Nissen Fundoplication 6 days ago - eating issues

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amanster
Regular Member


Date Joined Feb 2012
Total Posts : 29
   Posted 2/4/2012 9:21 AM (GMT -6)   
Hello everyone,

I had the Nissen Fundoplication surgery on Jan 30th and came home the next day. So far the pain has not been too bad but has seemed to increase in the last day or so. I had been taking torodal since leaving the hospital and stopped taking that the night before last so I assume that has something to do with the increase in pain. It is still relatively mild considering. I do have percocet or ibuprofen that I can take if the pain increases. I had a few questions though. Is it normal for the pain to get better or worse depending on the day? My brain seems to think that it should get better everyday but I know that things are not always ideal. Has anyone else had this issue?

I also have some questions about food. My surgeon had me on a soft mechanical diet before I even left the hospital. They gave me scrambled eggs for breakfast and ground chicken with gravy for lunch. I was able to eat it without any problems swallowing as long as I took very small bites and chewed very well. I am only able to eat a tiny amount at a time (probably less than 1/4 of a cup), if I eat more than that I feel like I have indigestion. I have dealt with anxiety issues in the past and indigestion mimics some of those symptoms so I don't like to feel that way at all if I can help it. So I am sticking to very small amounts of food and reverting back to broth if I have something that doesn't quite sit well. So far all I have tried is scrambled egg, cream of wheat, heavily diced chicken with broth, couscous, avocado, banana, yogurt, and smoothies with whey protein. Last night I had some pudding and had a lot of discomfort and two episodes of diarrhea. I had already had some dairy so I was surprised by my bodies reaction to the pudding. Has anyone else had this issue with dairy? Now I am worried about using the whey protein supplements in my smoothies as I don't want to have the same reaction. Any pointers for getting more protein. I am concerned that my caloric intake is so low since I only eat tiny amounts throughout the day.

Thanks for reading and sharing!

Jesper A
Regular Member


Date Joined Nov 2011
Total Posts : 131
   Posted 2/4/2012 11:34 AM (GMT -6)   
Hi,
I haven’t had any particular issues that I could relate to food, but you are still very early in your recovery and you should expect to have both constipation and diarrhea from time to time no matter what you eat. If you can link it to something in particular you should of course avoid that.

Jesper A
Regular Member


Date Joined Nov 2011
Total Posts : 131
   Posted 2/4/2012 11:35 AM (GMT -6)   
By the way, stay on the pain meds untill you good.

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 2/4/2012 12:09 PM (GMT -6)   
amanster-
Welcome to Healing well.

Welcome to the wrapped club

Only eating about a 1/4 cup is very normal. They used the fundus of your stomach to make the wrap and that is the part that tells you that you are full. Since it's swollen you will feel full sooner. Remember to avoid soft bread and solid meat like steak for several weeks. Toast and ground meats are generally okay.

As for the IBS type symptoms, the gas they use to inflate your belly causes trauma to your organs and the react to this and cause the change in bowel movements. Also your bodies digestive system was redone and it will take some time to learn it's new configuration.

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

amanster
Regular Member


Date Joined Feb 2012
Total Posts : 29
   Posted 2/4/2012 3:20 PM (GMT -6)   
Thanks for the info. This forum is really great, there are so many negative sites out there that it is good to read the posts here.

I am feeling much better this afternoon. I went to the health food store and bought some protein supplements that don't have dairy as well as some almond and coconut milk. I had quinoa flake hot cereal with coconut milk earlier and it was so tasty. It is wonderful to have other flavors than broth and juice. I am having a bit of very well done toast and jam for a snack right now! I am super careful to take minuscule bites and follow them with water but so far so good and it tastes fantastic.

Thank you for your posts, it is always good to hear reassuring thoughts from people who have been through it. I'd love to hear more or have links to other's stories. I am not sure how to navigate around this site effectively.

Thanks!!!

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 2/4/2012 10:51 PM (GMT -6)   
Hi amanster,
Welcome to the Healing Well yeah yeah yeah Wrapped Club! yeah yeah yeah You're definitely in the right place.  I also had a Nissen surgery about 3 years ago, and found this great forum just before I had it. 
 
I don't know if you've seen it, but here's a link to my recovery journal. It just documents the first 19 days, but it might be helpful, since you're in the infancy of your recovery.  http://www.healingwell.com/community/default.aspx?f=45&m=2183443
 
I don't know if your surgeon warned you, but your wrap will become increasingly swollen over the first two weeks or so, peaking on or around the 14th day.  Don't be surprised if your swallowing gets worse before it gets better.  This is very normal. 
 
In the first couple of weeks, you'll have some ups and downs.  This surgery takes a full 6 months for most of the healing to occur, and a year for the remainder.  I found fine tuning/improvements continued into my second year. 
 
Glad you've joined us! 
Best wishes,
Denise

pegster
Regular Member


Date Joined Feb 2011
Total Posts : 95
   Posted 2/5/2012 7:25 PM (GMT -6)   
amanster,

Pain will vary form day to day, depending on many things, like how much activity you do and even the amount of good sleep you get. I actually had my worst pain in the 4th week and had to get a prescription for Norco. It helped the pain, but I finally realized most of my nausea was probably from codeine. You may need to slow down on advancing your diet as there is still a lot more swelling to come. Your bowels will probably keep you guessing for a couple of weeks. Some days you may be constipated, others its loose and frequent. It really is normal post-op.

Peggy

amanster
Regular Member


Date Joined Feb 2012
Total Posts : 29
   Posted 2/5/2012 8:29 PM (GMT -6)   
I am realizing just how much the recovery varies from day to day with this surgery. I'll eat the same things two days in a row and feel totally different after depending on the day. I am still feeling pretty well overall though so I won't complain...too much..:-) I am almost on day 7 and I am noticing that I can't always understand what my stomach is trying to tell me. I can't always tell if I am hungry or if my stomach is just slightly upset by something else. That is sort of frustrating.

I also find that the more I think about what is going on in there the more stressed out I get about it so I really have to try and keep my mind occupied with other things whenever possible.

I find myself being really worried about how many calories I am getting. I can't be getting much more than 600 a day so far and that worries me a bit. I don't want to impede my healing by being depleted but I don't know how to get more calories since I can eat so little at a time and I feel like I need to wait an hour or two between eating to make sure everything is getting through my system so to speak.

Any tips or pointers.....am I worrying myself needlessly? I think everything is compounded today because I have to go back to work tomorrow. I work at a computer all day and my boss is flexible with me so if I need to work partial days I can, but it is still stressing me out a bit.

Again, thank you all for your responses. It is comforting to hear that what I am going through is normal!

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 2/5/2012 9:48 PM (GMT -6)   
Hi amanster,
At this point in your recovery it's totally normal to be eating very small amounts and low calorie totals.  Everyone loses weight during this recovery.  It's the norm.  Don't worry for a moment.  As you heal the amount of food you can tolerate will increase.
 
Here's a link with a document that provides some post-Nissen eating guidance.  Maybe you'll find it helpful if you haven't already checked it out:
It does offer some milkshakes to increase calorie intake, if you scroll through the document.
 
Remember that your wrap is at the swelling stage, and you'll likely have moments when your swallowing becomes more difficult before the swelling goes down, which it will.
 
You hit the nail on the head when you said that this recovery varies from day to day.  You'll definitely have some ups and downs...especially in these first few weeks.  Hang in there, it'll get better!
 
Best wishes,
Denise
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