swimbikerun

Agree with all this. Want to add, kill the sauce. What about carbs you are eating? Fats? In terms of swimming what do you do? What is your mileage? I would swim at least 2500. When I was doing competitions, etc. that would ramp up to about 3000-3500. Are you doing just free or putting any IM or fly in there? have you put the food into a tracker of some sort to see calories and carbs/fat?

Yes and no, they do have somewhat of a point, as there is a fair amount of those who gain the weight back. I believe the range is 20%. She does have a right to be concerned. I think the issue for me is more that we have someone who is asking for help which is the biggest step. She's looking for answers. I want to see she gets support in finding those but the way she is describing it is I think past us and maybe on to other help. First of all getting kudos for being concerned, asking for help, says a lot for someone. I'd rather see them do that now then just give up.

Woot woot Carolina girl!

Ummm ... even a small pin hole can leak things out. You have more patience that I do. I admire that. I would pray for you, that really bites. I know someone who had a leak from one of the two bariatric surgeons in the group I was in and they switched to the other doctor.

They did a gastric emptying study? EGD/colonoscopy? There is another test I had done with swallowing a capsule, one for intestines that included just x rays 5 days apart (others do them different times apart) and another one where I had a monitor on all day and the capsule went the whole way down.

Yes. I was told to add salt to diet. I've been low one time before. "We have also discussed the fact that my vagus nerve may have been damaged during surgery, it controls heart rate and BP. Has anyone else had this issue or have heard of this? " That might make sense in my case. I had gastroparesis before the surgery and its still here after. There are questions regarding the enteric nervous system and considering the gastrectomy was my 3rd abdominal surgery (gallbladder was 4th), it is possible that happened in my case. http://www.cvphysiology.com/Blood%20Pressure/BP008.htm https://www.inkling.com/read/berne-and-levy-physiology-updated-koeppen-stanton-6th/chapter-18/nervous-control-of-the-heart http://www.merckmanuals.com/home/heart_and_blood_vessel_disorders/symptoms_of_heart_and_blood_vessel_disorders/fainting.html and here are some interesting ones: http://gi.org/guideline/management-of-gastroparesis/ Postsurgical gastroparesis (PSG), often with vagotomy or vagus nerve injury, represents the third most common etiology of gastroparesis. In the past, most cases resulted from vagotomy performed in combination with gastric drainage to correct medically refractory or complicated peptic ulcer disease. Since the advent of laparoscopic techniques for the treatment of GERD, gastroparesis has become a recognized complication of fundoplication (possibly from vagal injury during the surgery) or bariatric surgery that involves gastroplasty or bypass procedures. http://www.medscape.org/viewarticle/746363_3 Bariatric surgeries such as Roux-en-Y gastric bypass and sleeve gastrectomy, but not laparoscopic banding or vertical banded gastroplasty, increase gastric retention and lead to fundic distention that may increase reports of early satiety, anorexia and weight loss.[46] Lastly, one study reported that 8% of postcholecystectomy patients developed gastroparesis, suggesting that operations that do not disrupt vagal activity also impair gastric motor function.[4] Isolated development of delayed gastric emptying with preservation of normal transit in other gut regions can be a complication of selected disorders. Some studies have reported delayed liquid or solid gastric emptying in patients with GERD. https://web.duke.edu/surgery/2014_Bariatric_masters/session6_yoo.pdf http://www.hopkinsmedicine.org/gastroenterology_hepatology/_pdfs/esophagus_stomach/gastroparesis.pdf http://www.columbiasurgery.org/news/healthpoints/2011_winter/p3.html Victoria

Not that but similar types of problems. What is still ongoing now? Have they ruled out GI issues or motility issues?

Can you find another psychologist? They are not helpful. Second, what about substitutes? Water or 0 calorie items or veggies. Walking?

Swimming?

What is good for everyone else is maybe not good for you. The better option is to see what is available where you live and give them a try. The next is for those types of mail order ones and see what you come up with there. Different tastes, different likes, can all make this an interesting thing.

I can feel for you!! We are here for you.

Hi Natalie, Here is my take on what you said: you are going thru a divorce, so try focusing on yourself at this point. You have other worries you mentioned but right now your health and all that is going on, that could probably be best to take that attention there first. {{hugs}}

Something isn't right and I agree with you. Who is paying for this?

