Nissen Fundo recovery/nausea

how long will nausea last after nissen op??
2
what meds should I take for nausea - 66.7%
1
any1 else suffering what im going through - 33.3%

 
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Sean881
New Member


Date Joined Dec 2011
Total Posts : 11
   Posted 12/4/2011 8:00 AM (GMT -6)   
 Hi all,
 
My name is Sean, im new this but I had no other option but to have nissen op as I was suffering badly for 18mths from acid reflux, had an awful pain at bottom of my throat and my voice was going from the acid, well I had op 2 weeks ago now and I have an very upset stomach, cant eat much at moment very bloated and suffering badly with nausea, only have had a little acid attack nothing major, but im so scared at moment with this nausea its like a battle  for me now to get yoghurt down, not to do with been able to swallow but from nausea, feel very sick is this normal, need help please if any1 is out there or has experienced the same thing as me this liquid diet is killing me
 
Regards
Sean

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 12/4/2011 9:57 AM (GMT -6)   
Sean,
 
Hello and welcome to HealingWell.  I am going to post a link for you that another member wrote re her post-op recovery.
 
Denise's Nissen Fundoplication Surgery:
My Forum Journal


 
 
I know you will be hearing from other members with words of wisdom for you also.
 
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 : 7181
   Posted 12/4/2011 10:11 AM (GMT -6)   
Hi Sean,
Welcome to Healing Well!  Actually, I should welcome you to our yeah yeah yeah Wrapped Club! yeah yeah yeah There are quite a few wrapped members here, so you should be getting lots of helpful posts soon.
 
First, I want to tell you that at your stage of recovery, you have reached peak swelling of your new wrap and hernia repair.  Remember, while you only have little incisions on the outside, your inside has undergone major surgery, and will take much longer to heal.
 
Just think...that poor stomach of yours has been stretched and wrapped, and stitched.  No wonder it's nauseous!  At this point, the swelling is at its most extreme, and will soon begin to resolve.
 
My surgeon told me early on that my swallowing would get worse before it got better, and warned me of the two week mark peak swelling.  It always amazes me (as seen on posts here at the forum) how little surgeons prepare their patients for what to expect.
 
Did you get a prescription for anti-nausea drugs?  If not, you should call tomorrow and get a script.  While your nausea isn't likely to cause you to vomit, you may pick up a bug (I recently had one that went through everyone--and I mean everyone--in my family), and won't want to vomit.  It could damage your wrap.  If your nausea is bad enough, call whoever is on call today and get them to call in a script for you.  Most here use these three:  Compazine (suppositories are best as they bypass the stomach), Zofran, and Phenegran.
 
The esophagus is a "dumb organ" and interprets all pain as reflux.  I'm sure it's feeling plenty of pain at this point, so it's likely that your reflux sensation is just post-surgical pain.
 
Also, my surgeon assured me that "anything is possible" during the healing period, and I could, indeed have a bit of acid refluxing into my esophagus.  The wrap is swollen and misshapen, and could allow a bit through.  That's why many stay on PPIs until the healing has had a head start.  Acid is hard on the healing wrap, so they prefer that their patients don't challenge it in that way.
 
If you're having trouble with yogurt, stick with a liquid diet for a couple of days.  You can manage the yogurt if you just take tiny amounts over a long time.  Follow with some sips of water, so that your esophagus continues to push it through.  No ice water, though.  Cold beverages can cause spasms.  Try some warm weak tea, or even warm water.  It'll work better.
 
Stick around and ask questions.  Here is a link to the posts I wrote during my first 19 days post-op.  They might at least give you an idea of how your recovery compares.  That said, everyone is different, so don't expect things to be just the same.
 
Best wishes!  Hang in there...things will improve over time.  If you can surrender to your recovery, and follow it where it takes you, you will have a much easier recovery.  Those who struggle against what is, have a lot more trouble dealing with the recovery process. 
 
