please help me ive given up!

Ok so in a year I lost 81lbs but it was because I suffer from ibs and could barely eat. Now a year later I am stuck. I gain and lose the same 10 lbs every month. The problem now I think is psychological I am afraid to eat or forget to eat. I also have a nessan ( stomach wrap to fix acid reflex). So my stomach is very small so when I do eat it is child size portions. So I am always in starvation mode so I even gave up logging on here because I was always eating to little. How do you get out of this vicious cycle I am stuck in?