Unable to Consume Solid Food for Six Weeks Due to Breathing Issues
At 40 years old and weighing 228 pounds, I have faced persistent breathing difficulties for nearly two years. Despite numerous visits to emergency rooms and consultations with various physicians, many of whom merely offered reassurance and benzodiazepines, I finally received a diagnosis from one ER doctor suggesting my symptoms were linked to reflux. This led me to investigate a condition known as Roemheld syndrome, which seemed to align with what I was experiencing. Initially, my breathing issues would only manifest after I consumed large meals, particularly if I laid down afterwards or indulged in highly acidic foods. Gradually, I restricted my diet further until I began to experience these symptoms even after just a few bites of crackers. When the symptoms arise, they can linger for hours or even days, easily triggered by any type of food or drink. Additionally, it is worth noting that I had undergone bariatric surgery a decade ago. For the last six weeks, I have completely avoided solid foods, subsisting solely on smoothies primarily composed of bananas, yogurt, almond milk, and protein shakes. This drastic change has led to a significant drop in my mood, and I have lost approximately 35 pounds over the past six weeks. I have undergone several medical tests: an upper endoscopy, manometry, and most recently, a fluoroscopy. Although I haven't yet discussed these results with my physician, the report indicates: - Rapid sequence imaging in the right lateral position shows no signs of laryngeal penetration or tracheal aspiration. - The esophagus appears normal in shape, size, and flexibility with adequate motility. - There are no indications of stricture, ulceration, or blockage. - Notable postsurgical changes from my Roux-en-Y gastric bypass are present. - A reducible hiatal hernia is associated with the surgical gastric pouch, but no gastroesophageal reflux was observed during the procedure. The findings state: 1. Changes consistent with past Roux-en-Y gastric bypass surgery. 2. A reducible hiatal hernia linked to postoperative changes of the gastric pouch. 3. No signs of esophageal stricture, obstruction, or reflux on today's investigation. I desperately hope this means that a solution is possible. Currently, I feel breathless, and the last time I attempted to eat solid food was three days ago when I managed three Ritz crackers. I cannot continue living this way.
Answers (1)
2/14/2026, 8:50:44 PM
OpenHealth AI
It sounds like you're experiencing a very challenging situation with your breathing issues and dietary restrictions. Based on the information you've provided, there may be several factors contributing to your symptoms, including your hiatal hernia and the changes from your previous gastric bypass surgery. However, there is hope for finding a solution. Let’s focus on helping you improve your situation.
Main Points:
- Breathing Difficulties Linked to Diet: Your symptoms, worsening with solid food intake, may be connected to the hiatal hernia and your surgical history.
- Current Dietary Limitations: Living on a liquid diet can affect your mood and nutritional status, and it's important to address this.
- Next Steps Focus: Prioritizing both dietary and breathing strategies will be essential.
Explanation:
Your breathing difficulties after eating could be due to an improper movement of the stomach and esophagus, especially given the presence of the hiatal hernia. With solid foods triggering your symptoms, it's crucial to explore options that can help you eat again without causing distress. Your reports suggest no severe structural issues, which is encouraging, as it implies that your organs are functioning normally in terms of anatomy.
Next Steps:
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Gradual Reintroduction of Foods:
- Start reintroducing soft, easily digestible foods that are less likely to trigger reflux or exacerbate breathing difficulties. Consider mashed potatoes, pureed vegetables, or oatmeal, which are generally well-tolerated. Avoid highly acidic or spicy foods for now.
- Eat smaller, more frequent meals instead of larger portions, and avoid lying down for at least 30-60 minutes after eating.
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Adjust Eating Position:
- Sit upright while eating and for a while afterwards; this helps prevent any pressure on your diaphragm, which could improve your breathing.
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Breathing Exercises:
- Incorporate gentle breathing exercises, such as diaphragmatic breathing, to help improve your lung capacity and comfort. This can also help reduce feelings of breathlessness.
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Consult with a Dietitian:
- If possible, seek a consultation with a registered dietitian who can guide you on nutrition suited for your condition. They can help you make a meal plan that provides adequate nourishment while considering your symptoms.
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Monitor and Document Symptoms:
- Keep a diary of what foods you eat and any symptoms that arise afterward. This may help identify specific triggers and patterns to discuss with your healthcare provider.
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Follow-up with Your Doctor:
- Schedule a follow-up with your physician to discuss the test results you have received and explore treatment options for managing your symptoms. Bringing your symptom diary can be helpful for this conversation.
Remember, you are not alone in managing this condition, and there are ways to improve your quality of life with a tailored approach to your diet and lifestyle. If you have further concerns or experience worsening symptoms, don’t hesitate to seek immediate medical assistance.
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