Vomiting after nissen

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babygirl10150
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Date Joined Jul 2006
Total Posts : 639
   Posted 11/9/2010 7:14 PM (GMT -6)   
As you know, I have had the nissen twice, loose wrap both times. Well I'm still getting horrible symptoms. I've been getting different tests done to figure out if it is something besides reflux. My main and debilitating symptom is nausea. Sometimes I will sit in the bathroom for hours because it's that bad. I take zofran and reglan but no results. It gets even worse after I eat or drink anything. Lately it's to the point of wanting to make myself vomit to see if I will feel any better but I'm not sure if I can vomit or not completely. When I had my tonsils out a few months ago I made the mistake of taking the pain meds on an empty tummy and they tried to come back up, not sure if what did come up was what was in my throat or not. So I guess my question is does anyone else have nausea this bad and what do you do to help deal with it? Would I wreck the wrap if I tried to make myself vomit? I know it's not recommended since it can damage the wrap but I'm at the point where I don't care since it didn't help any of my symptoms anyhow.
Michelle

~Nissen redo 05/10/10~
~Nissen 12/14/09~
~Colostomy 07/30/06~

ZhyKitty
Regular Member


Date Joined Sep 2010
Total Posts : 171
   Posted 11/9/2010 9:06 PM (GMT -6)   
Oh honey...bless your heart....

Moo'sMum
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Date Joined Apr 2010
Total Posts : 234
   Posted 11/10/2010 4:21 PM (GMT -6)   
Hugs Michelle

dencha
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Date Joined Feb 2009
Total Posts : 7181
   Posted 11/10/2010 4:49 PM (GMT -6)   
Hi Michelle,
So sorry to hear you're still having nausea. I hope your tests will be done soon, as your doctor should be providing you with a lot more support and guidance about this problem. It's so hard for you to deal with day in and day out.

While I don't have nausea as one of my symptoms, I really don't think vomiting would be helpful. It's not like you have a virus, or have eaten something bad. Your nausea is ongoing, and while I understand your desire to see if vomiting would satisfy your stomach, and let it know the message, "I'm sick" is getting through.

My concern would be this...you may compromise your wrap, and at the same time would get no relief, since the nausea is more a generalized symptom. You have to eat, and that makes your symptoms worse, but if I'm reading your post right, you have a low grade nausea all the time.

You might be able to get back to your empty stomach level by vomiting, but at what cost?
The main issue here is that your doctor need to to get to the bottom of your problem.
I wish I could be more help.
I hope you feel better soon.
Denise

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 11/10/2010 5:21 PM (GMT -6)   
So sorry you've having deal with it.
Joy

Alcie
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Date Joined Oct 2009
Total Posts : 5004
   Posted 11/10/2010 5:23 PM (GMT -6)   
There are other meds if the ones you are taking aren't working. When I feel that I am definitely going to throw up I grab the bottle of paregoric.

Paregoric isn't to be taken lightly. It's an opiate. But it does the job in an emergency when nothing else is working. It tastes really awful but stops the vomiting reflex instantly.

There are other anti nausea meds too: Emend, antivert, ativan, compazine, lots more.

Yes, vomiting can wreck the wrap. I have a barium swallow coming up in a couple of weeks to check if I have reherniated after vomiting just once. Since that incident I have felt different, can now burp, have some pain mid sternum where the old hernia was.
Alcie
 
 

dencha
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Date Joined Feb 2009
Total Posts : 7181
   Posted 11/10/2010 7:51 PM (GMT -6)   
Alcie,
Good luck with your test. I hope it goes well.
Denise

babygirl10150
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Date Joined Jul 2006
Total Posts : 639
   Posted 11/10/2010 9:09 PM (GMT -6)   
My GI won't prescribe me anything else than what I have. I've asked. The dissolvable zofran work better than the tablets but she won't prescribe them. I'm starting to think I need to see a different doc all together. She thought it was from when I had my tonsils out in July but that was how many months ago. When it was this bad before, it was easier because I didn't have an appetite. Now I do and I WANT to eat but everything is making me feel so sick. I haven't felt any different since I had the wrap. I still have all the same symptoms. My fear is if they do find what's wrong and it's not reflux, then I had two wraps done for nothing. If it's not reflux, can this surgery be reversed? I don't know if it would even matter to get it reversed but I do know that I will be very upset if it's not reflux. I'm looking at anything to make myself feel better. I go for yet another scope this Friday to check for parasites. *shivers*
Michelle

~Nissen redo 05/10/10~
~Nissen 12/14/09~
~Colostomy 07/30/06~

Alcie
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Date Joined Oct 2009
Total Posts : 5004
   Posted 11/11/2010 9:37 AM (GMT -6)   
Fundoplication isn't highly reversible. There's not much point in geting the wrap undone. It would be a hassle to get the fundus tied back up where it was because all the supports and nerves and blood vessels were cut during the op. If it's stopping the reflux it's worth keeping.

