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In people with an intestinal component to their surgery (like gastric bypass, SADI, and DS) sometimes GI symptoms can happen like chronic gas. You might consider exploring a FODMAP diet to see if you can find the foods that are triggering the gas. Odds are something you are eating is causing this... You could also try adding a probiotic, sometimes the gut microbiome can get off kilter. And a reduction in the simple carbs you are eating might help too if you eat a lot of carbs as opposed to a protein heavy diet. As for the burping, it sounds like for some reason you are swallowing a lot of air. You might try drinking fluids a bit differently. If you drink from a bottle or a straw a lot, you might switch to a wide mouthed cup. My dietician said a lot of water bottles and narrow shaped cups (as well as straws) can cause you to swallow a lot more air than normal, causing burping and sometimes nausea. I'm sorry food doesn't feel good right now. I feel the movement of food in my esophagus and stomach a lot, as well as when I drink. Small sips and small bites help. Small is smaller than you think. I hear it gets better as time goes on... Sometimes I can eat relatively normally, other times (like this week) my restriction is super high and I can only eat half of what I normally do, or less. There is an ebb and flow to this. So on my high restriction days I eat less and drink more protein supplements. On my low restriction days I get more veggies in and a hefty dose of meat based proteins. I figure it all averages out in the end! I agree though, a talk with your doctor is in order. You shouldn't be experiencing pain at this point. On rare occasions bypass patients can develop strictures which could cause some of the symptoms you list.

Gastric bypass for GERD developed from a sleeve surgery is considered the gold standard of treatment. However, it is not 100% effective... A number of studies, like this one https://www.nature.com/articles/s41366-022-01072-9 show that up to 30% of people still report post-operative GERD symptoms to some degree after gastric bypass. You are not experiencing the impossible, nor are you imagining it. Unfortunately these occurrences have not been well studied, so it is good you are having an endoscopy to check things out. Hopefully it will show something that can be easily corrected!! In the meantime, elevating the head of your bed when you sleep can make a big difference. You can do this by elevating the actual mattress, or sleeping with a wedge pillow. As an aside, when you developed GERD with the sleeve, did they do studies to prove GERD due to stomach acid reflux? I ask because some people with GERD actually have bile reflux, which can produce the same symptoms but has a very different treatment path. It is worth ensuring they've tested for bile reflux just to be sure they are treating the right condition.

so you went from sleeve to bypass? That will usually cure it - or at minimum, greatly improve it. Hopefully something will show up on your (May) endoscopy so they'll know what's going on.

Hello everyone, 8 months ago, I had a gastric bypass surgery, and I've lost -32 kg since then. However, I take zero pleasure in drinking or eating. I painfully feel the journey of the food I ingest to my stomach. Everything makes me burp, whether it's food or drink, even a small sip of water. I also have flatulence. My appetite is very unstable: one day I eat well, the next I can't swallow more than 3 bites. I experience nausea and random cramps. My stomach frequently gurgles, which makes me uncomfortable in public. I feel very uncomfortable at restaurants. Have other people experienced these symptoms, and do they ease with time? These symptoms appeared rather late for me, which worries me even more. I wonder how I will cope with this for life?

