For me I was diagnosed as an adult, although I had always had stomach issues at a young age. I do not know one specific event, at least one that I can recall. My weight loss and postpandrial pain was never understood until I had my first cath angiogram at Mayo for an underlying vascular disease. That is when the severity of the stenosis was noted, and at the time I was drinking ensure to keep my energy level up. I spent many days in bed, because of lack of energy, deconditioning and malnutrition. Since my surgery I have been able to eat without pain, and my energy has improved some.