New Nissen Fundoplacation Victim

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Propflux01
New Member


Date Joined Oct 2017
Total Posts : 6
   Posted 10/7/2017 7:59 PM (GMT -6)   
Hello to all. first time poster. I am on Day 10 of a fundoplacation, with repair of hiatal hernia. A little about myself and some questions. I am 51, have had acid reflux for 10+ years. and took Omaprazole. One day about 6 months ago, I had some massive heartburn. I was like, whats with this? So in went the Tums. and more Tums...,Tums, and yet more Tums. I called the Doc, did the new med thing, no difference so ended up in the Gastro Docs office. They set me up for a Stomach scope. I see him a few days later and he asks me " whats the issue". I'm thinking, you should already know the issue...But nevertheless. I tell this guy what happened, and that now I cannot even sleep without it coming up.. He says: " what you got, is a moderate size hiatal hernia, and blah blah. He tells me he needs to do a fundo on me, and tells me waht it basically entails.
A week later, I'm looking up at a large light, scared nono less, and having some really good drugs suddenly being introduced to me. I wake up, everything Ok, and nurse got told clear liquids only. Joy...
Doc said 2 weeks on clear liquids... That it was 2 because instead of the normal three stiches, he had to use 4 to sew up the Diaphragm. I have a full 360 wrap. So now after 9 days of clear liquids, jello, and occasionally some rice in my soup, I took a chance and ate some salmon, and baked potato. geez, i was starting to starve! It went down ok, I made sure I was real careful eating, but I think I ate a slight bit fast.
So now comes the questions.. I surfed the web on nissen diets,and while most are pretty much copies of others, some are different. Seems the main concern is how the stomach actually takes to the food, and the chance of getting food stuck in the pipe because of inflammation. I can understand the liquid for a few days, but clear? really? Everything I have tried to eat, has went down OK. I tried a slice of american cheese, a scrambled egg, and some Ritz crackers real slow. But one thing the diets all have in common, is no soft drinks, and NO CHOCOLATE. huh? No chocolate? Why is it so bad? the first thing the nurse at the hospital gave me was a chocolate pudding, and I've had 2 since than. I haven't had an issue over either. So am I just going to quick with all this? I have burped twice, not real belchers,just small but effective. Now at night, the flatulence when I lay in bed is so bad there better be no ignition sources in the room. usually goes away after about an hour in bed.
So what Do people eat on this? What can I start with that won't let me starve to death? My ultimate goes is to get a slice of Pizza. Long way off, I know. Now I know about not eating too much because you don't want to stretch the stomach., I get the no cokes. I ccan even understand the 'strained" food diet,. but no chocolate? When do things get good enough that you can eat somewhat normally as long as you pay attention to how much and what you eat? Will that kind of thought be my undoing? And is there any truth to the "never going to vomit again" thing I've been hearing?Any advice for the fundo I got? thanx in advance. Tim

leo77
Regular Member


Date Joined Jul 2017
Total Posts : 22
   Posted 10/8/2017 11:10 AM (GMT -6)   
I haven't had this surgery (yet), but it seems like you're doing pretty well. From what I read on here, people recover differently - you might be able to eat more solid food earlier than others. Listen to your body to see what you can or cannot do.

SharonZ
Veteran Member


Date Joined Mar 2014
Total Posts : 945
   Posted 10/9/2017 6:12 AM (GMT -6)   
Chocolate contains caffeine, and some surgeons want that eliminated early on in your recovery. There a lot of different versions of the diet out there, but if you aren't having any issues on yours, there's no reason to worry about it. My surgeon gave me the UPMC post-Nissen diet to follow. I will tell you that you can expect minor setbacks during your recovery. Peak swelling of the wrap usually occurs around the 2 week mark, and the gas that you are experiencing is something that you will probably continue to struggle with.

Propflux01
New Member


Date Joined Oct 2017
Total Posts : 6
   Posted 10/9/2017 7:31 PM (GMT -6)   
Hello Sharonz:
I spoke with my Surgeon today, asked him about the chocolate, and he said its because it relaxes The esophageal sphincter, and causes heartburn. Made sense. I told him I have had chocolate pudding and he replied that it was ok as long as it wasn't bothering me. All my surgeon said about diet after surgery was clear/soft liquids. Today, it was "eat what you can tolerate". Can you elaborate what "minor setbacks" you are referring to?
As for the gas, what has worked for you to help bring that down any?

Thanx, Tim
"A Shovel, and a 55 Gallon Drum, Can Solve Man of Life's Little "Issues".