How about asking your PCP for a different anti-nausea med?
Alcie
 
 

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 11/11/2010 4:32 PM (GMT -6)   
You need to see a different doctor if she's being so obtuse about your problems.
Joy

babygirl10150
Veteran Member


Date Joined Jul 2006
Total Posts : 639
   Posted 11/11/2010 8:30 PM (GMT -6)   
Alcie, my PCP just refers me to my GI so it's really pointless. Technically I'm not seeing my GI but his assistant. I've only seen him once in almost 3 years. I'm not sure if that matters or not. He is doing my scope tomorrow so I'm crossing my fingers he finds something!
Michelle

~Nissen redo 05/10/10~
~Nissen 12/14/09~
~Colostomy 07/30/06~

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 11/12/2010 8:35 AM (GMT -6)   
Michelle,
I hope your scope goes well. Let us know what you find out!
Thinking of you,
Denise

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 11/19/2010 9:11 AM (GMT -6)   
Michelle,
How did your endoscopy go? I've been thinking about you. Hey, you jinxed me! My stomach has been feeling like crap the last few days. I'm confident that it's gastritis, caused by my not babying my already irritated stomach and wrap. No need to vomit, but I do have a nagging feeling that my stomach is upset. I need to be careful about eating and drinking for a while to get things straightened around.

Actually, I have an endoscopy scheduled for December 7. In addition, that day I'm having a manometry test and they're placing a PH probe. I'm having asthma symptoms, and the surgeon (a new one) is checking to see if there is reflux, and a need for a redo. My barium swallow already came back normal, with no reflux, so we shall see. If I'm not having reflux, then it's up to the asthma doc to look for a cause.

We shall see...
Hope you're feeling better!
Denise

babygirl10150
Veteran Member


Date Joined Jul 2006
Total Posts : 639
   Posted 11/19/2010 12:35 PM (GMT -6)   
Hi Denise! I just talked to my nurse again. She said the dr took two biospies. One was for h pylori which was negative. The other was to check for Barrett's because right above the wrap was inflamed and discolored. She said that it is severely eroded from acid. I also have a small hiatal hernia now probably from the nissen. My wrap is still really loose so a third redo is in order. He prescribed me Dexilant but found out that's Kapidex, they just changed the name and I've tried that before with no results. I thought it was something new that I could try, I guess not. I was scheduled to see the surgeon this am but I don't feel the greatest so I had to reschedule for Dec 3. It's been so bad I've barely been able to eat or drink anything and I've lost 7 pounds in a week. I can feel it puddling in the back of my throat and when I lean forward at all it feels like it's going to come out of my nose. I'm guessing this is why I've been so nauseous. I just want this to be done and over with.

Sorry I jinxed you! lol It sucks when the symptoms come back. I hope they figure out what's causing it and it's an easy fix! Do you get the sedation with the scope? Good luck with the manometry. That was the worst test for me.

I do have a question, could too much acid cause diarrhea? Like I said, I haven't eaten much but this am my bag (have a colostomy) was full and that rarely happens. My voice has been really hoarse since Wed and a sore throat. I'm not sure if it's acid related or a cold.
Michelle

~Nissen redo 05/10/10~
~Nissen 12/14/09~
~Colostomy 07/30/06~

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 11/19/2010 12:44 PM (GMT -6)   
Hi Michelle,
I always attribute my episodes of diarrhea to irritation of my stomach/wrap. I've got a sensitive, reactive stomach, and it's like clockwork. I get irritation, I get diarrhea. Even an endoscopy triggers it.

I sure hope my surgeon finds some reason for my problems when he does the scope/manometry/PH monitor. I'm so used to these tests finding nothing, that I'm not all that hopeful. Well...you never know.

I was lightly sedated for one endoscopy, then my next (with a different doc) I didn't get sedated at all.
I think this time I'm going to have mild sedation, since I'm a bit creeped out that they're going to mess with my wrap.

Did you have a barium swallow? If so, did it show anything?
Hang in there, my friend. Do you have a different surgeon you can go to for a second opinion?
I'm going to a different one because I've moved. We're near a bigger city now, and the surgeon I'm seeing has done over 3X as many Nissens as my first (1000+), and over 200 revisions. That seems like a fair amount. He is highly recommended.

