Problems after " Laprascopic Nissen Fundoplication "

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theade
New Member


Date Joined Jul 2009
Total Posts : 5
   Posted 7/3/2009 7:43 AM (GMT -6)   
Hi everyone how are we ??

Ok...i had my LAP NISS FUND. and the surgeon did not tell me what would happen after..
Operation was..4 months ago and in the first 6 weeks i lost just over 3 stone in weight ..I am shaking in my sleep and jerking .I can feel and hear a bubbling sound deep in my throat at times and it seems like it rises..I cannot eat anything without it feeling like it is stuck behind my chest and as i cannot be sick it really is a pain and hurts ..i can drink like never before and i do otherwise i become dehydrated very quick and feel faint and all hell breaks loose..I have a real problem putting on weight and i have to stop eating NOT because i am full as my belly is smaller ,,BUT because the food gets jammed before it reaches my belly...on top of this i still get pains in my chest area where the valve is and if i lay on my left side my belly makes one serious fgrumbling noise for hours and on my right it shuts up straight away.....Also when i eat i have to spit up this thick glue type spit .????


All i all i am worse off now than b4..

I am male 39 yrs old from UK..

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 7/3/2009 8:35 AM (GMT -6)   
Hello and welcome to HealingWell.  I am glad you found us.  You will find the members wise and caring.  If you read through the threads of other members who have had the surgery you will find tons of information.
 
I know one of our great members will be along to visit with you about your issues.
 
With it being a holiday weekend you may find the boards are a little quieter so do bare with us.
 
Again a warm welcome.
Kitt
 

Kitt,
Moderator: Osteoarthritis, GERD/Heartburn
Anxiety/Panic, & Depression
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http://www.healingwell.com/donate *~*
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Not a mental health professional of any kind


beareilly
Veteran Member


Date Joined Mar 2009
Total Posts : 553
   Posted 7/4/2009 10:20 AM (GMT -6)   
theade,
 I am very sorry to hear this.I had the wrap done on May 7 2009.I have a thread going called bea's nissan fundoplication. I didnt have all that you are having. Was the doctor a skilled surgeon? I hope ya feel better
Bea

mariex800
Regular Member


Date Joined Mar 2009
Total Posts : 171
   Posted 7/4/2009 12:41 PM (GMT -6)   
HI Theade,
Theade, are you able get a second opinion and checkup and see what happen to the wrap? I am hoping you will find a resolution soon from the dr.
Please take care of yourself.

Marie

mariex800
Regular Member


Date Joined Mar 2009
Total Posts : 171
   Posted 7/5/2009 2:34 PM (GMT -6)   
Hi Bea,
How are you doing?
Is everything going ok?
Are you able to eat normally now?
Hope all thing goin well.
Take care.
Marie :)

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 7/5/2009 3:26 PM (GMT -6)   
Hi Threade,
I'm so sorry to hear that you're having lots of troubles post surgery. That isn't typical. I assume that you've discussed these problems with your GI doc and surgeon?

I had my surgery four months ago, and am getting back to normal eating. I do continue to chew my food carefully and eat more slowly, but can eat anything. In fact, I'm gaining back the weight I lost initially (which I don't want to do).

Some people have difficulty with the surgery--usually due to a surgeon who makes the wrap too tight--thus making swallowing difficult. Are you being very careful to take small bites and chew your food thoroughly? Gurgling in the stomach/intestine is something that can happen occasionally, when the wrap is irritated, or I overdo and eat too much or the wrong things. When that happens, I usually have a day or two of loose stools or diarrhea. It's not a big deal, though, and doesn't always happen when I overdo it eating.

Please be sure to follow up with your doctors. Some people find it necessary to have their wraps dilated/enlarged, if they're wrapped too tightly.
I wish you the best of luck! Please continue to post your questions here, and we'll try to do our best to support you through this difficult time.
Denise

theade
New Member


Date Joined Jul 2009
Total Posts : 5
   Posted 7/6/2009 3:59 AM (GMT -6)   
Hi to all of you :) Hope you are all ok ..

It is strange because say i am having a meal of ..fish in batter peas and boiled potato ok...the first few mouthfuls go down to what seems to be the valve / behind my chest and appears to be stuck, Then i have to ( spit out ) a glue type saliva ..Once i have done this i can eat the whole meal if i take my time with no further problems ..It is always the first few mouthfuls that cause the problems..On the other hand there are other foods that i can just eat and eat with no problems at all !!
I made the mistake about 2 weeks ago of trying a bread bun and oh my god did i suffer ,,,, I cannot be sick so i was just heaving like i was trying to snap my spine and nothing was coming up .." This i found was due to pieces of bun appearing to get stuck " So i am thinking maybe "Am i chewing my food enough perhaps " ??
The thing is my body and brain has been used to eating so much in such a way for nearly 40 years ..and now i have to train it to alter completely ..
Is it maybe because i am not eating slow enough and not chewing enough ??

