Having Nissen this week

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CRABBYGAIL
Regular Member


Date Joined Apr 2011
Total Posts : 21
   Posted 6/19/2011 9:37 PM (GMT -6)   
I am having the wrap this Wednesday! Have had GERD and a hiatal hernia for the last 20 years and now have a small segment of Barrett's. My GI has recommended that I have this surgery for the last two years. When I found this forum, and read so many of your posts, I finally got my courage together and went to see a thoracic surgeon. I am praying that I will have a speedy recovery, as I plan to be back to babysitting my four grandchildren in the fall. (Best job ever! Taught school for 30 years!) Thank you all for the great info on eating, since they don't seem to give you the diet until you are not in the shape to grocery shop. Plan to get some chicken broth, Ensure or Boost and yogurt for the next few weeks. How about Cream of wheat, or grits? I am a southern girl and I do love fish and grits! I will miss the chocolate and Diet Coke over the next few months but it always made me miserable anyways! Guess it is a good time to get off of the hard stuff! I am a little scared, but I think it is the anethesia that I hate the most! shocked
Gee Gee

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 6/19/2011 9:49 PM (GMT -6)   
Nice to meet another southern belle! And Teacher! :)
If you make your grits super, super thin you can handle it. I mean it must be like grit soup.
Don't worry after four months you can have all the chocolate and diet coke you want. You can drink diet coke during recovery but it must be flat (as a pancake) to drink.

The anethesia is nothing. They gave me a shot before they did anything to me in the OR. I slid onto the table, was told to put my arm on the rests sticking out and I was gone! I woke up several times in the recovery room. I was very groggy for a couple of hours and then I was fully awake and feeling okay.
Joy

CRABBYGAIL
Regular Member


Date Joined Apr 2011
Total Posts : 21
   Posted 6/19/2011 10:02 PM (GMT -6)   
Thanks, Joy, must be something about reflux and teaching school! (All of those years of 20 minute lunches and wolfing our food down so quickly, with a few Tums for dessert) I know that I will be fine after the anethesia but just had a bad reaction with lots of vomiting years ago. I know it is not the same now, because I had my gallbladder out in '95 and I was just fine. Guess I am just a scaredy cat! How about applesauce? Should I put that on the grocery list yet?

kyheart
Veteran Member


Date Joined Apr 2011
Total Posts : 513
   Posted 6/19/2011 10:23 PM (GMT -6)   
Welcome Gee Gee!
I too have had the Nissen and the hiatal hernia surgery.I am 11 weeks post op. I am 62 and I am a transplanted southerner(Kentucky) does that count?? ;-) I grew up (13 years old & up) eating the finest in southern food and that includes grits... YUM! My 2nd day the surgeon had me on full liquid. That is broth, juice, jello, cream of wheat, very thin... etc. I was in the hospital from Friday am until Sunday afternoon. They gave me broth, jello and tea on Fri. after I woke up from the surgery. I must say that I am very susceptible to meds that relax you. I was given something in pre-op and before they got me to the OR I was out. I didn't even know that I was being slid onto the OR table. I don't remember waking up in the recovery room, the first thing I remember was when they were wheeling me to my room. I had some pain but not in my stomach, it was in my shoulders. It went away by late Saturday. I found that if I walked it helped. The pain in my stomach was controlled easily by IV pain meds in the hospital. I stopped those late Saturday and started on pain killers in pill form(crushed) mixed with pudding. I stopped taking pain meds by Wednesday or Thursday. I did not have to take any more PPI's after the morning of my surgery. Some have been told to continue them for a while. I did not eat anything but liquids for 2 full weeks. I did add soft boiled eggs smashed between the 2nd & 3rd week. I started on broiled & baked fish the 3rd week.
The best advice that I can offer is what my surgeon told me. Let your body tell you when you are ready for the next step. If you try it , and it doesn't agree, take a step back for a few days and try again.

Good Luck and keep in touch with the forum. I have been here since 11 days post op. I have been given an enormous amount of good advice, suggestions and support.
Sandi

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 6/20/2011 8:39 AM (GMT -6)   
Gee Gee
 
Welcome to HealingWell.  I am glad you found us and I look forward to getting to know you better.
 
I am Kitt and I am a northern gal.................. smhair I do love the south and every winter I consider packing up and heading down south. 
 
I have not had the "Wrap" but I am here to cheer you on and wish you the best on Wednesday.  Soon you will be a member of the "Wrapped Club"
 
Gentle Hugs,
Kitt

~~Kitt~~
Moderator: Anxiety/Panic, Osteoarthritis, GERD/Heartburn and Heart/Cardiovascular Disease.
www.healingwell.com

"If you can't change the world, change your world"

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5012
   Posted 6/20/2011 8:46 AM (GMT -6)   
Dear CGail -
If you had a problem with certain foods before, you will have problems with them in the future, maybe worse. Definitely skip the sodas. Gas is pretty awful to deal with after a wrap, at least for the first year, maybe forever if they do it tight enough to work properly. Food sensitivities DO NOT go away just because you have surgery.

