I also love to drink - water, coffee, alcohol etc. - and not sure how I will cope with tiny sips. It is very hot here, in mid to high 80s which is too much for me and I am gulping back the water non-stop. What I didn't like to hear was that I have to shave from under my breasts to top of my things including pubic area. I am not sure I have seen there in years or can easily reach down there The pain of surgery might be one thing but the pain of regrowth elsewhere could be worse for longer, not looking forward to that.

I don't drink often. May be once every 3 to 4 months. I don't dump much. If I have a bit too much of sugar or carbs, may feel little dump-ish but nothing intolerable. So I can drink fine without worrying about dumping. But after bypass, I do get buzzed easily with a glass of any kinda alcohol. And the effect for me persists a good time and doesn't fade away quickly. It's a good thing since a glass is all I need and I am good to go for the evening 😂

I've never been much of a drinker because alcoholism also runs in MY family, so the most I drink now is a glass of wine (and this only once or twice a month). I just know I get "buzzed" much more quickly now -- but I stop after one so I can't really comment on the rest of your experiences. And yes - transfer addiction is real. I unfortunately know of some WLS patients who are now dealing with alcohol addiction. I never feel social pressure to drink, fortunately. Even before WLS, I'd usually just order soft drinks after my one and only drink - and sometimes I wouldn't drink alcohol at all - just soft drinks. Even at bars. I never felt particularly weird about doing that, thankfully...

Hello my fellow Gastric buddies. I'm 3 weeks out from my surgery. I was told not to consume alcohol for a full year. In my nurses education class we were told that the chances of becoming an alcoholic after surgery has become a true fact. I usually have 1 drink in a year,so I'm going to just stay completely away from alcohol like I usually do.

Hi, @RedE2goAimee! Thanks for sharing! I'm with you on watching vlogs and reading articles, and having a good friend to answer questions. I'm of the "no such thing as too much information" mindset 🙂 Kudos on eliminating caffeine and alcohol! I started off caffeine when I started my 4-week pre-op diet plan last week and the headaches have been mild but constant. But I know it's for my health, so I can bear it. Yay for better sleep! Wow, a liquid diet on vacation, that's setting the bar high for yourself! But you can do it! You'll have many more vacations in the future because of this health decision, right?

Here's a weird one. I often heard after getting WLS, that alcohol can be this really slippery slope and transfer addiction is real. It's funny because I was simultaneously worried and not worried at the same time because alcoholism runs in my family and I've seen it ugly, up close and personal which has made me incredibly reflective on my alcohol use, always checking it and monitoring to make sure it wasn't something I was doing out of habit and only in moderation. Basically, I've never been really into alcohol but don't get me wrong, I had my party days in college and I remember being able to drink soooooo much for a long time when I was partying with friends. Fast forward to today, I'm a year and like 5 months post op from bypass and I've found a couple things with alcohol and want to know if anyone is having the same experience: Getting drunk now is horrible, a surefire way straight to my head in the toilet, and not because I'm too drunk but because alcohol makes me incredibly nauseous if I have more than 2 drinks. I also don't drink sugary drinks either - I do usually a hard liquor like vodka and soda water. I find now though that I don't even feel drunk like I used to. I'm incredibly cognizant of everything, don't feel "silly" or "loose" like I used to, then I just get sleepy, and then I just hit a wall and get really nauseous and want to puke. If I have a drink then I eat later, like I've been in a situation where I am going to a dinner, have a cocktail like a couple hours before my meal, then I eat and the food makes me so nauseous and almost dumping. It could be that I'm just older now and drinking is different but I barely drink now since getting my bypass because it just makes me feel like crap. I don't miss it, I think drinking is really bad but I will admit it has taken a toll on my social life (but ultimately it's good to know who wants to actually be friends and who just wants a drinking buddy) But I've always heard that drinking can be a problem after, but now that I have had WLS, drinking is not fun like it used to be and I just don't want to do it at all. Anyone else experiences this? I think it's an interesting topic.