Regards Ade

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 7/6/2009 8:57 AM (GMT -6)   
Hi Ade,
I think you definitely need to eat smaller bites, slower, and only eat things that can be chewed to a liquid at this point in your recovery--especially since you're having some back-up at the wrap. Chances are, you've had a little residual food stopping at the wrap, and sitting at the bottom of your esophagus. Then you cough up the saliva/glue and you're good to go.

Be sure to drink liquids with your meals. Most people find hot tea to be really helpful in relaxing the esophagus and facilitating swallowing.

I agree that it is hard to change years of eating habits, and it's natural to revert back to the way we've eaten our entire lives. I'm 57 and just had the surgery this past February...I've always been a pretty slow eater, but even at that I've had to slow down a lot. If my 27 year old son had this surgery, he'd have a real problem, since he eats unbelievably fast. So...you'll have to change your habits of a lifetime--at least for the time being.

It has been said that the first 80%-90% or so of your healing takes place in the first 6 or so months, and the rest takes about a year. From what I hear, you'll always have to be a bit more careful chewing (I have an acquaintance who is 2 years post surgery, and still can have a problem if she (for example) swallows a piece of bagel without chewing it properly--she's thrilled with the results of the surgery, though).

See what happens if you slow down and drink water/tea (hot/warm liquid seems the most helpful) when you eat. Of course you can still contact your surgeon/GI doc for his/her opinion. At this point in your recovery, you might want to continue to sleep with an elevated bed or a wedge. That will alleviate the pressure on the wrap at night. Even though you now have a working wrap, it probably would be best not to eat just before going to bed, since your stomach seems to be reacting at night.

Let us know how things go. There are lots of people on this forum who have had the surgery, and if you ask questions, they can help you out. It's unfortunate that your surgeon didn't prepare you properly for the post-surgical recovery period. I was fortunate to have thoroughly researched it, and asked my surgeon a million questions. I was ready for anything!

Good luck, Ade.
Be sure to keep posting on the forum!
Denise

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 7/6/2009 4:08 PM (GMT -6)   
Ade -
I can really relate to your problem. I had the surgery first in 2006. I had severe dysphagia right away and it really never stopped, I just learned how to cope with it. My wrap was dilated approx. 16 times in just shy of 3 years before they found out something was done wrong during the surgery. I had a redo May 18th and they saw that the first wrap was done using the technique originally thought up in the 50's. It does stop reflux, but isn't functional for eating. Also mine wouldn't respond to dilations either. I am not saying yours is wrong, but it may need dilated. Even my last surgeon said that a few may need dilation a few months after surgery. Have they said anything about this? I wo8uld definitely get with the surgeon and see what they say.
Denise gave some great advice also. If you have the time, go back and read her posts following surgery. They have a ton of good information.

Take care,
Bill

theade
New Member


Date Joined Jul 2009
Total Posts : 5
   Posted 7/7/2009 10:33 AM (GMT -6)   
Hi Denise ...Bill ..
Thank you so much for your replies.."Much appreciated "
Well i have done as you said and Had my food at a slower pace with smaller bites and am chewing the hell out of everything and so far it is making one huge difference as i find it easier to swallow now . I am still getting pains in my chest area what seems to be where the repair was done " around that area i guess" it is a funny pain and it comes sometimes after i have eaten and had a large drink . I got in touch with my surgeons secretary and the upper GI nurse and they are sending me an appointment out in the post for a ( BARIUM MEAL & XRAY ) now will someone please explain to me what this is for ??

Kind regards and thank you again
Adrian

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 7/7/2009 11:34 AM (GMT -6)   
Adrian -
I am not sure about the meal part, but the barium Xray is the barium swallow test. It should show if and where food gets stuck. I have done the swallow test 6 or 7 times and it's not bad as long as they aren't looking for holes. That contrast is very nasty tasting. The barium isn't great, but tolerable.

Take care,
Bill

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 7/7/2009 12:50 PM (GMT -6)   
Hi Ade,
I checked online and got this info about a barium meal. The Barium Meal info is below the Barium Swallow info. Hope you find it helpful. I've had a barium swallow, and it's no big deal at all. Actually, the barium drink was much better than I expected. Good luck!
Denise

Types of barium test

Depending on what part of your gut is being looked at, you may have one or more of the tests listed below. In each test, the barium coats the lining of the gut being tested. Therefore, abnormalities in the lining or structure of the gut can be seen on the x-ray pictures.

In each of the following tests, several x-ray pictures are taken using low dose x-rays. The total amount of radiation for each test is quite small and thought to be safe. The x-ray machine is usually linked to a TV monitor. Still pictures, or a video recording of x-ray pictures taken in quick succession, can be taken if necessary.

