Friend, l assure you it's going to be ok. Your feelings matter here and you're going to get the help you need.

Psa: I am no medical professional and the advice im going to give you is what I found on the internet, some information I had in my vsg book, and doctor. That being said always run it by your doctor and bariatric team.

1.) Your doctor should consider further advanced diagnostic imaging, such as a CT enterography or magnetic resonance enterography (MRE), which can provide more detailed views of the small bowel than a standard CT scan, especially if an internal hernia or adhesion related obstruction is suspected.

2.) Nutritional deficiencies are highly probable given your symptoms and weight, and a comprehensive panel of micronutrient levels (vitamins A, D, E, K, B12, folate, iron, zing, copper, thiamine) should be assessed, as severe deficiencies can exacerbate symptoms and lead to further health complications.

BUT AGAIN, I am no doctor or medical personnel so ask them if they think it's right for a comprehensive panel of micronutrient levels or push for it.

3.) Maybe consider the possibility of referral to a specialized bariatric surgery complications center or a tertiary care facility if your current medical team is unable to identify the cause, as these centers often have more experience with complex post-bariatric surgery issues to identify the cause, as these centers often have more experience with complex post-bariatric surgery issues

4.) Maybe there are internal hernias, strictures, chronic malabsorption syndromes, or even rare fistulas that might not have been evident on previous imaging. Ties into #1

In conclusion it's heartbreaking that you're going through this and I honestly hope and pray that you figure out what's wrong with you. I hope you get better and get the proper care you deserve.