? About the nissen

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Veteran Member

Date Joined Apr 2004
Total Posts : 1200
   Posted 11/2/2008 10:24 AM (GMT -6)   
confused  I had the nissen about 3 years ago,and during the testing phase i also found out i have a motility problem with my esophgus. I was told by my dr. that i never have a complete swallow that my esophgus doesn't push the food down as it's suppose to. So over the past three years after having the nissen i've been having problems with food getting stuck in the esophgus.I know this is gross but the only way to get the food to move out of my esophgus is to throw up. It doesn't seem to matter what kind of food it is i've even had liguids come back up. I have to say it seems to be getting worse i've been feeling nauseas and my morning meds i can feel them sitting in my esophgus.I'm starting to wonder if the wrap has come undone does any of this sound familiar. I sure could use some advise if you've ever been here i'd love to hear what the out come was. Oh yeah one more thing my gi did go back in and tried to streach my esophgus i never could tell it helped any and he didn't want to do it again for fear of causing the wrap to fail. So i'm stuck in this awful place and it's making me miserable.
 Kay shakehead

Veteran Member

Date Joined Jun 2008
Total Posts : 903
   Posted 11/2/2008 3:18 PM (GMT -6)   
Hi Aunt Kay. My thought is that your wrap is probably okay, but your motility problem is worse. I didn't even know I had a motility problem until the Nissen and didn't have any problems until afterwards.

It was described to me this way: Because my LES was so weak, gravity was the driving force for swallowing for me; post nissen increased the amount of pressure..creating a "normal" negative pressure that is normally counteracted by the force of the contractions of the peristalsis of the esophagus when swallowing. In motility problems, the muscles contractions are not strong enough to counteract that negative pressure, thereby causing swallowing problems.

So, in my mind, because you're having increased problems swallowing, it sounds like your LES is still producing adequate negative pressure against the esophageal contractions..it's the contractions that aren't able to counteract that pressure.

Have you and your GI explored the motility issue any further?; that may be your next step.

Good luck,

Veteran Member

Date Joined Apr 2004
Total Posts : 1200
   Posted 11/3/2008 5:35 AM (GMT -6)   
If this proplem continues i don't know how i'm going to be able to keep taking my meds. I can feel them just sitting in my throat and i've never had problems with not wanting to eat but food is very unapealing right now.I could stand to loose some weight but this is not the way i had in mind.I'm on meds for severeal conditions it's also making it hard to get up and go to work feeling so nauseas.

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