One other thing - I have a number of problems after the surgery and one it didn't fix. I was hospitalized for malnutrition badly enough I got told I ws going to die. I still tell people get the surgery. Because 98.5% of people have no problem and the biggest issue they have is weight gain. I would rather enjoy the quality of life that I had in swimming, running, etc. and the memories of that then sitting on my can doing nothing. I don't regret the surgery. If I can say that, isn't giving your life and health worth the chance? My stuff is rare and I had GI problems to begin with. If you can get the surgery DO IT! It is worth it.

Ok first have people died from surgery in the past? Yes. The surgery NOW is safer than a hip replacement (as far as I have seen the official stats). That being said, remember surgery on an obese, especially the super obese person is risky. That is why it is imperative that people investigate their doctors, and be careful. Note that this person could do this because they are selling something. I always investigate what someone is tied to. I have no $$$ and no interest and am not related in any way to a group or office. You can't tell if that is true about this person. I've been in a couple of "stings" where I investigated offices who had people masquarading as people who used the product, etc. and it was all a scheme to win their $$$.

Fabulous post Camella.

You just got an excellent response. My other question is why aren't you trying exercise to help relieve tension and stress vs. food?

Yes but for the positive. I can't do anything now, even walking can be an issue but that's a different story.

You can always mush up chicken or tuna or eggs.

Did you post in the vegan/vegetarian area?

Well here is why I ask, is that we have tiny appetizer spoons and forks, and that is what I use. Same for dishes. We have 4x4 plates that help us starting out. Tiny bites at first. I dont know if you have cups like we do, that are only 1 ounce in size. That helps you to drink at first and to eat. I'd go for whatever lean Proteins there are there. That first. Anything that you can cook soft also. I love dates big time, and figs aren't bad either but those are bit harder on the stomach. What can you get that you can cook soft or make kinda mushy?

That's great that your doctor wants you to do that but what are they giving you in terms of help? I understand this point, but what about a PICC line until you can eat? banana bags? At this point, I am quite concerned that doctors should be taking the lead in helping you. I'm not sure I get that feeling. I would say going from soft moist foods at this point would be good but we're missing a MAJOR issue here: culture. I am not a Muslim and don't want to tell you to eat something that is "haram"? I think is the word. I don't know what is usually available to you in terms of foods that you normally eat in your country. I have friends from India and their "daily diet" is different from mine. The veggies and fruits available here in the states or even Canada is different from Saudi Arabia. Do they have nutritionists there to help? Please know that no matter what religion, we are all here to cheer you on and support you at least mentally and emotionally as best we can. The Arabian Peninsula, from what I understand, has a growing populace with obesity issues. To take this step, requires courage. Its tough as in America, the focus and support is different and is more wide and varied. May the step you took work out.

I know what would be helpful and that is a tracker. When I am off, or think I am off, I use Supertracker. I also have done a job of investigating some scientific ranges of how many calories I'm really expending. I am not calling you a liar. I will say that I've overestimated and underestimated both sides of the equations at times. I've had to adjust based on digging deeper. I dont know if that helps or how we could do better unless you produced a report or your background articles to help us fine tune things more.

I would ask not just about leaks but other problems. I had other problems. The surgeon didn't appear to recognize them. Then its all being blamed on me. However, these are bonafide diagnoses and there's nothing that can be done. Trying to block care, send lawyers after me (amazing how I have said I aint interested in suing you so why are you reverting every question to lawyers?), the cops after me (hmmm being in a public place walking or sitting and not screaming profanities, etc. probably has the cops wondering because they've said we're not seeing any sort of behavior like that). Yes I would be asking a lot more questions and sure wouldn't be as much about that as how much aftercare they'll do and what it encompasses. You want to ask people who have good and bad experiences with them. My eye doctor gave me the lawsuit he got in, and I checked it out. It was a bad problem but nothing he did but just be the one who did it. That's a real doctor - he says this is my worst case and is upfront about it. He didn't lie either.

I am so very sorry. Wsh I could give hugs. That has got to be frustrating. Why is it they need to work with the GI? That is a surgical issue.