Swollen stomach after Nissen Fundoplication

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Joannesbclements
New Member


Date Joined May 2011
Total Posts : 5
   Posted 5/8/2011 2:52 AM (GMT -6)   
Hi Guys,
 
I am new to the forum and live in Abu Dhabi. I had a full wrap 10 days ago. I have read this forum with great interest, both before and after the op. I was in two minds whether to go ahead with it, but if it weren't for Nexium, my life would have been miserable so decided to go ahead after careful consideration. I have to say that so far, things are OK. I can swallow. I can belch - not satifyingly, but little pockets of air. I seem to want to belch all the time, but end up swallowing air I think in order to get the other air out. It seems like a vicious circle. Also, my surgeon put me back on solids - (eat anything you like as long as you chew well) on the night of the 2nd day afterwards - having read this forum, it just doesn't sound right to me, so am taking it really easy, although I can eat bread, biscuits, and even chocolate without any repercussions intestinally, so I seem to be doing well. My main concern is I look about 5 months pregnant. My stomach is really bloated - much more than before, and as I am eating quite small portions and heathily, I am a bit concerned as it is just not going down. The surgeon told me that 'his part went perfectly because I can swallow' so am not really sure where else to go for help. The surgeon was really good at the actual process obviously, but the bedside manner seems to be a bit lacking. If anyone else has had any experiences like this, then it would be great to hear from you. Also, my wounds do hurt still, even though they are little slits. Should I be worried?
 
Please help......
 
Joanne

kyheart
Veteran Member


Date Joined Apr 2011
Total Posts : 515
   Posted 5/8/2011 11:34 AM (GMT -6)   
Hello Joanne
I am 5 weeks post surgery and Please listen to your self when it comes to eating.. I have just no begun to eat some meat and veggies.. everything I eat I have plenty of broth, gravy or liquid to follow the food with. I have had no problems since my surgery. I was on full liquids (doctors orders) until week 3. I was able to eat cream of wheat, grits, soft boiled eggs (after 2nd week) everything smashed and chewed chewed chewed..
I am only able to eat small amounts (4-5 ounces) and I feel very full and uncomfortable if I go over that. I too cannot burp and would like to but, the benefits I have gotten from the surgery outweigh the urge/need to burp...
my incisions were uncomfortable until the past week or 10 days.. 1 still is uncomfortable if I stretch the wrong way. I cannot bend over for any length of time yet, it hurts still. From what I have read here on the forum, it can be up to a year before our insides are completely healed.. so don't overdo.. my surgeon told me to let my body tell me what I was capable of doing. But, he stressed the diet issue.. he said that I can eat what I want except bread and steak(until 6 months post surgery) but that I must be careful and CHEW CHEW CHEW. I am assuming that if you eat something and swallow too large a piece it could somehow damage the wrap or get stuck. I don't take chances.. I listen to the people here who have experienced it and to my doctor.
You are only 10 days post op and I was 18 days before I went back to work.. I couldn't do hardly anything until around the 12-14th day. I still have twinges of pain depending on how I exert my self. You only have those little slits, but as I have been told here many times.. a lot went on inside you, take your time recuperating. Are your problems gone that gave you reason to have the surgery? Mine are... Thank goodness...
I hope this has helped in some small way.
Sandi

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 5/8/2011 6:18 PM (GMT -6)   
The bloated stomach is totally normal. I was swollen for about three weeks after my surgery.
The best way to gauge what to eat is if it can go through a strainer you can have it during the first four weeks. If part of it can go through a strainer then you can have it weeks 4 to 6. Weeks 7-8 soft foods you would feed to a 6 month baby. Then start adding slowly solid food, leaving steak, raw veggies, and bread for week 12.
Joy

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 5/8/2011 7:42 PM (GMT -6)   
Hi Joanne,
Welcome to our yeah yeah Wrapped Club yeah yeah at Healing Well! Joy is right...the bloating is totally normal. Your stomach will get back to normal as time goes on. (I had the surgery in February 2009.)

Keep in mind that your wrap is becoming increasingly swollen, so don't be surprised if your swallowing gets worse before it gets better. Peak swelling is at Day 14, and then it begins to go down. It's normal to have a little more trouble until the swelling resolves, so don't be concerned. Just be sure to listen to your body, as Sandi said. If your swallowing gets a little more spasmy, just back off and eat some easier things.

Like yours, my doctor said I could eat anything I want to, but added a caveat that it must be able to be chewed to a liquid (when you chew, chew, chew completely (as Joy recommended), you could, indeed spit what you've chewed into a strainer, and it would go through.) It is very important to take tiny bites and chew completely.

Stay away from ice water for a while, as it can cause spasms. No straws, as they introduce air into your stomach as you drink. Also, avoid carbonated beverages, because the CO2 that is pumped into them bloats you further.

In my case, the incision at the left rib area was the place where my surgeon did the most manipulation, so it was the one that hurt a lot and the longest. Ice applied to the area that hurt was really helpful.

