4 days post op

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jools12
New Member


Date Joined Jan 2012
Total Posts : 4
   Posted 1/8/2012 7:49 AM (GMT -6)   
Hi Jools here , i had a large hernia repair wednesday morning and nissen fundoplication, i am 4 days post op and consutantant says to stay on liquid diet for 4 weeks, i have started the recommende diet sheet but only having half the daily amount as remommended in a day, as i feel to full to be having something every hour as recommnded has anyone experienced this, i am having my two fortisips to make sure getting nutrients, but not all the milk , soup, oxo jelly  etc any advice would be grateful i know its early days yet, am i getting worried for no reason,
 
Edit:  I gave your thread a title.

Post Edited By Moderator (stkitt) : 1/8/2012 5:35:06 PM (GMT-7)


dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 1/8/2012 11:08 AM (GMT -6)   
Hi jools,
Welcome to the Healing Well yeah yeah yeah Wrapped Club! yeah yeah yeah Yes, indeed, I experienced that.  Your stomach is swollen after the surgery, and your brain interprets that swelling as fullness.  Over time, with healing, the swelling will subside and you will be able to eat and drink more.  Like most post-Nissen patients, I could eat only tiny amounts.  Just drink small amounts as often as you can. 
 
Don't be surprised if you get to stages in the first couple of weeks where your wrap gets very "tired" and sore after swallowing.  It's totally understandable.  Your upper GI tract has gone through a dramatic revision, and it will take time to adjust.  While your outsides will heal quickly your insides will take 6 months for the majority of healing and a full year for the rest.
 
Keep in mind that your wrap swelling will continue to increase and will peak somewhere around Day 14 give or take a few days.  Because of that your swallowing will get worse before it gets better.  That's the reason your surgeon has given you the liquid diet for the first month. 
 
You don't need to be worried.  Some recommend a chewable multivitamin during this time for nutrition intake.  I didn't take one, but probably I should have.  You'll be sure to lose weight...everyone does.  I lost 14 pounds...some lose more.  It's normal, since you're eating so little at the beginning.  This will all resolve as healing proceeds and you'll be back to eating normally.
 
Hang in there...the first week is the toughest.
 
Did your surgeon give you a nausea script?  Mine didn't, but people here strongly recommended that I should have a nausea drug on hand, should I catch a stomach bug.  There have been people who have damaged their wrap by retching or vomiting.  I asked my surgeon for one and he gave me disolvable Zofran.  My PCP gave me Compazine suppositories. The Zofran is easier to use when traveling, but I take both with me at all times.  Some here also use Phenegran. 
 
The Compazine suppositories work best for me.  I had two bouts with stomach viruses--one at the year mark and one at the two year mark.  No matter how long you're wrapped it always better to try not to vomit.  When I had the bugs I didn't know if I would be able to vomit (my surgeon said no), but I was.  Still even if you can vomit it's better not to.  I took anti-nausea drugs drugs immediately upon knowing I was sick.  Both times I was caught unawares, so did vomit once.  I haven't had any problems as as a result. 
 
Be sure to avoid straws, iced or very cold drinks, and carbonated beverages.  The straws and carbonation can add to your bloating, and the cold drinks can cause esophageal spasms.
 
Once you're moved to a soft, mushy diet, here's a great link to information and food planning:
 
Also, here is a link to my early healing thread here at Healing Well. It describes the first 19 days of my recovery, and it might provide some idea of what you might expect.  Everyone is different, but you might find it helpful. 
 
Again, glad you've joined us.  You're definitely in the right place.
Best wishes!
Denise

Post Edited (dencha) : 1/8/2012 9:12:29 AM (GMT-7)


jools12
New Member


Date Joined Jan 2012
Total Posts : 4
   Posted 1/8/2012 12:46 PM (GMT -6)   
Thank you for that information Denise i have found it very helpful , and will check out the mushy diet link, havnt eaten so much today. but have been virtually pain free since got home , and only small bouts of pain in shoulder blade area, so i musnt complain, i wasnt given any anti-sickness drugs on discharge, sol paracetomol which was fizzy so i got rid of those and have replaced with liquid paracetomol, ditchted the straw with the fortisips, so not taking in any unneccesary air, so will see how it goes, but so far so good, Thanks again Regards julie

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 1/8/2012 5:19 PM (GMT -6)   
Hi Julie,
You know we're here for you!  Any questions or worries you have, just post them.  I'm sure there will be many who've experienced similar issues.
 
It sounds like you have a great attitude!  If you can surrender to your recovery and follow it where it takes you, you'll have a much easier time of it.  It is as it is.  Struggling and trying to hurry things along will just make your recovery more difficult.
 
Happy Healing! yeah yeah
Denise
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