One topic brought up in the last support group was that some patients noticed that their restriction was tighter in the morning than later in the day and at night.  For some the change is dramatic enough that they have trouble with solids in the morning and have to eat soft foods like yogurt, but seem to have too little restriction at night.  Some patients don’t notice this difference at all, but for those that do, it can make finding the “perfect” adjustment more difficult. 

We believe that the morning tightness is from increased blood flow to the stomach and intestines during sleep which increases the stomach wall thickness temporarily.  Remember, any swelling can lead to increased restriction.  So, if you are experiencing this, be sure to discuss it with our physician’s assistants, Brian or Melissa, during your adjustment visits.  Also, patients considering the band procedure are welcome to attend support groups to meet other patients and learn more about living with the band.  For more information on our support groups, please call 702-384-8446.

– Dr. Darren Soong