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Ugh, I am sorry that you are dealing with this problem. Rick's advice is solid. I suspect that he is correct that this nasty reflux is probably happening because you ended up developing a hiatal hernia. Hiatal hernias seem to be a VERY common complication of the sleeve long-term sadly, and reflux is the number one symptom they cause. You will very likely be offered a revision to bypass, since that is the "tried and true" way of fixing this kind of problem. However, some people have had good results just repairing the hernia and not doing a whole revision. If it does turn out you have a hernia, check out these recent discussions we have had about the issue:

My gallbladder was remove when they did my bypass I’m crying because I don’t see weight loss looool 😂😂😂😂😤😤😤

When I first met up with a doctor for revision, I told him I couldn't sleep at night because food or acid would rush back up, and if I didn't take my PPI (which I've been on for quite a few years), my esophagus burned, and I didn't want to up my PPI and be on it for my entire life. He then said that I needed a revision to bypass to help with Gerd, and maybe it'll help me lose a little bit more weight.

Happy August fellow bypassers!!! Who's going this week?

I had revision from VSG to Bypass October 2020 due to severe gastritis, esophagitis and Reflux. I'd been on PPI medication for GERD since well before my sleeve surgery, but it only got worse after. Drugs no longer had any impact and I couldn't sleep unless I was in a recliner. I saw my surgeon in August of 2020, had all the testing done to verify the diagnosis and my insurance approved within a month. I have Aetna insurance, but when the surgery is "medically necessary", it moves pretty quick. I was "overweight", but not obese at the time of the bypass, so weight gain was not a factor in the insurance approval. But I don't think it would have changed the medical necessity of the surgery. Good news - the surgery was a success, acid reflux is gone, I now sleep in a bed and I've lost almost 60 pounds since surgery. Recovery was rough - I'm a "dumper", so I still have to be careful what I eat, but I am so very happy that I made the decision to have the revision. Good luck with your surgery!

With the sleeve? I know most people have told me to have bypass to lose that much, but I was just wondering. I am scheduled to have the sleeve on Monday.

Hi im new here Im goingfor the bypass im almost ready they just gave me lots of studies and quizzes and i was wondering if anyone can help me with them Example T/F a person above the age of 13 can stay with the patient overnight

So I initially went in to start my bariatrics process at the hospital in February of 2020. They estimated the time was 6-8 months start to finish (surgery). This was right before the pandemic hit. Now being in Canada by March everything was starting to shut down. Panic was in motion and my initial consultation in Februarg followed by a group orientation in late February was all I had got to do in person. The next appointment I had wasn't until July! Like you it was on zoom. That I believe was a consult with the social worker. Basically someone who talked to me and asked me a bunch of mental health questions. Mostly to see if I was of sound mind, not super depressed or suicidal and if I was mentally prepared to go forward with surgery. She had one follow up over the phone a month later then signed off on her end. Next was the dietician who did what dieticians do, ran me through a PowerPoint presentation about the 3 food groups. I was given a little homework to do over the next 6 weeks. I had to fill dietary sheets saying how much I drank that day, what I had for breakfast, lunch and dinner plus snacks. Times and a note about what type of food that was (ie protein, carb, vegetable). Just basically making sure I understood food groups. Once submitted she reviewed them and another couple weeks later we went over it on the phone. She made some corrections, went over food groups AGAIN.. and gave some suggestions on what I could have to balance a meal. She discussed briefly the phase 1 pre-op diet, phase 2 liquid diet and phase 3 pureed diet. Gave suggestions and ideas about what to eat, to avoid etc. Nothing you can't find online with a little research. Finally she signed off. Then the 2nd wave hit in November and everything shut down again. Fast forward I finally did my second doctor consult in January of 2021 and he reviewed the dieticians notes and social workers and then signed off. Throughout this entire now year that had gone by I was only ever initially weighed in and measured the first month. Blood work done that first month. A year had past and no updates to either were requested. More time goes by and I did a surgeon zoom meeting and he just asked me basic questions. I think the most in depth thing he asked for was to visibly see my stomach and move my head around so he could see my neck function. Then I had a brief phone call with pre-op questions. Finally a surgery date in May was issued. Again a third wave hit and that was cancelled. Finally I had my surgery July 23rd 2021.. nearly a year and a half after starting the process. That's socialist free health care for you though.. so I guess I can't complain. Anyways that's the process I went through and I too was concerned at no point they asked for updated blood work or weigh ins. There was no real monitoring of diet aside from just telling the dietician I understood and showing her a brief demonstration. Throughout that year and a half I fell off the advised diet a bunch of times. I was very dedicated at first, then the delays discouraged me. The additional delays and run around and feeling like this is simply never going to happen really made me fall off. By the time my May surgery date came around I was eating like I ate before, I kind of just didn't care any more. I was also drinking a lot of calories. At some point I fell off the diet drinks and went back to regular and with no bloodwork monitoring or being held accountable, I drank myself into diabetes type 2. Which was found a 3 weeks before surgery when I was checked for the first time ever at a clinic for my blood sugar, which was a 26.8 on the meter. My own fault entirely, but had they done more in person check ups and diagnostics they might've noticed I wasn't losing weight, my sugar levels were getting high. Maybe steps could have been made to help me be accountable and stay on track. After all I'm an addict to food and flavor, leaving me for a year and a half with no support to do it all on my own just didn't work out for me. So I do hope your process goes faster and smoother than mine. But you are not wrong in being concerned by the lack of in-person check ups. Do yourself a favor and speak up and don't just stay silent like I did.

