Good morning DSers!

Love how I keep coming back here. I'm just about 9 months post SADI and it's been a journey!

A few weeks ago I started having GI symptoms including pain, cramps, and nausea that progressed down from chest pain every morning. After reporting it to the surgeon a couple of times, they ordered an EGD, which diagnosed only moderate bile reflux. Leading up to the procedure, eating resulted in so much pain I'd eased back to soft foods, and then to just protein shakes. In the last month, I've lost over 20 pounds, which is more than any other month since surgery, and more than the prior three months ccombined.i should note that even on other foods, I was getting enough calories that this loss is unexplained.

The pain got pretty bad, so I used a couple of post surgery painkillers to be able to sleep. I woke up last week with my fatty tissue on fire. It still is, and the area is spreading. My clinic is treating the new pain completely separately and has referred me to my PCP for that.

For the reflux I've been prescribed ursodiol and levsin. The surgeon's office told me if the symptoms don't clear up in the next ten days (it will have been about a month, then), that his next suggested step would be to revise to a full DS, which I'm not interested in doing. Also unclear how that would help correct bile reflux.

Anyone had bile reflux and resulting unintended weight loss? Would love to hear how it was treated.

A small part of my brain has been worried about a blockage or something more serious because of how much pain eating causes but my clinic seems to have discounted that completely.

I'm trying to stop losing, and trying to figure out the GI and neuropathic pain. Would appreciate any stories or experiences you guys can chime in!

Cheers!

both are corrected surgically. The stricture will be dilated(made more open) so you can swallow again.

Awesome, thanks for the suggestion. :)

Thanks so much for sharing your experience! I've been aiming for 100-120 g of protein and 60-70g of fat a day, and hitting it most days now that I am on soft solid foods. I do still have to drink at least one protein shake a day to get there though, which I hope will change once I am on more dense proteins. Here are the vitamins I am taking right now (which may change in May once I have my 3 month labs):

Bari-Life Just One multivitamin with iron x 1
5000 mcg B12 sublingual
500 mg Vitamin C chewable x 2 daily
ADEK x 2 daily sublingual
100 mg B1
1500 mg calcium citrate chews (500 mg x 3 daily)
400 mg magnesium chewable
1 prebiotic/probiotic capsule
Potassium gluconate 595 mg x 1

My multivitamin also has magnesium in it. I'm hoping this series is good enough but of course if my labs indicate otherwise I can ramp up what needs to be increased and back down off of other things if need be. I'm trying to modulate my fat intake and I feel like it's a fine line I am walking between having an upset GI tract due to too much fat (I am also minus a gallbladder) and not enough so that I get constipated. Thankfully I haven't had that issue, and am trying to avoid it as much as possible.

Thanks again for your post--all of you have been really helpful and I truly appreciate it.

I had the 2nd part DS in 2017. My Dr. Made my CC length 300, which made me a little upset. I never got to my ideal goal, but I did get to 179. I have a feeling he may have done that because of my age. My labs have stayed pretty good, so I guess I can live with this weight. I do have to have iron infusions every few years. I eat at least 80 grams of protein, and at least 50 grams of fat. I take 3500 calcium, 800 magnesium, 180 mk-7, 50,000 D3 per day, vitamin E 400, vitamin A 25,000 per day, 2 multivitamins, 50mg zinc. Yours will probably be a lot different, but this gives you an idea. Back when I had my DS someone posted the vitamins they took and that helped me a lot! Mine have changed a bit, according to my labs. Hope this helps! Good luck!