Barium Swallow
In this test you drink some barium liquid. The barium liquid is often fruit flavoured so it is OK to drink. You stand in front of an x-ray machine whilst x-ray pictures are taken as you swallow. This test aims to look for problems in the oesophagus (gullet) such as a stricture (narrowing), hiatus hernias, tumours, reflux from the stomach, disorders of swallowing, etc. You will usually be asked not to eat or drink for a few hours before this test. A barium swallow test takes about 10 minutes.

Barium Meal
This is similar to a barium swallow (above) but aims to look for problems in the stomach and duodenum such as ulcers, polyps, tumours, etc. You drink some barium liquid, but you then lie on a couch whilst x-ray pictures are taken over your abdomen. It may take a little longer to do than a barium swallow.

So that the barium coats all around the lining of the stomach, the doctor doing the test (radiologist) may do one or more of the following:

* Ask you to swallow some bicarbonate powder and citric acid before swallowing the barium. These 'fizz up' when they mix in the stomach and make some gas. (You may have to resist the urge to burp.) The gas expands the stomach and duodenum and also pushes the barium to coat the lining of the stomach and duodenum. This makes the x-ray pictures much clearer as it is the shape and contours of the lining of the stomach and duodenum which needs to be seen most clearly on the pictures.
* Ask you to turn over onto your stomach on the couch. Various x-ray pictures may be taken whilst you are in different positions.
* Give you an injection of a drug that makes the muscles in the stomach and gut relax.

You will usually be asked not to eat anything for several hours before this test. (Food particles in the gut can make it difficult to interpret the x-rays.) However, you may be allowed sips of water up to two hours before the test.

theade
New Member


Date Joined Jul 2009
Total Posts : 5
   Posted 7/7/2009 2:46 PM (GMT -6)   
Hi Denise & Bill ..Once again thank you so much !!

Well what can i say to that eh ? Another dose of the hospital horrible s lol....I like the part where it says ((These 'fizz up' when they mix in the stomach and make some gas. (You may have to resist the urge to burp.)) Ok well i may have a problem there because i haven t been able to burp since the operation nearly 4 months ago so Hmmmmmm....Well we can only but wait and i have been told this shall take place some time in the next 2 weeks so i shall definitely let you all know how it went for sure ..

Thank you again both i really do appreciate all your help .
Speak soon
Regards
Adrian ;)

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 7/7/2009 2:59 PM (GMT -6)   
Adrian -
In my experience with the "crystals" is they make you start to burp even as they are in your esophagus. I am not sure if they ever make it in my stomach or not. I have had this yest done with and without them. It's really not a big deal, just feels like I drank warm soda really fast and it causes a small burp feeling. I hope that makes sense to you.
Denise and Kitt are they information Gurus! I have learned a ton from those two. I think I am gonna start using them instead of my search engines. Much easier for me ! LOL.

Take care,
Bill

brenda32
New Member


Date Joined Jan 2011
Total Posts : 6
   Posted 1/31/2011 4:59 AM (GMT -6)   
cry Hello my name is Brenda and I am having some major issues since this surgery. My surgeon didn't explain anything to me for post-op. I have been back to the hospital for dehydration and to my doctors office for bleeding bowels. Haven't been able to get out of bed for about a week. Can't sit up for longer than a few minutes, then it's right back to bed. My latest issue is that for the past few nights, at the same time each night, I am awaken by severe pain in my chest. Feels like the biggest gas bubble in the universe. I am able to still burp the way I used to, which I might add is like a trucker. Pain medicine isn't helping. I drink hot tea and chicken broth but still no relief. I had this surgery done Jan. 17th, 2011. My chest feels like someone picked me up and body slammed me. It's the worst pain I have ever experienced and I have 4 kids. One of which was a 23 1/2 hours of pure labor, another c-section, and another was 16 hours. That was a piece of cake compared to the pain I feel now.

Does anyone have any information or suggestions on how to deal with or relieve this pain? I would really appreciate any input.

Thank you and have a good night, as I am up at 3 am due to pain.

Sincerely,
Brenda

leniijane
Regular Member


Date Joined Dec 2010
Total Posts : 42
   Posted 1/31/2011 10:30 AM (GMT -6)   
Wow, Brenda, something is so wrong. I would go back to the Dr.
 
I had my nissan fund.. on Nov 3rd. Still not normal. No pain, but loud belching, and a few throwing up sessions,but mostly regurgiating a small amout of food that I ate hours ago. I think it gets stuck above the valve. I may be eating to much and too fast yet.
 
I would not recomment this surgery to anyone that doesn't need it very badly. I had it because my whole stomach was up in my chest and worried it would twist and die. I only had symtoms then when I ate like others, i.e..a big meal and dessert. I had no symtoms if I ate small amounts at a time and often. I didn't have heartburn, but now I do. Have to take Prilosec now.
 
