Help! one month post op (Nissen Fundoplication)- need some advice?!

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Mel1990
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Date Joined Feb 2012
Total Posts : 12
   Posted 3/1/2012 8:04 AM (GMT -6)   
Not been on in a while so back to give a quick update and ask more questions!
During the weeks following my op, I had all the usual symptoms with gas, bloating, pain and difficulty swallowing. about 2.5 weeks after the op I was able to eat mushy food eg mashed potatoes with no problems. A few days later however i started to get severe pains and nausea in my abdomen about half an hour after eating. I contacted my surgeon as the abdominal pains were getting much worse. He said my stomach was going into spasm so prescribed me buscopan, which seems to have settled the severe pains.
I'm still experiencing nausea throughout the day, and my stomach feels very tight/achey after I eat- does anyone know whats causing this/ how to relieve the nausea? Because of the Buscopan I am unable to take my usual anti sickness meds!

Also since the op i havent felt hungry at all, and find it difficult to force myself to eat as i constantly feel full. Has anyone else experienced this? My dietitian is very concerned as i have gone down from 66kg to 55kg. Is there any way i can stop this full feeling all the time?!

Also i know the stomach gurgling is a common side effect, but what causes it, and any idea when it goes away?!

Thanks
Mel x

Post Edited (Mel1990) : 3/2/2012 10:38:53 AM (GMT-7)


Mel1990
New Member


Date Joined Feb 2012
Total Posts : 12
   Posted 3/2/2012 7:10 PM (GMT -6)   
Can anyone give me some advice? This tighness and gurgling is getting worse, to the point that I cant sleep at night, and have to go and lie down several times during the day! Hope this is normal as i'm starting to worry! Is there anything I can do to relieve these symptoms?! Help! :(

Mel

Jesper A
Regular Member


Date Joined Nov 2011
Total Posts : 131
   Posted 3/3/2012 4:25 PM (GMT -6)   
Hi Mel, It sounds perfectly normal to me.
I didn't get hungry in a normal sense until I passed the 2 month mark. Then it changed rapidly. The gurgling I had too, I just thought it was a bit funny. That left between 2 and 3 month post op.
 
Even though I think it all sounds normal I am not a doctor. If in doubt call one.
 

Jesper A
Regular Member


Date Joined Nov 2011
Total Posts : 131
   Posted 3/3/2012 4:30 PM (GMT -6)   
BTW, you can relieve the nausea with meds give your doctor a ring and get a prescription. And, it is perfectly normal to get nauseas the first couple months. Some get more nauseas when they begin to be too adventures with the amount of food, so maybe cut down on size and eat a little more often.

dencha
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Date Joined Feb 2009
Total Posts : 7181
   Posted 3/3/2012 5:28 PM (GMT -6)   
yeah Hi Mel,
Welcome to Healing Well yeah yeah Wrapped Club! yeah yeah I had the surgery three years ago, and can speak to some of the issues you're worried about.  First...don't worry!  You're in the beginning stages of recovery, and it will take time for your healing to occur and solve these issues.
 
First, feeling full after only a little food is TOTALLY normal.  The top of your stomach (the fundus) has been wrapped around the esophagus and stitched.  That is that part of your stomach senses fullness, and it's swollen because of the surgery.  My surgeon told me that the swelling is interpreted by the brain as fullness, which is why you're not hungry.
 
Tell your dietician that it's NORMAL to lose weight during this recovery.  You just can't eat much until the swelling subsides and your stomach fundus can again interpret fullness properly.  You will be eating normally again.  it just takes time..
 
Just remember that your insides have undergone a huge revision, and your upper GI tract has been through a lot.  Your outsides will heal much more quickly than your insides.
 
Does your gurgling accompany very loose stools?  I got very, very loud gurgling that was accompanied by diarrhea...that's "dumping syndrome", which is another normal side effect of the surgery. 
 
