Tif surgery scheduled 9-26-11

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2bhappy
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Date Joined Oct 2010
Total Posts : 37
   Posted 9/19/2011 4:53 PM (GMT -6)   
Hi, I'm 33 years old and have been on 40 mg of Nexium for 9 years.  My reflux used to be controlled with medication and now it isn't.  :(  I'm excited for my surgery but want any and all information you have to give?  Thank you!!!
 
Kristi 

Tandem Rider
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Date Joined Jun 2011
Total Posts : 122
   Posted 9/19/2011 7:00 PM (GMT -6)   
I had the TIF 5 months ago. Follow the diet as it is important for the success of your TIF. Here are a few things that I learned from my TIF surgery. Watch the oral pain medicine, I almost vomited from it and that can pull the staples out. I got gastritis from the surgery and it has taken me a long time to get over the gastritis. At the end of the TIF diet make a slow transition to a regular diet. Going off a PPI after several years is also an adjustment for the stomach with the lower pH (more acid.) The recovery takes time, my doctor said that the TIF could tighten up for 3 months and I agree with him. It takes patients (both kinds.) I had a second 24 hour ambulatory pH test and my reflux score dropped from 28 to 5.8, well in the normal range. Good luck!

2bhappy
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Date Joined Oct 2010
Total Posts : 37
   Posted 9/20/2011 12:02 PM (GMT -6)   
Thank you for your information Tandem!!! Are you able to swallow pills after the surgery? How long were you on liquids...I've heard anywhere from 1 to 4 weeks? Just wondering what you did?

Tandem Rider
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Date Joined Jun 2011
Total Posts : 122
   Posted 9/20/2011 12:30 PM (GMT -6)   
Yes, I could swallow pills after surgery. I did two weeks of a liquid diet including yogurt without fruit, cream soups through the blender, and cottage cheese. Then I had 5 weeks of the liquid diet plus runny mashed potatoes, pasta with tofu, soggy cereal, poached eggs (soft), and some berries and mellon if I remember correctly. I followed the TIF diet on the web site. The only drinks that I had was water, milk, apple juice, and Ensure that was important for the vitamins and nutrients. I did not drink anything hot, very cold, caffeine or alcohol for the seven weeks. I ate slow, chewed food well, and ate small amounts and any one time. I lost 16 pounds over the 7 weeks and another 3 pounds after I went on a regular diet.

It is my understanding that the TIF surgery forms a ridge of 280 degrees around your LES by pulling your stomach down and staples hold the ridge in place until it forms a fibrous network to hold the ridge in place. Not following the diet may cause food to lodge or pull the staples loose allowing the ridge to come down decreasing the effectiveness of the surgery. Can you tell that I am a retired biology teacher? Good luck on your surgery.

2bhappy
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Date Joined Oct 2010
Total Posts : 37
   Posted 9/21/2011 12:38 PM (GMT -6)   
My husband is studying Biology and Chemistry for his Bachelor's right now. I hear plenty of "smart talk" all the time. :)

In your experience, how long was it before you could eat as you please? Do you have to take small bites and chew your food really well before swallowing still?

Thank you for your help!!!

Tandem Rider
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Date Joined Jun 2011
Total Posts : 122
   Posted 9/21/2011 7:54 PM (GMT -6)   
My reflux is under control but my gastritis has returned. After I retired from teaching three years ago the gastritis slowly got better. With the gastritis I don't drink wine, dark beer, don't eat much chocolate, and only a half cup of coffee in the morning. Due to cholesterol I don't eat much fat and fried foods. The diet did get me in the habit of eating slower, chewing food more, and smaller bites. To some extent, I have continued eating this way but I don't notice if I eat fast or don't chew as much. I have tried to keep my eating slower to get a full feeling and not over eat. I do notice that I get full faster but I don't know if it is from the TIF or the gastritis. With the 20 pounds I lost I am at my ideal weight and I am working not to gain it back.

Interesting that your husband is in Biology and Chemistry. My Bachelors is a Biology major and Chemistry minor. Does he want to teach? Good luck to both of you.

ladytex
Regular Member


Date Joined Mar 2011
Total Posts : 36
   Posted 9/25/2011 1:30 PM (GMT -6)   
Kristi:

Just wanted to know if you are still having your TIF Monday.