 
My Dr didn't explain much to me either. I did well right away,but it got worse. Wish I would have started out on liquids,ect. I was told to eat as tolerated?????
 
Now when I bend over, I have reguritation. As so many on here say give it time, maybe even 6 months, I haven't been back to the Dr, since two week checkup when I was doing well.

brenda32
New Member


Date Joined Jan 2011
Total Posts : 6
   Posted 1/31/2011 6:54 PM (GMT -6)   
Thanks for getting back to me. I am glad this forum exists because doctors don't always do the right thing by their patients by letting them know the risks and complications. I too had no other choice but to have this surgery. The meds weren't working at all. There was no other option as I too had half my stomach up thru my throat. I wouldn't recommend this surgery to my worst enemy. To many problems to deal with. I have talked to my doctor and said this was normal. It will take some time for me to get thru this. In the meantime, I have to suffer thru the pain, and his suggestion is to take my pain meds. What does he think I'm doing? Ignoring the pain and dealing with it. Some doctors are a real piece of work. Wish I would have had one of the other surgeons, as this one wasn't informative or to polite to me.

I am a recovering addict, and having to deal with constant pain meds isn't something I am looking forward to. I hate taking any type of drugs at all. So for now I have to deal with being loaded most of the time. Great, just what a recovering addict of almost 9 years needs right?

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 1/31/2011 7:09 PM (GMT -6)   
Brenda and jane,
Both of you are suffering from something wrong with your wrap. I suggest you both go back to your surgeon or gastroenterologist and tell them what's happening.
Brenda,
First, the pain should not be that bad. I was off pain meds in three days.
Second, there should be no bleeding going on.
Third, if he's dismissing you, find a different doctor to talk to.

Jane,
If you're throwing up alot you need to slow down you're eating and chew small bites very well. If you're already doing this and still throwing up then go back and tell the doctor about it. You're wrap maybe too tight.

I wish you both good luck and I hope you stick around and let us know how you're doing.
Joy

brenda32
New Member


Date Joined Jan 2011
Total Posts : 6
   Posted 2/2/2011 2:36 PM (GMT -6)   
Thanks for the input. I have an appointment on the 8th and plan to rip my surgeon a new one. I have been keeping in contact with his nurse, cause as you all know, doctors just won't talk to you. Or is it just me they won't talk to? Whatever the case my doctor will surely know how I feel about his non informative manner. I would not recommend him to my worst enemy. I have been doing better and I am at the point where I can actually eat some mushy food... Man I can't wait until I can eat. The one thing I have been craving, out of everything is: now get this...... A bologna and cheese sandwich. Go figure, not a steak, prime rib, chicken or even a hamburger...... but BOLOGNA.... am I a weird one or what?

Thanks to all of you in here, you have made it more comforting for me. Love you all

Brenda smilewinkgrin

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 2/2/2011 6:47 PM (GMT -6)   
Try vienna sausages they're bologna tasting. You have to nibble and chew very well to get it down.
Joy

leniijane
Regular Member


Date Joined Dec 2010
Total Posts : 42
   Posted 2/3/2011 2:59 PM (GMT -6)   
I did not say, I was throwing up alot. Said I had 3 bouts of it over three months time. I think I ate too much over a few hours time(that is the way I was used to eating before, a little every couple of hours).
 
I do have REGURITATION tho. Seems like a little bit of it sticks above the wrap and can't go down, so it has to come up. I can feel it there. I have this somedays and not somedays, so it must be what I am eating ????

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 2/4/2011 7:43 PM (GMT -6)   
Could be?
Joy

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 2/5/2011 12:04 PM (GMT -6)   
Hi leniijane and brenda,
I'm sorry to hear you're both having problems.

I have a suggestion. It would be helpful to you and those of us who respond to your posts and try to help, if you would each start a new thread on the main page. That way you won't be buried at the bottom of an old post like this one.

Glad you've joined us!
Best wishes,
Denise

brenda32
New Member


Date Joined Jan 2011
Total Posts : 6
   Posted 2/6/2011 2:28 PM (GMT -6)   
I am still having alot of pains in my throat and chest area. it sucks, cause i am up all night, in rocking pain like a child. it feels like someone just punched me as hard as they could in the throat... it feels like someone is slowly squeezing and tightening my throat with a pair of vice-grips...
i sure wish i could have bounced back from this the way my friend did. i guess everyone heals differently. i just have so many complications., when does it get better?

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 2/6/2011 4:27 PM (GMT -6)   
Brenda, please, please, please go see a new gastroentrologist. You should not, I repeat, you should not be suffering like this.
Something is seriously wrong! :(
Joy
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