Go with the flow...you can't change it, so if you can accept what comes, you'll do much better.  There are many here who can help you understand the process and give you hope that things will improve over time.  Don't worry!  What you're going through is very normal.
 
Denise
 
PS...Kitt, how funny!  We must have been posting at the same time!
 
 
 
 

ManchesterNH
Regular Member


Date Joined Dec 2011
Total Posts : 72
   Posted 12/18/2011 11:30 AM (GMT -6)   
Hello  I had the nissen wrap due to  a third of my stomach was in my diaphram. (Para Hiatial Hernia)
I am in my second week of recovery and losing weight. I do not want to lose anymore
weight as I lost too much prior surgery. Can anyone give me ideas of what liquid or
really soft foods I can eat? Also how to make whatever it is. How can I gain weight or
maintain what I have.
 
I also have diarrhea is there anything otc that I can take for that and is this normal?
 
Ladies I cannot wear a bra due to the tightest any suggestions to help this.  I 65 years old
and this is the first time I had surgery and need some advice.
Thank you very much
 
 

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 12/18/2011 2:36 PM (GMT -6)   
Hi Manchester,
I responded to your other post regarding post-op diet suggestions.  I posted a couple more good resources you should be able to link to.
 
As far as the bra issue goes, you'll likely need to find some sort of bra-top that doesn't have the strong elastic pulling on your incisions.  I guess I can only suggest that you wear clothes that don't make your braless condition obvious!  Most find a need to wear pants with elastic as well, during the early recovery. 
 
As you progress, your incisions will heal, your bloating will subside, and you'll be able to go back to your old clothing.
 
Weight loss is always an issue with this surgery.  I lost 14 pounds post-op, but have gained it back.  Some drink liquid supplements like Ensure to help supplement the reduced amount of food that the stomach can tolerate.  If you sip on it throughout the day, you should be able to get quite a few more calories into you.
 
Good luck!
Denise

Sean881
New Member


Date Joined Dec 2011
Total Posts : 11
   Posted 12/28/2011 4:51 AM (GMT -6)   
Hi all,

Just started week 6, was in hospital at start of week 4 for a week as I woke up early in the morning trying to vomit, lost a good bit of weight but not worried about that as I know I will get it back with time, Doctors and myself felt I got a bug, felt alot better week 5, adding lots of foods no problems swallowing, been xmas week I started eating meat was very proud had no problems with turkey and ham just kept chewing, but I still have an upset stomach not all time throughout the day but at intervals. Taking xanax for anxiety and zofran for sickness and duphalac for constipation. Well was waiting 4 days for my bowls to open, which I felt was a long time especially over xmas considerin I was eating a fair amount, so took duphalac and went from 1 extreme to another I had a bad dose of diaorhea last night and woke up this morning trying to vomit with real upset stomach is this normal, and how long will this take for it to settle down does anyone know, im hearing around 12 weeks would I be right in thinking this.
Thanks all
Sean

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 12/28/2011 8:14 AM (GMT -6)   
Hi Sean,
Sorry to hear you're still struggling with nausea.  Did you mean that your stomach felt better over Christmas and you ate a lot more?  If so, that would explain why your stomach is rebelling right now.  12 weeks is still in the early stages of recovery, and when you overdo it even a bit, you can pay with some nausea or pain. 
 
This recovery takes 6 months for the the majority of the healing and a full year for the rest.  At three months you're getting there, but since you had such a difficult start, you were probably set back a bit with your healing.
 
Be sure to baby your stomach right now.  You may have to go backward a bit with your eating until it calms down.  As far as diarrhea goes...you may be reacting to the duphalac.  Also, when your stomach is irritated you could get diarrhea from that as well...there is something called dumping.  You would know that's your issue if you hear gurgling in your stomach after you eat and at some point after have diarrhea.  It's hard to say since you're on medication to loosen your stools.
 
Look, don't give the diarrhea a thought. It'll settle down once you're off the duphlac.  The nausea is your stomach saying it's irritated and not happy with things.  It's not something to be worried about...just something to be lived with until you heal further.
 
