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cowboy22
Regular Member


Date Joined Aug 2009
Total Posts : 172
   Posted 8/23/2009 3:58 AM (GMT -6)   
I had Nissen Fundo 4wks ago.The surgeon has done quite a few and is very skilled.I had hiatus hernia repair.I had bad inflamation and reflux and ppi were not working.I took it easy for 2wks and felt good.I mowed the lawns washed the car.That night i ate spicy food and a drink of lemonade and had a very small bit of acid come up..The next day the flatulence had gone and bloating started.I felt tired for a few days.Im feeling a bit better now not as tired but a pain in my left shoulder has started seems to be worse when i breathe in deeply.I can burp easier now to.Slight pain left rib.I have a ver yvery slight taste of acid in mouth?That maybe ok.Im thinking the warp has loosened from the physical assertion 2 wks after op.Im sure my palpitations are back (is hernia back) maybe just anxious.any tests can be done and if curtains can it be fixed.Any thoughts.Cheers..

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 8/23/2009 7:37 AM (GMT -6)   

Welcome to HealingWell. This is a great site. I look forward to getting to know you better.
 
I have not had surgery but many of the members have and I am sure they will be by shortly to answer your questions.  I feel a trip to your physician's office may be a good way to go especially if you think your hiatal hernia has returned. Your doctor will rely upon your description of symptoms and perhaps a Barium Swallow test.
 
I am sorry to hear you are having sx. I would suggest you slow down on any strenous chores right now until you are checked out.
 
Again a warm welcome.
 
Kitt 


 

Kitt,
Moderator: Osteoarthritis, GERD/Heartburn
Anxiety/Panic, & Depression
*~*
http://www.healingwell.com/donate *~*
"When you find peace within yourself, you become the kind of person who can live at peace with others."
Not a mental health professional of any kind

Post Edited (stkitt) : 8/23/2009 9:15:53 AM (GMT-6)


dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 8/23/2009 9:09 AM (GMT -6)   
Welcome, Cowboy 22!
You're a full-fledged member of the wrapped club! Congratulations! I had the surgery in February of this year, and have been through just what you're going through.

I do think you were pushing it to do the work you did at 2 weeks. I'd recommend you take it a bit easier for a few weeks. My surgeon said no lifting more than 10 pounds, and I would think that pushing a lawn mower, and the motion it takes to wash the car might be a bit much. I do know a member here, Rick, rode his bike something like 20 miles at the two week mark, so it doesn't mean you can't do anything. Just let your body tell you what you can handle. Listen to it!

At two weeks, your wrap is still swollen. During the healing process, my surgeon said "pretty much anything is possible". He shared the fact that until it heals, the swelling goes down completely, and things have settled into place, you can get some reflux slipping by a place where it's not sealed due to swelling. Also, I've heard that the esophagus is a "dumb organ", and it can interpret all pain/discomfort as reflux.

My pre-surgery symptoms included uncontrolled asthma. After enough time passed to allow my lungs to heal, they've been great! I also have had moments when I've gotten reflux-like symptoms--most often after having irritated my wrap by eating something too fast or eating something that was irritating. Also, there are times when my wrap gives me a little problem--a mild "pain" sensation that is solved by a small swallow of Maalox.

This surgery is a major revision of your GI tract, and it'll take time for your body to adjust. I've head that 80% of the healing occurs in the first few months, and the rest over the course of a year.

It can be deceiving, because of the laproscopic procedure--the outside of you heals very quickly, and you appear to be recovered, but the inside of you has been stirred up pretty badly, and continues to need time to heal.

As far as the shoulder pain--I found mine to be greatly relieved by walking. I went on my treadmill several times a day and (beginning slowly and building up speed and distance) I could draw a parallel between how much walking I'd done and the comfort of my shoulder. I personally think that walking is the best medicine for that problem.

I wouldn't be at all surprised that your palpatations are a result of your anxiety you have about doing something to your wrap. I have mitral valve prolapse, and it always kicks up with stress.

I really don't think you have loosened your wrap from your exertion. You're experiencing normal healing symptoms. Still, please take it easier for a couple months. Not to say you can't do anything, but let some things go, get help, and just focus on your recovery.

