I’ve written this 100 times before over the three years (almost) since I had my gastric bypass surgery. There are times when I will be feeling real pain in my stomach and I cannot tell if it’s because something is wrong or because I am just hungry.

The last couple of days have taken that to a pretty obnoxious extreme. It’s always hunger, but it’s just ridiculous now. When things are going according to the normal routine I can have something to eat and then be okay for a few hours. Breakfast at 7:00, a snack at around 11:00, lunch at 1:00, a snack at 4:00, dinner at 7:00, a snack before bed. Perfect. Hunger pains avoided.

Today? Breakfast is over at 8:00, hunger pains at 9:45. Snack at 10:00, hunger pains at 11:15. What the hell? It’s 11:50 right now and I am slowly making my way through a little package of crackers. At this rate I’ll be finished by noon and then hurting a little before lunch at 1:00. I need to wait 60 minutes after eating before I can take a drink (and having a drink usually doesn’t help the hunger pain the way having something to eat does) which means the pain is back before I am clear to drink.

What the hell, bro? Is there something wrong AND I’m hungry? No, I don’t think so. I think I am unable to keep my surgically altered stomach from getting too empty. If I try to have a big lunch I am going to be full and have to stop, and (assuming this continues today) I still won’t get three pain-free hours.

To add the usual caveat, I am not complaining at all. I lost 220 pounds and if dealing with this now and then is the price I have to pay then I pay it with a great big smile on my face. Still… looking at my stomach and asking, what the hell, bro??