Getting sleeve to bypass in August as well for Gerd/esophagitis. It's horrible to feel gnawing pains that feel like hunger but it's uncontrolled acid. Equally as bad that I can't lay down, even hours after a meal, because it rushes back up once I drift off the sleep and a burning throat even during the day. Look forward to have that fixed as all of you do. Scared this time around since I'm worried about abdominal adhesions from my previous surgeries. Cheers to all of you.

So I've tried some rigorous diets in the past. My weight has fluctuated around 450-470 for years. Twice I've got down to 320-330lbs. Both times I basically did a self induced gastric bypass diet (not a healthy one). But basically liquids, very very little solids and a lack of nutrients. The first time I lost 120lbs in the first 6 months. I didn't step on a scale once while doing it, I just noticed my pants getting bigger. In fact I had no idea how much weight I had lost, the day I decided to check I expected to be 30-40lbs down. When I seen over a hundred pounds gone I was baffled, I thought the scale was broken. That made the next couple months very easy to continue and motivate myself to keep going. Now, again not promoting my diet of choice, it was very unhealthy. I used to joke about it being my cigarette and water diet because I would eat soo little. So of course when I bottomed out at 320lbs and I was in the gym 5 days a week and trying to eat a 1200 calorie dietician approved diet. I was super frustrated each week when I weighed and wasn't losing any weight. Two months went by and i hit 315lbs in the morning but by evening I was back up to 320-323lbs. A cycle of endless repeat and no reward. It was probably caused by the muscle mass I lost along with the weight from not eating barely any nutrients or protein throughout the first few months. Despite exercising and trying to regain muscle even at 1200 calories a day I was eating more than my body was burning off. Eventually I got frustrated and fell off and bounced back up to 360lbs. I was proud I kept a lot of the weight off for a good two years but I eventually went back up to 450lbs. I won't go into the second time because it was a repeat of a lot of the mistakes I made the first time. The same end result and the same discouragement that brought me back up to 470lbs. That is why I decided to go for bariatrics. Because I could lose the weight myself but I couldn't do it healthily, steadily and keep it off. Obviously the older I get the harder it gets to put your body through hell to try and be skinny. I can't speak from post-op surgery because I'm only 1 wrek post-op. But the reasoning for my rant was to say. Both times I found the best strategy was to not weigh myself regularly. It's hard not to want to see the results, but I found discouragement was the worst remedy for trying to keep going. Starving yourself for a week or two and seeing 1lb or less just makes you feel like this isn't worth it. This is pointless or hopeless. Something isn't right. What am I doing wrong? I found the best result was when I just set my mind to what I needed to do and didn't worry about what the scale said. While I fully intend and encourage you and myself to do things healthy and not try to cheat to success. I do not plan to step on a scale unless my doctors office really needs me to, and I might even then ask not to know the results. At least for the first few months. This battle is hard enough without the constant self doubt and feelings of failure. I wish you all the best!

