What would cause stomach bloating 20 years after a gastric bypass?

It could be that you have not been choosing well what you eat, and surely you can fit more food, you must return to the path of good nutrition

A sudden change in the appearance of your stomach, especially after gastric bypass surgery, could indicate an underlying issue such as abdominal bloating, fluid retention, or changes in body composition. Over time, scar tissue, internal hernias, or adhesions can develop after gastric bypass and may lead to abdominal distension. Another possibility is visceral fat gain, which can cause a firmer, rounder abdomen even without significant overall weight gain. Hormonal changes or medical conditions like ascites (fluid buildup) or organ enlargement could also contribute. It’s important to consult your doctor, preferably a bariatric surgeon or a gastroenterologist, for a thorough evaluation. Imaging studies, such as an ultrasound or CT scan, might be necessary to determine the cause and address it appropriately.

Hello, I am sorry to hear you are struggling with this issue. It sounds like you need to be evaluated by your bariatric team, as there are several conditionns that could be causing this. It is possible you are experiencing bloating due to post operative adhesions, which interfere with your gastrointestinal transit. As I said, you need to be properly evaluated by your team.