3 Weeks Post Nissan - Chest Pain

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Liser79
Regular Member


Date Joined Nov 2009
Total Posts : 23
   Posted 11/4/2009 6:00 PM (GMT -6)   
Hi everyone!
Hoping I can find some help. I am 3 weeks post Lap Nissan Fundo and Lap Choly. The surgery went very well and I experienced all the usual symptoms afterwards. The gas, shoulder pain, soreness, etc. I can burp and don't have much trouble swallowing. It has only given me difficulty 3 times now. I am on a puree diet and am eating Chunky Soup in the blender, tiny pasta with sauce, mashed potatoes and couscous. I have been feeling pretty great until 2 days ago. I had some burning in my chest, right in the middle under my rib cage. This worried me because it originally felt like heartburn. Now it is day 3. I don't have it all the time. More in the afternoon and evening. Tylenol does not help. It no longer feels like heartburn. It is a dull aching, throbbing pain. I will be seeing my surgeon next week but was just wondering if this sounds familiar to anyone?
 
Thanks.
Lisa

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5004
   Posted 11/4/2009 6:42 PM (GMT -6)   
Welcome Lisa!

I wasn't too sure what your wording meant. Is your pain in the chest under the sternum (breastbone) or in the abdomen just below the diaphragm, where the wrap is?

I'm having heart problems triggered by my stomach and esophagus not liking some of the things I have eaten. That pain is located more sub-sternum and radiates to below the left scapula.

But I also get swelling of the wrap if I get too much swallowed air or eat too much or too fast. That pain is in the abdomen, not the chest, just south (caudal) of the breastbone, also a little to the right for my particular wrap. Stomach pain can radiate to the middle of the back.

Tomato sauce is a no-no on my hospital's list of allowed foods. Couscous can be gritty, a sensation which my esophagus rebels at.

I've read a lot of posts telling about wrap swelling starting about 2 weeks post-op. I'm not quite that far along yet but have a few glitches. Still, it's better than having my GPEH.
Alcie
 
 


Liser79
Regular Member


Date Joined Nov 2009
Total Posts : 23
   Posted 11/4/2009 7:29 PM (GMT -6)   
Thanks Alcie.
My pain is in the wrap area just below diaphragm. I do not feel like I am eating too much but maybe still a little too fast. I am trying to slow it down but not easy.
When did you have surgery? What types of foods are you eating?
So maybe this is just some swelling because I am advancing too fast with my diet. (I hope)
I am really hungry all the time!!

Thanks for your help.
Keep me posted with how well you are doing.

Lisa

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 11/5/2009 12:36 AM (GMT -6)   
Lisa-
I had pain in that area for several weeks after both of my nissens. That area gets beat up very badly and the nerves can give you some grief for a while after wards too. 3 weeks isn't a lot of time yet. Things take quite a while to fully heal and as the wrap gets moved from food it can get sore until it's fully healed. That has been my experience with it anyhow. I still get some pain there if I have to push something by it. Like when I get in a hurry and eat too fast.

Bill

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5004
   Posted 11/5/2009 2:11 AM (GMT -6)   
Lisa -

I had mine on the 23rd of last month, so I'm about a week behind you.

As you guessed and Bill stated, the problem with the pain seems to be in trying to go to fast. We have to eat slower, not too much at a time and not try to eat foods that aggravate the esophagus.

It's standard now for the surgeon to reach up into the chest and cut loose the esophagus from its attachments so the LES will come down into the chest. This prevents reherniation. Mine couldn't be loosened enough, so they could only do a partial wrap. But that seems to be enough to stop my reflux. It doesn't do anything for the heaving/spasms, but nothing comes back up.

The docs Rx'd Beano with every meal, Gas-X, which don't really work, and liquid Colace (take with 3 oz milk or it burns like fire!) twice a day.

I have a thread on this forum. Bill has a really long story, and there are lots of other great ones too. Read them all! They've helped me!!

With my food triggers/sensitivities/allergies, I have to be especially careful. The last 2 days I had spasms from soft scrambeled eggs. I am mostly on soft foods and liquids. Bread, even white toast is bad. Crackers, eaten slowly, go down.

The big trick is to eat every 2 hours. Liquids in between the 2 to 3 tablespoon "meals." Nothing 3 hours before bedtime, as in the past with the GERD.
Alcie
 
 


Liser79
Regular Member


Date Joined Nov 2009
Total Posts : 23
   Posted 11/5/2009 4:12 PM (GMT -6)   
Thanks Alcie and Bill.
I am so paranoid that I am going to damage something. I just accidentally lifted the vacuum cleaner without thinking. So mad at myself now.
Did you take Tylenol or anything to help with the pain?
I have the pain no matter what I eat and even if I don't eat.

Thanks

Lisa

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5004
   Posted 11/6/2009 8:42 PM (GMT -6)   
Lisa -
Tylenol doesn't do anything for me even at max dosage, neither do OTC NSAIDS. Even 1 aspirin will give me a nosebleed the next day.
I take a couple of vicoden at night and Clinoril (Rx NSAID) twice a day. But I have fibromyalgia, lots of back problems, three disconnected ribs and a torn medial meniscus. The incision pain is nothing compared to my other pains. The wrap pain is getting markedly better. I wake up from pain enough to get up and take tramadol or even vicoden most nights, but it's not stomach pain. I think being really careful about not exceeding my dietary restrictions and eating often enough during the day is a major factor in keeping the new stomach happy.

Don't even PUSH the vac! I got one of my kids to come vac the whole house, but I am looking for a housekeeper for at least the rest of the year. It's not worth risking a re-do. This is a minimum of a 3-month recovery. It was major surgery! I had 4 C-sections, so I know from experience to take it easy now and recover better and faster in the long run. The tortoise beats the hare.
Alcie
 
 

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