Janice (had mine the 19th)

stkitt
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Date Joined Apr 2007
Total Posts : 32602
   Posted 9/25/2011 5:21 PM (GMT -6)   
 
Wishing you nothing but good luck with your surgery tomorrow.  We will all be here thinking of you and hope all goes well.  Remember to ask questions b/4 surgery and lots of questions after surgery while your surgeon is available to you.
 
Blessings and be well,
 
Kitt

~~Kitt~~
Moderator: GERD/Heartburn and Heart/Cardiovascular Disease.
www.healingwell.com

"only as high as I reach can I grow, only as far as I seek can I go, only as deep as I look can I see, only as much as I dream can I be"

ladytex
Regular Member


Date Joined Mar 2011
Total Posts : 36
   Posted 9/25/2011 5:33 PM (GMT -6)   
Good luck. We know all will go well. Let us know how you are doing.

Janice

Tandem Rider
Regular Member


Date Joined Jun 2011
Total Posts : 122
   Posted 9/25/2011 6:18 PM (GMT -6)   
2bhappy

Good luck with your TIF tomorrow. I'm sure you will do well.

Sheldon

opnwhl4
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Date Joined Dec 2008
Total Posts : 4961
   Posted 9/26/2011 7:38 AM (GMT -6)   
Today is the day! Praying all goes as planned and you have a great recovery.

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

2bhappy
Regular Member


Date Joined Oct 2010
Total Posts : 37
   Posted 9/27/2011 9:41 PM (GMT -6)   
Day 2 after my TIF surgery and things are going as expected. Thank you everyone for your positive thoughts and prayers!

Yesterday the pain in my left shoulder was the worst. Today it is getting better but still bothersome. I think things are going well. Thanks to this forum I know to just relax and go with the pains and symptoms that arise. It hurts to burp but I'm thankful I can burp. I have a fat lip and canker sores in my mouth because my Dr said I have a small mouth and it was hard to get the equipment in my mouth. I feel good about my choice to do the surgey. I hope and pray I heal quickly because my family needs me.

For those of you the still took the ppi's after your tif surgery, did you swollen them whole or crush them up? Can't decide what to do. My Dr wants me to continue them for a month.

ladytex
Regular Member


Date Joined Mar 2011
Total Posts : 36
   Posted 9/27/2011 10:03 PM (GMT -6)   
Good to hear from you!    Glad everything went well.   Yea, the soreness will be with you for a couple of days.  I didn't have the shoulder soreness (just a long narrow red mark), but I did have a very sore throat with voice loss and a headache from the anesthesia.   All of these will get better day by day.   Just remember not to lift over 5 pounds for the first two weeks.    
 
I, too, am glad I had the TIF.   Been one week and NO REFLUX!  
 
I do not know about the PPIs. I was told to get off of my GERD meds when I got home.    What did you doctor say?   Mine told me to crush my Phenergan and tylenol before taking it.   I guess it just depends on your doctor.   I'm sure there are others on this forum who can let you know what they did. 
 
Rest, take care, be positive and keep us all posted.   Looks like we will be going through our diet together! 
 
Janice

Tandem Rider
Regular Member


Date Joined Jun 2011
Total Posts : 122
   Posted 9/28/2011 8:15 AM (GMT -6)   
I swallowed my Nexium whole but it is in a smooth capsule. I went off after 2 weeks and had significant acid reflux after a couple of days and went back on the Nexium for 3.5 months which was probably too long. I would follow your doctor's advice for a month. Like you, I was on a PPI for several years and the lower pH (more acid) was and adjustment for my stomach.

2bhappy
Regular Member


Date Joined Oct 2010
Total Posts : 37
   Posted 9/28/2011 11:15 AM (GMT -6)   
Day 3 is hard.  My 3 year old started with a ear ache yesterday evening and just wanted me and couldn't understand why I couldn't hold her.  I'm staying with my parents but my Mom had shoulder surgery 3 weeks ago. (We moved from where I had surgery about a month ago, I was supposed to have this surgery in July) So, my husband and 2 older daughters are 2 hours away.  :(  My three year older woke me up at 2 am with a fever and ear ache...I put some olive oil, lavendar and melaluca oil on a cotton ball and put it in her ear along with kids motrin.  She woke me up at 8 and her fever is gone thank goodness but I'm hurting!  My arm where the IV was is extremely sore, my shoulder hurts bad, The canker sores in my mouth and down my throat, OUCH!  The good news is I don't think I am having reflux symptoms.  I haven't taken a prilosec yet because I am scared of it getting stuck in the back of my throat or surgery site (Those places feel the most swolen).  This is going to kind of be a journal of my recovery, just bear with me.     

ladytex
Regular Member


Date Joined Mar 2011
Total Posts : 36
   Posted 9/28/2011 12:03 PM (GMT -6)   
I am so sorry you are not having a good day. They do get better each day. My bad day was day 2.

