i have had my surgery done yesterday

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soliver38
Regular Member


Date Joined Jan 2010
Total Posts : 140
   Posted 11/2/2011 9:01 AM (GMT -6)   
im all in pain.can drink only very little natural water.keep u informed day by day

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 11/2/2011 9:22 AM (GMT -6)   
 
It is good to hear that your surgery is behind you and the post-op healing has begun.  Do talk with your Dr. re pain management.  Wishing you lots of healing thoughts and keep us posted.
 
kindly,
Kitt

~~Kitt~~
Moderator: Anxiety, Osteoarthritis,
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"

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 11/2/2011 4:36 PM (GMT -6)   
Hi solivar,
Welcome to yeah yeah yeah The Wrapped Club! yeah yeah yeah I'm glad you've had your surgery and are on the other side!  Just think...the pain you're having now is taking you toward healing and a better quality of life!  As Kitt said, be sure to get help with your pain.  You shouldn't have to suffer with it. 
Congratulations!
We're all here to offer support and help in any way we can!
Hang in there,
Denise

Post Edited (dencha) : 11/2/2011 3:39:46 PM (GMT-6)


couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 11/2/2011 5:13 PM (GMT -6)   
Try some broth to keep up your strength. Sugar free jello, applesauce, and popsicles are good right now too.
Joy

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5029
   Posted 11/2/2011 7:53 PM (GMT -6)   
You'll heal faster if you keep the pain under control. Stick with the clear liquids for a few days as Joy said, just not much at a time. A couple of sips is good every few minutes or as often as you feel like it.
Alcie
 
 

soliver38
Regular Member


Date Joined Jan 2010
Total Posts : 140
   Posted 11/4/2011 7:16 AM (GMT -6)   
thank you dencha and tnxs to the other.im trying my best with food,stll my shoulders r in pain also my throat..also cant walk for long.i dont know how much time it takes to feel better and to go outside.thank you all

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 11/4/2011 8:19 AM (GMT -6)   
Hi Solivar,
Once you can get some walking in (even just from room to room in your house) you can start improving that shoulder pain.  From my experience, the more I walked, the better my shoulder felt.  A nurse at the hospital told me to get up and walk whenever I went to the bathroom.  I was walking laps in the hallways of the hospital floor I was on as soon as my anesthesia wore off.  Hopefully you'll be able to hike around your house soon!
 
Hang in there...you'll feel better soon.
Keep in mind that your wrap will become increasingly swollen over the first two weeks, peaking at 14 days.  Don't be surprised if your swallowing gets worse before it gets better.  It's normal for your swallowing to be difficult at this time.   
 
I don't know if you've already read it, but here is a journal of my first 19 days post-op.  Just ignore the references to coughing and lung problems.  They were unique to my situation.
 
Happy Healing!
Denise turn

Lovelycc
New Member


Date Joined Nov 2011
Total Posts : 3
   Posted 11/4/2011 9:24 AM (GMT -6)   
What kind of surgery did you have?

soliver38
Regular Member


Date Joined Jan 2010
Total Posts : 140
   Posted 11/4/2011 11:19 AM (GMT -6)   
thank u dencha ur infos were very useful,specially about walking around.i did it all the day.tomorrow ill try to drive my car.and ur right about swalling wrap.i have read that in 2 weeks it becomes worth.im trying to cope with the situation .than you

soliver38
Regular Member


Date Joined Jan 2010
Total Posts : 140
   Posted 11/4/2011 1:58 PM (GMT -6)   
i had nissen surgery for Gerd

soliver38
Regular Member


Date Joined Jan 2010
Total Posts : 140
   Posted 11/5/2011 9:55 AM (GMT -6)   
I hope ur doing fine dencha.i m worry you didnt post any new comment...

Airplanedude
Regular Member


Date Joined Apr 2011
Total Posts : 22
   Posted 11/5/2011 11:15 AM (GMT -6)   
I'm am scheduled to have a "hill" procedure in10 days and I'm getting cold feet fast. I'm not even sure I should get the surgery. I have a 4 cm hernia. I was on Prilosec twice a day for 2 years and eventually the Prilosec stopped working. I primarily had lpr symptoms. Now I am on nexium 40 mg once a day and I am virtually symptom free. If I skip a couple of days of the pill, it all comes back and it's brutal. Is getting off of ppi's reason enough for the surgery? My scope showed a beat up esophagus but no Barretts. But I know that long term these pills are bad. I dont want to do anymore damage to my esphagus and get barrets. I'm also really worried about the recovery and the future. I'm 44 and very active. I workout all the time, ski,etc.. Am I going to be limited in these activities 4, 6 12 months or more later? Or the rest of my life? Will I be able to drink a beer with friends and have that manly funny giant burp? I guess what I'm wondering is this. After recovery, is life like it was before the surgery (minus the gerd) ? Or is there somewhat of a handicap and limitation of activities? Do you ever forget that you had a wrap and it's an afterthought like a kidney stone or is it with you daily and you just learn to live with it? Thanks for any help. Brian

soliver38
Regular Member


Date Joined Jan 2010
Total Posts : 140
   Posted 11/6/2011 10:37 AM (GMT -6)   
Brian,,,you are absolutly right to ask such questions.i did the surgery few days ago.i let u know if i can do things u wanna do after hill...i keep u informed