There are lots of members of the "Wrapped Club" here, and I'm sure they'll be stopping by to add their perspective.
This is a great place for you to vent, ask questions, and get lots of support and encouragement.
yeah yeah yeah yeah yeah
Best wishes, and stay positive! You made a good choice, and you'll do just fine, once your body has time to adjust.
Take care,
Deniseturn

cowboy22
Regular Member


Date Joined Aug 2009
Total Posts : 172
   Posted 8/23/2009 11:39 AM (GMT -6)   
Thanks Denise and Kitt . Im soooooooooo glad i became a member with such caring people around!Thanks a million.Im awake again because of the shoulder pain in between my neck and shoulder and will try the walking as suggested...

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 8/23/2009 12:05 PM (GMT -6)   
Hi Cowboy22,
I forgot to mention the likely cause of the shoulder pain...I don't know if you've been told that the gas they pumped into your body to create a clear field for the surgeon as he worked on the revision, can put pressure on nerves and creates the shoulder pain that is so common after the procedure. The walking moves and relieves the gas...helps to get it out. Since it's loose inside you, it takes time for it to make its way out.
I was told by the night nurse after surgery that I needed to get up and walk right away--she had me walking the halls all night--whenever I got up to go to the bathroom. I continued the walking when I came home, and it made a huge difference.

The left rib pain is from the operation itself...that port is where most of the action occurs while the surgery is taking place. My rib incision area on that side was very painful. Mine was made worse because of my asthmatic cough that was hanging on because of pre-surgery inflammation and infection. The pain will resolve as time goes on.

Good luck with your walking!
Denise

LdyJane
Veteran Member


Date Joined Jun 2008
Total Posts : 903
   Posted 8/23/2009 12:13 PM (GMT -6)   
There's almost nothing I can add to Denises' & Kitt's advice; listen to what they said and take it easy! If you haven't already, add some liquid motrin (childrens) and some gas-x; don't try to eat like you did before because you'll just end up making yourself miserable!

Take it easy!
Janice

cowboy22
Regular Member


Date Joined Aug 2009
Total Posts : 172
   Posted 8/23/2009 4:41 PM (GMT -6)   
Would the shoulder pain stillbe there after 4 weeks?.Its only come on in the last 4 days.Worse in bed.Cheers for all the help :-)

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 8/23/2009 6:27 PM (GMT -6)   
Hi Cowboy,
Definitely! The shoulder pain can pop up anytime, and unfortunately can hang on a long time. Chances are, the gas in your body has moved around and is putting pressure on the nerves that cause your shoulder pain. You may want to try some different positions in bed...everyone is different, and I've heard some people say that a visit to the chiropractor has helped them with their shoulder pain. Mine was very responsive to walking, as I've said.
Good luck! Things WILL get better...you'll have to be patient! I know it can be hard--especially when a symptom pops up after a few weeks.
This too will pass.
Take care, and give yourself time to heal.
Denise

cowboy22
Regular Member


Date Joined Aug 2009
Total Posts : 172
   Posted 8/23/2009 6:46 PM (GMT -6)   
Cheers Denise Yes im impatient and want to be 100percent now have to learn patience!.Glad to hear other peoples experience.btw im in new zealand. and its a lovely day here .Sun is shining :-) Cheers..

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 8/23/2009 7:05 PM (GMT -6)   
Cowboy,
So happy to have a new friend in New Zeland! What a beautiful country! I'm a teacher and have a warm spot in my heart for things I've learned over the years from educators in Australia and New Zeland.

Patience, my friend. Attitude is EVERYTHING to your recovery. Patience and acceptance will make your recovery much easier. Try to go with the flow, and accept where your recovery takes you.

You're newly wrapped! Give your body time to adjust--your GI tract has had quite an extreme revision, so it's natural for it to take some time to adjust.

I'm glad you joined our forum, and I'm sure the things you share about your surgery and recovery will help others who are looking for an answer. I found this forum to be the most positive, helpful, and supportive.

As I was trying to find information to help me decide whether or not to go ahead with surgery, I read many very scary posts by very unhappy patients. This forum was filled with people who were very positive and calm about the surgery and recovery. They gave me the courage to go forward, provided me with tips and support for my recovery. They have become my friends!

