Ask the Expert

Spring 2009
Volume One / Number Seven


Ask the Expert

1. Is gurgling after an adjustment normal – I think something is living inside of me!?

I like to use the analogy with the water cooler for this example. When your gastric band is adjusted, the opening to your stomach has been reduced to a certain degree. When you drink water after each adjustment and subsequently there after. You may hear a “gurgle” as the water you are drinking is trading places with the air in your stomach. Water goes down; air comes up like the water cooler. This is normal to have that exchange.

2. As for bite sizes, how small is “small”?

When it comes to cutting bite sizes, act as if you were cutting food for a toddler. They have small mouths and can’t tolerate a bit piece or they may choke.

3. Why do I have more saline than Jane/Joe but I have less restriction?

There are different size bands that hold different volumes of saline. No two people are the same, so you cannot compare apples and oranges. What is too loose for Jane may be too tight for Joe. We treat each patient individually, so it really does not have any impact on your restriction or satiety.

4. How do I know if my band slipped? OR What would I feel if my band slipped?

The usual symptoms of a band slippage are difficulty eating/drinking, vomiting, heart burn, night-time coughing, and even pain. These same symptoms may be caused by having a band that is adjusted too tight or caused by eating a food that was not chewed properly or ate too fast. If you are experiencing these symptoms, let your clinician know.