At times the gurgling noise was very loud and embarrassing, but sometime a little while past the year mark it stopped completely.  This recovery is long-term, so you have to be very patient.
 
If you can relax into the recovery and follow it where it goes, you'll be able to handle it a lot better.  Surrender...just let it happen.  This recovery takes 6 months for most of the healing and a full year for there rest.
 
Sorry it took so long to get a response!  Keep those questions coming.
 
Happy Healing!
Denise
 

LocalGuy23
Veteran Member


Date Joined Sep 2011
Total Posts : 620
   Posted 3/3/2012 8:35 PM (GMT -6)   
Mel,

Where is the gurgling? Is it in your stomach? I remember having that when my problems started a year ago.

I don't get that now but I do have a burning sensation in my mouth...gosh that's my worst symptom.

It use to be my stomach uncomforatble feelings but now it's the burning in my mouth.

I thought the Nissen would've worked. Maybe it needs more time....maybe I'm healing....it's hard to say.

I'm about 4 weeks post op....

kyheart
Veteran Member


Date Joined Apr 2011
Total Posts : 513
   Posted 3/3/2012 8:37 PM (GMT -6)   
Mel
I have just passed the 11 month mark and take what Denise wrote to the bank... the more you can relax into your recovery, the better off you will be. Recovery will take a long time, at 11 months I am eating just about anything I want (had Taco Salad for dinner tonite). But, she is also right that you will experience a myriad of events concerning your stomach and your intestinal tract. The gurgling does go away.. one day you will just realize it isn't happening anymore. Patience is the key to recovery after this surgery.. You are still very early in your recovery.. Please continue to come to the forum and ask questions, we will all try to relate our experiences to you and let you know if "it happened to me".

I have regained my life by having the Nissen. If it ever becomes necessary for me to have this surgery again, I would not hesitate.

Reach for the sunshine... Rainbows will follow..
Sandi

LocalGuy23
Veteran Member


Date Joined Sep 2011
Total Posts : 620
   Posted 3/3/2012 8:40 PM (GMT -6)   
Hi Kyheart,

I remember reading all of your post during your recovery. It was so inspiring and I hoped it would've turn out like that for me.

But here I am at 4 weeks post op and still feel a burning sensation in my throat/mouth.....

It's very discouraging but all I can do is wait and be patient which is hard....

kyheart
Veteran Member


Date Joined Apr 2011
Total Posts : 513
   Posted 3/3/2012 10:15 PM (GMT -6)   
Max
Please don't be so down... you too have so much more to experience in your recovery.. some things will be good some will be bad but all of it is part and parcel of recovery after Nissen Fundoplication. I know what it is like to whine and be down about how recovery is going and I, like you, came here to this forum and got a virtual "HUG" and support and concern and great advice... please continue to come here to the forum, we will be here for you as long as you need us.
At 4 weeks you are just beginning to heal in side.. you must remember that your insides have been poked, prodded, lifted, shifted, pulled, wrapped and sewn. Do NOT push your recovery.. relax into it and things will be better.. I am sorry, I haven't been feeling well recently and I have missed some of your posts.. have you talked with your doc about the burning sensation in your mouth/throat.. if so what have they said.. if you had this before the surgery, it may take more time for it to subside. There is no guarantee that all of your pre-op issues will be gone immediately. It may take a while..

The thing to ask your self is this.. OK I am 1 month post-op, am I better off now than I was before? Can I tell that things are changing for the better, even if they are changing slowly? Please do not focus on one issue that has not changed, you need to look at the whole picture, not just the center of it.
I hope I have helped and I am going to find your most recent post and paste this on it so that you will see it. Please kick back and roll with the flow... it will be better..
Just keep Reaching for the Sunshine.. Rainbows WILL follow
Sandi

bellyacher
New Member


Date Joined Mar 2012
Total Posts : 1
   Posted 3/3/2012 10:19 PM (GMT -6)   
Hey Mel -- I'm at 3+ months post op. Most of the time feeling pretty good. However, lately - about the last couple of weeks, in the afternoon I'm getting that terrible left shoulder pain again. It usually abates after gas x and walking around but for a while it is terrible. I'm going to go back to less heavy solids -especially meaty things- tomorrow to see if it will get better. Anyone else have the shoulder pain symptom this far out? Maybe I"ve been a little too aggressive with the eating????