Had my surgery on July 23rd. I have to say I was not prepared for what I woke up to. I had a back surgery a couple years ago and while the pain prior to surgery was insane, after surgery I don't remember any pain at all. Just weakness in my legs and core, difficulty sitting up etc. When I woke up from gastric bypass in recovery I was in soo much pain they literally gave me a shot of ketamine and it felt like I went under anesthesia all over again lol. After that I was in the hospital for 3 days and I'd say the first 48 hours were horrible. I was on hydromorph for pain, Tylenol 6 and gravol. I slept through most of it, which is how I preferred to deal with it. I started passing gas little by little the first and second day. I found asking for a hot blanket to put across my stomach helped a lot with the abdomen pains. I didn't have much interest at all in food or water. I mixed little 30ml cups of apple juice or cranberry juice with 50% water here and there. Ate ice chips when I was thirsty. I think I had maybe one or two mouthfuls of soup the entire time I was there and I had one thing of sugar free jello going the entire stay. That's how little I ate or wanted to eat. By the last day, coming home, I was only a little sore, it seemed to have gone down a lot. By the time I was home for a day I stopped taking pain meds all together, no more gravol either. After reading through some of these I have to say I feel fortunate my body is dealing with the changes so well. I haven't found I'm in any discomfort, no nausea, bowel movements are less frequent than before but still normal. Sitting up, laying down and bending are definitely done at a slower pace but I haven't needed a hand since day 3. Even my 5 small incisions seem to be healing very well and aren't bothering me at all. The diet on the other hand and fighting myself from doing something stupid that will cause problems, that's another story. This has definitely been an experience and I'm taking things slow. Trying to research and find answers before approaching new foods. My girlfriend says I've lost a lot of weight since pre-op diet. I haven't weighed in or measured myself so it could just be inches shredding off. But it's nice to know it's already noticeable. I hope I'll have the success they say of losing 50% or more of body fat. Before surgery I was 470lbs and the lowest I've ever reached through diet and exercise is 320. So I'm really really hoping to see 265-285. That would make this whole hell of a process worth it in my eyes.

Hello guys, This is my first post here. I stumbled upon this page on Google and was reading some of the topics and this community seemed very supportive. I thought I'd give it a try. So I'm one week out of post op gastric bypass. I was in the hospital for about 3 days and I've been home since. I have to say the first couple days I was in horrible pain, way worse than I anticipated. While in the hospital I drank very small amounts and barely ate anything. They gave us little 30ml cups to pour liquids into. We had the option of water, apple/cranberry juice diluted 50/50 with water, skim milk and ice chips. They also gave us a jello every day at lunch and a no sugar vanilla pudding at dinner. Accompanied by some sort of cream based soup with no chunks in it. I was a little surprised because I was expecting clear liquids only. Anyways long story short.. After coming home I've felt much much better. I think I stopped pain meds day 4 and I'm able to move around, bend, etc without any discomfort really. I'm obviously taking it easy but I am finding the now 3 weeks (2 weeks pre-op) liquid diet to be hell on Earth. I'm doing my best and while yesterday and today I tried a little bit of pureed foods and yogurt and it seemed to sit fine. I am trying to follow the guidelines. I personally have no felt any nausea or had any diarrhea since the first day or two. So I'm just sitting here trying to argue with myself about whether to try and suffer another week of primarily liquid diet or to try and step into pureed a little early. I don't want to cause any issues or stretch my stomach accidently. Even with puree I've been careful to have things like Liptons cup-a-soup. I pureed a clam chowder and ate maybe 1/3 of the can and found it sat very heavy the rest of the day on my stomach. I felt bloated and whenever o drank liquids it just refreshed the bloated feeling. Not trying that again. They also expect me to drink 2 protein shakes daily. The best I can do to makr a protein shake that isn't chalky is 300ml of water in the blender. But even then I struggle sipping at it for an hour or more to drink more than half. I actually feel very gassy afterwards and sometimes it too feel very heavy on my stomach. Maybe I am drinking too fast or is this normal at this stage? Obviously I want nothing more than to be back on solid foods. But I know that is at least 3 weeks away and then it will be a very gradual introduction. Sorry for this post being soo long I am just really struggling and not sure what to do. I feel like if I see one more cup of clear chicken broth I'm going to croak. I just miss and want flavour and taste back in my life. Something to get me through to where I can enjoy real food again.

Oh man I had the same fears last November- cases were going back up and I was just like for Pete’s sake can I sneak in before we get shut down again! The good news is that the hospitals are much better equipped to deal with this now, and they won’t shut down electives unless they truly have to since it hurts the hospital so much financially. The hospitals have more experience than they wanted to get at managing this so your odds are better that it will all go through!

