Ice Cream/Frozen Yogurt - The Cause?

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Dave234
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Date Joined Oct 2011
Total Posts : 320
   Posted 7/18/2012 1:31 PM (GMT -6)   
I had the Nissen Nov 17, 2011.  I am at 8 months since the surgery.
 
Some days I feel better than ever.  Other days I feel what completely feels like reflux.
 
I had a barium swallow x-ray about a month ago which showed that the wrap was fine, but there is a question in my mind as to whether the small amount of reflux they saw was the result of real reflux or if it was from them laying me back almost immediately after swallowing the barium, giving the barium not enough time to get past my wrap.  After I had a sip of water and waited a moment, then laid down again, there was no reflux at all, even when I "beared down" (flexed), which is supposed to bring about reflux.  So, I'm kind of confused about that.  And the x-ray tech who wrote up the report said that the reflux appeared when I "beared down", which wasn't true.  The x-ray tech report is what my surgeon was going off of, saying that I could get my surgery "tightened" with the TIF procedure.  I am not eager to jump into more surgery if I do not need it.
 
Recently I've had the reflux feeling again, but it comes and goes.  However, I think I may have started to figure out what is going on.  I thought that eating ice cream and/or frozen yogurt was fine because it is soft, so I had been doing that every night.
 
I think I may have figured out that I am very sensitive to ice cream (even the low fat kind, and frozen yogurt with a little bit of fat).  I think it's a combination of irritation from the actual dairy of the ice cream, as well as the food being so cold, which makes the stomach take an extra amount of time to digest since food needs to be warmed in the stomach first before digestion.   This is not good if I'm eating it just 2 or 3 hours before bedtime.
 
Thoughts?

Dave234
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Date Joined Oct 2011
Total Posts : 320
   Posted 7/18/2012 1:33 PM (GMT -6)   
Also, I take lactaid pills before eating ice cream..... I'm lactose intolerant but show none of the symptoms people attribute to lactose intolerance (if you know what I mean).

Maybe lactose intolerance and irritation of the "wrapped" stomach are two totally separate things.

Dave234
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Date Joined Oct 2011
Total Posts : 320
   Posted 7/18/2012 2:12 PM (GMT -6)   
I notice that I feel much better after eating my lunchtime soup which has been cooked for many hours, making the soup contents very soft and easy to consume. I eat chicken noodle soup and it's delicious.

Baza
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Date Joined Jan 2011
Total Posts : 439
   Posted 7/18/2012 2:56 PM (GMT -6)   
Hi Dave,it maybe that certain foods and liquids are not all going through properly and staying in your esophagus,this is happening to me and it feels exactly like reflux.As you say sometimes its fine and things go through and other days it doesnt.Im not sure about the lactose thing with the wrap.Maybe a bit more time and it will settle.Good Luck! Barry

Dave234
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Date Joined Oct 2011
Total Posts : 320
   Posted 7/18/2012 3:28 PM (GMT -6)   
How can I tell if that is the case? I'm still feeling this feeling even after taking 3 Gaviscons.... So maybe it's not reflux?? It feels great after soup. Then I have some Ensure and it's bad again. I'm not sure what I should be doing to feel better.

Dave234
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Date Joined Oct 2011
Total Posts : 320
   Posted 7/18/2012 3:33 PM (GMT -6)   
But it does kind of feel better after 3 Gaviscons. I just don't know. Would Gaviscon help if it were not reflux?

Dave234
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Date Joined Oct 2011
Total Posts : 320
   Posted 7/18/2012 3:43 PM (GMT -6)   
Could ice cream or frozen yogurt be causing wrap irritation? Has anyone ever had this?

Dave234
Regular Member


Date Joined Oct 2011
Total Posts : 320
   Posted 7/18/2012 3:50 PM (GMT -6)   
Why would I feel this reflux feeling after drinking Ensure? Ensure is liquid. Wouldn't Ensure not cause any issues since it is a liquid? I took 3 Gaviscons about 10 minutes before drinking more Ensure and was fine, but then I drank a couple swallows of Ensure and now I feel the reflux again.
 
This sensation is driving me crazy.  If I have wrap irritation, wouldn't it be fully better if I felt good yesterday?   Can it just come back?  Or does this mean that it's probably reflux because it comes and goes?