Hello @ms.sss I actually really do appreciate your response. You are pretty accurate in your assessment, lol, I definitely have my moments but for the most part I tend to be pretty agreeable and sometimes that bites me. i have taken A little breather after yesterday’s meeting with my surgeons’ PA and waking up to a stranger taking their time to say I should too makes me realize I’m not just being overly anxious. Thank you!! I did make a call just now to see if the only other surgeon I would consider does this procedure and he does not So I guess the most obvious options at this point are to just go with the bypass instead or to ask ALOT of questions and pose some really uncomfortable ones about the surgein and that team that I may not like the answers too. Regardless I realize I need to slow this bus down a great deal and really think this one through. My thoughts so far are, when the surgeon sits down with me and my list of questions IF I feel better that HE has done his research and both he and I are confident he has this, then I just need to worry about the aftercare. I need to be bold and require that he gives a way to get HIM, post op if I have any urgent concerns. And I need to know who he turns to if he doesn’t know the answer. I know for my first post op appointment I will see him but maybe I can see him ever so often past that. Especially if I am feeling lost. The PA said yesterday that I may get him or the surgeon if I called with questions immediately post op and he claimed he wouldn’t just give me an answer to give me an answer but it sorta felt like what he did for a half hour with my questions. I am just going to have to go out of my comfort zone a bit and bluntly say that I don’t feel like the rest of the team is prepared to handle my care with this particular procedure. I must get the point across that the PA just can’t answer all my questions at this point and I wouldn’t feel confident in his advice about any post op questions. Or, Perhaps he could just make the PA do the research now? I mean he is practically a doctor. They know how to learn things. I just don’t think he has tried with this procedure yet. He did seem to know alot about the DS, Just not this modified version. I can ask to meet with him again after he has had a chance to prepare and see how I feel with him. My gut has gotten me this far?? As far as the dietician goes. I think I just need a list of what macros he wants me to stick to and to know what type of carbs really count and I think I can take it from there at least witb the help of this community. I also think I can shop around for a different dietician once I have the requirements If I feel like I even need one. I’m hoping that the dietician gets the exact requirements from the surgeon in preparation for our meeting in two weeks. If not I will need to ask him that when I meet with him as well. I guess the skinny about the surgeon, though is that I am going to have to pump the brakes a bit and put on my big girl panties. I need to have some awkward conversations and just mentally prepare myself that the result could be that I don’t get exactly what I thought I wanted.

Hi everyone, I had Laparoscopic Sleeve Gastrectomy in September 2023. my starting weight (on the day of surgery) was 102 KG and today march 27th 2024 I am 70.6 KG so I've lost a total of 31.4 KG. My height is 165 cm. so I believe I'm almost close to my weight goal. I want to lose maybe 8-10 more kilos and I think that's good enough for me. I took photos of my body on November and yesterday I took photos as well to compare both. however what I'm noticing is that although weight number has gone down, I do see difference in shape of my body (legs, arms, face, back) but I have an issue with my stomach. it has gotten better and smaller, however for someone almost going into 60's I don't think my belly should be looking this big. Do you guys recommend anything to do or try or should I see a doctor about this? please help! I don't want to struggle with reaching my goal weight and having a big stomach still.

Hi everyone, I had Laparoscopic Sleeve Gastrectomy in September 2023. my starting weight (on the day of surgery) was 102 KG and today march 27th 2024 I am 70.6 KG so I've lost a total of 31.4 KG. My height is 165 cm. so I believe I'm almost close to my weight goal. I want to lose maybe 8-10 more kilos and I think that's good enough for me. I took photos of my body on November and yesterday I took photos as well to compare both. however what I'm noticing is that although weight number has gone down, I do see difference in shape of my body (legs, arms, face, back) but I have an issue with my stomach. it has gotten better and smaller, however for someone almost going into 60's I don't think my belly should be looking this big. Do you guys recommend anything to do or try or should I see a doctor about this? please help! I don't want to struggle with reaching my goal weight and having a big stomach still.

Hi everyone, I had Laparoscopic Sleeve Gastrectomy in September 2023. my starting weight (on the day of surgery) was 102 KG and today march 27th 2024 I am 70.6 KG so I've lost a total of 31.4 KG. My height is 165 cm. so I believe I'm almost close to my weight goal. I want to lose maybe 8-10 more kilos and I think that's good enough for me. I took photos of my body on November and yesterday I took photos as well to compare both. however what I'm noticing is that although weight number has gone down, I do see difference in shape of my body (legs, arms, face, back) but I have an issue with my stomach. it has gotten better and smaller, however for someone almost going into 60's I don't think my belly should be looking this big. Do you guys recommend anything to do or try or should I see a doctor about this? please help! I don't want to struggle with reaching my goal weight and having a big stomach still.

My surgery gastric bypass surgery was on March 19th. Taking in liquids is still a little difficult but better than the 1st 2 days.

