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follow up after Achalasia balloon dilation

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Ness84

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Been a while since I have updated in here. Seems diet isn't the only thing i get slack on.

LONG WINDED BACK STORY and then some other faffing in there, so bare with me.

So as some may know i had many problems with my sleeve, namely it being kinked and everything coming up. Basically it was similar to having a stuck moment with a band but there was no way to push things down as the usual techniques a bandit would use just let to more vomiting. in about April/May this year I had a solid barium contrast which showed that the bottom of my stomach was twisted around etc and so was pushing everything up. This lead to bad reflux(40mg Nexium twice a day and even then I often needed some gaviscon or quickeze to help in between) I have felt faint, though BP is fine, don't even have a postural drop which i suspected. i pretty much have lived off coffee(yes i know that doesn't help reflux but i also have a toddler and was finishing nursing studies). Pretty much two bites in no matter how well chewed and things came up. and it would hurt. Even puree soup and that came up. my surgeon told me he had only had one patient have similar symptoms to me about 8 years ago and that she had scar tissue attach to her liver when healing which caused her kink. she was an original sleever not a redo like me(band to sleeve). i gotta say i'm a tad pissy as I even waited 9 months after my band out to convert to sleeve to give my stomach extra time to heal. Anywho, i had a gastroscopy start of June for my surgeon to check what the issue was causing the kink and see if we can work the best option to fix it. Best case was dilation. Worst case full gastric bypass, and then a few options in between them. So after the gastroscopy the good news was I just needed a dilation. Problem being my surgeon hasn't done this type before so referred me to a colleague of is. This colleague has done this procedure a few times and is familiar with the technique. This dilation process is called Achalasia Balloon Dilation. Basically with the procedure they put the gastroscope down my throat(while i'm asleep obviously) then place another instrument down along side the gastroscope(this instrument is too big to go down the gastroscope). It goes down to the part of my stomach where the kink is. for me mine is caused by the stomach scar tissue being healed on each other, so there is a balloon at the end of this instrument which they slowly blow up to burst open the scar tissue. They leave it blown up for 2 to 3 mins at a time until they have done enough. That is the procedure I had done yesterday.

So I woke in recovery just a tad groggy. Apparently I had fentanyl in theatre so I wouldn't be in pain. I managed to have a coffee and it didn't come up my throat. almost cried. This is something which basically since i got my sleeve I struggled with. yes even fluids struggled to go down and not come up. I have had only occasionally small stomach cramps. haven't had to take anything for it. I really hope this procedure has worked. today i have had nibbles of food here and there and even had a salad. yes even salad didn't go down before. prior to surgery the surgeon did advise me this may not be a permanent fix and I may still need to switch to a bypass later. He told me has has a patient who was sleeved and had same symptoms as me and stomach was almost identical to mine. He did the dilation last year and slowly the symptoms have come back and he needs to dilate again. If this ends up being the case he said I'll get to a point where I am sick of it and want the bypass so I no longer suffer. i really don't want a bypass. That will be the 3rd weight loss surgery in an attempt to be "normal" and "healthy". i'm aware the risks increase each time we have surgery and am so worried i will actually die from it. Surgeon did a whole bunch of bloods as well as he thinks i would be deficient in a few things such as thiamin due to not eating but also I have been experiencing what i can only describe as feeling like i caught dementia. have had trouble getting words out, like on the tip of my tongue but can't say them, pins and needles in fingers, extreme exhaustion, forgetful etc. it's worse than mummy brain. Anyways was tested for many many things (8 tubes of blood taken) and i'm deficient in nothing. even my vitamin d is higher than the norm for summer time and I have barely taken my multivitamins because i forget. though this last week i've been good. So no idea what is causing my extreme brain farts but seems pathologically i am healthy as an ox so to speak.  So really at this stage i guess we wait and see how it goes and hope for the best. Although I love the weight loss i've had, emotionally the sleeve has taken a toll on me especially with all the vomiting. never being able to eat just a small amount while out, without needing the loo very quickly after because food is sitting in my throat or in my mouth. i hope now I can eat and get back on track. I'm not far off goal weight. I don't even know what that is but i guess maybe another 10kg and i should be done. Will be nice to maybe workout too if i feel like it. again lazy i am good at but i literally have not had the energy to when not eating so yea. let's hope it works. i don't want the bypass but if i had to vomit every day, after every meal and have discomfort even from drinking I don't know how long i would tolerate that for. 

Hopefully this will be the last such surgery i have to have and can get on with my life. Just want to feel normal and get on with things instead of always having my body and my attempt to be normal and healthy get in the way. Onwards and upwards hopefully.

 

Ness

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