I just had Nissen Wrap and not doing well.

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ManchesterNH
Regular Member


Date Joined Dec 2011
Total Posts : 72
   Posted 12/18/2011 12:54 PM (GMT -6)   
Hello
Guess I am not sure where to type anything , If I make a mistake sorry.
Just need some help.
I need help in what to eat  going on my second week from surgery. Dr said
liquids and real soft foods.  What is real soft foods?
 
I what otc med can I take for pain and diarrhea? Is this normal constipated
first week to diarrhea second week? 
Appreciate any help ...also if anyone in the Manchester NH area let me know maybe
we could call each other or get together. No one has any idea how hard this is that is
for sure.
Thanks

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 12/18/2011 1:13 PM (GMT -6)   
Hi Manchester,
Welcome to the Healing Well yeah yeah yeah Wrapped Club! yeah yeah yeah What you're describing is perfectly normal. The first week constipation is probably a combination of not eating and drinking much in combination with the narcotic pain meds which are notorious creating problems.
 
The second week with diarrhea is likely a reaction to the assault on your upper GI tract.  Your stomach has undergone a big revision, and it's showing its displeasure with diarrhea. 
 
I used to tell my doctor that I had a "potpourri of poo"...it would change from day to day, week to week.  It was just my GI tract trying to accustom itself to the creation of a new LES backup system! 
 
You can also experience "dumping" at this point in your recovery.  It's a premature emptying of your stomach contents into your intestines, and it creates diarrhea as well.  You can sometimes know when it's happening because you'll hear lots of gurgles.
 
Here's a URL for a good document regarding what to eat post Nissen.  Unfortunately, no matter what I do, I can't get it to be a live link, so you'll have to copy and paste it into your web browser.
 
Also, here's a link to my early recovery thread here on the forum.  It documents my first 19 days post op.  It might help you with knowing what's in the realm of normal during recovery.  While everyone's healing is unique, there are certain things that we all experience.
 
Unfortunately, surgeons (pretty much universally)don't prepare their patients for what they will experience during recovery.  I don't know why...
 
Don't worry...the first couple of weeks are the worst.  Healing is gradual, so don't expect to see a sudden improvement.  Also, remember that your insides have undergone major surgery, even though you wouldn't know by looking at those 5 little incisions.  Your outsides will heal quickly, but it'll take six months to a year for the insides to heal completely.  That said, you'll find significant improvement long before six months, so don't panic.
 
I assume your surgeon didn't tell you that your wrap will become increasingly more swollen during the first two weeks, to peak at on or about 14 days.  Don't be surprised if your swallowing gets worse before it gets better.
 
If you can surrender to your recovery and follow it where it leads, you'll find it much easier.  Those who struggle against it have a much more difficult time of it. 
 
I'm glad you've joined us.  People here have been through what you're experiencing.  You've posted in the perfect place...right on the main page.  I'm sure others will be by to welcome you and offer their support.  Keep asking questions!  We'll do our best to answer them.
Hang in there...it'll get better!
Happy Healing!
Denise

ManchesterNH
Regular Member


Date Joined Dec 2011
Total Posts : 72
   Posted 12/18/2011 1:22 PM (GMT -6)   
Thank you Denise.
I cannot get into the diet information at all. Is there another way?
 

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 12/18/2011 1:37 PM (GMT -6)   
Hi Manchester,
Sorry about that. Here's another link to a different site that offers dietary information:
http://www.nwsurgeons.com/downloads/post-op/NissenFundoplication.pdf
Try this one. I think it's even better than the last:
http://surgery.med.umich.edu/thoracic/clinical/procedures/MushyDiet-Nissen.pdf
Hope they work!
Denise

imstarryeyed
Regular Member


Date Joined Nov 2011
Total Posts : 95
   Posted 12/18/2011 6:28 PM (GMT -6)   
Hi Manchester,
I am 5 days post wrap. Soft foods would be creamy soups, yogurt, cream of wheat, pudding, smoothies. It can get boring so get creative and try mixing a little jelly or marmalade into cream of wheat. Mix applesauce with yogurt. I've put eggnog in my coffee for a treat (no alcohol). Chunky soup can be put in the blender (but no meat). My surgeon said absolutely no meat, bread or salad and raw veggies for a long time.

