New - 13 days post Nissen

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Hikergirl
New Member


Date Joined Nov 2011
Total Posts : 3
   Posted 11/24/2011 6:30 PM (GMT -6)   
I had a partial Nissen 13 days ago - due to Dysmotility of the Esophagus. The valve was not closing at all when I ate; causing acid to continually come up. My surgeon recommended liquids one week; then start on soft foods. The second week, I tried a little food, which felt like it was not going down; so I opted liquids for another week. I cannot tolerate dairy products, and am not getting enough nutrition. Today, I had a hard time even getting my meds down - have had constant reflux all day. Surgeon said it is normal to have reflux for a while after a partial, but today has probably been my worst day. Will this start to get better???

Thank you,
Leigh

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 11/24/2011 8:05 PM (GMT -6)   
Leigh-

Welcome to Healing Well.

The wrap tends to swell for 2 to 3 weeks and then slowly subsides. This swelling can cause some reflux and difficulty swallowing. You are right at the possible max swelling now.

Also backing off your diet to liquids when having troubles eating soft foods is a good idea. That keeps stress of the swollen wrap. Things should start to get better soon. The tough part is being patient and letting the healing process work.

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 : 7181
   Posted 11/24/2011 8:46 PM (GMT -6)   
Hi Leigh,
Welcome to the Healing Well yeah yeah yeah Wrapped Club! yeah yeah yeah Glad you've joined us.  As Bill said, swelling at your stage of recovery is pretty routine.  As time goes on the swelling will decrease and things will go more easily.
 
If you can cut up or crush your pills, or take capsules apart and add the medication to applesauce it might help you take them. 
 
When you start eating solids again, be sure to take tiny bites and chew, chew, chew. 
 
Did your surgeon/GI doc keep you on your PPI meds during your recovery?  Many do, and it helps with the breakthrough reflux that can occur.  Your newly created wrap is swollen and misshapen, and acid can sneak by.  Often people recovering from a full Nissen wrap can also experience breakthrough reflux.
 
Also, your esophagus is a "dumb organ", and it interprets all pain as reflux.  There is naturally some pain because you've had major surgery.
 
If you can surrender to your recovery and follow it where it leads, you'll find your recovery to be much more managable.  Struggling against what is, will make things harder to deal with. 
 
Stick around...there are lots of members here who've had Nissen surgeries.  We're happy to answer questions and share our own experiences, and support you through your recovery!
Happy Healing!
Denise

Hikergirl
New Member


Date Joined Nov 2011
Total Posts : 3
   Posted 11/24/2011 9:39 PM (GMT -6)   
Thank you, Bill and Denise.

I am unable to take PPI's (allergic reaction); so he told me to continue the Zantac and put me on Carafate. Per your recovery post, I put the Carafate in water to dissolve it; however, today, it kept wanting to come back up. The Zantac felt as though it were stuck for several minutes, then I struggled with the feeling of that wanting to come back up. I am afraid to put anything in me today; as the reflux has been so severe.

I am just discouraged today; as I feel as I am going backwards. I also feel weak from lack of nutrition.

Thank you for your positive comments. I value your opinions and advise from your experience - will sure be glad when this is over!!!

soliver38
Regular Member


Date Joined Jan 2010
Total Posts : 140
   Posted 11/25/2011 1:49 AM (GMT -6)   
Bill and Denise are the best to help you ,after 24 days post op i still on mixed food.do not worry.also still taking meds for reflux..as denise said healing takes time..good luck

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 11/25/2011 10:44 AM (GMT -6)   
Leigh,
It's so, so common to have trouble getting pills down at your stage of recovery.  I remember getting them stuck, creating irritation, spasms...the whole gambit.  You're at peak swelling, so things that went down before will have trouble going down now.  Be sure to follow even the dissolved Carafate with water...if it's only sips, just sip away.
 
If you have good prescription insurance, you'd benefit greatly from switching to Carafate Suspension.  It's totally liquid, so it just flows down.  It does a great job of coating your irritated esophagus, and even your wrap.  Think about it.
 
Don't worry a moment about the reflux feelings.  It's so natural.  I know how scary it is.  I thought I was the only one who had it post-nissen, and was almost afraid to bring it up, since it could mean that my surgery was a failure.  Thankfully, that's not the case.  Hang in there.  You're at the very beginning of healing.  One day at a time, Leigh.  It'll improve. 
 
We're here for you!
Denise

bowecho
Regular Member


Date Joined Nov 2011
Total Posts : 146
   Posted 11/25/2011 6:40 PM (GMT -6)   
Leigh,

For pills I strongly recommend a pill crusher. My surgeon gave me two pain meds, a liquid and a small tablet. He thinks I can get the tablet down, which I could the first time, but it was really uncomfortable. At Walgreens I picked up this inexpensive plastic pill crusher that will cut it and half and crush it very easily. I then mix the crushed pilled into a tiny bit of water and down it quickly. Works great. I never liked pills even before the surgery, so I am going to keep this thing around!

Tony

Hikergirl
New Member


Date Joined Nov 2011
Total Posts : 3
   Posted 11/26/2011 5:31 PM (GMT -6)   
Thank you so very much for your replies. Today, I have tried applesauce and pudding; however, I am getting that sour taste; which I have read on here that it is not going though the wrap - I am pushing the water.

I do have a question. I have gone almost two weeks without much nutrition. I am getting very pale and weak. Cannot tolerate milk products - do you have any suggestions for liquids that will supply me with nutrition?

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 11/26/2011 6:19 PM (GMT -6)   
Hi Leigh,
 
I went hunting on the internet and found a pretty helpful site with non-dairy liquids.  You've probably already seen it, but just in case:
 
I hope you find something you can tolerate!
Best wishes,
Denise

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 11/26/2011 6:21 PM (GMT -6)   
Leigh...
If you can tolerate eggs, you could make an egg custard using a milk-substitute.  It would be very creamy and easy to swallow, and filled with nutrition.  I used to live on it pre-Nissen when I'd get esophagitis and gastritis. 
Just a thought!
Denise
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