If you can get out and walk (slowly at first) it can also help move that gas out. I found that my comfort increased the more I walked.

Again, glad you've joined us! We'll do our best to help and support you through your recuperation. If you can surrender to your recovery, and follow where it takes you (without struggling against it) it will go much more smoothly.

Hang in there! Things will get better!
Denise

Joannesbclements
New Member


Date Joined May 2011
Total Posts : 5
   Posted 5/9/2011 2:45 AM (GMT -6)   
Wow - thanks so much Guys, you have really really helped me. I am even chewing Weetabix about 10 times before I swallow, so I will just keep doing what I am doing. To be honest, soup seems to the best thing, so will stick to that for a while. You are right when you say listen to your body - the thought of trying to eat a steak just fills me with tremours, so I am taking that as a ' don't even think of it' message from my stomach! And, yes, the left incisions are the worst. Like you said, my surgeon had to manipulate quite a bit down there - he said I had more 'intestinal fat than he had expected for someone of my size' - I'm no Twiggy, but not super size either - as I said, my surgeon seems good on the surgery but a bit short on the bedside manner! I am also doing a lot of walking, so that should help. Before I came on this forum, I thought I was sort of expected to get up and be completely 'normal' by 2 weeks and was panicking a bit that I wasn't going to make that deadline. Thanks again all.xx

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 5/9/2011 6:00 AM (GMT -6)   
Hi Joanne,
This forum is THE BEST. I found it just before I had the surgery. Actually, people here helped me gather up the courage to actually go forward with it.

Did your doc tell you that you shouldn't have any steak or un-toasted bread until around 8 weeks. I remember thinking that I would never again eat a bagel. The very thought of it was very daunting. Lo and behold...I can eat a bagel! Things will get back to normal...it just takes time. You'll always want to take smaller bites and chew more carefully than you did before surgery, but nothing like your early recovery eating.

If you're like me, there may always be a few things that you can eat, but will irritate your wrap. I can eat a small salad, but a big one can cause irritation that lasts about a day. It's no big deal. A big hamburger can do that, too--it's probably the grizzle. Whatever bothers me a bit is well worth the improvement I experienced post surgery. I have a very reactive stomach, so since the wrap is created from stomach, it just makes sense that it will be more sensitive.

Goodness...surgeons have no idea what the recovery is like for this procedure. This seems to be pretty constant among all experiences reported here. That's the beauty of being able to ask questions of others who've been through the recovery.

Best wishes!
Denise

Joannesbclements
New Member


Date Joined May 2011
Total Posts : 5
   Posted 5/9/2011 7:43 AM (GMT -6)   
Thanks Denise - so appreciated.
The funny thing is bread is fine.... OK, I sort of squelch in to a chewed pulp, but have never had any problems with it. That is what I find so weird. Steak, my body says no, but bread, no problem. Should I stop eating bread in case it becomes a problem? My stomach was quite tolerant before, the hernia was huge apparently, but I was on 40g of Nexium a day, and nothing really got passed that. I could even drink wine. I have read so many horror stories on this forum, but they seem to havve started from a point worse than me. I had the op because I have been pretty constantly on PPI's for 10 years, and it couldn't go on - and I had loads of nausea daily, but it was manageable, so the thought of not being able to eat a salad kind of worries me. But, if I hadn't been on Nexium I would have been in agony - as I was when I stopped taking it for my health's sake, so I guess I have to remember that and thank god that I am not seemingly as bad as some people who seems to have a terrible time of it.

100 % agree about the surgeons though. :-) Clueless when it comes to recovery!!

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 5/9/2011 8:06 AM (GMT -6)   
Hi Joanne,
You don't have to be worried about the salad thing...it's very individual. Others can eat it freely. As far as bread goes, I suggest you don't eat it without a good toasting. It's the kind of thing that can get clumpy, and is not worth taking a chance on. I used to nibble at the crusty outsides of good breads, and that was fine. If you just stick it in to toast, you'll be safe. Crackers are just fine, too. It seems that crispy things chew to a liquid really well.

There will always be "horror stories" on the internet, as people who had botched jobs by surgeons who aren't experienced enough suffer, and try to find answers on the internet. I don't blame them at all. If I had that experience, I'd be the first one to get on and vent. I would also warn others not to have the surgery.

There will always be a certain number of people who have failed wraps, but it is not the majority. At times it is simply because the surgeon did not do the prerequisite tests, and thus do surgeries on people who may have problems that won't be solved by the procedure. Many, many have the surgery without ever posting...they happily go on with their lives, if everything is just fine.

Again, I'm glad you joined us.
Have a great day!
Denise

MawmawLyn
New Member


Date Joined Apr 2011
Total Posts : 8
   Posted 5/9/2011 9:47 AM (GMT -6)   
Just had the nissen friday. Felt pretty good sat but sun a little more trouble swallowing & today it hurts totake deep breadth or if I have to yawn. Felt nautiious at times. Any one else experience that? Love the forum by the way..like the positive vibes from everyone..