Try to relax into your recovery.
We're here for you! yeah yeah yeah yeah yeah
Denise
PS--Isn't the Internet a beautiful thing?turn

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 8/23/2009 7:20 PM (GMT -6)   
Cowboy-
I'm with Janice, there's not much I can add that Dense and Kitt haven't already told you. I would like to touch on the shoulder pain though. As you are healing he nerves are the last thing to come back. This very well could be why you are having the shoulder pain now. I have found out from a different surgery that nerves do strange things as they try to heal. I would mention the shoulder pain to your surgeon, but sounds like the nerves finally "woke"up.
The hardest thing to do during this recovery is to be patient. Doesn't seem like it, bit this is a very major surgery. I was just in the hospital the other day for a kidney stone and had 4 different nurses tell me that the Nissen is one of the toughest surgeries to fully recover from. They kept telling me they couldn't believe I had done it twice in three years.

Take care,
Bill

cowboy22
Regular Member


Date Joined Aug 2009
Total Posts : 172
   Posted 8/23/2009 11:43 PM (GMT -6)   
Thanks all for the kind support :-) :-) .When I breathe in fully thats when I feel the shoulder hurt the mostIs this normal pain after fundo.As if its breathing into the shoulder.Anyone else had this.I have to take a panadol for this to sleep at night..Thanks...

cowboy22
Regular Member


Date Joined Aug 2009
Total Posts : 172
   Posted 8/24/2009 3:24 AM (GMT -6)   
Hope im not bein a pain with all these posts.I had a lot of flatulence right up until 2wks when i did some physical activity outside(lawns washed car).from then til now i can burp quite loud.Twice i have noticed a very slight bit of acid comin up.Im thinking the wrap must of failed.CANT get thisfeelin out of my head.and worried about osophoegul damage(as it was immflamed on the scope 6mths ago).Am i goin mad.I went back to surgeon last wk he looked a bit dissapointed.Please help ....

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 8/24/2009 8:02 AM (GMT -6)   
Cowboy-
Don't worry about posting here a lot. We sure don't mind reading and trying to help. You just keep right on posting, vent even if you need to. We will be here and help all we can.
At 4 weeks or so you are still real early in the healing process. Things can be really strange during the first couple months. It isn't unusual to have symptoms of continuing reflux either. Most of the time it is just false feelings or hyper sensitivity to normal levels of acid or bile. This surgery is very misleading because the outside of your body heals very quickly, but the new design of the the digestive system and the healing of it takes a long time. The pain in your shoulder when you stretch is common. Remember the nerves take a lot longer to heal and when you stretch and pull on things they will let you know it. I actually had a problem with this until fairly recently. I'd say until about 2 weeks ago even. I am at the 13th or 14th week.
Don't be too quick to think the wrap failed. With the overuse you had at 2 weeks I am sure you have set yourself back a few weeks at least. I was limited t 10 pounds for both of my Nissens. Please take it easy and try to be patient. You may have strained the wrap some, but I believe you can still end up with a good outcome if you go easy on it for a while. Not sure where you are on your diet, but i hope you are going slow there also. I do understand wanting to be at 100% now, but this really is a delicate time for your recovery and the easier you are on your body the better the outcome.
Don't ever hesitate to ask us a million questions or just vent or blab away. I for one like to read everyone's thoughts, ideas, or vacation plans. It helps me get through the rough times and I also enjoy "meeting" new friends here. This has been a real lifesaver for me and I hope I have and can still help others on their journeys too.

Take care,
Bill

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 8/24/2009 9:20 AM (GMT -6)   
Cowboy,
Greetings! Your worries are very normal. Most of us have had them. Probably 3 weeks after my surgery (or so) I had what I felt was pretty severe reflux feelings. It was very scary, and like you, I was sure my wrap was a failure. I called my surgeon, and that's when he said that pretty much anything can happen at the early stages of recovery. I might just be "feeling like" I had reflux, or it could actually be reflux. The surgical site is swollen, and as I said before, acid could actually slip through.

As far as burping, I wouldn't worry. My surgeon said I wouldn't be able to burp, but I had little burps letting go even in the hospital. The resident who worked with my surgeon said that it was a good thing, and that a burp could be let out without letting out acid or food. My burping ability is variable at this point. Sometimes I burp pretty easily, and other times I get bloated and gassy. Be happy you can burp. It'll make your recovery that much easier.

You could have irritated your wrap from overdoing (I had irritated it by trying to eat rice noodles/Pad Thai), but it's very unlikely to be a permanent problem. Just take it easy, and relax.

