Why am I able to eat n feel no discomfort 3 weeks post op??

Question

So I had my vsg surgery on 3/12/2019 and the past 2 weeks I have been able to eat smaller of course but much more then I should I have no problems getting meat down or cheese healthy meats of course I also have had a few mental emotional days n ate a whole hot dog once I know I'm an idiot but what got me worried I ate it no problem no pain nothing then I noticed I'm able to eat anything I want n about 5 oz at a time n in my mind I'm like this isn't possible why am I okay n never had pain ??

Ali Solmaz, MD · Answer

It's completely normal to have moments of emotional eating and concern about your restriction. At four years post-op, your stomach has naturally stretched some, which is expected. Early on, your sleeve was swollen, making restriction more noticeable, but as time passes, your body adapts.
Being able to eat 5 oz without discomfort isn’t necessarily a bad thing. Many VSG patients can comfortably eat that amount by this stage, especially if the food is soft or high in protein (like meat and cheese). The lack of pain doesn’t mean your sleeve isn’t working&mdash;it just means your body has adjusted.
That said, if you're consistently eating larger portions and feeling hungry more often, it could be helpful to assess your habits as:
Are you eating slower? Eating too fast can allow more food before satiety kicks in.Are you focusing on dense protein first? This helps with fullness.Are you drinking with meals? This can push food through faster, allowing more intake.Are you experiencing actual hunger or head hunger? Emotional eating can sneak up, especially during stressful times.If you're worried about losing restriction completely, try resetting by sticking to smaller portions, eating mindfully, and incorporating more solid proteins. If you still feel concerned, a follow-up with your bariatric team or a barium swallow test could confirm whether your sleeve has stretched significantly. But based on what you’ve described, it sounds like your body is just adjusting over time, which is completely normal.

Ariel Ortiz, MD, FACS · Answer

There are several reasons why some  patients have more or less restriction when starting with  solid food  after a  sleeve gastrectomy:  Calibration bougie size, a larger size equals  more  capacity in the sleeved stomach. inflammation varies from patient to patient  some patients have a lot inflammation  which could  even prevent them from tolerating solid food even up to a couple of months after surgery,  if  the inflammation is minimal  this will usually  allow a person to tolerate more with out pain. The end result specially after 6 months  of continuous weight loss and restriction not loosing "to much" restriction   over  the following years a key for the sleeve to work properly. 
AMG

Rodolfo Wilhelmy, MD, FACS · Answer

Hi There! 
Did you have a barium swallow x ray done to see your sleeve after surgery?  This is important. If you have a small sleeve done  and you not feeling discomfort may just be that you did not have a lot of swelling after surgery, some patients are lucky this way. 
It may also be that your sleeve as done on the larger side and this is why you are able to eat more than most patients do. The sleeve will continue to stretch so if you do have a larger sleeve you will need to be extra careful with portions in order to lose weight effectively. 
Best on your journey!

Angel Caban, MD · Answer

It sounds to me that you advanced your diet too fast.  You should be on a puree or soft diet at the most. My patients are not allowed to eat meat or regular consistency food for 7-8 weeks after surgery. You should not be eat bread at all. Hot dogs are junk food.  Hope this helps.

Pablo Garcia, MD - Account Suspended · Answer

Hello, I hope you are well. Not feeling restriction results from adaptation. It seems like you are eating larger amounts of food than adviced and your stomach is adapting to larger volumes. I would recommend you approach your bariatric team so you can get nutritional and psychological follow up, so you can benefit from your surgery to full extent.

Why am I able to eat n feel no discomfort 3 weeks post op??

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