Welcome to the Healing Well Wrapped Club! Glad you've joined us! It sounds like you suffered greatly from your GERD and that getting a Nissen was a very good choice for you.
I had my Nissen in February 2009, and stuck around here to help others the way I was helped! At one month, you've gotten the worst of the healing behind you, but as you're noticing, some issues won't be resolved immediately. Bloating and gas are a common problem during the early months of recovery, but these will subside as your healing continues.
I don't know what your surgeon told you, but I was told that the majority of healing takes 6 months, but healing will continue through the first year. I actually found some things continued to improve into my second year.
It sounds as if you're being careful about gassy foods and carbonation, so that's good. I think some of the air is coming from swallowing. It's tougher in the early weeks to swallow, so we have to swallow more times to ensure things get through the wrap. I'm sure that introduces more air into our system, and since (actually thankfully) our wrap is nice and tight, we're not doing much burping--hence that gas is heading out the back way!
As far as eating goes, I don't know what your surgeon has directed. Mine told me I could eat anything that could be chewed to liquid. Basically, my teeth and mouth were acting as my blender! He told me this at Day 6, and I followed his directions without any trouble. Have you tried that?
Bread can't be chewed to a liquid--it stays clumpy--but well-toasted, it chewed very nicely. You need to take small bites and chew, chew, chew, chew, but it works great, and makes eating much more enjoyable. It opens up a wide range of choices.
You really need to experiment and see what chews to a smooth consistency ("liquid"), and if something doesn't do that, you need to deposit it into a handy paper napkin. Crispy things like saltines chew great. Just try things out...you can usually have a pretty good guess whether or not something will work.
Be sure to overcook pasta. If your stomach can take it, vegetables are fine, but need to be overcooked as well...nice and soft! Crepe manicotti almost melt in your mouth, and are very tasty. Here's a link to a recipe if you're feeling ambitious: http://www.cooks.com/rec/view/0,1635,159164-228206,00.html
Crock pots/slow cookers are a great way to cook things until they're really soft and chewable--tasty, too!
Hang in there...the gas will improve over time. Your upper GI had a major revision, and it will take some time to adjust to the changes. It'll happen...it just takes time. If you're eating something you think might be gassy, take some BEANO (I chew three tablets) at the time you take your first bite. If you can burp, Gas-X is a great tool, as it helps consolidate the gas so it can be burped out. If you can't burp, it's not really going to help you much.
If you can surrender to your recovery and follow it where it takes you, it will make the process much easier.
Post Edited (dencha) : 1/5/2012 8:59:08 AM (GMT-7)