If you've had a problem with some particular sort of anesthesia in the past you have to let the anesthesia dept know in advance, like today. Don't wait until the day of surgery. If you're just worried in general, they'll help you if you tell them when you go in. Ask for something for anxiety as soon as possible.

Don't try eating anything ahead of schedule. Stick with broth and gelatin for several days. Don't add Boost until doc says to.

Ask for, demand meds for nausea before you leave the hospital. Put this on a list of things to do before you go home! If you vomit and wreck your wrap at home it's too late to call in for a med.
Alcie
 
 

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 6/20/2011 12:33 PM (GMT -6)   
My first two weeks of food was broth, pudding, fruit juice popsicles, white grape juice, jello, and boost. I added applesauce and grits around week 3.

They gave me phanagen during surgery and after surgery, along with a nausea patch. Never felt sick. :)
Joy

CRABBYGAIL
Regular Member


Date Joined Apr 2011
Total Posts : 21
   Posted 6/20/2011 8:23 PM (GMT -6)   
Thanks everyone for the food advice, and info on the anesthesia, too. I did tell them during my pre-op workup that I thought I would need something for nausea during the surgery because of the past experience. I will also make sure I get that nausea med before I come home.

I probably will be very careful with the eating schedule, since it took me so long to make up my mind to do this surgery!

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 6/20/2011 9:30 PM (GMT -6)   
I followed a very strict diet by my doctor after my surgery.
liquids-4 weeks
pureed-2 weeks
soft-2 weeks
semi-soft-2 weeks
solids-2 weeks
steak and breads-last things added
 
When you start soft foods be sure to chew it to liquid before swallowing and take tiny bites.
Joy

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 6/20/2011 9:50 PM (GMT -6)   
Hi Gee Gee,

I'm glad you've joined our forum! Like you, the kind people here at the HW GERD/Heartburn forum gave me the courage to go forward with a much-needed Nissen surgery.

Guess what? A teacher! I retired after 25 years last June, and I'm having a wonderful time babysitting our first grandson two days a week. Don't worry...you'll be fine for babysitting in the fall! Are your kids teachers? (Mine are!)

You've gotten some great advice here. I've been AWOL because of some major family/social activities, but I'm trying to stop in and post as much as possible.

Everyone is different. Every surgeon's protocol is different. I'm a big foodaholic, and fortunately I was matched up with the right surgeon, as he trusted me to select foods sensibly, and set me free to eat whatever I could chew to a complete liquid after Day 6. I was very happy, because chewing was a lot more satisfying than turning on a blender.

I believe that more docs are following a protocol similar to Joy's, although I've found a number of others in the "Wrapped Club" who were set free to eat sensibly.

As Sandi said, be sure to listen to your body. You'll know what you can and can't eat. If your doc gives you the OK to eat foods that can be chewed to a liquid, you'd better believe they have to be chewed to a liquid, or you'll be hurting.

Also...take tiny bites and chew chew chew chew chew. Stay away from cold water...room temp is better, as ice water/very cold water can cause spasms.

Try to walk right away in the hospital...as soon as you feel you can...as it will help alleviate the shoulder pain, which is really annoying after this surgery. At least it worked for me...the more I walked, the better my shoulder felt.

Remember...the wrap will become increasingly more swollen during the first two weeks, peaking at 14 days, so don't be surprised if your swallowing gets worse instead of better. During those rough times, you'll want to eat very carefully. But don't worry...things will get better.

I believe most people get full extremely quickly (1/4-1/2 cup). This is due to the swelling of the stomach...the stomach perceives swelling as fullness, and you'll feel stuffed after eating very little. This gradually subsides over time.

I also emphasize the importance of getting anti-nausea meds and carrying them with you wherever you go. I carry Zofran (tiny tablets you melt under your tongue) and Compazine suppositories...you know where they go! The Zofran is extremely expensive, so I just got a few, and fortunately haven't had to get a refill yet.

Best wishes for a great surgery! We'll be here to welcome you to our "Wrapped Club" when you write your first post after your surgery.