LocalGuy23
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Date Joined Sep 2011
Total Posts : 620
   Posted 3/3/2012 10:30 PM (GMT -6)   
Thanks Sandi.......

JAM1986
Regular Member


Date Joined Feb 2012
Total Posts : 46
   Posted 3/3/2012 10:37 PM (GMT -6)   
How are you doing maximus?

JAM1986
Regular Member


Date Joined Feb 2012
Total Posts : 46
   Posted 3/3/2012 10:42 PM (GMT -6)   
maximus,

This burning mouth is a real downer for me. I try to be optimistic but it is difficult when your mouth burns.

LocalGuy23
Veteran Member


Date Joined Sep 2011
Total Posts : 620
   Posted 3/4/2012 1:34 AM (GMT -6)   
Jam,

I feel you, I try to be optimistic but it's hard. I was so hopeful for NF that it would cure this problem. It seems to have helped but not enough as I would hoped. Still I want to believe we still have more healing to do. I'm real careful with my diet. I try and stay as active as possible by jogging and doing some light exercising. Exercising was my passion before getting hit with LPR/GERD. It was devastating the first time I felt this tightness in my throat whenever I would exercise. Now for some reason, it's not that noticeable when I exercise. It could be that the throat is use to the damage already. I doubt it's healed because my mouth is still sore.

One thing that use to bother me a lot was this uncomfortable feeling in my stomach. It was almost like a burning/tickling feeling which was bad. After NF, it went way down which I'm happy about. Still I want the burning in the mouth to go away. Still 4 weeks is early like most people said. I wish there was a scientific explanation to how the longer we wait the better we will feel you know what I mean? Is the wrap going to sit better over the LES, is it going to get tighter? I just hear of so many early success stories. I knew it was going to be a gamble going into this because of my atypical symptoms. Maybe twice I heard volume reflux / regurgitation. This is when I was on PPIs and I was running. But now it's more of a burning in the mouth that's a challenge. Who knows, maybe in several months...we might just be all healed and that would be a miracle. I'm glad I found someone who understands what I'm going through. That's what this forum is for.

But in the mean time, we just have to keep moving forward. Somehow, one day, I will accept this if it doesn't get better and maybe I will forget about the pain. We will see...

leniijane
Regular Member


Date Joined Dec 2010
Total Posts : 42
   Posted 3/4/2012 10:10 AM (GMT -6)   
I had the surgery for the second time in Nov. I never heard of the burning in the mouth. Call your Dr. Are you on any new meds??

As for the person that had the shoulder pain, I just had a bout with that for about 2 weeks whenever I ate, and then all of a sudden it went away.

Hang in there guys.

Mel1990
New Member


Date Joined Feb 2012
Total Posts : 12
   Posted 3/4/2012 10:35 AM (GMT -6)   
Hi Jesper A,

I'm glad to hear the hunger thing is normal, as it didn't really worry me until my dietitian seemed concerned. The only positive thing about not being able to eat is that I'm not at all hungry anyway!

It seems that the gurgling in most cases is just an annoyance, but it's keeping me awake at night as it's quite painful and uncomfortable. Did your surgeon say what caused it?

Unfortunately because I'm on an anti-spasmodic medication, I can't take any sickness meds as they would react with it, so I'm a bit stuck in that sense!

I do usually try the 'small meals often' approach (though when I say meals I mean half a cup of food! Think I'm going to try cutting the portion sizes down a bit to see if that helps. I'm not able to swallow solid foods yet, so sticking to liquids and puréed food.