Post Edited (Dave234) : 7/18/2012 2:53:26 PM (GMT-6)


Baza
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Date Joined Jan 2011
Total Posts : 439
   Posted 7/19/2012 4:32 AM (GMT -6)   
Hi Dave,ive the same problem with those ensure drinks,every time i drink them i feel ill,nausea bloated and if its sitting in my esophagus,ive stopped them.I was reading an article on a condition called Achalasia recently where foods and liquids get stuck in your esophagus causing reflux symtoms and even esophagitis which is very uncomfortable.So if there is a hold up of foods it could be causing you these problems.I dont know for sure Dave your surgeon or GI should be able to tell you whats going on,im in the same boat and looking for an answer.Not Easy! Barry

Roger D.
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Date Joined Jul 2011
Total Posts : 34
   Posted 7/19/2012 8:50 AM (GMT -6)   
 I am 7 months post op and I am experiencing similar symptoms. My theory is that the surgery made my stomach super sensitive to certain foods and medication. I am convinced that my wrap is fine and that food gets thru alright; it is my stomach that is causing the problems. My stomach becomes painful after eating certain foods and taking meds. I do have good days where my stomach feels fine. I still can't drink coffee or eat chocolate without stomach pain. I am as confused as you are. I recently had dental surgery and was prescribed 600 mg Motrin tablets for pain; these meds caused severe stomach distress. I did not have this problem before the surgery. I hope that this is not a lifetime problem.   

Post Edited (timespace) : 7/19/2012 8:01:51 AM (GMT-6)


Dave234
Regular Member


Date Joined Oct 2011
Total Posts : 320
   Posted 7/19/2012 9:19 AM (GMT -6)   
You guys are both awesome!!! Thanks! Yeah, it's really weird. It feels much less creepy knowing that other people who got the surgery around the time I did are feeling the same symptoms. It's weird, I really feel sure that it must be something held up at the wrap site, but it feels exactly like reflux. Sometimes I feel 100% and the next moment I feel that weird feeling. So I'm wondering if that is what happens when something is held up at the wrap site..... It isn't as bad as before but it isn't normal, and it is not something I want to live with.

Have you ever tried Vega One? I just tried the Vanilla Chai. It is plant-based, no dairy, gluten, or soy, and no sugar added. You just mix it with water. It has 15g protein and many vitamins and probiotics. It is really, really good. I will drink that instead of coffee.

Dave234
Regular Member


Date Joined Oct 2011
Total Posts : 320
   Posted 7/19/2012 9:43 AM (GMT -6)   
Barry, in regard to achalasia, the esophogeal motility test you had before the Nissen would tell you if you have that condition prior to surgery. I believe that is a required test. Did you get that? The very uncomfortable test with the tube in the nose where you had to swallow only upon command?

I imagine that the very nature of the effect the wrapped stomach has on the esophagus (the tight funnel) would act sort of in the same way that the symptoms of achalasia would present.

Would you agree?

Dave234
Regular Member


Date Joined Oct 2011
Total Posts : 320
   Posted 7/19/2012 9:52 AM (GMT -6)   
So, going on the assumption that the tightness of the wrap produces a similar kind of esophogeal environment as achalasia, I did a little research on achalasia.

Ha ha ha look at the lifestyle changes recommended for people with achalasia. Sound familiar?

QUOTE
Lifestyle changes

Both before and after treatment, achalasia patients may need to eat slowly, chew very well, drink plenty of water with meals, and avoid eating near bedtime. Raising the head of the bed or sleeping with a wedge pillow promotes emptying of the esophagus by gravity. After surgery or pneumatic dilatation, proton pump inhibitors can help prevent reflux damage by inhibiting gastric acid secretion; and foods that can aggravate reflux, including ketchup, citrus, chocolate, alcohol, and caffeine, may need to be avoided.
UNQUOTE

Source: http://en.wikipedia.org/wiki/Achalasia

Baza
Regular Member


Date Joined Jan 2011
Total Posts : 439
   Posted 7/19/2012 10:38 AM (GMT -6)   
hi Dave,i mentioned the achalasia as when i seen a registrar in the hospital and told him my symtoms the first thing he asked me was did i have achalasia as sometimes its misdiagnosed as Gerd! I did have a motility test with a GI two years before i had surgery and my surgeon used the results of that but didnt do his own test which im worried about.Theres definitely a similar set of symtoms.I hope its the wrap that just a bit tight and nothing else.I had a dilation last week and the surgeon said there was mucous or saliva lying on top of the wrap so i think thats causing me discomfort,i felt a bit better after the dilation but the feeling is still there. barry

Dave234
Regular Member


Date Joined Oct 2011
Total Posts : 320
   Posted 7/19/2012 12:52 PM (GMT -6)   
So does the feeling of reflux come and go? Or is it constant?

