Okay, I've done it....I've begun getting that hyper paranoia that goes hand in hand with the unflinching NEED to succeed at this surgery. Now, I'm wondering (after my itty bitty weight gain this week) whether my stoma is stretched.
I haven't felt as much "restriction" lately when I eat. So, the natural question: Is this because I've learned to eat the appropriate amount of food for my pouch or is a stretched out stoma the culprit?? I read a post from a WLS patient who happened to be a physician....he was responding to someone else's paranoid stoma-stretching rant. He wrote the words that have been HAUNTING me for the past couple of days, (I'll try to write them as exact as I read them, but don't quote me.) "If you begin to feel satisfied, take one more bite and you're well on your way to a stretched out stoma."
ONE MORE BITE??? OH.MY.GOD. What are the odds that I've had one bite too many?? Pretty high, actually. Don't get me wrong, I don't eat by the restriction method. But, there are times that I haven't measured, and there are times that my 1/4 C of food left me satisfied BEFORE I finished it. So, the "one more bite" thing is a pretty substantial warning, for sure!!!
The very last thing that I want to have happen is to become that statistic.....the one that regained all of her weight after 2 years of losing it all. The theory that I've heard repeatedly is that most of these "failures" are caused by stoma-dilation. So, the questions are mounting:
How easy is this to do?
Surely, that kind of damage would hurt, right??
Are there symptoms that it's happening before it's too late?
Can we get testing to find out if it's happening to us?
Basically, HOW CAN I AVOID BEING BLIND-SIDED BY A COMPLETE WLS FAILURE IN THE FUTURE??
I've read about the injections that some people have done via endoscopy to create scar tissue to restrict the stoma. And, I've read all about the Rose procedure. Both articles brought me HUGE amounts of relief, BUT I'd still like to be fully aware of the signs and symptoms of stoma dilation LONG BEFORE any repair work is necessary.
Does anyone have info on this? I'm simply not finding any clear-cut facts....and I'm the kind of gal this is reassured by cold, hard facts, regardless of how cold and hard they are. Plan for the worst, hope for the best.
Uber-paranoid plan: Slow meal times back down to 30 minutes. Turn off all distractions so I can fully tune back in to my pouch. Limit ALL intake to 1/4 C. Stop drinking 15 min before eating. (a rule that some people have in their plans but is not in mine....I do wait 1 hour after eating to drink)