Well, as mentioned in my last post, my restriction returned with a vengeance once my milk started to come in. I assumed it was the hormones required to produce the breast milk that had caused this. And it just got tighter and tighter over the next few days. To the point where last Thursday, I could not eat solids, nor even semi-solids. I was on clear fluids only. This, of course was stressing me out, as I am breastfeeding and it means the world to me to continue doing so, and I recognise that to do this successfully, I need to not only maintain a nutricius diet, but I need to be able to eat!
Friday morning I woke up and had a glass of water straight away, as I try to have a glass every time I think of it, and every time I put the baby to the breast. To help maintain my milk. Anyway, for the first time since I was banded, WATER got stuck. Not only stuck, but it came up like projectile vomiting. I was shit scared!!! As the day wore on, the restriction allowed me to go back to my clear fluids. I just kept telling myself that as soon as my body was in a breastfeeding routine, my stomach would settle down.
Remember of course, that I have NO FILL in my band, and have not had any fill since January, I only ever had one fill, in mid December, of 3mils, and I had it removed as soon as my pregnancy was confirmed as I was not eating solids due to over restriction. I have now lost 31kgs, with no fill in my band. That should have been a sign I guess.
Anyway, Saturday was much the same as Friday, nothing down until lunch time, then only clear fluids. Sunday, the situation escalated. I might add here, that I had already decided that I was seeing my surgeon on Monday, just to be safe, but I really thought it would settle down. Sunday, Fred and I were off to the wedding of very good friend of mine’s daughter. It was about an hour and a half away, and it started at 2.30pm. We left home at 12.30, and I had not eaten. We only just made the ceremony, so I was feeling hungry, tired, stressed and worried. Not a good combination. I developed a really bad headache and went back to the brides room while they were having their photo’s taken, to rest. While there, I tried to drink some water. It would NOT go down. This was around 4pm by now, and the last thing I had drank was around 9pm the night before. The last food I had eaten was soup at around 7pm the night before. We stayed at the wedding until around 8.30pm, I did eventually manage to get some water down, and gave hot chocolate a go around 7pm, which thank goodness, stayed down.
First thing Monday morning, I phoned the surgeon, she was wonderful. She told me to come up to the hospital as soon as possible. A barium swallow x-ray was booked for me. So, straight up I went, I had the barium swallow, and you are not going to believe this, but it went down. I started to think that I have head issues, seriously. I went back out into the waiting room, and of course, due to the barium going down, had some water. No go!!! The only way was up for that water, and so it came up. Due to the amount of vomiting I had been doing because of the tight restriction, my ceasar wound had not closed properly yet, and after I had vomited a couple of times in any given day, I would have a large amount of discharge from the wound. This of course was also frightening and distressing.
As soon as my surgeon received the results of the x-ray, she met me in the waiting room. Took one look at me, went to the nurses station and admitted me. She ordered an immediate IV. Once that was done, she said that the barium swallow revealed no problems, the band was in the correct place, the barium whilst slow, did go down. But having seen me, and recognising how gaunt and washed out I was, she knew something was seriously wrong. She was in surgery that day, and visited me in between operations, what a wonderful human being she is! Anyway, once I was admitted, and hooked up to an IV, she came in to see me to discuss our plan of attack. She order a CT Scan and blood work. She was thinking that due to my recent operation [Caesarean], I may have an infected band and the CT scan would help show up signs of this, and the blood work would confirm it.
I went off for the CT scan, shit scared of course, my number one priority at this stage was still being able to breastfeed, and I was so worried that my milk was drying up. [it has a bit, but I am building it back up now]. The CT results came back so quickly, it was wonderful service. Surprise, surprise, the CT scan showed a slipped band and a hiatus hernia that did not show up with the barium swallow. Thank goodness, I was not imagining things. And thank goodness my surgeon is so thorough!!!
The plan of action then was to go into surgery and either reposition the band, or undo the band, it was my choice. I had already decided that I wanted it undone, with my goal to continue to breastfeed for 8 – 12months. So I told my surgeon this, and she supported me 100%. That night was shocking. The surgery was scheduled for first thing this morning, but I had to get through last night first. OMG!!! I could not swallow saliva! It would build up in my oesophagus, and then I would need to vomit it up. Then my ceasar wound would discharge. My milk was drying up, so the baby was not sleeping, I was feeding her every 30 – 40 minutes trying to maintain what supply I did have. All up, it was probably one of the worst nights of my life. Anyway, we get through, don’t we? And so I was prepped for surgery this morning, having had around 2 hours sleep all night. I didn’t care, I was just so looking forward to the surgery being over and nursing my little girl again.
The surgery took a bit longer than expected, due to what she found when she got in there. I had a lot of scar tissue under the band, that had probably been there since the beginning. Hence my tight restriction all along. So, she cut away as much of the scar tissue as she could, then undid my band. I was in recovery after about an hour and a half of surgery, then back in my room an hour after that. I had to pump and dump my first breast feed, due to the drugs of a general anaesthetic, so Fred gave her a formula bottle for that feed, but I had her on the breast at the first opportunity after that. She has been sleeping well all afternoon, and only after feeds at 2 – 3 hour intervals, so hopefully, I am not too far behind the eight ball in getting my milk supply back. Tonight will be the test of course, I will see how often she needs to be fed tonight.
The hospital were great, they let her stay with me, and they also discharged me soooo early. I was so happy and relieved to come home this afternoon. Everything seems so much better as soon as you are home, doesn’t it?
OK, the plan for the future. I DO NOT want to put back on all the weight I have lost, of course, so I am going to keep myself on the straight and narrow by weighing weekly and putting my weights up on the blog. Hopefully, being accountable to this commitment will keep me honest. I will be ok with some weight gain, I guess up to around 8 kgs will be acceptable, due to a [hopefully] healthy breastfeeding diet, but I won’t accept anything more than that. As soon as I am able to, I am going to start moving more on a regular basis and hopefully that will help too.
My stomach looks like a dartboard with a smiley face cut into it. If you can imagine the Caesar wound as the smile…lol. Four more wounds today, but god, it feels so good to eat again. And that would have to be the understatement of the year…