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 11/6/2011 1:49 PM (GMT -6)   
Hi Solivar,
I hope you're feeling a bit better with your recovery these days.  It takes time, but things will heal and you'll begin to notice a big difference.  Please stick around the forum and ask whatever questions you might think of.
Glad you've joined us!
 
Brian,
I wrote you a long post yesterday and when I got ready to send it my internet connection had disappeared and I lost the whole thing.
 
I had a Nissen surgery in February 2009, and I'm extremely glad I did.  If you'd like to read a little about my recovery, check out my forum journal in which I describe the first 19 days of recovery.
 
I had my surgery done because the acid reflux was affecting my lungs and making them very unhealthy.  I have asthma and my lungs are extra sensitive.
 
You asking yourself whether or not to go forward with the surgery, and these are good questions.  Actually, you are the only one to make that decison.  In my case I'd been trying not to have it for about five years and during those years my lungs because more and more unhealthy.  Finally I didn't think I had a choice.  I was on 40mg Protonix twice a day and 300mg Ranitidine at bedtime.  Still I was having trouble.
 
I do not think this is a surgery to have unless there is a very good reason.  Some have extreme reflux, with quantites of acid and food refluxing into their mouths, others have a burned esophagus or the reflux has caused strictures and they can't swallow well.  Some have very bad hiatus hernias that allow a large quantity of their stomachs to enter their chest cavity.  There are some who have severe reflux and are allergic to or get severe side effects from PPIs.
 
I assume you have had a PH monitor.  What was your DeMeester score?  Mine was very low, but that's not the reason I had the surgery...small amounts of reflux can cause havoc with lung tissue. 
 
In my humble opinion not wanting to take PPIs is not a good enough reason to have the surgery.  But I'm not you.  If I had been able to control my reflux enough to keep my lungs healthy I wouldn't have had it done.  That doesn't mean that it's not enough reason for you to get the surgery.  That might be enough for you.
 
Your activity level will be reduced for a few months.  You didn't mention weight-lifting.  I do think that's more affected. It would be something to discuss with your surgeon.  Many people get back into their normal exercise routine quickly.  I remember one member here when I first started posting a few years ago went on some huge bike ride by the second week.  I believe he went mountain climbing early on as well.  Everyone is different.
 
The Hill procedure is looser, and you may be able to burp at will.  I had a Nissen, and though I can burp, I can't make myself burp.  It just happens when it wants to.  I am a beer drinker and even with the tighter wrap I can drink beer easily.  I stay away from soda which has a much more aggressive carbonation.
 
I suggest that you start your own thread on the main page.  You might want to just copy and paste your post below to save yourself some time.  That way you will be able to reach more people and get more responses.  Here's the link:GERD - Heartburn

Good luck with your decision!
Take care,
Denise

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 11/6/2011 3:05 PM (GMT -6)   
Brian-

I agree with Denise that just to get off the meds may not be the best reason to have this surgery. But if you have had the tests that show a weak LES and fairly elevated reflux rate you may want to go through with it. It is something to discuss with your surgeon.

As for doing things after the surgery goes, you are usually limited for 6 to 8 weeks on lifting anything over 10 pounds or so. I am about 2 .5 months out from my open redo nissen and am ready to start bowhunting again. I am going to turn my bow down to 60lbs from 67lbs for a while though. That is because I have had a very rough last 8 months and have had 3 surgeries to my esophagus and a redo nissen with about 8 weeks in the hospital in that time and have lost some strength that is slowly returning. I can draw the 67lbs, but it's not easy yet.

I am 40 and after this month I wouldn't hesitate to do anything sports wise. I also coach a travel softball team and ran the infield drills with the ladies. Swinging the bat didn't bother me at all and that was about 700 ground balls I hit today.

I also see you are concerned about Barretts. I do have it and was one of my reasons for getting the nissen. If you are having reflux while on the meds I would say it is a possible reason to get the surgery to stop the reflux and hopefully avoid barretts, but this needs to be discussed with your surgeon too.

