Smart Capsule & Process

The First Week After a Gastric Balloon: A Comprehensive Day-by-Day Guide

2026-03-13 · 9 min read

The first week is the most challenging part of the Allurion Program — and also the shortest. Most patients say "I don't even notice it anymore" after 7-10 days. In this guide, we walk through what to expect day by day, how to manage it, and when you should call your physician.


Why Is the First Week Hard?

A new object has entered your stomach. As your body adapts to it:

  • Reaction to fullness: Because the stomach is filled with ~550 ml of fluid, you feel high pressure and a sensation of tightness
  • Hormonal response: When the stomach's stretch receptors are stimulated, a nausea reflex is triggered
  • Change in gastric emptying: The balloon slows gastric emptying — this is normal

All of these responses are expected and temporary symptoms. In Ienca and colleagues' study of 1,770 patients (<0.2% serious adverse events, PMID: 32279182), the first-week adjustment period is considered safe.


Day 1 — Placement Day

After the procedure:

  • 30-60 minutes of clinical observation
  • You can drive (no sedation was administered)
  • A mild feeling of fullness or pressure is normal

Nutrition:

  • Liquids only: water, broth, ayran, fresh fruit juice (no pulp)
  • Avoid carbonated drinks
  • Drink slowly, in small sips

At night:

  • Lying on your side is more comfortable for some patients
  • Mild stomach sounds or gurgling is normal
  • If you need a painkiller, take acetaminophen (paracetamol) (do not take aspirin or ibuprofen)

Days 2-3 — The Peak Period

Most patients describe these days as the hardest.

Possible symptoms:

  • Moderate to severe nausea (especially in the mornings)
  • Occasional vomiting
  • Even the thought of food causes discomfort
  • Fatigue, dizziness
  • Mild abdominal pain or cramping

Management:

  • If your physician has prescribed an antiemetic (anti-nausea medication), take it regularly
  • Keep up your fluid intake — even 1-2 sips per hour is enough
  • Rest; ideally you will not have scheduled a heavy workload for these days

Nutrition (still liquids):

  • Protein powder + water or milk
  • Bone broth
  • Freshly squeezed fruit juice (no pulp)
  • Plain ayran or kefir

Days 4-5 — The Easing Begins

Nausea usually decreases noticeably during these days.

Signs of the transition:

  • Morning nausea eases
  • Drinking water is now easier
  • The smell of food no longer bothers you

Nutrition — transition to purees:

  • Vegetable soup (strained, smooth)
  • Pudding or yogurt
  • Baked or steamed and pureed vegetables
  • Banana or cooked fruit puree

Portion: 5-6 tablespoons is enough; do not push for more.


Days 6-7 — Normalization

The vast majority reach the feeling of "the balloon is there, but my life goes on" by day 7.

Nutrition — transition to soft solids:

  • Softly cooked chicken or fish
  • Curd cheese, white cheese
  • Oatmeal
  • Boiled egg (fully cooked)

Daily life:

  • Light walking: beneficial and recommended
  • Running or intense exercise: still too early
  • Work life: office work is generally possible from day 3 onward

Allurion Smart Scale and App: Start Right Away

Weighing in during the first week may feel hard — but getting started matters. The study by Dejeu et al. (571 patients) shows that patients who build the habit early achieve better long-term results.

The ideal day to settle into a daily morning weigh-in routine is day 2 or 3.


Be Sure to Call Your Physician

Call your physician without delay or go to the emergency room in the following situations:

SymptomUrgency
Severe, persistent abdominal painEmergency
Bloody vomitingEmergency
Inability to drink water for more than 24 hoursSame day
Fever + abdominal painSame day
Confusion, extreme weaknessEmergency
Blue/green urine (a sign of early balloon deflation) + painSame day

5 Tips to Make the First Week Easier

  1. Use an antiemetic: If your physician has prescribed one, don't skip it — managing nausea makes the adjustment easier
  2. Cold drinks: Many patients say cold water goes down more easily
  3. Small sips: Drinking 1-2 sips every 3-4 minutes ensures steady fluid intake
  4. Smell sensitivity: Strong food odors can worsen nausea — stay away from the kitchen during the first few days
  5. Sleep position: Lying on your left side relieves the stomach

Continue reading:


This content is for general information purposes. Contact your physician about your personal symptoms.

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