Take it easy with what you put in your stomach for a while.  Keep thngs smooth and bland, until your stomach feels better.  Good job with the chewing meat!  Your wrap is obviously ready to handle regular foods when chewed well.  Now you just have to baby your stomach into being more comfortable.
 
Did your doctor ever mention Carafate Suspension?  It's a medication that coats your stomach.  I'm not sure whether it would help with nausea, but it coats your wrap and stomach and protects it from acid.  The coating lasts up to 6 hours. It's very expensive, so you'd only want to get it if you have good insurance.  There's a generic pill version that is called Sucrafate, but if you can get the suspension it's the best.  I'm sure the Sucrafate might work as well, especially since your main problem is within your stomach.  You'd probably have to melt it in a little medicine cup of water and drink it down to get it past the wrap.  It's pretty big.Are you still on PPIs?  They might calm your stomach down as well.
 
Hang in there...everyone is different, and there are definitely those who struggle with nausea during the recovery.
Glad you stopped by.  Stick around!
Denise
 
 

Post Edited (dencha) : 12/28/2011 7:17:20 AM (GMT-7)


Sean881
New Member


Date Joined Dec 2011
Total Posts : 11
   Posted 12/29/2011 7:48 AM (GMT -6)   
Hi Denise,

Thank you for your lovely support on this forum, im getting great information, I was having a wonderful week last week in terms of comfort and not trying to vomit but since tuesday eveing ive had an upset stomach and trying to vomit alot, ive put it down to a few things I only started eating meat on sunday as it was xmas day, turkey and ham chewed it well and it went down well, had same on tues and had a bit of turkey on wednesday as was not great, so im putting it down to meat it's great that it goes down with no problem swallowing but I reckon it's probably upsetting my stomach at moment maybe it's too soon for it, so im going to take a few days off it till new years day and then try, and maybe have it every second day and see if I have any problems, the other food item that could be setting it off could be a strong curry sauce again going down well, but upset stomach again so I have identified those as my triggers at moment. Im so upset at the moment as I felt I was doing really well last week making great strides but having a bad 2 days, hopefully it's down to the meat

Regards
Sean

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 12/29/2011 8:52 AM (GMT -6)   
Hi Sean,
You'll  have some ups and downs as you go through your recovery.  Hang in there...in time your stomach will adjust to the changes, healing will occur, and you'll be in business again!
 
I'm concerned about your "trying to vomit" comment.  I want to reiterate that retching can be very harmful to your healing wrap.  Do you have any anti-nausea medication?
 
You should do everything you can to avoid vomiting or retching.  Nausea is one thing...you'll just need to baby your stomach and (as you are doing) try to identify triggers.  (Just remember what your stomach has gone through!  Poor little stomach!) Just don't retch and vomit.
 
I'm glad to hear that there are lots of good things going on with your recovery.  In time the nausea will resolve.
Best wishes!
Denise

mam1298
Regular Member


Date Joined Mar 2010
Total Posts : 81
   Posted 1/1/2012 8:22 AM (GMT -6)   
Hi, I lived on anti nausea medication for 4 months after my surgery. I took it twice daily. I was also on another medication that made my "bowels" move so I didn't get bound up.
The nausea seemed to just go away one day as I would wait to see how I felt before I took the medicine (roughly around the 2nd month). Some days I could go without out but other days I had it.
I too would go through the "vomit" actions but to this day I can't throw up. I wonder what will happen if I get the flu? But I will cross that bridge when I come to it.
If you have anti nausea medication then take it, if you don't then contact your doctor and get some.
Best to you.
Nissen Fundaplication 3/1/2010 (full wrap)
Hiatal Hernia 3/1/2010
Thyroid Removal 1990

ManchesterNH
Regular Member


Date Joined Dec 2011
Total Posts : 72
   Posted 1/1/2012 8:50 AM (GMT -6)   
Thank you mam1298
Appreciate your reply. Not doing very well at all. 