Right now I am not getting a great deal of help from his team. I am trying to decide between SADI and bypass but I honestly think I may be one of the first patients to get the SADI with him. A fact that if it is true scares me a bit but the possibility of greater weight loss has kept me interested. I do have an appointment tomorrow with his PA and in two weeks with the dietician to help in my decision. I hope I get quite a few answers between the two. I am just really trying to figure things out so I can eat that way now to see what I am possibly getting myself into. Lol

The knee isn't good. I'm trying to hold off until June to have the replacement done, just to be certain that I don't have any issues with the gastric bypass. Do you take an iron supplement alone or is it iron added into your multivitamin? If your not taking iron added into a multivitamin you may try that. Unless it wouldn't be enough for what you need. Sorry you're having that problem. Hope you find a solution.

Great points. I don't have a lot of extra skin, so this doesn't really apply. I'd say, if I removed all that I have 2 or 3 lbs max. At my 1 year mark, in May, they will do a body composition test; so I'll know more then as to my muscle mass. My last test in November, I was right where they wanted me and hadn't lost any muscle since my 3 months test. I definitely don't have much fat left, just a bit on my thighs. This is why I'm concerned. My goal was 140. I've gotten down to 135, and bounced back to 136-137. I was concerned because I lost 4 lbs in a week after I started upping my calories to stop losing. Maybe my body was excited for the increase and lost more fat 🤷‍♀️

I would go with The Bypass or DS, several people with the sleeve usually end up getting revisions. Good luck to you! Get a few consults with surgeons.

I had gastric bypass on 3/12!

You do have legitimate questions and ones that any doctor or their team should be comfortable answering as they are important to you and your peace of mind in consideration of another procedure. I know via your prior post you said you aren’t on the socials quite as much, but if you listen to podcasts I’d recommend BariNation. There is one of the hosts who had been sleeved and always felt like they could consume more than they should, and did not want a bypass (which he was originally told he would need to be sleeved first, lose enough to be then safe enough to have a bypass). He thought a bypass would be the only option and for whatever reason was not keen on it. He was then introduced to a doctor who said that’s not his only option and told him about the SADI. He eventually got his evaluation and found out that though the sleeve is said to remove 80% of your stomach, his was only 50-60% so he wasn’t wrong that his eating capacity was more than he thought. He recently did his revision surgery and part of it was resleeving on top of the reroute of the intestinal tract. So yes part of the procedure should be to reevaluate your stomach size to determine whether it should be revised.

I am three years post sleeve contemplating revision surgery and I am trying not to do food funerals this time. I still don’t have a surgery date though so let’s see how I feel as I count down the days. . I am thinking I am going to have the SADI so I really May have stuff I can never tolerate Again. Now I’m thinking…maybe just one last meal, lol. But if you are like me and carbs make you crave carbs maybe stop these a few days before your scheduled to start the pre op. Otherwise the preop will seen that much harder. Just FYI also, With the sleeve I was able to tolerate anything post surgery and I’ve heard the same from a lot of people who have had bypass (although they can sometimes only have very small amounts of certain things).

I would try to keep your questions open ended. I'm interested in hearing how your previous SADI patients have progressed and where they have ended up. Have they had complications or have any of them regretted having SADI? If so, why? Would it be possible to give me a ballpark, numbers wise, of the spilt between your sleeve, bypass, and SADI procedures? Do you have to undertake special training in SADI, given that it's not a routine WLS? Please can you explain...(whatever specific Qs you have about the procedure or life after the procedure, or whatever) It would help me with my decision to know how many of your previous SADI patients were second surgeries and how many first. If you were advising a relative of yours who was considering SADI, what would you tell them? If you were in my position would you have this particular procedure? How do immediate and long term complications tend to manifest?

Hello I had my revision to gastric bypass March 20th, 2024. The pain is minimal when moving or sitting. I’ve been able to stop pain meds. What I do feel has me so worried even though I’m pretty sure it’s not anything terrible. Whenever I drink fluids I get a pain in my lower abdomen. Not terrible but I feel it and when I do I get nervous. I have my post op appt next Friday. Should I wait to see if it subsides or do I call the surgeon Monday? TIA for your answers.

