Day 20 post op - Status

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Jesper A
Regular Member


Date Joined Nov 2011
Total Posts : 131
   Posted 11/27/2011 1:37 PM (GMT -6)   

Hi all,

I just wanted to give anyone interested a quick status of where I am after my Nissen Fundoplication.

 

Problems eating

Last week, on my day 11 and 12 I had to go to the hospital. I am from Denmark and I think it works a lot different here than in the US.

Anyway, at lunch on day 11 I felt for the first time my wrap closing off all access to my stomach from my esophagus. I had only taken a small bite of some cooked minced meat and it was just stuck there. It felt like cramps just over my stomach and it hurt like hell. I got up and walked around for a while and I started to gulp. After about 10 minutes it felt like it loosened up and 5 minutes later I could get back to eating.

 

The little fright quickly passed and I thought it was just a combination of some air in the stomach and food playing tricks with my wrap.

 

At dinner time it happened once again. At the first bite I didn’t feel much but at the second bite I realized it was all stuck again and this time round I had taken bigger bites. The horror carried on for half an hour at which point I got my wife to drive me to the hospital. I was gulping up slime every 3 minutes and couldn’t swallow. Just like earlier it felt like at cramp every 30 seconds and it hurt like nothing else. I was certain that the food was thoroughly stuck and I needed help to get it up. After 1½ hour of hell it suddenly eased off (thank you!), and 10 minutes later when the doctor came to see me it had passed. Since I was only 11 days post op he opted to hospitalize me.

I stayed there for 24 hours and was then send home on a fluid diet and soft foods when I had found the courage again. Also they told me to come straight back in case it happened again.

Since last weekend this has happened a lot times, but not as bad as the dinner because I am expecting it and are careful now. It is like the first bite I take is always stopped and only after 5 minutes my wrap opens up. It is not a huge problem and I am sure it will get better over time plus it is the only complication after the surgery so far! I feel lucky.

 

Exercise:

2 months before the surgery I had started running in order to be in good shape for the operation and yesterday I went out running for the first time after.

Let me tell you, it felt so good!

Before surgery I had made a route of just under 2 miles (3 km) and my best time was just over 14 minutes. Yesterday I ran the first mile and then walked the rest. It took me 19 minutes and I am well proud. After the first mile my stomach started to hurt a little bit which was the main reason why I opted to walked. Either way it just gave me a huge energy boost and I felt so good the rest of the day!

 

Lowering my PPI doze

Thursday I started to lower my doze of PPI’s. Up until Thursday I took Lansoprazol 30 mg twice a day but now I have reduced to only 30 mg in the morning. Thursday it didn’t feel so good. I had a lot of mucus and I had small coughs. Friday it got better and Saturday was actually my best day since surgery.

Full of joy and positive energy (remember I was also out running in the morning) it opted to celebrate this with my first glass of red wine…

In hindsight that was probably pushing it a bit too far… J

After the glass I began developing a lot got mucus and my voice got hoarse. Yikes. And the night was even worse. I woke up several times and I felt it burning all the way through. This morning it was still bad but during the day it has felt as if things is getting better again. I am sticking to the lower doze and I think if I wait a little more with the red wine it will all be good again. Will keep you posted

 

Jesper


soliver38
Regular Member


Date Joined Jan 2010
Total Posts : 140
   Posted 11/27/2011 2:27 PM (GMT -6)   
jesper ..i am on 26 day post op ,i still feel bloated if i drink supper more than a small cup..sometimes i feel pain in my stomach and after meals like nausea...i have read your post i still take lanzor also..my throat still irritated ....good day

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 11/27/2011 2:36 PM (GMT -6)   
Hi Jesper,
It may be that you were getting some spasms at the lower esophagus.  Who knows?  Still at your early stage of recovery pretty much anything is possible.  That clear slimy mucous I believe is a reaction to the irritation of the esophagus.  Wow, that gets old.  I remember I got a ton of it on Day 4 of recovery.  It's especially bad because every swallow at that stage is very uncomfortable.
 
