When will this nausea end.......

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mam1298
Regular Member


Date Joined Mar 2010
Total Posts : 81
   Posted 5/10/2010 6:24 AM (GMT -6)   
Good morning all,

I had my NF done on 3/1/2010 and my nausea and dry heaving just seems to get worse every morning.
I am going to call my DR this am to ask for a different anti-nausea med and get his thoughts on this.
The dry heaving is so violent. The only thing that comes up is saliva and after about 10 times of this, it passes.
This happens whether my stomach is empty or not. I am grateful that I can't throw up anymore as that used to be a normal occurrence daily before the surgery.
Any suggestions.
Otherwise I believe I have turned another corner as my throat spasms are minimal and I feel pretty good unless I over eat which causes my stomach to bloat and cause me a lot of pain. Lessons I am learning and sometimes seem to forget until I do it again. I just wish the gas would stop as that is embarrassing because it's so loud and smells!!!
My GERD is also under control as there are many days now that I can go without any medicine for it which is a treat.
Nissen Fundaplication 3/1/2010


Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 4978
   Posted 5/10/2010 8:01 AM (GMT -6)   
mam
 
Don't let them rush you into dilation!  That would only ruin the nice new "valve" they put in!!!  It would also allow you to start refluxing again.
 
It seems they didn't do enough testing before rushing into surgery, which doesn't fix anything except the refluxate being able to get past the new "valve."  Did they do the esophageal manometry to rule out esophageal spasms and such?  Weren't you having these episodes before surgery?
 
It could be that you are having a reaction to trigger foods.  They can cause problems as much as 24-48 hours after eating them, although in my personal experience I was getting a reaction within an hour, two at the max.  I'm not saying this is your problem, but it may be worth checking out.
 
I'm sure you are still eating nothing worse than soft foods still, but even clear liquids can be a problem if they contain triggers.  I knew my triggers before going into surgery and brought my own clear liquids because I knew I couldn't eat commercially porcessed broth and jello. 
 
My personal trigger is sulfite (not sulfate or sulfa!).  There are many websites that have good lists of food allergies and sulfite.
 
All processed broth has sulfite it's naturally in the garlic and onion and pepper.  Gelatin is made from sulfited (softening agent) pork skin.  A lot of fish and shrimp are sulfited to prevent spoilage right on the fishing boats - so I can't take fish oil for my cholesterol either.  Ano so on and so on.  You can look up lots more.
 
I would and did try eating only things I prepared myself from scratch (aka real food).  I boiled up my own checken and beef for broth - no seasoning except a tiny bit of salt.  I squeezed my own fruit juices (no grapes!).  I boiled up my own vegetables - careful there!  see lists - and squeezed my own vegetable broth.  Likewise I used my food processor to make my own soft foods - not using anything that naturally contains sulfite.
 
If that doesn't work I would suspect something physical they didn't test for - maybe a problem with the valve at the other end of the stomach not working.
 
Also - remote possibility - the stomach can be triggered by the heart.  It's cardio-esophageal reflex (not reflux).  The stomach can trigger the heart and coronary arteries to spasm, and it can work the other way around.  But I wold not expect that to be your problem!
 
Alcie
 
 


mam1298
Regular Member


Date Joined Mar 2010
Total Posts : 81
   Posted 5/10/2010 12:44 PM (GMT -6)   
Hi, the nausea came after the surgery. It's just annoying!!
I had the surgery because my stomach was entering the esophagus and that was already eroded. My Father passed from esophageal cancer 4 years ago and I am trying to prevent that. My stomach was also eroded before the surgery and also a hiatal hernia.
It possibly could be the food choices I am making, last night was pizza, very little, one slice but the sauce might have caused this. I will be careful tonight about what I eat and see what happens.
I didn't get a chance to call the DR today so I think I will check out OTC's and see if they work.
I had palpitations last night and I seem to get them when I over eat, otherwise I never got them this bad. Once in a while I would as I had my thyroid removed in 1990.
Thank you.
Nissen Fundaplication 3/1/2010


Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 4978
   Posted 5/10/2010 1:45 PM (GMT -6)   
It could possibly be that the gas, which you can't burp up as before, is triggering the palps. I always associate that - including about an hour ago when I ate too fast and got a gas bubble which gave me tachycardia. There are no meds that will get rid of stomach gas if you can't burp. Since you can't burp there's only one way for it to go, and you've already experienced that cute little side effect - which none of the docs ever bother to mention!