Okay now that I’ve told my regain story and done as much research as I can (there is not a ton of info out there about the SADI) I have questions. Some that are white awkward tk Ask the doctor. First and foremost is how many of these procedures he had done. He is a very well knows surgeon, head of the bariatric department at the hospital even but I don’t think he has done a lot of this particular procedure. In fact the poster schematic is not yet on the wall and his office did not have any information packets to share about the procedure yet. If he says I am first I want to ask what makes him comfident he is capable? I’m pretty sure he just does sleeve and bypass primarily. So how differnt is if than a bypass?? I sorta understand the gist of it but I admit I don’t understand normal anatomy nevermind the exact differences between the procedures. also, I read some medical research on the procedure and they were talking about less complications after the learning curve a couple years later. Did that mean the individual surgeons learning curve or did they mean the field has learned from each others mistakes. I have to admit maybe being in the first few adds a little bit more anxiety to all this. Next I need to ask him, if he made my sleeve to big if he will correct that as well I have always felt like my sleeve was a little larger than everyone else’s based on how much I could eat so if he gets in there and that’s the case does he fix that as part of the procedure if so, is that now a differnt procedure and does that matter? I am not expecting anyone to know answers to these questions just help me with the way to word them so that I can feel comfortable asking I don’t want him to think I am questioning his surgical skills because I know he is really good but I still need some reassurances here

Okay this is long and boring at parts but here it goes. I am 3 years post sleeve and I have gained all my weight back . First of all I was on the smaller side to have the sleeve but I do still have all the same struggles and if I had waited until I was older it was just a matter of time until I was a higher bmi having the surgery. The fact that I have lost and then gained it all plus some within less than years is probably proof of that. Anyways, with the sleeve I did lose a big chunk of weight. I went from 235 to 168 which I could not have done with regular diet. But, i was always able to eat a little more than I should at every given stage and everything was easy for me. From day one I had no gas pain and water was easy to get down, then fluids and protein which were easy to keep down, I had no food intolerances and advancing through each stage. I was living my best life watching the pounds fall off but I was alway able to eat just a little more than everyone else at the same stage. Well, while the hunger hormone was gone and I was focused I was able to eat exactly what I SHOULD be eating and I measured my portions to the Amount I should be eating and I was satisfied. So lost most of the weight the dr suggested I would. i held that weight for a few months but then the hunger started creeping back and between the hunger and the extra room in the pouch I started gaining in spite of still making healthy food choices (my food was fine but my portions were too large and too frequent). Well, even though I knew I was losing control my friends and family continued to look at me as doing great..I was still on the road to getting to where I needed ti be in their eyes. I was ashamed. I was failing yet They kept complimenting me and offering me food. They were saying things like your doing so good, you can have one slice or pizza or one brownie. It won’t kill you. It’s okay that you’ve gained a couple pounds I’ve gained a couple it’s Christmas. You can lose that. Well I have since learned that no I cannot just have one of anything to do with carbs or I crave them for a week but I didn’t know that back then Anyways, was still going to my surgeon asking for help but I have bipolar disorder and the meds I take for it limit what other meds I can take so I cannot take many of the weight loss meds they had to offer. And the one I can take worked wonderfully during the day but when it wore off I ate all night Fast forward a few months and I stepped on the scale and I was back over 200. That sucked but I wasn’t giving up. went back to my surgeon asking about revision to bypass. I have heartburn gerd whatever you call it and clearly the sleeve wasn’t working so I wanted to know my options. Well let’s go back. I knew I didn’t want to have surgery if I was going to just repeat the yo-yo that had just happened so I decided I wanted two opinions this time. Well the second opinion dr had a cancellation so I seen him first. He was on board. He was going to bypass a shorter amount of bowel so i had less absorption issues and my meds Would work fine he said which seemed to be his concern even though it wasn’t really my question. I just needed my dr to say that it shouldn't be a repeat of last time and I was going forward. Well even though the bypass was an option he presented to me to start he said he wouldn’t do a bypass for me. He thought it would be a bad call with my mental health issues. This was confusing to say the least because I have one dr saying it’s fine and another dr I really respect saying it’s not and I started this thinking bypass was always an okay option in terms of mental health but worried the surgery just wouldn’t work for me. I am of course concerned about my mental health so took some time to think about it. I tried for a while to find a bariatric therapiest but none near me are taking any new patients. I even asked the surgeon and he said he would look into it but be never did. Anyways I called around for the better part of two days. They all just do the evaluations now for surgery. I have had every hormone test and lab they have that could possibly be the problem. I changed all my meds in case they were the issue. I tried everything myself and my doctors could think of but I kept gaining. When I revisited the idea of surgery I was scared. Anything that was going to upset my mental health again just isn’t an option I decided. I already know what life without my medication is like and I do not want to go back there. I continued to gain. I got back up to 245 and I am miserable. I am so depressed when I look at what I have let happen to myself. I had a chance and I blew it. I am disgusted when I look in the mirror. I decided that the weight is causing me to be more depressed so I needed to get some real answers. I went back to my surgeon. Not to ask him to do the surgery but exactly why he thought it was a bad idea. The plan was to take that info and talk to the other surgeon to make sure he had considered that and see why he wasn’t worried about it. Well, surprise…my surgeon is on board now with doing a revision for me. When I asked why he said no before he said something about a nite in my chart that said I wasn’t complaint with my meds back them and he didn’t know I have a psychiatrist and psychologist and take my meds but now he is comfortable doing surgery. So, frustrated I had to wait until I gained almost 50 more pounds to get here but excited he is willing to do it I am researching the other surgery he thinks will be a better fit for me called the SADI. At the same time I am still not buying the note in my chart thing. Cause that was never true. I guess the important takeaway for those of you here that are just starting out is even if you do regain don’t lose touch with your team and don’t give up. I feel like my dr wavering in whether he would do the surgery didn’t help but I could have asked more questions sooner and I wouldn’t have so much to lose this time. Plus, hopefully you guys can take the weight loss meds and won’t be facing a second surgery.