Hi! My name is Kayla and I am 30, 5'0 and cw is 220 my surgery is scheduled for 9/7 in San Antonio, TX. For gastric bypass. They recommended that for me because of my acid reflux. I am also a cash customer because I don't have insurance at the moment (I will once I'm married). It cost me less to do cash then it is to pay for insurance and then all the fees. I have a few appointments coming up in August, seems like all at once! Lol Sent from my Pixel 4a using BariatricPal mobile app

Hi! I had surgery on the 13th and a few days ago I made a post called "I hate the scale" lol. I have sort of been all over the place, too. Actually in the past few days since I upped my calories, I am having a more consistent downward weight trend. I think mine was a mixture of body fluids and constipation for the first 10 days after surgery. Today I had my two week appointment and I was down a total of 9 lbs, which doesn't seem like a lot especially compared to those people who lose like 22 or 25 lb in 2 weeks, but I'm following the plan, so there's not much else I can do. I was happy to find out that that loss finally put me under a 35 BMI, so little losses are adding up. I know that people usually talk about the three-week stall on here, but the second week was really chaotic for me weight-wise. Hopefully we will both be slow but steady to meet our goals. Ps I just realized this is the bypass forum, and I had sleeve, but I don't think it makes that much difference in the first few weeks.

Hi everyone, I have been reading the posts here for a while but today is the first time I am posting. I am having gastric bypass tomorrow and my nerves are setting in. My anxiety is through the roof. I am thinking and over thinking every complication and bad possible out come. I am doing this to be Healthy and be here for my kids for a long time. But I cannot stop thinking what if something goes wrong and I have a worse quality of life after or even worse I die and it is my fault that I willing put myself in this situation and leave my kids without a mother. I have been thinking about this surgery for 10 years and I always chickened out, But not this time. I want to do this. I am just scared. Any suggestions on calming my last minute nerves would be greatly appreciated. Sent from my SM-N986U using BariatricPal mobile app

I'm going in for a revision from sleeve to bypass soon. I can not do RTD protein shakes. They are far far too sweet for me. I do not have a sweet tooth at all. What I've been doing since my sleeve these past few years is just using fruit for flavor, like a few strawberries without sugar or artificial sweetener... Etc. So I feel like I'm a fix because after surgery, I have to go 14 days on liquid diet which includes protein shakes but I don't think I can add fruit even if blended well, right? Any ideas what I can add to my water (or other liquid) and unsweetened protein powder that will work post-op bypass? I know I can add my protein powder to broth but would really like to have some type of protein shake. Can I use PB2 (peanut butter powder) on the 4th day Post-Op? Is there such a thing as fruit flavored powder unsweetened that I can add to it? I don't know. I think I'm nervous and am overthinking things this time around. lol Thanks in advance!

I've heard a few people who had the sleeve saying that they stopped losing weight early on. Sorry that you're going through that! I've had pretty slow weight loss myself when I compare myself to others due to my hypothyroidism and not being able to really exercise due to my back injuries and arthritis, but I was still recently able to get to my goal weight even after multiple really long stalls throughout my journey including the most recent one being 47 days long. If you look into revision, other than gastric bypass, you could also see if your insurance will cover the duodenal switch or loop duodenal switch surgery and if you can find a surgeon who will perform it. The sleeve is literally the first part of the surgery, they just add the intestinal bypass portion and you statistically lose the most weight with the DS. So it's an option to look into. I hope you can either find something that will work to pick your weight loss back up or a revision that'll work for you. I'm so sorry you're struggling and I hope that things work out for you.

Hey all, I was sleeved a little over a year ago. alittle about me, surgery day I weighed in at 386. I’m 6’3” and prior to the sleeve I was in the gym 5 days a week most weeks. I’ve been the same weight since 5 months post op, currently weighed in at 315.No matter what I do, more intense workout, sleeve reset, eating more protein, more water, more greens. ( all those were doctor suggestions). Nothing seems to work, kinda like before I even had surgery. Even got to the point where both the surgeons nurse practitioner has said quote “ I don’t have any answers for you”. The surgeon suggest the sleeve reset because he said I had to be over eating. Which I don’t. I eat like a bird most days i got a second opinion 2 months ago and she put me on a 1600 calorie diet, she thought I was under eating and I struggle to eat 1600 calories. my worst fear was when getting the surgery was it wouldn’t be effective and I understand that I’ve lost like 70lbs. That’s all fine and grand I feel better but I’m only 10 lbs from my lowest weight I achieved on my own and that is extremely disappointing to me. I was told by the surgeon prior to surgery that the weight would melt because I was already active quite a bit. I’ve contemplated getting it revised to the bypass but with the slim success of the sleeve I’m quite reluctant to go get another procedure. im really getting to the point of not caring anymore. The doctors all say my labs are good, no thyroid problems or anything like that. im at a loss, this was supposed to be a nice tool to use to change my life and it just seems like it broke early. thanks for reading and letting me vent Matt