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

Airplanedude
Regular Member


Date Joined Apr 2011
Total Posts : 22
   Posted 11/6/2011 7:31 PM (GMT -6)   
Denise and bill, thanks for responding. I did put post on a new thread but no one responded to it. Here is my story in a nutshell. I'm 44. Three years ago I got heartburn for the first time ever. I thought it was a heart attack. I got scoped and they diagnosed me with gerd ( no hernia, no Barrett's) and put me on prilosec which worked great for a couple of years. Then I went through a very stressful time and started having lpr symptoms. So I started investigating further. I read this board a lot and ended up going to the same dr that couchtater went to. That was last may. He said I had a 4cm hernia and no Barrett's and told me I needed the surgery. During this time I switched from Prilosec to nexium. Nexium works great for me as long as I don't skip more than a day. I decided that if I was going to get the surgery it would be in the fall/winter because I didn't want to be recovering over the summer when I'm most active. Im one of those that has to work hard to keep weight on and the idea of no exercise and no food didn't appeal to me. Now that the time is here I'm very nervous and wondering if it's necessary. I mean I have friends that take ppi's for years and never get scoped and don't think anything about it, yet I'm terrified of getting cancer and probably worry way too much . But the
bottom line is this to me. Are pills just as effective as the surgery at keeping Barrett's , etc.. At bay? Does no pain mean no harm? I rarely have symptoms now. I still reflux food sometimes but it doesn't hurt at all. Are the pills supposed to stop reflux or just make the reflux non acidic? I guess you can't stop it with a hernia. I'm more afraid of destroying my esophagus than I am of the surgery, but pills may be just fine. I just don't know the answer. I have only suffered with really bad symptoms for probably 3 months total out of the past 3 years, yet my dr said that the bottom of my esophagus was calloused. Does that mean there is damage happening even when there is no pain? Or is that fairly normal for 44 year old. I've read that nexium and surgery are equally effective at preventing Barrett's, but I also read that nexium doesn't stop bile, which may be worse than acid. Right now I'm erring on the side of staying with the pills but the decision is torturing me. I dont even know if this is something i need to decide on quickly or not. Do i have time or does barretts, etc. take years to form? I may be making more out of all this than is necessary. Take the pills, stop stressing and shut up? Brian

Airplanedude
Regular Member


Date Joined Apr 2011
Total Posts : 22
   Posted 11/6/2011 7:35 PM (GMT -6)   
One more thing. My les and reflux rate have never been checked. Nor has the demeester? Don't even know what that is. My surgeon seems very capable, but i think his attitude is that the pills are bad for you and if you have a hernia, you need surgery. It does seems like most people on this board got the surgery because polls were not working and not just to. Get off of the pills. Bian

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 11/6/2011 9:18 PM (GMT -6)   
Hi Brian,
The fact that your surgeon has not ordered the proper tests is a big red flag for me.  Highly qualified and experienced Nissen surgeons never, and I say NEVER do the surgery (whether a full or partial wrap) without doing the following tests:
endoscopy, barium swallow, 24hr PH monitor (that's where you get the DeMeester score), manometry, and possibly even a stomach emptying test.
 
I know that Joy has been very happy with her surgeon and surgical results.  I do know that she had all the typical testing before she had her surgery. 
 
A fine, fine surgeon who was checking me to see if I needed a redo surgery, said that the testing would help him deterimine if I'm a good candidate for the surgery.  If a surgeon does the procedure on someone who is not a good candidate can cause that person lots of long-term problems.  Having a surgeon who is extremely experienced and skilled in this particular surgery is essential.  A great surgeon isn't enough.  It has to be a great surgeon with lots of experience doing the wrap procedure.  Most people go by the rule of thumb that a surgeon should have 300+ successful procedures in a small city, and in a larger city the number should be 1000+.  Often people travel to large medical centers to take advantage of the extra experience and skills of surgeons there.
 
This surgery is not something to take lightly.  It's not something to do simply because a surgeon or doctor "doesn't like the medications".  You will face lifelong changes from this .  For people who have a real need to have the surgery, those changes are well worth the effort.  I, for one, would not want to deal with these issues if I didn't have a very good reason.  That said, I'm one of those people who gladly deal with the quirks created by the surgery to be free of the serious damage the reflux was doing to my lungs and therefore my entire body (because of the high doses of steroids I was forced to take.)
 
My first GI doc said that they rarely do the surgery now because the PPIs are so effective.  They do protect you as well as surgery.  There are some who need surgery because  the PPIs aren't working.  If at this time you feel that the Nexium you're taking is doing the job, you really don't have to worry about it.  Originally long term use of PPIs was not accepted practice, but it now is.  They've been used for decades and have been deemed safe.
 
