Did't chew well enough, pain and passing out

7 weeks out and till now no problems whatsoever, but this is the second time in three days, apparently didn't chew well enough, starts soon after with horrific pain right where the pouch would be, don't get nauseaed, just severe pain, throw up some, pain, throw up again, last 3 hrs, at one point pain was so severe at pouch level radiates to other side.  I sat on the edge of the couch, nothing helps, tried walking, but when that very severe pain comes, I don't know it, just sitting on the edge of the couch and next thing I know I am on the floor in a pool of blood, black and blue nose, two bites on lips and under chin, very sore.  I am the one, who ate her daughters egg plant and drank protein shake too fast.

When you chew to fast to get the severe pain or just nausea.  Called Dr. after the ggplant issue, said call back if it happenes again, I just don't know, I have a high pain tolerence, but to pass out without knowing, severe pain, not nausea is this normal.  Ate all day yesterday and everything was fine, but this passing out is beginning to take a toll.  Does anyone get the severe pain or just nAUSEA, OR BOTH?  Let me know what you all think.  Don't know what I would do without this board.

God's Blessngs,

Alice

Try some hot tea. Also, papaya enzymes are awesome for ties like this. You can get them for around $5 at GNC. 

I took too big a bite and didn't chew well ONCE. That was enough to teach me a lesson!!! There was pain but certainly not for 3 hours or enough to make me pass out. I think that's pretty concerning. Do you have pouch pain otherwise? are you advancing foods too fast?


My surgical instructions are to keep meat tenderizer on hand, add a little water and sip if something gets stuck. Same idea as the papaya enzyme, I'm sure, but I can't imagine it breaking food down very fast. Btw, I'm just over 6 weeks out.


Prior to surgery I tended to practically inhale my food - large bites, and fast. Learning to take barely more than a nibble and to slow down is a challenge! You're going to definitely need to become mindful of every bite you take. Good luck and I hope this doesn't happen again to you.

I took too big a bite and didn't chew well ONCE. That was enough to teach me a lesson!!! There was pain but certainly not for 3 hours or enough to make me pass out. I think that's pretty concerning. Do you have pouch pain otherwise? are you advancing foods too fast?

Totally agree with Vintage!  It happened ONCE and it was like what I imagine a heart attack to be like. I will be 7 weeks tomorrow and I do keep papaya enzymes on hand, but I chew the heck out of things after that experience.

Pain to the point of passing out is pretty severe. Are you a person who passes out? Are you sure you are not having a seizure? My older son passed out (ended up being hospitalized for a severe illness) and at 6' 10" did not have a bloody nose or bite marks in his lip. Just sort of 'fell down'. He was falling further than the average bear, so it is concerning it has happened and more than once. And you were sitting on a couch? That seems pretty extreme. My kids and husband are nose bleed prone, never once has there been a pool of blood. I'd go see someone.

I've had that twice. Once it was too big of a bite. The other time is was food that was too dry. As hard as it is, try to take tiny bites (I still use baby spoons a lot) and give yourself a good amount of time between bites. Chew those bites really good too...should be applesauce consistency when you swallow. Hope you get better soon. Sorry to hear of your nose and lip! Ouch!

Alice,

I believe you may have strained your pouch by eating too much for it to hold.  At seven weeks, you should be healed enough to eat solid foods, but still only very small amounts of well chewed food.  About two tablespoons of eggplant might be Ok, but not a cup full of it. I know of several people whose surgery failed them, because they always overfilled their pouch and their body formed a new "pouch" in the esophagus above the pouch.  That allowed them to consume much more food at one time and they no longer lost weight.  This was quite common with lap band, but also happens with RNY.

If the pouch is full and you put more food in, then sometimes you throw it up, sometimes you are miserable for a while as it process through the pouch and sometimes it just gets plugged up and starts to stretch out the area above the pouch.  Only you know the quantity that you are consuming and only you can decide if there is no possible way that you are eating too much.

I had a micro pouch, which was described to me as being about the size of a bottle cap on a two-liter bottle of soda.  My old stomach was described as the 2 liter soda bottle size that could stretch to hold double that quantity of food.  I did not actually eat vegetables until over three months out and then it was the vegetables from a can of vegetable beef soup. Very small and soft pieces and only a tablespoon or two for a meal at 3 months out.

At almost six years out, I can eat almost a normal sized amount of food without getting sick or experiencing pain.  If I was going through what happened to you, I would go back to liquids only for a while and let the pouch rest and heal more.  Even a day of liquids only should help.  Then introduce soft, pureed, or very well chewed foods a little at a time.  Having that much pain is not normal.

Passing out is not normal - call your doc and tell him that this is happening. We all chew less than we're suppose to, we all have pain or even throw up but passing out is not one of the side effects of this surgery or not chewing well. Once you throw up the general rule is liquids for 24 hours. Try that and see what happens. Blood is not normal, that much pain is not normal. Get scoped, find out what's wrong inside, take it easy on food, do tea and other liquds to calm your pouch and call your doc! You could have something severe.

Jen 11+ yrs post op RNY

I am now in the hospital, u are right, blacking out is not part of bariactric surgery. Will keep u updated. Thanks for your inputs, much Appreciated.