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Pouch Dialation, Cant Find Sweet Spot



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I've had my band over two years now. About 130 lbs down. I have not lost weight during year 2! I just got a fill on Wednesday, NP was hesitant as we have been playing around with the same Fluid level for a year now....add current Fluid level....good restriction, good food choices, but night cough/reflux. remove fluid....can eat the house down. I'm very frustrated and discouraged. I just started taking Tagament yesterday..helping a little. I dont know what else to do. Anyone who can relate, please share. I'm praying I dont have to have another surgery.

Angela~

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I am 4 years out. I have severe esophagitis and a hiatal hernia. My band isn't as snug as I would like it, but any tighter and my reflux flares up and I am miserable.

So it is taking me a little more will power to slow down more, weigh out my portions and stop eating. I find that even though I sometimes want to eat more and physically can eat more, I still stop. And I am being satiated for 4 hours. If I do get hungry before next meal I snack on string cheese or almonds.

I would stop messing with the fill level. I was doing the same thing. A little in, a little out, a little in.... I have had 24 fills and 8 unfills. Yikes!!

So maybe try backing out a teensy tiny fill amount from your reflux amount. A .2cc fill/unfill can make a huge difference. And add a little more willpower to your arsenal.

Good luck. I hope you find what works for you.

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I have a similar issue, i had to unfill my band for cancer treatment, and over the folliwing year could never find comfortable restriction until my surgeon gave me a really good one. In the end i had a barium swallow and yes, very slight pouch ilation, tge band itsekf is paced fine but is very tight. I do get occasionl heartburn, but not actual reflux, never get stuck ir vomit.I know I cant go any tighter, and I am abke to work with what I have.

All in all though, I am aware that I can eat more and I actively work against that. Maintenance takes more work than losing did in the early days.

My band is fine, doc says it will be fine for years if I treat it right.

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