Baza
Regular Member


Date Joined Jan 2011
Total Posts : 439
   Posted 7/20/2012 4:16 AM (GMT -6)   
Hi Dave,sometimes i can eat and drink with no problems,then there times it causes problems.theres no pattern to it either,just seem to be in a grey area.I would say at this time i feel worse than i did before the surgery,at least i knew where i was with reflux,now ive no idea whats going on! Barry

Dave234
Regular Member


Date Joined Oct 2011
Total Posts : 320
   Posted 7/20/2012 8:49 AM (GMT -6)   
Barry, have you tried Vega One instead of coffee? Have you tried not eating ice cream, etc? I am going on the assumption that I have just some wrap irritation (which would be a huge sigh of relief as I do NOT want to have reflux anymore).

Baza
Regular Member


Date Joined Jan 2011
Total Posts : 439
   Posted 7/20/2012 9:04 AM (GMT -6)   
Hi Dave, i dont drink caffeine at all, havent done for the last 5 years because ofthe reflux,ive been living on a bland diet aswell ,i thought the surgery would fix all this but it doesnt look good for me at the moment.ive trouble with soft foods and my surgery was back in March.Very frustrating to say the least!

Dave234
Regular Member


Date Joined Oct 2011
Total Posts : 320
   Posted 7/20/2012 11:43 AM (GMT -6)   
Maybe it will take a little while before the dilation really takes effect, or things calm down there.

Out of curiosity, have you written out a list of everything (Everything) you eat or drink, and what is the last thing you eat or drink at night (including water)? Also do you eat a lot of cold foods?

Baza
Regular Member


Date Joined Jan 2011
Total Posts : 439
   Posted 7/22/2012 4:44 AM (GMT -6)   
Hi Dave,im only eatin a soft diet ie.mash potatoes with gravy,weetabix cereal,custard etc,everything else ive tried gets stuck.Infact even the soft foods cause me problems,slow to go down,belching and a gurgling sound after i eat.Not very Pleasant.Its the time its taking for this to resolve thats drivin me mad.Most of the posts ive read here people seem to settle after 3 months. Barry

Dave234
Regular Member


Date Joined Oct 2011
Total Posts : 320
   Posted 7/23/2012 8:25 AM (GMT -6)   
Barry, the belching and gurgling sounds after eating are very normal.  I get that, and many other people who have had very successful surgeries have that still, too, even after years.
 
What happens when food gets stuck?  Is it just a feeling?  What is the latest time you eat or drink at night?  Is there anything you eat every day?

Baza
Regular Member


Date Joined Jan 2011
Total Posts : 439
   Posted 7/23/2012 10:06 AM (GMT -6)   
Hi Dave,when i eat something or even drink i get a feeling like my airway is being blocked off,it actually feels the way i got volume reflux before the surgery,like a regurgitation of foods.Really uncomfortable,it happens even half n hour or and hour after eating aswell,i was thinking it was mucous or saliva sitting in my esophagus.When i had the endoscopy the surgeon said mucous was sitting there,thats why he done a dilation.

Dave234
Regular Member


Date Joined Oct 2011
Total Posts : 320
   Posted 7/23/2012 10:11 AM (GMT -6)   
Would you get that feeling even after drinking water? Have you tried not drinking cold water, but just room temp or warm water?

Baza
Regular Member


Date Joined Jan 2011
Total Posts : 439
   Posted 7/24/2012 10:50 AM (GMT -6)   
Hi Dave,seen surgeon at clinic today and he,s going to do another dilation,he says i shouldnt be having these problems at this stage.I asked him if i had a motility issue and he said maybe?Iim worried he hasnt been thorough enough with the pre op tests.He said food is definitely going through but not all of it.dont know where this is going. Barry

jpvn2015
Regular Member


Date Joined Jul 2012
Total Posts : 63
   Posted 7/24/2012 10:53 AM (GMT -6)   
Dairy products can spurt and spike your GERD symptoms. It might be best to lay off of the frozen yogurt and ice cream even though it's hard. After I eat ice cream, I always need to take an acid reducer to counteract it.
The advice I provide and present to you is solely based on research and doctor diagnosis. I am personally not a doctor. Going to a doctor is far better than listening to what I have to say.

I have experienced a lot over the course of years, and I am glad to give you some pointers to help you overcome your struggles.
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