4 Weeks Post Nissen Fundoplication Surgery

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birdieslc
Regular Member


Date Joined Dec 2011
Total Posts : 33
   Posted 1/4/2012 11:01 PM (GMT -6)   
After many years of regurgitating my food and having horrible reflux, I spent most of last year going through the gazillion tests required to determine if I truly suffered from acid reflux and whether or not I was a good candidate for the nissen fundoplication surgery. I am a 41 year old female who is, otherwise, healthy. Tomorrow will be exactly 4 weeks from my operation and I guess I am feeling so so. My incisions are healing nicely, but are very sore underneath. Too, my ability to eat more foods outside of a soft diet increases every day. However, for the last almost 2 weeks, I have had the worst gas imaginable. Stinks to high Heaven! Thank goodness I live alone, but my two dogs and cat are probably suffering. I am using beano before I eat and am taking gas x 2x/day per my doctor's suggestion. No matter what I eat, I feel incredibly full fast and then the gas starts and last for hours. Too, the fullness puts a lot of pressure on my incisions. Does anyone have any idea how much longer this phase will last? I was never much of a gas passer and cannot stand going through this every day. I am definitely avoiding gas producing foods and have had zero carbonation since the surgery on 12/8/2011. I've been eating a lot of Sobet the last couple of days and it seems to be a lifesaver. However, I am so ready for real food I cannot stand it. Just tired of feeling full, in pain, and uncomfortable. I know this will pass, but would like to get an idea of what to expect as I enter month 2 of my recovery. Thank you for your advice and knowledge.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 1/5/2012 10:54 AM (GMT -6)   
Hi birdie,
Welcome to the Healing Well yeah yeah yeah Wrapped Club! yeah yeah yeah 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. 
Best wishes!
Denise
 
 
 
 

Post Edited (dencha) : 1/5/2012 8:59:08 AM (GMT-7)


birdieslc
Regular Member


Date Joined Dec 2011
Total Posts : 33
   Posted 1/5/2012 11:54 AM (GMT -6)   
Thank you Denise. Surrender to your recovery.....I like that. I am a tough cookie, go getter, and of course I have to push myself to move along faster. I realize, through this process, it is out of my control. That's a hard truth to swallow. I'll work on putting up my white flag and will keep you posted as to how things unfold. After 9 months of feeling like crap.....pre surgery and now post, I'm just so ready to live my life again. I feel somewhat handicapped and cannot stand it. Stacy

Cindy123
Regular Member


Date Joined May 2011
Total Posts : 175
   Posted 1/5/2012 12:04 PM (GMT -6)   
Hi Birdie:
 
Have you tried using probiotics for getting your gut flora back in action.  Maybe you can google or talk to your health care provider about probiotics. There is also a probiotic yogurt named Bio-K.  I am not sure too how much you are eating, but digestives enzymes can really help.  Sometimes when our food are not getting digested properly, it travels down to our small intenstine undigested and can really create havoc hence the gas. 
 
I also had the surgery and I found that using probiotics and digestive enzymes really helped a lot.  Don't take the enzymes if you are not eating a fair portion and by the way, if you are going to try the enzymes, use a plant base enzyme as oppose to animal enzymes.  Plant base enzyme work in your upper stomach to break your food down and animal enzyme work in your intestines after the food has left the stomach.  Here is a link, you might get some relief.
 
 
Take care, you will get past this stage.  Hang in there.
 
Cindy 

birdieslc
Regular Member


Date Joined Dec 2011
Total Posts : 33
   Posted 1/7/2012 11:11 PM (GMT -6)   
Hi Cindy,

Thanks for the reply. I have not tried a probiotic, but am willing to try anything. I'm not eating a whole lot, as I get full too easily. Still doing a lot of soft stuff.....yogurt, frozen ices, jello, scrambled eggs, macaroni and cheese, pasta with small bites of chicken, soup, oatmeal, occasional coffee, but kind of giving that up as I think it upsets my stomach. It seems, though, that it does not really matter what I eat. Throughout my day, I just puff up like a frickin blowfish (not really just feels like it) and the air puts pressure on my incisions and the area of the surgery and just causes me pain. Eventually, it dissipates via really long and loud gas. I am open to trying anything. Do you know of a particular enzyme or probiotic that worked for you?

Thanks! Gas is like the devil for me right now and I'd really like to destroy him!

Stacy

Cindy123
Regular Member


Date Joined May 2011
Total Posts : 175
   Posted 1/9/2012 10:38 AM (GMT -6)   
Hi Stacy, my cousin just had the same surgery and she is having the same symptoms as you are.  You are not alone and it will improve but it will take some time. 
 
I used to take Newroots plant enzymes...it's the best on the market, however, any plant base enzyme will help you.  The probiotics will work really well on your intestines where the gas is building up.  Trust me Stacy, I was there where you are at....one day I thought I was going to die with the bloatedness.  You'll get through this.
 
Cindy

birdieslc
Regular Member


Date Joined Dec 2011
Total Posts : 33
   Posted 1/9/2012 12:26 PM (GMT -6)   
Thank you Cindy. I have been taking beano, but also bout a lactose enzyme, and some other one this weekend that targets breaking down carbohydrates. So far, I have been much, much better....not perfect, but better. I'm crossing my fingers, as I've had very little gas today. :) Yesterday, I actually had a few chicken wings and a couple of glasses of wine on day 31 post op. So, I know there's hope! Thanks for the feedback....really, really appreciate. It is just nice to hear others remind you it will get better! turn

gogolfingnow
New Member


Date Joined Apr 2011
Total Posts : 3
   Posted 2/27/2012 4:09 PM (GMT -6)   
Hello fellow Nissen Friends,
 
It's been 15 months since my procedure and here's where I am.
 
Still have bad flactuations and bloating issues...lot's of tummy rumbling goes on every day.  I have tried a variety of probiotics but none seem to to the job very well.  I am changing to Benebiotics...should arrive in a couple of days.  Also plan to add some Beano to my pre-meal routine.  I must say, I am embarrassed to go out in public.  Fortunately, my golf partner of 20 years doesn't mind the noise and we are often at other sides of the fairway. tongue
 
My weight has stabilized, even gained a couple of pounds back.  Pre-surgery was at 189, post surgery (4 weeks) 172, today: 178.
I still cannot burp, and have lost all hope in ever being able to taste a good beer...sure hope God has a good sense of humor. yeah
 
On a positive note, I don't have any GERD problems and that's what this was all about.
 
I'll report back on the new probiotic/prebiotic treatment in a couple of weeks.
 
Pat
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