Sean881
New Member


Date Joined Dec 2011
Total Posts : 11
   Posted 1/1/2012 12:55 PM (GMT -6)   
Hi all,

Not having a good spell at moment, retching starting up again, think its due to amount of gas inside me at the moment, which is due to constipation have not opened my bowels for 4 days now and only started taking duphalac half shot of it today, im afraid to take to much because the consequences could be far worse does any1 else have any suggestions or experience this before. Feeling very sick today and cant eat anymore food because Ive an upset stomach which I think is due to the constipation, how often does this occur please if there is any1 out there please help. Avoiding meat now since bad tuesday, had a great week last week, currecntly im eating 2 yoghurts for breakfast, 2 and half mash in afternoon, a waffel and a half around 3, a portion of noodles at 5, and a small portion of curry rice around 8, and finish off with a bit of ice cream around 10, can some1 tell me if this is to much to be eating after 6 weeks. Im also taking nutrilite which is a food supplement with vitamins and minerals could this be affecting me. I take xanax twice a day for anxiety and Zofran twice a day for nausea which was working well up till yesterday, again I think everything is related to the constipation and feel my stomach has had a few beers 2 many could any1 give me info out there please. Is this normal what im going through.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 1/1/2012 10:03 PM (GMT -6)   
Hi Sean,
For six weeks, you sound like you might be pushing the food.  Two yogurts is quite a large quantity of food for one sitting.  Curried rice is pretty spicy, when you're having stomach issues.  A waffle and a half is a lot for one sitting at your stage of recovery.
 
I suggest you try to keep your food pretty bland at this point.  If your stomach is reacting to what you're eating, you need to slow it down.  While everyone is different, I think you're probably pushing quantities, considering you are having nausea issues.  Try smaller amounts and more frequent meals.  Stay away from curry for a while.
 
Check out the document at this URL for food ideas:
Hang in there.  As healing continues, things will improve.
Denise

bcfromfl
Regular Member


Date Joined Nov 2011
Total Posts : 417
   Posted 1/1/2012 10:51 PM (GMT -6)   
Are you serious about drinking beer(s) plural on top of prescription meds? You must be joking...

-Bruce

Sean881
New Member


Date Joined Dec 2011
Total Posts : 11
   Posted 1/2/2012 5:33 AM (GMT -6)   
Hi All,

Yeah was joking about beer was only giving an example what I felt like everyday for last few days, I'll keep off the curry so for awhile. feel very sick last 2 days im going cut back on food, but im putting the sickness down to constipation taking duphalac for this, does any1 know when your bowls return to normal or when I should really be expecting for it to, im starting to go in cycles of 5 days now and my stomach feels very crampy and it feels in knots which is making my stomach very bloated thus leads to recthing and no appetite, absolutely horrible very upset at the moment

Sean

Trumac
New Member


Date Joined Jun 2011
Total Posts : 3
   Posted 1/3/2012 12:39 PM (GMT -6)   
Hi Everyone. 
I hoping one of you can give me some guidance..please
I had the nissen fundo Nov 17th.  First upper GI one day post op showed significant "swelling"  I'm told this is normal and it made sense at the time.  So went home on day 5 with the liquid pain med and zofran. (stayed longer because of respiratory complications secondary to chronic asthma)  
 
I have not been able to progress past full liquids and pureed soups (mashed potatoes etc). Everything felt like it was stuck. I had another UGI on Dec 15th because i am having real difficulty swallowing.   Results show the wrap is too tight. Went for an emergency outpatient endoscopy the next day.  Surgeon dilated the opening just a bit because I was so miseable and it was only 3 1/2 weeks post op and he didnt want to compromise the wrap. He said he found severe gastritis and bile in stomach but the wrap is intact.  The endo dialtion of the esophagus did not provide any relief.  I have been experiencing severe nausea.  Was on Zofran pre op and post op but even that is not helping.  So Doc put me on phenegren and alternate with Zofran.  I'm a pretty tough lady but this thing is knocking my butt.  The nause is worsening and I get these waves of nausea where I have to lie down and feel so weak. I also have this sense of fullness/pain..it hurts to push on so I cant wear anything restirctive. 
 
