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Aspiration Problems

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Started by cclay, Apr 27, 2007 6:40 AM
21 replies to this topic
21 replies to this topic

    cclay

    Newbie

  • Posts: 4
  • Joined: Oct 2005
  • Surgery: LAP-BAND
Posted April 27, 2007 - 6:40 AM

#1
I have been banded 2 years now and I have alot of aspiration back into my lungs, thus causing and infection or pneumonia. My band is not too tight and I am not losing anymore weight. In fact, I haven't lost what I should have because if I tighten my band anymore the aspiration would be worse. Please if you are going through this talk to me.


    urbrdfs

    Senior Member

  • Posts: 66
  • Joined: Mar 2006
  • Location: GA
  • Surgery: LAP-BAND
  • My Blogs
Posted April 27, 2007 - 7:08 AM

#2
I know what you are talking about. I have lots of reflux and aspiration problems for about a year now (I am 19 months out). I have never had any type of reflux problems before my first fill. The dr gave me a 2.5 which was just too tight. After 3 months of it they decided to take it completly out, put me on nexium for 7 weeks to see if the problem could be corrected. It did indeed help, however 2 months later I had half of the fill put back in (1.8) and to this day have not had another one. I have lost 98 lbs but I suffer with reflux/aspiration problems 4 out of 7 days. My primary care doctor put me back on nexium this last month because of the reflux was just too bad. It is so very frustrating. I try very hard NOT to eat any of the "trigger" foods, I don't eat after 6pm and often I still have problems....my thing is will this be forever???


    JosieK

    JosieK from TX

  • Posts: 763
  • Joined: Mar 2007
  • Gender: Female
  • Location: TEXAS
  • Surgery: LAP-BAND
  • Surgeon: Hadar Spivak
  • Height: 5 feet 8 inches
  • Current Weight: 162 lbs
  • BMI: 24.6
Posted April 27, 2007 - 1:40 PM

#3
hi,
i'm very glad i found this thread. i'm newly banded....i am going crazy. i havent been able to eat for weeks. all i can do is drink protein shakes.

i just found out 2 days ago i have aspiration pneumonia. i'm on antibiotics. so my breathing is better.

this morning i was starting to feel a little like my old self and decided to try soft boiled egg (i need something of substance in my mouth). i ate 1/4 of 1 egg and i've just spent the last few hours sliming, throwing up and the shoulder pain came back

2 weeks ago they checked my band with the fluroscope and my doctor said it is "perfect". i feel stuck. band doctor tells me "dont worry" it is fine. i feel i cant go to a regular doctor as they dont know the band.

i feel like the problem is in the middle of my chest. like my esophogus area.

i'm leaving for a 10 day trip on sunday....i guess i just have to deal with it till i return...

i'm sick of complaining....
but any insight???


    JosieK

    JosieK from TX

  • Posts: 763
  • Joined: Mar 2007
  • Gender: Female
  • Location: TEXAS
  • Surgery: LAP-BAND
  • Surgeon: Hadar Spivak
  • Height: 5 feet 8 inches
  • Current Weight: 162 lbs
  • BMI: 24.6
Posted April 27, 2007 - 3:54 PM

#4
thanks leatha for the advice. i've been thinking of buying a sleep number bed

i'm most concerned that i cant eat anything. today the protein shake wont go down....

does it sound right 4 weeks after operation to have this? i havent had any fills.

the upside is...i'm not really hungry....


    luckyme

    Novice

  • Posts: 17
  • Joined: Aug 2006
  • Surgery: LAP-BAND
Posted April 27, 2007 - 4:37 PM

#5

I have been banded 2 years now and I have alot of aspiration back into my lungs, thus causing and infection or pneumonia. My band is not too tight and I am not losing anymore weight. In fact, I haven't lost what I should have because if I tighten my band anymore the aspiration would be worse. Please if you are going through this talk to me.



Have you had a recent UGI or flouroscopy? Unless you have, you might be too tight without knowing it. The reason I ask is that last summer I had a small fill and started having reflux. I did not notice any increased restriction, in fact I felt I could eat more. After a month, I had the extra fill removed and the reflux resolved. I continued to feel like I didn't have good restriction and was gaining so I had a tiny fill a couple of months ago. No reflux this time, but no additional restriction, so I had an upper GI.