Good luck to you!
Starry

Nal
Regular Member


Date Joined Jan 2006
Total Posts : 410
   Posted 12/18/2011 9:54 PM (GMT -6)   
Can I cry with you? When did you have your surgery? Mine was dec 8. I feel pretty bad too. What lead you to do the surgery in the first place? I did it cuz I felt nexium was ruining my health and I had been on it for over 10 years! Plus I had a hernia repair. I have a host of health problems and they felt the nexium was contributing to them. Think about it... No acid production when you need some?

Anyway, we can be post surgery buddies on here. If you'd like? Since we seem to be pretty close in dates to our surgery?

Nancy
I think I have everything under the sun! Lyme disease, fibromyalgia, interstitial cystitis, and GERD. Had my sugary dec 8, 2011

Nancy

ManchesterNH
Regular Member


Date Joined Dec 2011
Total Posts : 72
   Posted 12/19/2011 8:42 AM (GMT -6)   
Hi imstarryeyed,
Thank you for your help. Does any one  know of any way to make soft eggs?? Not sure what that means.   I tried scrambled but it just did not work.  Thanks
 
 
Hi Nancy,
Had surgery Dec 5  2011 only because of a large paraesophageal hiatal hernia that was 1/3 in
my  diaphragm.   Thanks for your words Nancy I feel like crying to from time to time.
Jean  in Manchester NH


dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 12/19/2011 9:02 AM (GMT -6)   
Hi Jean,
Do you generally  make your eggs scrambled hard?  If so, they won't work.  If you add some milk, then cook them soft, they may work better.  They should still be a little runny.  Some people can't tolerate that, so if it puts you off, try a different way to get eggs into you. 
 
Here's an eggnog recipe:
Ingredients
  • 2 eggs
  • 1 tablespoon and 1 teaspoon white sugar
  • 1-1/3 cups milk
  • 1/4 teaspoon vanilla extract
  • 1/8 teaspoon ground nutmeg

Cook on medium heat until it thickens.  Cool.  It's a recipe for 2 servings.

Here's the URL where I got it.  It has a calculator to modify it to however many servings you want. 

http://allrecipes.com/recipe/cooked-eggnog/detail.aspx

Have you tried soft boiling an egg, or poaching it soft?  That's another option.

 

If soft foods are giving you trouble, wait a while before introducing them.  Many stay on liquids for a couple of weeks, until the wrap's swelling subsides.

Sandi ("kyheart"), a member here is your age.  (Actually, I'm not far behind (59), but had my surgery nearly 3 years ago.)  Anyway, Sandi had the surgery several months ago.  Hopefully she'll stop by soon. 

Glad you've joined us.  This is a great support system, and it can provide you with a wealth of knowledge.  People who've been through the surgery are the ones who understand exactly what you're going through.

Good luck!

Denise 

 

 

Post Edited (dencha) : 12/19/2011 7:06:55 AM (GMT-7)


ManchesterNH
Regular Member


Date Joined Dec 2011
Total Posts : 72
   Posted 12/19/2011 9:24 AM (GMT -6)   
Thank you Denise
When does the swelling stop?  I will try to cook the eggs the way you
said.  Looking forward to any other ways of soft foods if anyone
has any ideas . Any recepies that worked for you might help.
 
Jean

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 12/19/2011 10:49 AM (GMT -6)   
Hi Jean,
You're very welcome.  Remember that your wrap will continue to swell during the first two weeks, peaking at Day 14.  You are wise taking it easy during these early days.
 