I don't think you have to rush at all to make this decision. 
Hopefully others will be by soon to offer additional thoughts.
Good luck!
Denise
 
 

Airplanedude
Regular Member


Date Joined Apr 2011
Total Posts : 22
   Posted 11/6/2011 9:42 PM (GMT -6)   
That is really good advice and I appreciate it. The main reason I picked him was because he did the partial wrap. One thing of note though. I also talked to dr aye at Swedish medical in Seattle and he said if I flew out there, he would scope me and the surgery would be the next day if I had a hernia. He didn't mention any other tests either. I have decided to forego surgery for now and seek some more opinions. I might try to see dr Jamie kaughman in new York. She wrote the book "dropping acid". She is an ENT , but is extremely knowledgeable on gerd and LPR. LPR is my main problem when not taking pills. If the pills are equally successful then there is no reason to rush into surgery. I'm also going to seek out a non surgeon GI to scope me and perform these other tests. Thank you again for your candid advice. I will continue to post to let you know what's happening. Brian

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 11/6/2011 11:06 PM (GMT -6)   
Good luck, Brian!
As they say, to a carpenter with a hammer every problem looks like a nail.  Surgeons do surgery.  Your idea of going to a GI doc and getting a second opinion is a great one. 
Take care,
Denise

Airplanedude
Regular Member


Date Joined Apr 2011
Total Posts : 22
   Posted 11/7/2011 10:56 AM (GMT -6)   
That's so weird tat you would use that analogy about the carpenter. I've never heard that in my life, but my mother said the exact same thing last nite. Funny. Maybe a sign I'm on the right track.

soliver38
Regular Member


Date Joined Jan 2010
Total Posts : 140
   Posted 11/7/2011 2:58 PM (GMT -6)   
sometimes i feel when i drink water that its come back into my mouth,or if i try to eat bread..maybe its to early to go solid food....my throat still irritated ,just 5 hours after surgery when i took some apple juice i felt a pyrosis...today i drive my car for 2 hours on the highway,i donno if its not recommended.anyway i dont know if i need bravo test to be sure that the reflux is gone..im now in my 7th day postop....

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 11/7/2011 5:51 PM (GMT -6)   
Hi Solviar,
At the 7th day post op, it is totally normal to have some swallowing problems.  Actually, it's so early in your recovery that it would be normal to have lots of swallowing problems.  Did you get a chance to read my recovery journal?  I gave you the link in my first post.
 
Actually your swallowing will get gradually worse over the next week as your wrap becomes more and more swollen.  Then at 14 days (peak swelling) things will start to get better.
 
You should definitely stay away from bread.  Soft bread is one of the last things you will be able to eat.  It is impossible to chew it until it turns to a liquid (that's what you should be doing--takingn small bites and chewing whatever you eat until it is liquid.)
 
Many people are still on liquids at your stage of recovery.  I started solids at Day 6, but my surgeon told me to stay away from bread and steak for a long time.  When I asked him when most people are able to handle those, he said probably at around 8 weeks.
 
If you want bread, toast it well, and you will then be able to chew it to a liquid.
 
It's very likely that when you drink water or juice it's being held up at the wrap site and doesn't all get through into your stomach.  Actually if I drink water quickly even now (nearly 3 years post op) I can feel it building up at the wrap site, and can feel it draining down slowly.  That's just one of the things we deal with in order to live without the acid problems we had before surgery.
 
As far as pyrosis...it's normal to have some heartburn/pyrosis feelings at this point in your healing.  Your esophagus can't tell the difference between pain and heartburn, so when it feels pain it says to your brain, "Heartburn!"
 
Also, while your new wrap is healing it may not be laying flat and it's possible that some acid sneaks through.  Many of us continue to take anti-acid medication (PPIs) while our wrap is healing, to keep things more comfortable.
 
I you get a chance, read my recovery journal.  It might give you an idea of what to expect in the next couple of weeks.  You don't need a BRAVO test...you're healing.  It's far too soon to need that!
Hang in there...give yourself some time to heal.
Take care!
Denise turn

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 11/7/2011 5:51 PM (GMT -6)   
soliver-

It's way too early for bread and solid meat like beef. The wrap area swells after surgery and sometimes may take a a few weeks to go down. You can still have reflux while the area is swollen. Please don't be alarmed yet.

This recovery does take time, please be patient.

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

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 11/7/2011 5:51 PM (GMT -6)   
Hi Brian,
That's too funny!  As they say...great minds...!
Good luck with your search for answers.
Denise turn
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