It definitely makes sense that your shoulder pain hurts when you breathe. That's when your lungs take up more space in your body, and it presses the gas/nerves--causing the shoulder pain. Try the walking. I think it'll help you.

It's normal to panic when you have worrisome symptoms. We've all been there. I was certain that my wrap had failed. I still get some discomfort in the wrap area from time to time that almost mimics reflux. Actually Maalox liquid antacid really calms it down and makes it feel better.

I can tell the wrap is holding because I'm not suffering from the uncontrolled asthma that I had--caused by the reflux irritating my lungs. My lungs continue to be great, and I'm so thankful.

Relax, and stop worrying. You're only 2 weeks out! I'm 6 months out, and still have some little quirky things happening. It'll take a good year for your healing to be complete. Our GI tracts have been revised, so there'll always be differences. They're well worth it, though!

We're here for you, Cowboy! Any questions--no matter how small--ask away! We've been where you are, and know just what you're experiencing. We can give you support and advice that your doctor doesn't have, since he's not likely to have been on the receiving end of the surgery. It's always good to ask your surgeon/doctor whenever you are worried about something.
We're here for the day to day tips to help you deal with the post surgical recovery.

I don't know if anyone has suggested that you get some anti-nausea drugs to have on hand, but if they haven't, please get some. The one thing that COULD cause your wrap some serious problems is a stomach bug, and dry heaves--trying to vomit. Some here have had their wraps fail as a result, so getting anti-nausea drugs was something they recommended to me when I was new.

Hope you have a good day and get lots of walking in!
Take care and feel well,
Denise turn

cowboy22
Regular Member


Date Joined Aug 2009
Total Posts : 172
   Posted 8/25/2009 1:16 PM (GMT -6)   
Thanks Bill :-) and Denise :-)    for your kind words.had a hell of a day yesterday.Got worked up at night and heart started racing.down to the med centre at 5am .Heart check gd.bp vgd.still stressed as heart seemed to be racing ambo to a and e!!Calmed down bloods gd.Just accepting the change I think.Guess what my neck pain is getting better!!! Im just finding it hard and sometimes wish i could go back as I feel I rushed the surgery a bit. BUT im breathing better aching hernia pain goin so go fiqure!Im 43 5ft8 and weigh 75kg now.Im quite thin but suppose as the stomach stretches again will put the weight back on(hopefully).Yesterday I was quite nauseas after doing a little physical activity(not too much) I think my body is just sayin "you are still healing".I am a born worrier  so just testing the turf now.Its nice to know you guys are still early recoverey and happy.Its 7.15 in the morning here and another beautiful day.Cheers...

rlopez75
Regular Member


Date Joined Jul 2009
Total Posts : 199
   Posted 8/25/2009 7:50 PM (GMT -6)   
Cowboy, I'm at 15 days now and have learned a bunch from the great people who frequent this board.

I will also tell you to take it slow and easy like others have. I'm a natural worrier too, after dealing with palpitations for 11 years due to a swollen and inflamed esophogus. I know how bad it messes with your head. I used to lay awake at nite and count my prolonged beats untill I dozed off.

Doctors wont accept the fact that an inflamed esophogus agrivates the heart when in incroaches its space. I know for me since the surgery, when I feel my esophogus in inflamed the palpitations are right there with it. On days when I eat light and dont feel inflamed the palpitations are no where to be felt. Its very hard not to get alarmed though, I know.

Hang in there. I cant believe that you mowed the lawn at 2 weeks. I dont even feel like getting in the car,let alone washing it!!

Take care,
Rafael

cowboy22
Regular Member


Date Joined Aug 2009
Total Posts : 172
   Posted 8/26/2009 12:11 AM (GMT -6)   
Hi all.I have an appointment with surgeon next wednesday.I had food with acid (just alittle) today and am feeling naseaus and very tired also heart is acting diff(sort of pumpin harder.Im sure a redo  is in order.The first 2wks i felt like I hadnt felt in tears.NO palpitations energy energy energy.Thanks for all your kind words but Im sure something has happened.Also is the constant nausea (dont feel like eating)a worry .Can that wait till nxt wed.Cheers.

cowboy22
Regular Member


Date Joined Aug 2009
Total Posts : 172
   Posted 8/26/2009 4:17 AM (GMT -6)   
Hi all.Took a losec pill 2nite anfd feel heeeeeeeeeeeeeeaps better.nausea gone.May just stay on meds.nutha op.Dont know if i wana go thru that again.Loose fundo for sure..Should i get it done again......