Hi, I started in April with my primary care Dr and I'm done with the 6 months in September. I'm going to Froedert in Milwaukee. My last visit with their dietician is September 1st and they will submit it to my insurance...hopefully my surgery will be in November...I wanted it to be in October but they said that it will probably take longer. I just cannot wait!! Good luck to you!

I am in Wisconsin and in badgercare as well. I believe you have to be in a weight management program for at least 6 months. Where in Wisconsin are you from/ where would you go for surgery? I started the process through SSM Health Weight Management in November and will be having my surgery August 20. Sent from my SM-G770U1 using BariatricPal mobile app

Hi. This is my first ever post. I had RNY Gastric Bypass on May 19th, so I'm almost 10 weeks post op and I can't eat. Everything smells and tastes so bad, I can't even get it in my mouth without gagging and throwing up. I'm miserable, weak and so depressed because I can't even do anything with my kids. I can hardly keep water down most of the time, I've talked to my surgeon and they just keep telling me to eat, but I physically can't. Is anyone else dealing with this or has dealt with this? I'm really regretful at this point. I've already lost 70lbs but I'm just not sure that it's worth it at this point, please someone help me.. advice, your story anything, please.

I was revised from the sleeve to bypass last Thursday due to severe GERD and a hiatal hernia. Within about a month or two of being sleeved, I began developing reflux. It took almost 2 years to consult with a specialist who confirmed that I had developed GERD (and over time the hiatal hernia) due to the sleeve surgery. Please be your best advocate and speak up if you feel something isn't right. I took very potent PPI's for almost 3 years and that led to damage to my esophagus. I feel so much better already, and I am losing weight as well!

I am three months out from gastric bypass (April 14). I had no problems drinking water right afterwards, nor was there any throwing up. The hospital supplies the meals so no broth is necessary to bring there. I was able to walk and use the bathroom within the day. I stayed one night. The first week at home is a little rough as you simply don't realize how much you use your abdominal muscles for just sitting up or down. I slept a lot the first few days. I tried my best to not use very much of the pain meds as sadly, addiction can occur even with less strong ones. I didn't pick up any grandchildren for about two-three weeks. But overall, I feel really good. I began exercising where I could (beginning in May) so for the first month and a half I just made it a point to walk for 15 minutes every day. The next month (June) I upped it to one mile. I used the 99 Walks app which for some reason I find quite motivating. For July I went for a mile and a half and I hit my goal a few days ago. For August I'm planning to walk 1 1/2 miles every day for a total of 46.5 miles. Then in September I'm going for 2 miles per day. In addition to the walking, I;m going to a YMCA class two days a week. It has been so very long since I worked out at all that my muscles are very weak so as I stated, I started where I could and be successful. I have learned that this surgery is truly not a sprint but a marathon. It comes with a steep learning curve. But I'm very grateful that now I don't just tell my body I'm going on a diet (and quit a few weeks or days in). With the surgery, now my body tells me "You've eaten enough now" or "Want to find out who is boss now? Swallow something high sugar and I'll quickly let you know exactly how I feel about that! Remember your days of 'toilet hugging drunk'? I can show you what 'toilet hugging intestine problems' too!" I'm currently 60 pounds down and I feel so much better! The doctor took me off insulin (think four shots a day) the following morning as well as Atorvastatin. As my weight comes down, I'm planning to get off high blood pressure medications too. It's a little weird, but very worth it all!

I'm going to have a revision to bypass. I have the sleeve. With the sleeve, I went home right after surgery. I'm kind of stressing about staying at the hospital overnight. Like what to pack? I was wondering what they give you at the hospital as far as drink/food. Should I bring drinks, protein or broth... Etc.? Thanks in advance!