SharonZ
Veteran Member


Date Joined Mar 2014
Total Posts : 945
   Posted 10/10/2017 5:56 AM (GMT -6)   
At around 2+ weeks post surgery you may experience swelling at the wrap site which will make it more difficult to swallow. Gastric issues such as dumping syndrome as well as gas/bloating. Reflux may return and some people end up back on medication. Dilation of the esophagus when there is difficulty swallowing. Nausea and dizziness. These are all pretty common, and can occur at any time during recovery. Some people have experienced symptoms years after surgery.

Propflux01
New Member


Date Joined Oct 2017
Total Posts : 6
   Posted 10/10/2017 9:13 PM (GMT -6)   
The gas and Nausea are hitting hard so far, the rest is pretty much normal. I haven't a clue where it came from. The gas, I can figure that one, but ...
"A Shovel, and a 55 Gallon Drum, Can Solve Man of Life's Little "Issues".

SharonZ
Veteran Member


Date Joined Mar 2014
Total Posts : 945
   Posted 10/11/2017 6:21 AM (GMT -6)   
The gas will probably be an ongoing issue. I still get hit with waves of nausea, for no reason, 3+ years post surgery.

NuFundoAgain
New Member


Date Joined Oct 2017
Total Posts : 2
   Posted 10/11/2017 9:45 AM (GMT -6)   
I'm 12 months into my Nissen w/Hill Hybrid, I can tell for a fact that the gas will continue and so will all of the other unpleasant things you will experience with this operation! I wish I had better news! If I could do it over, I would never submit to this operation again!

Propflux01
New Member


Date Joined Oct 2017
Total Posts : 6
   Posted 10/11/2017 12:00 PM (GMT -6)   
Oh joy.... didn’t want to hear that. I wasn’t told about any of this pre-op. The gas is a real issue and twice now I’ve had the dizzy/nausea thing. Seems to happen right after I eat. So far, food wise I was told I could eat whatever I could handle, but chew very thoroughly. I haven’t graduated to pizza and burgers or bread yet. This is not going the way I had thought it would. How often are your nausea waves?
"A Shovel, and a 55 Gallon Drum, Can Solve Man of Life's Little "Issues".

SharonZ
Veteran Member


Date Joined Mar 2014
Total Posts : 945
   Posted 10/11/2017 12:13 PM (GMT -6)   
If you aren't able to belch, or not as you have before, the gas only has one other way to exit. I would stay away from gas-producing foods, and try taking anti-gas medication. I'm not sure whether they told you not to drink through a straw, either. After 3 years, the nausea is only a couple times a month. In the beginning, it was a bit more frequent.

Propflux01
New Member


Date Joined Oct 2017
Total Posts : 6
   Posted 10/12/2017 2:15 PM (GMT -6)   
Nothing of the sort was said. All I was ever told was what it entailed, and that it should stop my heartburn, and fix my hiatal hernia.
"A Shovel, and a 55 Gallon Drum, Can Solve Man of Life's Little "Issues".

Floppsie
New Member


Date Joined Oct 2017
Total Posts : 1
   Posted 10/12/2017 6:29 PM (GMT -6)   
I had a fundiplasty about 5 years ago and it is true you can no longer vomit . Other than that I have no other symtoms.

eLaReF
Regular Member


Date Joined Aug 2012
Total Posts : 74
   Posted 10/13/2017 2:35 AM (GMT -6)   
My op was >14 years ago now, but I only had soup and nutrition shakes for 6 weeks post-op - then it was pizza party time smile

Once you graduate to food like this, you really have to remember to chew. I got caught out a few times in the early days when out with friends, as I was trying to keep up my eating pace with them.

If you've had a full wrap, you WILL get food stuck at some point. You WILL know when this happens. You are not however dying when it happens and it will resolve itself - but it is extremely unpleasant and you will learn to avoid or be careful with any food which causes this (this is fried rice and char sui pork for me - *sigh*).

If you are getting bloating and lots of gas, you need to take something with Simeticone in - Wind-Eze are what we have in the UK, think it's Gas-X in the US?

Success rates for this op are in the high 90%'s so you are probably still experiencing the post-op side effects which will last a few months and you will by then have worked out how your body works.

I haven't had a PPI since my Op, and pretty much eat can what I want, when I want so hang in there - it does get better.

Propflux01
New Member


Date Joined Oct 2017
Total Posts : 6
   Posted 10/13/2017 2:09 PM (GMT -6)   
Well, I hope it works itself out. The gas is under control at the moment, I’m figuring out how to avoid it. The nausea hit me again today, that part sucks. Food-wise, while I still haven’t had bread or my beloved pizza, everything else is going down ok. I did have a full wrap, and I have already gotten food stuck. My biggest problem on that is learning to slow down when I eat.
"A Shovel, and a 55 Gallon Drum, Can Solve Man of Life's Little "Issues".
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