Why Is My GERD Medication Not Working After Gastric Sleeve Surgery?

I understand you're dealing with ongoing stomach pain and nausea after meals, despite having been diagnosed with GERD and prescribed medication following your gastric sleeve surgery in 2021. It's frustrating when treatments don't seem to be working as expected.

Given your symptoms and history, some possible conditions or factors to consider include:

• Dumping syndrome (common after gastric surgery)
• Stricture or narrowing at the surgical site
• Gastroparesis (delayed stomach emptying)
• Small intestinal bacterial overgrowth (SIBO)
• Food intolerances or sensitivities
• Vitamin or mineral deficiencies
• Biliary reflux

In my experience, post-surgical changes can sometimes lead to complex digestive issues that may require adjustments to treatment over time.

I recommend reaching out to your bariatric surgeon or a gastroenterologist who specializes in post-bariatric surgery care. They might consider:

• Adjusting your current medication
• Performing additional tests (like an endoscopy or gastric emptying study)
• Exploring dietary modifications
• Checking for nutritional deficiencies

Remember, finding the right treatment can take time, especially after significant changes to your digestive system. Don't hesitate to advocate for yourself if you feel your concerns aren't being fully addressed.

In the meantime, keep a food diary to identify potential trigger foods. Consider eating smaller, more frequent meals and staying well-hydrated. Take care, and I hope you find relief soon.