My surgeon actually told me that I could eat "anything that could be chewed to a liquid".  Basically that works like a blender, only your teeth are doing the work.  It requires small bites and lots and lots of chewing.  Also, be aware that anything that doesn't chew to a liquid, should be deposited in a paper napkin and not swallowed.
 
I had whipped potatoes (be careful with consistency, because mashed potatoes can get stuck...add a bit more milk than usual, and beat with a mixer) and a little gravy (in the beginning 1/4 cup is the most food I could fit in my stomach at one time), squash, applesauce, and soups.  You could also try the crock pot (slow cooker).  If you cook some carrots and potato in with a little beef for hours and hours, you can at least eat the vegetables.  They will be very, very soft.  I didn't expect to be able to eat the meat, but I was able to take small bites and chew, chew, chew, chew.  The nice thing is that the veggies are flavored nicely, even if you just eat them.
 
Egg custard is a great choice.  It's soft and very nutritious.
 
Hang in there...before you know it, these rough days will go by.  Did you get a chance to look at the link of my recovery journal?  Keep in mind that it's very helpful if you can relax into your recovery, and accept that it is what it is.  When you stress and want to hurry it along, it makes it much more difficult.  Keep a positive attitude--think about all the improvements you'll have once you've healed some more.  It will get better...just give it some time.
 
Take care,
Denise

ManchesterNH
Regular Member


Date Joined Dec 2011
Total Posts : 72
   Posted 12/19/2011 11:38 AM (GMT -6)   
Thanks again Denise
Hope to hear from anyone else with helpful food hints. This is tough but
I will do what you say and just take one day at a time. I really appreciate
you and any one else taking the time to write back. THis is most helpful
I did not get much advice from anyone else .
Thank you once again Jean
 

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 12/19/2011 11:45 AM (GMT -6)   
Hi Jean,
You are very welcome.  When I was in your place I came here and received help from more experienced Nissen patients.  They helped me so much, and were so kind and supportive that I decided I wanted to "pay it forward" and help others the way I was helped.
This is a great place!
Happy Healing,
Denise

kyheart
Veteran Member


Date Joined Apr 2011
Total Posts : 513
   Posted 12/19/2011 11:17 PM (GMT -6)   
Jean

I am happy to say "Welcome to the Wrapped Club". I am almost 9 months post op ( I am 62 and had my surgery on April 1 this year) and I have been absent for a few weeks.. had a bit of a heart problem to get past.
My doctor had me on full liquids for 3 weeks. Full liquids are soft boiled eggs smashed.. mashed potatoes and gravy, applesauce, yogurt, cream soups (if you can tolerate them.. I couldn't until week 3-4) well done pasta smashed and chewed well. that type of thing. I had a very easy recovery compared to most. It is a definite life changing recovery. If you are hungry.. you can blend anything you want.. My favorite was Beef vegetable soup. put it in a blender and you have a thick liquid that satisfies your hunger. One of the girls liked squash so she made a thick and hearty soup from squash.. just take it easy until later in your recovery for any kinds of fresh veggies. You are not restricted to "liquid". just very soft and liquid type foods. I do hope you will come back and let us know how you are. Please come here to us and vent your frustrations, whine and question us on how long this will take and what should you be feeling at a certain stage in you recovery.. You will continue to recover after you think you have finished... I know that I am still in recovery stage.. Denise has started you on the right path and I hope you continue to come here with any concerns or questions... we have most all of us experienced what you are going through... I do not know what I would have done without this forum.. they were my family that understood what I was going through.....
Through it all...
Reach for the Sunshine.. Rainbows will follow...
Sandi

ManchesterNH
Regular Member


Date Joined Dec 2011
Total Posts : 72
   Posted 12/20/2011 6:24 AM (GMT -6)   
Helllo Sandi,
Thank you for your reply. I just 2 weeks and not feeling good at all.
I just do not know what to do about eating and liquids and I am
losing weight.  Jean

leniijane
Regular Member


Date Joined Dec 2010
Total Posts : 42
   Posted 12/20/2011 9:22 AM (GMT -6)   
I know the feeling. Had my second surgery for this in Nov. about the 5th week, My appetite came back, and was able to eat everything, as long as I ate slow and chewed well. The first month is rough, but it does get better. I was so weak from not eating, I thought I would never get back to normal, but you will.

