### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My medical aid has rejected a claim for a incisional hernia, stating that the 3 previous operations were the problem and that these procedures were not covered by medical aid. The first procedure was 25 years ago it was a gastric bypass at age 15, I had no problems until 5 years ago and a doctor convinced me that if I dont change the JIB procedure to a RNY that my life expectancy will be shortened by 20 years but I was very healthy and BMI of 20, he lied to the medical company and they paid for a gastrectomy, I started gaining weight and went to go see another doctor for advise and he just wanted to operate, he said that the previous doctor made a mess, I trusted this doctor and had to pay out of my own pocket because of my low BMI but didnt want to gain all the weight back and he reassured me that I would look fantastic. But this was not the case, this operation only made me gain more weight and I had constant pain. When I went back several times to show him the stomach is pertruding when i lift my neck his reply was that his does the same. What am I to do? I also have Sarcoidosis and Lupus anti-coagulant anti-bodies. I am in a lot of pain and eating less and less due to the embarresment of my stomach swelling out all the time. Please help!

### output:

Hi. Thanks for your query. The causes of swelling of the abdomen can be :-Intestinal infection-Intestinal obstruction-Ascitis.-Tumors / Gastrointestinal Cancers -Ovarian or other cysts.  Your history of multiple surgeries for weight reduction have their own complications of intestinal obstructions. Get Enterosclysis - Barium studies to know the exact problems and to get the proper solutions. Change of the diet and addition of the supplements as per the advice of the Dietitian would help you.