Good luck! You'll do fine...
Denise

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 6/21/2011 10:17 AM (GMT -6)   
I'm beginning to wonder if teaching is bad for the digestion....:))

I know you're feeling nervous right now, but just think soon you will be gerd free. :)
Joy

CRABBYGAIL
Regular Member


Date Joined Apr 2011
Total Posts : 21
   Posted 6/21/2011 12:12 PM (GMT -6)   
Yes, Joy and Denise, I truly think that teaching does have an effect on your digestion! Just think how many times you crammed in that last bite, jumped up and said,"Oh my gosh, they are dismissing my class 2 min. early!" (I taught 4th, 5th, and 6th grade) Now, I sit at the table with two year old twins, and a three year old and say, "Slow down, Dathan, chew your food, No, Daelyn, we do not throw our plate like a Frizzbee when we are finished, and Oh, what nice table manners, Wyatt, look how he is using his napkin!" LOL..... But everyday, I am thanking God that I was able to retire and keep these babies so that they wouldn't have to go to daycare right away. And, yes, Denise, my kids are high school teachers!

Yes, I am nervous, I should be up giving my house that last clean up, but my husband will make a great mess while I am in the hospital, so why worry! I am hoping that tomorrow when I wake up for the second time, I will be reflux free, no more choking to death in the middle of the night! I have to be there at 6am and it is an hour drive. I am an early riser, but not THAT early!

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 6/21/2011 3:06 PM (GMT -6)   
Watch that nighty they give you it's very breezy! :))
Take it easy and rest. Don't let the mess bother you for the next two weeks.

Post Edited (couchtater) : 7/21/2011 11:36:31 AM (GMT-6)


dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 6/21/2011 8:04 PM (GMT -6)   
Hi Gee Gee,

I'll be thinking of you tomorrow...you'll do just fine. We'll be ready to welcome you to the Wrapped Club when you feel up to writing your experience after your surgery. If you have any questions at all during your recovery, ask away!

Best wishes!
Denise

elsiem
Regular Member


Date Joined Jul 2011
Total Posts : 131
   Posted 7/21/2011 6:10 PM (GMT -6)   
Hi GRABBYGAIL.

I guess by now your surgery is behind you. I hope all went well & you are now well on the way to a successful GERD free recovery.

Remember to listen to your body & take things slowly.

For the first 2 weeks post-op I was on liquids only but now at week 3 can slowly add soft, mushy foods like pureed fruit & veges, eggs & pasta with plenty of sauce. After some initial impatience I now find it is fun experimenting with different flavours & textures.

Best wishes. Look forward to hearing your story when you come back.

Lynda

somedaysarediamonds
Regular Member


Date Joined Jul 2011
Total Posts : 363
   Posted 7/23/2011 2:38 PM (GMT -6)   
Hi there -

I think if you were feeling well enough you'd be on the forum since your surgery was scheduled a couple of days ago.

I'm watching for you and hope to see you up and posting soon.

My own surgery may be this coming Friday.

Keep us posted1
We're not in Kansas anymore. - Dorothy

CRABBYGAIL
Regular Member


Date Joined Apr 2011
Total Posts : 21
   Posted 7/23/2011 8:13 PM (GMT -6)   
Lynda and Halloween Baby,
Hi, sorry I had forgotten that I posted this thread, I think I may have replied to one of you a day or two ago. Yes, I had the NF on June 22nd so I am just a few days ahead of you Lynda. I am pretty much eating anything now except bread and tough meats. I am really wanting to try a salad but still a little scared. I had a toasted cheese sandwich a couple of days ago and got stuck so I have been a little nervous since then.
I even went swimming with my 2yr old twin grandbabies in the pool this afternoon and that was a treat! I didn't swim much but just watching them squeal with delight at Nonna getting in the pool was worth it all! This is probably why I am so tired in the evenings. I feel so good when I wake up because I am actually sleeping......NO REFLUX AT NIGHT! Then, I seem to do a little too much each day. I have read 12 books on my NOOK in the last four weeks! May even want to clean house one day soon! HA! HA! Good luck to you on your upcoming surgery, Halloween baby, I hope you do as well as I have! Lynda, I hope you continue to improve and yes, you are so right about experimenting with new foods!
Thanks for being concerned about me! Crabby Gail

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 7/24/2011 12:19 PM (GMT -6)   
Hi CrabbyGail,

Are you taking tiny bites and chew, chew, chewing? You're only about a month out, and you still need to be careful. You should be able to eat a grilled cheese sandwich if you just nibble and chew thoroughly.

You also need to be sure that the bread is toasted to a very crispy consistency. Otherwise it just kind of balls up and can never be chewed to a liquid. That's definitely a recipe for getting something stuck. Toast is the only way to tolerate bread during the early months. I remember going out to eat and nibbling on just the crust of the breadsticks!

If something does get stuck, don't panic. If you have some warm tea handy, it can help to relax the esophagus, and non-iced water should help to get things through. It has happened to all of us at one time or another. When i was a new Nissen patient, It was described to me as a "hairball" experience, to be coughed up just like kitties do. Generally, though, you can get it through with patience and relaxation techniques.

Hang in there. Before you know it, you'll be eating all the things you want to!
Denise
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