I was nauseous preop but nothing this severe.  Feel like i want to vomit but know I cant.  Not that I want to...i hate vomiting.  there are positive outcomes from surgery.  I had chronic asthma attacks and my voice had been hoarse for over a two years.  So from a respiratory perspective there is a dramitic improvement.  and..I've lost 15 lbs which i did want to do but not like this.
 
I work from home and beleive it or not i am still not working because i feel so horrible.  Now I am really concerned that something is terribly wrong. I cant understand why I am having such horrible nausea.  I read some of the other posts and see others have experienced nausea but is this the normal couse of events?  I try to get fluids in and protein shakes but its tough.  I keep crackers at my side.  All the stuff your supposed to do. 
Does anyone have any words of wisdom or suggestions?  

Nal
Regular Member


Date Joined Jan 2006
Total Posts : 410
   Posted 1/3/2012 9:14 PM (GMT -6)   
Sean,

Have you talked to your surgeon about this? If not I strongly suggest you do! You could go back to liquids for a couple days and see if it helps? But definately get in you touch with your surgeon. Retching and such on a fairly regular basis at this point can't be completely safe or healthy

Nancy

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 1/3/2012 10:00 PM (GMT -6)   
Hi Trumac,
Welcome to the Healing Well yeah yeah yeah Wrapped Club! yeah yeah yeah As you can see there are many of us here at varying degrees of healing.
I had my Nissen in February 2009, and have stuck around to help others the way I was helped.
 
Sorry to hear you're stuggling with nausea.  It definitely sounds as if your wrap is pretty tight. Hopefully, once you've had more time to heal your surgeon will be able to safely dilate it.  I would expect that is the next move.
 
I would suggest that if you don't get satisfaction with your present surgeon you consider a second opinion.  I don't know how much experience your surgeon has with Nissens, or if you live close enough to get an appointment in a large center like Mayo, Johns Hopkins, or Cleveland Clinic, etc.  They're usually very experienced in dealing with problems.
 
I also had the Nissen to resolve serious asthma symptoms.  You can at least be thankful that your lungs are healthier post-surgery.
 
Be sure to stick around and continue to ask for help and support.
I suggest that you copy and paste your post on the main page (here's the link: GERD - Heartburn) so that it will be easier to follow your progress and questions.
 
Best wishes!
Denise

ALES5965
New Member


Date Joined Jan 2012
Total Posts : 1
   Posted 1/3/2012 10:15 PM (GMT -6)   
I had my Nissen done in June 2009, recovery is hell and I don't think the doctors prepare you for the entire recovery process. I was able to quit taking all the medications post surgery. However at times, like now I experience pain and I can't really describe it, burning, aching, dull pain in my lower abdomen toward the area where my wrap is and my stomach feels very gassy. Any suggestions???

Sean881
New Member


Date Joined Dec 2011
Total Posts : 11
   Posted 1/6/2012 5:45 AM (GMT -6)   
Hi Folks

Well I saw my surgeon yesterday im now 6 and half weeks post op and he was very happy with my progress, he explained to me I was still in the early part of my of process of recovery and this was normal and not to worry, telling me it is not life threatning. I had a big set back earlier in the week which Ive put down to taking an overdose of duphalac which knocked my stomach for 6. I had no other chocice but to take this as it was prescribed 3 times a day 30mil. I will never take this again as long as I live the torture was unreal I was in hospital for a day with serious cramps that made me sick, I dont really recth that much only in morning when I awake or if im full of gas. My question is there any other alternative to taking something for the bowls so I dont have a setback like the one I had earlier, im still not fully recovered from that attack but my stomach is easing last day or so and I imagine it will be back to normal to accept food within 5 days, at 1 stage water was even affecting it so I would sip it after a mash potatoe. Since then the surgeon as prescribed movicol which are sachets th at help with the bowls, im a little scared to take this as any1 any suggestions please, my dad as even suggested something up the back passage would be better sorry 4 mentioning this people.

