It's been 5 months (almost) since my sleeve operation and its been a huge success to me and I'm very happy. Every so often, however, I get a bit paranoid about things running smoothly and I must admit I'm confused about the last few days.

Since the op, the hunger pretty much went, however, the first month I had some physical twinges in my belly that felt like hunger and they attacked at night. Then those feelings went and it was literally a chore to eat food.

The last few days, however, I actually have woken up with these physical hunger sensations, and I've felt a bit of an urgency to eat. This feels a bit odd to me, I suppose, since I haven't had that in a while. It goes a little after I eat but I notice, even when I'm stuffed, that feeling of 'emptiness' is lingering there.

I've gotten use to eating breakfast quite late in the day, without a hungry feeling but the last few mornings my hunger pangs felt almost comparable to the days before my op.

I'm wondering if this is true hunger or possibly to do with acid but it's been bothering me a bit.

I'm eating from around 800 to 950 calories a day and losing consistently every week, so I haven't had a true stall and I know I can't complain. Psychologically I get scared when I get this almost ravenous feeling that I will somehow 'lose control' with food like before the op.

I actually woke up in the middle of the night last night with this hungry feeling and am unsure why it's been there so strongly simply over the last few days.

I have been quite ill recently and have almost lost my voice, so have been staying at home feeling a bit useless with myself, which I'm sure isn't helping the food thoughts too!

Are you taking a PPI? If not, try taking one and see if that makes those feeling go away. I stopped taking mine at 3 months post-op and started again a week later as my stomach woke me up growling in the middle of the night and I knew it was acid, not hunger.

I get hungry too. But its not a problem because its gone after 3 bites of protein-avoid sliders, eat protein and it doesn't need to be the monster it once was. I'm hungry now...off to make a good choice and eat a tiny bit.

I'm about the same time frame as you and YES I've noticed that in the last few weeks I've actually gotten hungry, especially after a 90 minute swim or so, but as Lakelady pointed out it's not the ravenous monster it once was. Pre-op my sugar would drop like a rock and I would gorge myself on carbs like crazy. Now I just get a wee bit hungry and if it happens between meals a few saltine crackers eases it. If I face a meal hungry I fill up fast and can't eat anywhere near the amount I once could.

Just mind your intake and stay away from high calorie foods that are bad for you and you should be just fine.

Usually hunger pains are a result of not getting enough protein or getting liquids. Are you getting enough protein and liquids?

Are you taking a PPI? If not, try taking one and see if that makes those feeling go away. I stopped taking mine at 3 months post-op and started again a week later as my stomach woke me up growling in the middle of the night and I knew it was acid, not hunger.

What is does PPI stand for?

Proton Pump Inhibitor AKA Prilosec or Nexium or Prevacid.

What is does PPI stand for?