I know my doctor told me to take crushed tylenol for any pain. Would that help a little? Perhaps an ice pack could help your shoulder or maybe even a heating pad. I am sure there are other members who have gone through what you are going through now and can give you some good advice.

Hope your day gets better. Keep positive. We are all here for you.

Janice

2bhappy
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Date Joined Oct 2010
Total Posts : 37
   Posted 9/29/2011 3:04 PM (GMT -6)   
Day 4

Shoulder pain is still painful! :( I think I should have gone to the chiropractor before my surgery but the should pain is especially bad when I burp. Hopefully it will get better soon. The heating pad is working, thanks for the suggestion Janice! :) What are you eating these days Janice? I've just been drinking Boost (because it had 2 grams of protein... more than ensure) jello, chicken broth and water. I am wanting something more with substance.

Good news is I'm not experiencing reflux. Very happy about that and my decision to do this surgery.

This liquid diet is very doable right now but I know it's going to get harder and harder. Any suggestions are welcome.

Thanks!

Kristi

ladytex
Regular Member


Date Joined Mar 2011
Total Posts : 36
   Posted 9/29/2011 4:18 PM (GMT -6)   
Kristi:

Sorry to hear that your shoulder is still painful. I hope it gets better soon. Glad the heating pad helps.

Besides what you are eating, I am also having yogurt without fruit and pudding. You can also eat cottage cheese. I have also been eating strained chicken noodle soup (my husband eats the chicken and noodle!). Tastes much better than just plain broth to me.

I tried to find some pureed soups, but they had too many ingredients and spices, so I made some myself. I cooked butternut squash, a carrot, a little onion for flavor, and a sweet potato. Pureed this and added chicken broth. Made a great meal with a little more consistency. You can cook pretty much any vegetable (just not stringy ones), puree, add chicken or veg broth. You can adjust the thickness by adding broth or milk. Enjoy!

Hope these suggestions help.

Wonderful to know that your reflux is still in check. I am also glad I had my TIF. Almost 2 weeks and no reflux! WOOOHOOO.

How is your little one doing?

Take care, keep positive, and stay in touch.

Janice

2bhappy
Regular Member


Date Joined Oct 2010
Total Posts : 37
   Posted 9/29/2011 7:58 PM (GMT -6)   
Janice, your soup puree sounds delicious...I will definitely be making that soon. So glad to hear that your surgery worked for you too!

My 3 year old is feeling better but misses her sisters and Dad...So do I! Cried for a good hour tonight. Hopefully we can see them this weekend. My 6 year old came home from school with a fever and soar throat today. :/ Its hard not to be there to take care of her. Oh well, life is not designed to be easy.

Kristi

kyheart
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Date Joined Apr 2011
Total Posts : 515
   Posted 9/29/2011 8:37 PM (GMT -6)   
Kristie

WELCOME to the forum and the WRAPPED CLUB!!

You are still in the 1st week if I read the posts correctly. this is a tough time.. once you get past the 2 week mark, it is better. I had the Nissen and Hiatal Hernia surgery on April 1 this year. I would do it again in a heart beat.

I hope you will stay with us here at the forum and let us know how you are recovering. ask all the questions you like and we will try to answer them. We will be here to support you and listen if you want to gripe.. thats what friends and family are for and most of us here feel more like family..we hope you will join us..

Janice gave you some good tips for a more sustaining liquid diet.. blend just about anything you can eat.. as long as it is pureed you can drink it.. I used to like pureed vegetable soup.. it was so good.. thicker than plain old liquid.. more stick to the ribs, yet drinkable..

Reach for the Sunshine.. Rainbows will follow

Sandi

2bhappy
Regular Member


Date Joined Oct 2010
Total Posts : 37
   Posted 9/30/2011 3:00 PM (GMT -6)   
Day 5

Still have a lot of pain in my shoulder, especially when I burp. Along with canker sores in my mouth and down my throat. My issue I'm facing now is trying to eat enough calories. I went over it last night and I am only eating around 900. No wonder I am so exhausted all the time. I try drinking the boosts, jello, chicken broth and some yogurt today but as soon as I start eating I feel bloated and full in my belly. I've tried taking bites and walking around. Is this what you have experienced? Not being able to eat enough calories? I'm tired a lot and right now I can sleep because my parents are taking care of my 3 year old. No pain when I sleep. :)

I'm so sick of my shoulder pain!!! So ouchy!!! Called the dr and they said to move around and gas X. I have been and will continue to do more and more.