I have a therapist that I speak to refularly but no she doesn’t specialize in food. Unfortunately there are not any therapists around here that specialize in food taking on new patients. I even asked the surgeons and they only know the ones they refer you to for evaluation to be cleared for surgery (who apparently want to make the quick $300 or whatever it was and move on because they don’t accept new patients). I know that it could be a huge help for me but I hate to bring it up again knowing he won’t have an answer anyways. I don’t want him to think I’m not fit for surgery if that’s my only option. I don’t have any eating disorders. I don’t binge or anything but I do eat when I’m upset. I am not sure to what degree that is normal or can be helped but I would love to try. I just can’t find anyone and I’ve asked anyone and everyone I can think of. Basically my drs team does not hace any info on the surgery yet. I think I may be one of his first patients with this particular procedure. He is a very well know and excellent surgeon but he only offered sleeve and bypass before as far as I know. Anyways so far I have read from many different sites that you can’t have grains, probably won’t be able to tolorate dairy, can have a small amount of fat, must eat a lot of protein of course but some people can’t tolorate beans and keep carbs low so limit the amount of fruit and what I consider to be the edible vegetables. Basically that leaves me eating meat all the time, with maybe a little avacado and nothing else, I mean in terms of the options that I actually like, am I right? I mean at least with the sleeve I could eat eggs and beans and fruit and veggies I liked. I’m talking about even in maintenance I don’t think people who get SADI can have these things. Otherwise it causes the bathroom side effects. im really hoping that I’m wrong. There is such a little Amount of very confusing information about this surgery out there and I do intend to ask the dr and the dietician. In fact I called and left a message for her earlier today wanting to know what she knows about this procedure and whether I should schedule with her to learn about diet in the long term? She didn’t call back yet. Do you know that there isn’t even a cookbook for this procedure yet. At least that I could find. I’m not getting this much of my anatomy altered and facing this type of risks without knowing my long term diet is going to be.

From sleeve to the mini gastric bypass and two weeks later emergency gallbladder removal. I can't stop pooping, this is crazy

Had the bypass 3/18.

Hi. I had gastric bypass Monday the 18th. I am doing well, walking a lot. Today I had a few sips of coffee and I also am having a few sips of a lobster bisque soup. Technically neither of these things are allowed but I just needed something more than broth and protein shakes. I am also having trouble getting 48+ oz a day of liquids in. I’ve been consistently getting 36-40 but after that 40 it’s so hard. i guess my question is.. am i harming myself by jumping ahead by a few days? I understand it’s best to listen to my doctor but i am just struggling to do anything and tasting something different seems to have helped HW 324 SW (before liquid diet) 324 CW 296