The only way to get rid of intestinal gas is not to eat gas-causing foods. There are pages and pages of lists detailing that! And cheese is one of the things on the list - not the sauce! (I can't believe you ate pizza so soon.) Cut down on the breads too. Anything with starch or sugar - which includes lots of my favorite vegetables. :( Rice does not cause gas!!! Read the lists and don't eat anything that produces gas for a while, and then introduce one thing at a time in small quantities.

Do ask for something for the nausea. I much prefer zofran pills. Just chew them if you still have trouble swallowing.

I'm actually surprised they did the surgery before trying their darndest (or maybe they did) to get rid of the erosions before tying the knot in the middle of it. Do they have you on a PPI still? The hiatal hernia wouldn't have anything to do with anything unless it was really large. Mine was paraesophageal - stomach stuck in my chest - from a high speed wreck where seat belt pushed the stomach.
Alcie
 
 


mam1298
Regular Member


Date Joined Mar 2010
Total Posts : 81
   Posted 5/10/2010 3:46 PM (GMT -6)   
I can burp, very rarely on its own, but I make myself burp. I do agree though the gas at the other end is terrible!! Do you know how long this lasts? My Doctor told me total recovery is 6 months, so I'm praying this side effect does leave soon.

I had been on meds for years, over 20 and they weren't working for the last 5 years. Twice a day and also adding Tums. With my Father's history and my eroded insides and the stomach up in the esophagus they said I should get this taken care of soon. So I decided to go ahead and get it over with before I turn 50 this year.

I don't take the meds every day anymore, I might need one pill once every 3-4 days or two Tums does the trick.

I will watch my diet carefully and see if that is my problem. I'm wondering if the sauce last night was too acidic.

Thanks again for you suggestions and help!!
Nissen Fundaplication 3/1/2010


couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 5/10/2010 5:44 PM (GMT -6)   
Well, I'm at month five and I still toot something terrible! :(

I found by increasing my fiber it is not quite as bad as it was at the beginning. At least it doesn't start now until 4:00pm, after I leave the classroom.

Burps come easy for me. I just drink water and belch.

Joy

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 4978
   Posted 5/10/2010 7:28 PM (GMT -6)   
mam
You're not burping up ALL the gas out of your stomach. The gas problem (either end) doesn't go away in 6 months - where I am. I frankly don't believe it will ever go away unless the wrap loosens, and I at least, don't want mine loosened and have to go back to PPIs.

Joy - how would fiber take care of gas, either in stomach or in colon? If that works I'll try it! I think you must have a looser wrap if you can belch. Mine is also a partial, but I can't burp more than a little. I don't dare drink a soft drink or even a quarter of one. I also have to seriously avoid gas-producing foods. Or suffer.

Mam again
I was on acid reducers for over 25 years, PPIs since they were invented. They did the trick keeping my stomach non-acid, so I never got any erosions, hardly ever any esophagitis. The cheese however, produced nausea and gas.

No, the pizza sauce wasn't too acid. Your stomach normally can tolerate a pH of 1.0, but your esophagus can't. That was what my pH meter said the whole time I ws being tested until the Bravo capsule fell off. My LES was wide open.

Seriously, do keep a food log and find out what foods cause your problems. Your stomach won't just reflux without any reason. By reflux I mean squeeze and jump around and try to push its contents into your throat. Some people include passive movement of acid into the esophagus caused by a weak LES and lyng down. If your stomach is trying to reflux by my definition, there has to be a trigger and you need to find it.
Alcie
 
 


couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 5/11/2010 5:11 PM (GMT -6)   
I've been taking a stool softener every morning and eating high fiber breads like rye.
So far I'm getting less gas. It's still there but not as bad.

Joy

mam1298
Regular Member


Date Joined Mar 2010
Total Posts : 81
   Posted 5/12/2010 4:47 AM (GMT -6)   
Alcie you are smart!!

I've been watching what I eat and making sure I don't over eat late afternoons and early evenings and I haven't had the "morning" problem for the past two days!!!

Words of wisdom and I thank you!!!
Nissen Fundaplication 3/1/2010

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