I agree that you ought to swear off red wine for a while longer.  Those types of set-backs are temporary, and you'll be back to your old self soon.  You might want to stick to the PPI a little longer into your recovery.  Your stomach has been through a lot, and the last thing it needs now is an extra onslaught of acid as it heals.  Remember that your wrap is made of your stomach, and it will react in the same way.  I happen to have a very sensitive stomach, hence my wrap is very sensitive as well.
 
The exercise is great, but anything that hurts should be halted at this point.  Keep that walking going...even at a very high speed if you can tolerate it.  Eventually, you'll be back to jogging...and you'll be able to enjoy it without having that nasty reflux washing up with every step.
 
Thanks for sharing your recovery experience.  While everybody is different, it is still providing a great example of what a recovery might look like in the early stages.
 
Good luck with your eating in the future!  When you do decide to go to solids, be sure to choose only those that can be chewed to a COMPLETE liquid.  Tiny bites, and chew, chew, chew!  We should write a song about it!
 
Best wishes,
Denise

Jesper A
Regular Member


Date Joined Nov 2011
Total Posts : 131
   Posted 11/27/2011 3:34 PM (GMT -6)   
Hi both, thanks for your reply’s!

I can see I forgot to tell you that I went back to solids last Monday, two days after I came out of the hospital, and it is working well for me. Also my meal sizes are slowly getting a little bigger, but the chew chew drill is the same :)
Regarding the problem swallowing the first bite, I have experimented a bit and it doesn’t matter whether it is soup, minced meat, oatmeal or anything else. The first bite just sits there for a while until it opens up and I can eat my meal. But totally agree with you Denise, it is early days and I am not worried about this.

The mucus and hoarseness was/is actually my main symptoms of GERD and I have had it every day since the op. It has slowly gotten a little better over the past week though, except for Thursday when I lowered the doze for the first time and Saturday evening when I had my glass of red wine. So yes, I will stay off the red wine a little longer but if my night tonight is going well I will try to stick to the lower doze which my doctor suggested.

The exercise was also recommended by my doctor, but just as you are saying Denise, she also told me to slow the pace to walking if or when I felt anything that was uncomfortable. It was however such a great feeling to move around a bit and everything felt good afterwards too.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 11/27/2011 7:17 PM (GMT -6)   
Hi Jesper,
The GERD symptoms you lived with before your Nissen will take some time to improve.  My horrible lung condition didn't improve until about two and a half months post op.
 
Keep the faith!  Your symptoms will get better!  I know it's hard when you're waiting to see if the surgery worked for you.  I was worried, too!
 
Chew, chew, chew, chew!
Have a great week.
Denise

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 11/27/2011 7:18 PM (GMT -6)   
Jesper,
I just thought about something...have you tried warm tea before you eat to warm up the esophagus before swallowing?  When anything got stuck during my recovery, I found that tea was the best way to get it through.
Give it a try if you haven't already!
Denise

Jesper A
Regular Member


Date Joined Nov 2011
Total Posts : 131
   Posted 11/28/2011 12:56 PM (GMT -6)   
Yes, it seems like warm tea helps a little bit.
Also had to take a Lansoprazole last night cause I could feel the mucus building up. Today is better than yesterday though and I will determine before going to bed if I should carry on with the lower doze today

aeshleyrose
Veteran Member


Date Joined Jul 2011
Total Posts : 656
   Posted 11/28/2011 1:43 PM (GMT -6)   
Hej, Jesper!

Hi there, neighbor! Congrats on your surgery, I hope your recovery continues to go well! Keep us posted as we all like to hear how our members are doing :)

Lycka till, och må bättre snart! (I know that's Swedish but I don't speak Danish and was pretty sure you'd understand!)
Ashley

Jesper A
Regular Member


Date Joined Nov 2011
Total Posts : 131
   Posted 11/28/2011 3:07 PM (GMT -6)   
Mange tak! :)
It is always good to have good neighbours!

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 11/28/2011 6:49 PM (GMT -6)   
Hi Jesper,
 
Even if you're doing better, I'd be inclined to stick with the PPIs for a while longer.  You want to give that healing wrap and esophagus every advantage.  I know some go off cold turkey after surgery, but it's a very individual thing.
 
just a thought...
Denise
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