I've considered going to Cleveland Clinic, but don't really want to have to drive 5 hours each way any time I have a problem. My daughter in law is a PA, and has lots of connections to the medical community here. Everyone is very positive on this surgeon, so I think he is a good choice. He is doing the testing to see if I would be a good candidate for a redo...we shall see.

Good luck getting to the bottom of your problem.
Hang in there!
Denise

babygirl10150
Veteran Member


Date Joined Jul 2006
Total Posts : 639
   Posted 11/19/2010 12:52 PM (GMT -6)   
I did have all of the tests after my first nissen that came back normal, bravo, manometry, barium swallow. I think that's why I got excited when the nurse said the biopsy said acid erosion. It seems like when all the tests come back normal the drs tend to not believe you. Like I would be making these symptoms up. Geez.

I could not do the endoscopy without sedation. The manometry was bad enough and that was a thin tube. I'm happy they knock me out completely. lol

According to my dr, this surgeon is the only one within about a 2 hour drive. He hasn't had any fails so I'm the first, failed twice. Lucky me. I'm not looking forward to seeing him. He can't deny it now with proof. He said he purposely did the first two loose so I wouldn't have swallowing problems but I think I would rather have it too tight than too loose since they can stretch it with the scope instead of having the full surgery again. How do you find out how many nissens and redos the surgeon has done?
Michelle

~Nissen redo 05/10/10~
~Nissen 12/14/09~
~Colostomy 07/30/06~

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 11/19/2010 3:42 PM (GMT -6)   
Hi Michelle,
I knew that this surgeon was the one who "does all the Nissens", according to the ENT/head-neck surgeon, who is also considered the best in his field.

I just point-blank asked the surgeon how many he has done. I told him that I understand how much experience plays in the success of the wrap. He retorted that the patient is also important--that it's critical to ensure that the patient is a good candidate as well. He said the two are equally important.
I knew that...it's just that I know my lungs were improved after surgery, so I'm confident that it would help me again.

He just wants to make sure that the tests indicate that a redo will make a difference. From his perspective, it's possible that my asthma has gotten worse because of some other reason. Fair enough.

Good luck with your visit to the surgeon.
Hang in there!
Denise

babygirl10150
Veteran Member


Date Joined Jul 2006
Total Posts : 639
   Posted 11/25/2010 10:32 PM (GMT -6)   
Sorry it took so long Denise! Been busy. My GI says he refers all his patients to this surgeon so I guess he is good. Since it is turkey day I had one tiny sliver of turkey and a spoon of mashed potatoes. Bad idea! The effect was awful. I felt terrible and the nausea hit me so bad I ran to the bathroom, just in case. My stomach is burning and my chest hurts. I actually feel better when I don't eat but I know I need to eat something. I just haven't found anything I can tolerate. I take my pill in the am with water and get the same effect. I was up last night until 4am with a bad nausea episode. I'm not sure why it gets so bad but that's my main/worse symptom. I see the surgeon on Friday so he better have something good to say.

Hopefully you get your tests over with and figure out what's triggering your asthma. Is that your only symptom? I know how hard it is to wait for the tests and then the results. Seems like a lifetime.
Michelle

~Nissen redo 05/10/10~
~Nissen 12/14/09~
~Colostomy 07/30/06~

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 11/25/2010 11:21 PM (GMT -6)   
Hi Michelle,
I have discovered that when my stomach gets REALLY irritated, that's when an upset stomach/mild nausea symptoms kick in. When I baby my stomach, and gradually it gets happier, the nausea goes away.

I'm thinking that your stomach is very irritated...that you've got gastritis, and that's what's causing your nausea symptoms. It definitely makes sense. Unfortunately, it takes a long time to heal it, and in the meantime you're struggling.

My stomach starts with being irritated, and moves to nausea if I don't take care of it. I don't have the actual urge to vomit, as you do, but it bothered me for several days. Eventually it got feeling better, then I ate something I shouldn't have, and I was back at it again.

I hope you get your stomach calmed down, and your surgeon has an idea of how to help it along. Although you couldn't enjoy the feast, I hope you had a Happy Thanksgiving with your family!

Denise

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5004
   Posted 11/27/2010 8:24 AM (GMT -6)   
It's important to get a barium swallow, not just a scope, to check a wrap. My scope after my vomiting episode looked just fine, but the barium showed the wrap has migrated a couple of centimeters and is pressing on the diaphragm. If my symptoms get worse I'm in for a re-do.

If you're getting another re-do you want to go somewhere that specializes in them, probably not the guy who did the first ones unsuccessfully. UPMC Presby in Pittsburgh is good, have done thousands. You could get all the tests, then fly in for the surgery.
Alcie
 
 
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