ManchesterNH
Regular Member


Date Joined Dec 2011
Total Posts : 72
   Posted 12/20/2011 9:56 AM (GMT -6)   
Hello leniijane,
Thank you .  What did you eat the first month and how did you make it?   What did you eat
the 5th week?   What are you eating now and how do you feel now.   Sorry for all the questions but just want to know... is there hope in all of this.
 
I have water, insur.  small amount of cream wheat cereal, tried some mashed potatoes real soupy did not take to much... I can do apple juice but that is all. Tried some eggs but guess
it was to hard and suffered all day and next morning.   I am scared to eat anything else.
Can you tell me anything else to eat that is liquidy or so.
 
Thank you again Jean

imstarryeyed
Regular Member


Date Joined Nov 2011
Total Posts : 95
   Posted 12/20/2011 10:11 AM (GMT -6)   
Manchester, I had the same surgery as you, for the same reason. The paraesophageal hernia was enormous- most of my stomach in my chest. My surgery was a week ago today. Maybe, because I read so much about it before, I really felt prepared as to what to expect.

I'm eating about 3 or 4 small meals a day which consist of no more than a cup of soup, yogurt or cream of wheat. I sip a lot of warm liquids throughout the day like tea or water with honey. I'm still not sleeping in bed because the pain is greater when I'm flat. Everyday I get showered, dressed, and leave the house for a while so I don't "feel sick." Yesterday I went shopping for a few hours. Bought a juicer to help make more nutritious meals. I felt pain but it helped me to feel normal and not focus on it. I know the condition I'm in won't be forever and hopefully I'll be rid of asthma and other health problems eventually. The same is true for you. Try to focus on a couple of months from now.

If you are worried about being weak and losing weight I would try eating more often, like every 2 hours. The diet may be boring but you can certainly live on it for a couple more weeks. Try new soups, some fancy mousse puddings. Maybe walk the aisles of the grocery store and look for something you've never tried that will be a treat for you. Add protein powder to smoothies for extra nutrients.

I'm with you in spirit and wishing you a speedy recovery!

Starry

Post Edited (imstarryeyed) : 12/20/2011 8:18:30 AM (GMT-7)


ManchesterNH
Regular Member


Date Joined Dec 2011
Total Posts : 72
   Posted 12/20/2011 10:27 AM (GMT -6)   
Starry Thank you ...  I am trying and I am thankful for the replies
 
Let me know any recipes that you have with your juicer ..I am up to
trying anything liquid.. just do not know what to do.  I lost so much weight
before the operation, and just worried I am losing too much now.
 
Thanks again. Please let me know how you are doing...I am going to take
a shower right now.  Jean

imstarryeyed
Regular Member


Date Joined Nov 2011
Total Posts : 95
   Posted 12/20/2011 10:54 AM (GMT -6)   
Manchester, I don't know what kind of juicer you have but the one I bought I saw being demonstrated at Costco and I tasted some pretty amazing things come from it in the course of 30 minutes. I will try to remember the recipes he used.

I don't know if all juicers will work for this recipe but the chicken tortilla soup was delicious. You could make it on a stove top and use a hand blender if your juicer won't work for hot foods.

In the vita mix blender he put hot water, a whole carrot, a yellow squash, a tomato, a potato, onion, a slice of jack cheese, chicken boullion cube, seasoning and blended very well. For chunkier soup add corn and tortilla chips at the end. (Blending all this with hot water makes it hot soup) If you are making this on the stove top it will take a little longer. You could also put all of the ingredients in a crock pot then blend.