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 8/26/2009 5:27 AM (GMT -6)   
Hi Cowboy,
Don't jump to conclusions. We've all been there--worried that our wraps have failed. In the first weeks, the wrap is swollen, and you can get some reflux, but it doesn't necessarily mean you've lost your wrap. I know it's hard, but try to relax into your recovery. Panic works against it.

I know it seems like things are falling apart, but lots of us have experienced what seemed like wrap failure, only to find out that it was a false alarm. If anti-reflux drugs give you relief, go for it. The acid could be doing a number on your stomach and wrap.

I'm glad you're going to see your surgeon. I don't know what your symptoms were before surgery, but many people here have suffered greatly. Those who have actually had wrap failure have happily had a redo, because the pre-surgical symptoms were too difficult to return to.

I'm very happy that I had the surgery. Even though it has caused changes in my GI tract that will always be there, I would do it again without hesitation. I wouldn't want to deal with the symptoms that led me to surgery. I was very unhealthy, and have improved greatly. I have a reactive stomach, that bothers me a lot even still. My wrap is made from that stomach, so when it gets irritated it takes quite a while to get comfortable again. I do take PPI's on alternating days--just because my stomach is so delicate.

You're just a few weeks post op. Yes, your stomach is still feels smaller due to swelling, and you can't eat much. That will change, and you'll regain your weight. I'm having to start watching what I eat, because I'm gaining weight! I don't want to regain all of what I lost! That surprises me, because I figured I'd always have a reduced stomach capacity, but that hasn't been the case.

Good luck, my friend. Try to relax and trust. Maybe you've got wrap problems, but it could be just a symptom of your incomplete healing.
You're in a good place at this forum. There are lots of experienced, helpful, and caring members here.

We're here for you!yeah yeah yeah yeah yeah
Denise

cowboy22
Regular Member


Date Joined Aug 2009
Total Posts : 172
   Posted 8/26/2009 5:46 AM (GMT -6)   
Thanks Denise for the kind words.Im glad that you are happy with your recovery.These rooms are a godsend for recovery being able to connect with likeminds such as yourself and all the other wonderful people!What led me down this path is mainly a hiatus hernia as in my job i do some heavy lifting at times and the ache was gettin me down .I had a scope down which showed imflamation osof stom entrance.Biospsy ok.I took losec for a while after that and stil had regurgition of food .Eat a mouthful of cake and its back up again and acid at times.I went back to surgeon and he told me about lap fundo.I should have got all the pre tests done(didnt know till this forum) but as ive got med insurance  prob rushed it a bit lookin back and thats been eating me up with regret too but we cant go back but by sayin that for the first 2 wks felt the best in yrs.Im a do now and find out later.Always been like that .try and put somethin together and read the instructions later lol.Taking that pill has changed my life for now no more nausea.I mainly did the op to get off meds long term  and have my food stay down.Oh well lifes journey aye.Goodmorning to you all in the states and i will sign off from New Zealand as its midnight.Cheers

cowboy22
Regular Member


Date Joined Aug 2009
Total Posts : 172
   Posted 8/26/2009 5:50 AM (GMT -6)   
I see in some info they say keep takinf ppi for the first mth after surgery.Anyone know why maybe as you said Denise to settle things down.Just a thought...... :-) :-) :-)

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 8/26/2009 6:33 AM (GMT -6)   
Surgeons vary on that recommendation. I personally have found it helpful, as it takes time for things to settle. Some surgeons stop their patients immediately, while others like to continue the meds protect the wrap as it heals.
It's not unreasonable at all, for you to find it helpful at this point in your recovery.
Good luck, and sleep well!
Denise

beareilly
Veteran Member


Date Joined Mar 2009
Total Posts : 553
   Posted 8/26/2009 7:04 AM (GMT -6)   
HI Cowboy,
I too agree with Bill, Denise & Janice. They helped me out immensely pre op and post op. We have a great gang here.I am still having acid up my throat. 2moro I got to the GI so will see. As for shoulder pain. MIne wasnt that bad??? But I hear its a killa!! Good luck.Wish u a speedy recovery .Welcum to the wrapped club my friend. (Scarface) LOL
B
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