Gritty
Regular Member


Date Joined Mar 2011
Total Posts : 82
   Posted 5/9/2011 9:58 AM (GMT -6)   
Yep, everything was quite sore for a while. Are you still on the painkillers? I was on co-codamol for the first couple of weeks. Try and stick to liquids and jelly (jello if you're from USA). It sucks but your gut will thank you for it.

MawmawLyn
New Member


Date Joined Apr 2011
Total Posts : 8
   Posted 5/9/2011 10:05 AM (GMT -6)   
Thanks Gritty.. Can use all the advice out there am sure

shaeyne
Regular Member


Date Joined Mar 2011
Total Posts : 29
   Posted 5/9/2011 10:11 AM (GMT -6)   
Hi gritty i am heading for surgery with Dr Li, how are you feeling now, do you have nay idea how many surgery Dr li did. please this is my email do email me.

Post Edited (shaeyne) : 5/10/2011 9:13:12 AM (GMT-6)


Gritty
Regular Member


Date Joined Mar 2011
Total Posts : 82
   Posted 5/9/2011 10:26 AM (GMT -6)   
Dr Li is excellent and has done hundreds of these procedures. He favours the 270 degree wrap as it leaves better room for movement. GI surgery is his passion and I can believe it. As far as I'm aware, nobody who has had surgery with Dr Li has had to come back to have it redone. I'm feeling great at the moment and have every confidence that he did a great job. He's one of the top specialists in the UK so we're very lucky indeed.

I was out of the hospital the next day and I've not had any symptoms of reflux since.

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 5/9/2011 3:40 PM (GMT -6)   
mawmaly, Remember your stomach and insides have had a "blender" inside. Everything's been pushed and shoved around in there, so you're going to feel very sore the first week.
Try to keep to liquids until the swelling goes down (14 days). Limit your movements during this time. Just rest...
Use a pillow to cushion your stomach when you cough. Try to keep your lungs clear by doing some deep breathing exercises. If you get too shallow with the breathing you'll risk having pneumonia like I had.
Joy

Gritty
Regular Member


Date Joined Mar 2011
Total Posts : 82
   Posted 5/9/2011 4:11 PM (GMT -6)   
I remember a friend came round a week after the op and I had to leave the room as he was making me laugh and it hurt so much :) Just getting up off the couch was a struggle back then. You'll be amazed how different you'll feel in a couple of weeks once you've healed a bit.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 5/9/2011 6:05 PM (GMT -6)   
Hi shaeyne,

Please edit your post and take off your email address. You can place it in your profile so only members can view it. Apparently emails are taken off forums like these by spammers.

Just click on the pencil in the top corner, then delete your email and re-submit the post. Revisit your profile and add your email. Then only members can view it.

Joannesbclements
New Member


Date Joined May 2011
Total Posts : 5
   Posted 5/10/2011 12:11 AM (GMT -6)   
Hi Mawmawlyn

I hope you feel OK. My first few days after the op were not nice, so can sympathise. Yes, deep breaths were impossible, it was like having a clasp tight round me chest. They gave me a respirator to do exercises with, and I was so feeble with it that the nurse asked if I was a heavy smoker! Yawning was also agony - so, yes. I guess it is normal as I felt it too. If you can - walk. All the gas inside you is floating around. It helps to walk - at least it did me. Also, don't be surprised if you get pains in your shoulders and back. It's the air again. It feels like stich, but in your shoulder, and it can be pretty nasty. But it goes. I am 13 days post op now. Wounds are healing, but thanks to this forum have learned that what is on the outside can be deceptive. I am up and walking around, but as I am on a soup and weetabix diet, and not much of that to tell you the truth, I do get light headed, but that is because I am not eating enough. Everyone here has told me to listen to my body, so I have started to do that, and you'd be amazed how accurate it is. I'm still bloated, but going down a bit I think. Just stick with it and look after yourself. Also read Dencha's email about all the people who don't post - she is totally right of course, it is a common proceedure and looking at it like that made me feel much better.

Hope you doing ok

Jo

Joannesbclements
New Member


Date Joined May 2011
Total Posts : 5
   Posted 5/10/2011 12:15 AM (GMT -6)   
Thanks Dencha - they should employ you as a consultant - you tell us more than any surgeon ever did!!

shaeyne
Regular Member


Date Joined Mar 2011
Total Posts : 29
   Posted 5/10/2011 10:16 AM (GMT -6)   
Hi dencha

Thanks for the tip, i have edited the post. you are really a savior.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 5/10/2011 10:24 AM (GMT -6)   
Glad to help out! turn

Muttlee
New Member


Date Joined Nov 2012
Total Posts : 1
   Posted 11/18/2012 12:26 AM (GMT -6)   
Hi Joannesbclements,
I also live in Abu Dhabi and am trying to get the Nissen done.
Can you PM me?
Muttlee

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 11/19/2012 11:22 AM (GMT -6)   
Muttlee-

This person hasn't posted since 5/2011. Please start a new post and you will get much better responses. Also, we don;t have a PM on this site.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11
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