Regards
Sean

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 1/6/2012 9:20 AM (GMT -6)   
Hi Sean,
I'm glad to hear you had a good visit with your surgeon.  That said, you're having far too much of a struggle with your constipation issue. 
 
Wow.  I'm curious.  Did you tend to have these problems before surgery?  I know when you're taking narcotic pain meds it slows the bowels down, but generally once you're off them, things improve.
 
I do know that you can become dependent on laxatives.  Have you discussed this issue thoroughly with your GI doctor?  I expect you have--especially after your hospitalization.
 
It is true that when you reduce your intake of food and beverages constipation will follow until your body adjusts to the change.  It happens to me whenever I slow way down on eating.
 
Liquids are a critical part of getting things moving...I'm sure you've heard that. I'll bet while you were in the hospital they were pumping you full of them.
 
Your dad may be on to something.  If the oral meds have really given you problems, it might make sense to take another route.  I wouldn't do it without discussing it with your doctor, though.  You might also want to ask about the risk or laxative dependency and how that resolves.
 
Hopefully things will settle down for you soon.  Push those fluids!
Best wishes,
Denise

Sean881
New Member


Date Joined Dec 2011
Total Posts : 11
   Posted 1/10/2012 9:26 AM (GMT -6)   
Hi all,

started week 8 yesterday and seem to have constipation problem sorted, ive cut back on amount of food im eating and just going along with the flow as I hear it takes 12 weeks to fully heal, Im a bit concerned that ive had an upset stomach for past week I never really had this throughout other weeks, what ive read on other forums this could be another phase and it could last 3 weeks. At first it would react when I ate but now it's constant not horrible pain but very uncomfortable and holding me back in my recovery as anyone else experienced this before or any suggestions as it's making me anxious and upset as how long it will last or is it me thats doing something wrong im still low on energy so I cant really go out very bored inside watching dvds

Regards
Sean

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 1/10/2012 11:36 AM (GMT -6)   
Hi Sean,
First, the 12 week number isn't really correct.  It takes a full 6 months for most of the healing and a year for the rest.  I found certain issues resolved sometime in the second year. 
 
 Your recovery requires patience and surrendering to the process.  You can't hurry the healing...it'll happen in its own sweet time.  It takes time for your upper GI tract to adjust to the changes that have been made. 
 
Think about that poor stomach of yours...stretched, wrapped, and stitched.  It's not an easy adjustment.  You'll heal on the outside long before your insides are healed. 
 
Hang in there, it will get better.  Gradually things will improve.  You won't have to wait until 6 months for ALL the healing...as you move toward that point things will improve month to month.
Take care,
Denise

Sean881
New Member


Date Joined Dec 2011
Total Posts : 11
   Posted 1/22/2012 5:31 AM (GMT -6)   
Hi all,
 
Starting week 10 tomorrow and feeling awful. it seems to go in spells, was thinking of going back to college tomorrow but dont think im up to it now because feeling very sick. Starting to retch again, I had a good 10 day spell where I was getting up to 1600 calories a day, I even got up to 2000 calories on friday, but im paying for it since, I think it was a combination of overeating and even chips I had a dozen thought I would give it a try. The good thing it goes down no problem but I feel very sick at the moment, upset tummy should this pass, im terrified at moment and did not eat alot yesterday. At first I thought it was anxiety but now I feel I ate too much and im suffering big time from it, when will this part pass does any1 know?, was waking up in the middle of the night last night, really getting sick of this and my patience is not the best. I also had half a complan to boost calorie intake maybe this was the cause either way I so REGRET IT, did any1 experience this before, im probably still eating to much, just need a bit of assurances this part will pass and I'll be ok
 
Regards
Sean

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 1/22/2012 6:15 AM (GMT -6)   
Sean-

If I over ate it caused pretty much the same problems. It does get better, but you may want to try and stick to single item meals for a while. I found if I combined different types of food I had problems.

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