How to manage complications of gastric sleeve surgery?

Hello doctor,

I am a 25-year-old male. I underwent gastric sleeve surgery six years ago. Following the surgery, I experienced a minor complication where nothing was going on properly. My doctor conducted a swallow test and monitored the situation for two days until things improved. I stayed in the hospital for two days due to pain and swelling in my stomach and esophagus. Two weeks later, after returning home, I started experiencing severe pain in my left shoulder, the area below my left breast, and throughout my belly. I went to the emergency room, and a CT scan revealed a 12 cm hematoma next to my stomach from the surgery. I was readmitted to the hospital for a few days and was put on a liquid or jello diet again. The decision was made not to drain the hematoma, as the doctors believed my body would naturally absorb it over the next month or two. Since then, I have been dealing with severe acid reflux and persistent pain in my belly area, particularly around the belly button and the sites to the left and right (not extending above my belly button). I had a follow-up appointment with my surgeon last week, and although it has been three weeks since my ER visit, he assured me that the hematoma has decreased in size. However, I still experience moderate pain in my left shoulder and the area below my left breast, albeit infrequently (once a day for about a minute). My doctor switched me from over-the-counter acid reflux medication to Protonix, which has provided some relief. However, I am still concerned about the persistent pain in my belly area. It has been present for weeks, almost throughout the entire day. My doctor mentioned that this is normal, given the circumstances, and that it will eventually heal. I considered that the pain might be due to constipation, so I took a laxative, but the pain persisted even after having a bowel movement. Additionally, I have noticed a decrease in my appetite and frequently feel sick, likely due to the pain and reflux. I have also noticed that my urine is dark yellow, indicating that I may not be consuming enough fluids. I feel sick for about two hours if I eat or drink even a little too much. It is worth noting that I have not experienced nausea since two days after my surgery. Five weeks after the procedure, persistent belly pain is a cause for concern. I have lost 50 lbs (15 lbs during the two-week pre-op diet and 35 lbs since the surgery). My current weight is 250 lbs, and my height is 5 inches a10". I wanted to seek advice regarding the ongoing belly pain and other related symptoms.

Thank you.