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Hiatal hernia after already having the sleeve?



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4 hours ago, KateinMichigan said:

Hi Lee,

I thought after a month it was supposed to get a lot better. The weight loss is a bonus, but the pain when eating sucks! Has the pain stayed constant - or is it slowly getting better? Is it really tight when you eat meats? Does it feel like it’ll get stuck? When does your surgeon say it’ll get better? What are some of your favorite foods/go to’s during this time? I’m guessing a lot of shakes - but do mash potatoes hurt too?

Thanks!

HI!

My surgeon is a GREAT bariatric surgeon, as far as doing the surgery, but she isn't on top of much regarding the nutritional aspects of the program. I finally called one of the nutritionists associated with the bariatric program. She said it's not uncommon for people to have more issues eating after the HH surgery than after the initial VGS surgery. She said that she thinks it's because when having VGS, there is that long internal suture line from forming the sleeve, but it's not connected or stitched to anything. With the HH repair, I've had my sleeve "tacked" to something internally, as well as mesh stitched into my diaphragm. Every time I breathe or swallow something, that all gets "pulled on" and that's what she thinks the pain is from, and also that the mesh repair narrows the opening in the diaphragm through which the esophagus passes. I don't know... I'm not a doctor and I don't play one on TV, hahaha, but it seems kind-of a reasonable explanation!

It's still a guessing game regarding eating. I eat Soup for dinner at least half the time; not so much fun in the middle of summer, but it's food. I make sure the veggies in it are really soft and I can mash them up. Sometimes I can tolerate crackers in the soup, also. No Pasta unless it's well mashed in sauce, but even then it's questionable. I mash up the macaroni in macaroni and cheese and it's OK, but when we had stuffed shells I only ate the filling and the cheese from the topping. No rice, no breads, even with a lot of butter. I had Cereal recently (Lucky Charms) but had to wait for it to get soft in the milk. eggs are OK, as is tuna salad and egg salad, but chicken salad today was disastrous. It's a different kind of pain than from the HH, more like a line of pain across the top of my chest. Salad is a no-no, has been all along, but right now I still struggle with ground meats (burger, turkey burger, etc). I do OK with corn on the cob, though, which is a gift as it's one of my favorite summer treats! I honestly never know what's going to sit well, although anything that is smooshed up in a gravy or sauce is usually OK, or meat that is fatty. I still have to take small bites and chew, chew, chew, but once it goes down, it STAYS down, which is a plus, and still NO GERD! Also no PPI, no tums, etc. I'm still not sure how any of this is supposed to go, but I am glad I had the HH repaired. I was tired of drowning in acid every evening and of vomiting up food daily.

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On 7/20/2021 at 5:35 PM, leebick said:

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Hi Lee - just doing my weekly check in - how’d it go this week? Is the pain better? Is it easier to eat?

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Just now, KateinMichigan said:

Hi Lee - just doing my weekly check in - how’d it go this week? Is the pain better? Is it easier to eat?

Hi, thanks for checking in. Yes, it is getting easier, better. I just have to be mindful when eating- chew a lot, eat slowly, pay attention. Yesterday we went with friends to Celebrate my birthday (I'm 65 today) and I was able to slowly sip a beer and carefully eat some nachos- it was GREAT, and makes me feel like finally I am going to get back to life! (5 weeks post-surgery, if anyone's keeping score!)

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Happy Birthday!!! Nachos and a beer without a side of Acid - lol. Sounds glorious.

Edited by KateinMichigan

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