The demonstrator also made a delicious smoothy using part apple, orange, pineapple, banana and carrot and spinach. You could add protein powder. You don't taste the spinach or carrot. You can also purchase "green drinks" like these at Trader Joe's and other healthy stores.

He made an icee with ice and pineapple. Delicious. You can add almond milk to make it creamier, like ice cream, but avoid the lactose which might irritate the stomach.

My daughter, who lives in Hawaii but is here helping me now, has a blender/juicer like this and makes things like this all the time. She is very health conscience.

If I come across any other recipes I'll let you know. I'm just trying things now!

Starry

ManchesterNH
Regular Member


Date Joined Dec 2011
Total Posts : 72
   Posted 12/20/2011 12:16 PM (GMT -6)   
Starry, Thank you. Not sure my blended will work but can give it a try.
 
If you find anyother receipes please let me know.
Thank you  Jean from Manchester NH

leniijane
Regular Member


Date Joined Dec 2010
Total Posts : 42
   Posted 12/20/2011 3:33 PM (GMT -6)   
I just didn't eat much at all. Could hardly look at food without gagging. for breakfast had envelopes of Carnation Breakfast drink...lunch was soup. If it had meat in it, I didn't eat that. I could eat a half of peice of toast. Eggs got stuck, as did some fish,cheese. I ate mashed potatoes, pasta with alfredo sauce.
Nothing sounded or tatsed good until week 5. I then ate anything, except meat. 6th week, nothing stuck anymore. I now eat hamburger in dishes, not alone. A little chicken or fish, or a hot dog.

The first time I had the surgery, I don't think it was right from the beginning...I lost 20 pounds. This time I only lost 6 pounds. My whole stomach was in my chest also.

It did feel like it was burning a little at the site, so at week 4 , I went on Prilosec. I may stay on it another week, and then try to go off.

Nal
Regular Member


Date Joined Jan 2006
Total Posts : 410
   Posted 12/20/2011 10:14 PM (GMT -6)   
How are you feeling today? I'm not doing well either. I am managing to get some soft foods down like runny potatoes, soups and well musher up veggies. I refuse to quit eating totally. I'm on day 12 now. Do you get any back pain? Bloating ? Those are my worst at the moment.

Nancy

ManchesterNH
Regular Member


Date Joined Dec 2011
Total Posts : 72
   Posted 12/21/2011 7:28 AM (GMT -6)   
 Just having problems of what to eat ...  and how to make it.  The first eggs were too dry
and it was a nightmare.
 
Not much back pain unless I go out and stand up too much. I am sleeping on an incline
and not sleeping a whole lot at a time.
 
My biggest fear is losing too much weight. I just have to eat and I can eat but I am
at a lost of what to make.
 
 
 
 
 
 
 

ManchesterNH
Regular Member


Date Joined Dec 2011
Total Posts : 72
   Posted 12/21/2011 7:43 AM (GMT -6)   
Hello Lennijane
Thank you  so much for the reply. I tried to comment back but lost it somewhere it never
went through.  
I have a few things ensure, cream of wheat, applesauce but I was looking to do somethingelse  .  How do you chew your food to a liquid or do you blenderize it first.
 
Thanks Jean
 
 

ManchesterNH
Regular Member


Date Joined Dec 2011
Total Posts : 72
   Posted 12/21/2011 7:49 AM (GMT -6)   
Nal, I guess I am doing about the same as you.  Got the back pain when I tried an hour of
shopping. I have so little done for Christmas and tried to do a few more presents.
My back pain is when I am up too much or I feel that tightness in my chest ..  I am also
bendingtoo much going to stop that. What drops stays there for now.
 
I do not sleep well at all.  I just have to stop thinking about stuff.
 
I just need to try something different and blend it up today.  Maybe marcaroni and cheese
blended ..Has anyone tried that??
 
Take care Nancy... we will make this somehow  Jean
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