THe UGI showed a huge esophageal dilatation, caused by being too tight. In retrospect this had probably been going on for about a year. The food was stretching out my esophagus rather than giving me a full feeling. I had all the fill removed, repeated the UGI last week. It showed that my esophagus was completely back to normal. I got a small re-fill yesterday.

SO unless you've had x-rays, you could be too tight with out knowing it. I was. I thought I was OK because I never PB'd. I've come to the conclusion that I can't let my band do most of the work anymore. I'm going with a looser fill, limiting portions, exercise and continuing the ongoing work of improving my diet and behaviors. Even without a tight fill, I have less hunger that I did before banding, so I'm working that to my advantage.

Even if you don't look too tight on flouro, you may have to back off on fill. Aspiration is dangerous. I resisted the idea of having fill removed for a long time, but found that I can eat heathier when looser. I had to make a BIG change in my thinking. I've actually re-lost almost all of the weight I regained in the last 6 months. I've done it by eating solid protein, more fresh fruits and vegetables, limiting simple carbs, fried foods, and increasing cardio.

I hope you can find a way to get your symptoms resolved while keeping your band working for you. Don't jeopordize your health by allowing the aspiration to continue.

Kami 5'8"
1/31/05
274/155/153


    cclay

    Newbie

  • Posts: 4
  • Joined: Oct 2005
  • Surgery: LAP-BAND
Posted April 27, 2007 - 6:13 PM

#6
Thanks Kami, I think this is the best advice I have received yet. After all, it is about a lifestyle change and I think, without realizing it I have relied on the band to do all the work without my help. I will contact my doctor for a small unfill Monday am.

CC


    SalesGirl711

    Bariatric Legend

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  • Surgery Date: Apr 2007
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  • Weight Lost: 85 lbs
  • Current Weight: 248 lbs
  • Goal Weight: 180 lbs
  • BMI: 33.6
  • My Blogs
Posted April 30, 2007 - 6:43 AM

#7
If you don't want to fork out the $$ for a sleep-number bed, due to my dad's problems with acid reflux and his gall bladder removal (he still eats things he's not suppose to), his doctor told him to put 2x4's at the top of his bed under the legs. It lifts it up just a couple of inches and he says it makes a big difference.


    Janell

    Intermediate Member

  • Posts: 24
  • Joined: Apr 2007
  • Surgery: LAP-BAND
Posted May 6, 2007 - 8:44 PM

#8
I know this may be so stupid but could someone please explain to me what exactly reflux is. I'm not sure if thats what I have going on or what. I was banded 4-27-07 :clap2: and have been doing pretty goos except this tight feeling in my chest that stays and then every so often tiny little sharp pains. This maybe weird sounding but sometimes when i have those pains my throat actually hurts. I did not of any of these types of problems before the surgery so I was not sure if this is normal afterwards or what. Will it go away or will I always suffer with this. Also can anyone help me knowledge on the different bad sizes? I know I have a 10cm. This site has been a wonderful thing. Thanks everyone.


    faithmd

    I love Red Green!

  • Posts: 2,649
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Posted May 6, 2007 - 8:48 PM

#9
Here's a link to the band info:
http://www.lapbandta...ead.php?t=15216


It does sound like you might have reflux symptoms, but to be sure you should ask your doctor.


    Carlene

    Bariatric Hero

  • Posts: 2,936
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  • Surgery: LAP-BAND
Posted May 7, 2007 - 4:58 PM

#10
I was banded over 2 years ago and have experienced reflux, aspiration pneumonia, and esophageal dilation. None of that is fun, but aspiration can be deadly. You really don't want to try and live with that. One Bandster from another online group ended up with a huge abscess in her lungs from aspiration.

My latest series of problems resulted in having to be unfilled for almost 3 weeks and limited to mushies. During that time, I gained 8 pounds! I just had my swallow test today and my esophagus is back to normal and I got a small fill. The bad news is that if you keep stretching it, the esophagus will eventually NOT spring back into shape and you (me) could end up losing our bands.

I'm on antibiotics for THREE MONTHS as a result of the aspiration. And I haven't even gotten to the esophagitis, which can lead to Barrett's Esophagus and cancer.

You may not think you are too tight, but if you are suffering aspiration, you ARE too tight. Everyone reacts to banding differently, so what's "too tight" for one person may be not tight enough for another.




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