Kristi

ladytex
Regular Member


Date Joined Mar 2011
Total Posts : 36
   Posted 9/30/2011 5:10 PM (GMT -6)   
Not sure how many calories I am consuming, but I have lost 10 pounds, so probably not much (I have plenty of padding to spare)

It sounds like your fullness might be leftover gas. Try the Gas-x to see if it helps.

I take a bite of yogurt, wait a minute and then take another bite, same with the purees, jellos. I only eat 1/2 cup at a time, then wait a couple of hours to eat again. My stomach generally tells me when I need to eat; it grumbles. I try to eat slowly. Try not to overfill your stomach. It would be better to eat more meals in smaller portions than to eat 3 meals and overfill your stomach. In the morning, I usually nurse a Boost for an hour until it is gone.

Also, try not to eat foods too hot or too cold. I swish my yogurt and jello in my mouth to warm it up a bit before I swallow.

I really wish I had a remedy for your sores in your mouth and your shoulder! I don't know what to suggest. I hope other members might have a suggestion. I just know you will get better soon!

Take care, rest, and keep in touch.

Janice

kyheart
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Date Joined Apr 2011
Total Posts : 515
   Posted 9/30/2011 7:48 PM (GMT -6)   
2behappy

I am sorry to hear that you have these problems. The only thing I can tell you for sure is that when my daughter had severe canker sores in her mouth, I bought her L-Lysine. This is an amino acid and it is used for the treatment of cold sores and canker sores. It speeds up the healing. I do know it worked for her. It comes in various forms including a powder. Look on line and see if your local pharmacy has it. Check with the pharmacist about dosage.

I also had shoulder pain and I was advised to walk as much as possible. Tat helps more things than just the shoulder pain. Gas in your system will move about and move on ;-) with walking.. don't over do it just walk when you can and for as long as you are comfortable. Since I live in Florida and it is hot here most of the time, I just walked around the house, did a fine job...

Losing weight after this procedure is almost inevitable.. but, Janice is right, eat small meals several times a day.. Do not try to eat 3 meals a day as your stomach is smaller than it was before. You may become nauseous if you try to overfill your stomach. This is not a good feeling. Try to eat slowly and take small bites. When you swallow the liquids, do not swallow to much at a time.

Try to take in 3-4 ounces at a time, every couple of hours. this will help you take in more.

Please stay in touch, we will gladly support you and be here for you as you go through this thing called Recovery...

Reach for the Sunshine... Rainbows will follow

Sandi turn yeah tongue turn yeah tongue

2bhappy
Regular Member


Date Joined Oct 2010
Total Posts : 37
   Posted 10/2/2011 12:34 PM (GMT -6)   
Day 6
 
The shoulder pain is doing better.  The sores in my mouth are healing.  :)  I think I get 10% better everyday. 
 
I can't Thank you, Janice and Sandi, enough for your support!  You are very kind and I appreciate your support so much! 
 
I tried the squash puree Janice and it was very good and much needed!  My family has teased me all my life on how much I "love food".  I never over ate but always wanted to eat really tasty food at least once a day.  My mind is struggling more than anything now with the liquid diet.  Mind over matter!  I just have to put on my big girl panties and do the diet well because acid reflux has been aweful!!!  I feel like the surgery has been a success and I want to keep it that way.
 
You are on week 2, right Janice?  How are you?
 
Kristi

ladytex
Regular Member


Date Joined Mar 2011
Total Posts : 36
   Posted 10/2/2011 2:01 PM (GMT -6)   
Yea, you're getting better! WOOHOO!

Just hang in there, girl. The two weeks will go by fast. You are almost done with week 1! I found that when I started eating the pureed veggies, I felt stronger, and so will you!

I am almost done with week 2. Graduation! I will now start adding soft foods as tolerated. I will let you know how things are going.

We are in this together, all of us. Some members have already gone through their diets, which helps. I have been getting advice from Tandem Rider (he had a TIF also),and Sandi, too.

Glad things are turning around.

Take care, KEEP POSITIVE, and keep in touch!

Janice yeah smilewinkgrin :-)
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