Thanks,

Mel

Mel1990
New Member


Date Joined Feb 2012
Total Posts : 12
   Posted 3/4/2012 10:42 AM (GMT -6)   
Hi Denise,

I know, I'm trying so hard not to worry, but I just feel as if there is so little after care/ advice from the medical profession about this surgery. I don't want to bombard my surgeon with phone calls either!

It's very comforting to hear that I'm not alone and that the fullness situation is normal. I'm trying to relax around food, but with the dietitians concerns it made me panic that I should be eating more than I am. I have been prescribed supplement drinks though, so I know I can eat less and not worry!

As far as the gurgling goes I'm still worried. My stools/ bowels seem to be completely normal (after a rocky start in the first couple of weeks). It began as just an annoyance but is now becoming quite painful and uncomfortable, so much so that I can't sleep at night because of it. I've taken peppermint capsules because I thought it could be gas but they didn't help much. Did your surgeon say what causes it or how to relieve it?

Thanks for all your advice. It really does help to hear from people who know what they're talking about!

Mel

Mel1990
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Date Joined Feb 2012
Total Posts : 12
   Posted 3/4/2012 10:47 AM (GMT -6)   
Hi Max,

The gurgling seems to be in my stomach and intestines and takes a long time to go away. I've never experienced anything like it before. At first it was just weird and kinda funny, but it's now becoming uncomfortable!

Sorry to hear you're having problems with the burning sensation. I've been quite lucky on that front and only experienced heartburn/ reflux a few times, but I'm pretty confident that's normal at this stage. Not comforting I know, but I'm trying not to think about the success of the operation until the 6 month mark!

Have you got any acid medication you can take for the burning? My surgeon told me I wouldn't need to take the medication I was on for acid before the operation, but I have needed it a couple of times and it did help. maybe it's worth giving it a go?!

Mel

Mel1990
New Member


Date Joined Feb 2012
Total Posts : 12
   Posted 3/4/2012 10:52 AM (GMT -6)   
Hi Kyheart,

That's great to hear you can eat what you want now - I can't wait for that day! I'm pretty confident everything is going to work out fine, it's just the daily aches and pains that I would like to control. I'm quite happy from reading all your posts that they are normal, but I just wonder if there's any way to combat them? either though my diet or medication?

I can definitely see an improvement even since last week, but would like to sort out the post eating pains and they are quite debilitating!

I can begin to explain how comforting it is to know how much the operation has changed your life - very much looking forward to reaching that point! In the meantime though it's good to hear from people who have been through the whole process!

Thanks

Mel

Mel1990
New Member


Date Joined Feb 2012
Total Posts : 12
   Posted 3/4/2012 10:55 AM (GMT -6)   
Hi leniijane,

If you don't mind me asking, why are you on your second surgery? Did the first come undone? That's something I'm quite concerned about happening!

Mel

LocalGuy23
Veteran Member


Date Joined Sep 2011
Total Posts : 620
   Posted 3/4/2012 5:24 PM (GMT -6)   
Mel,

So you are dealing with mainly eating issues now?

Have your symptoms pre op been resolved from the surgery?

Mel1990
New Member


Date Joined Feb 2012
Total Posts : 12
   Posted 3/4/2012 5:47 PM (GMT -6)   
Max,

Yes it just seems to become problematic after I eat. I still have the nausea as before but the acid has almost completely gone (apart from a few occassions).

I'm glad the problems from before the op are sorted, but I just hope they will not be replaced with these new ones! :S

Mel

LocalGuy23
Veteran Member


Date Joined Sep 2011
Total Posts : 620
   Posted 3/5/2012 12:48 AM (GMT -6)   
Mel,

You are in a good situation trust me. I'm on the opposite end I think where I still have some symptoms but my have no nausea or eating problems. I'm still on the soft foods diet as I don't mind eating clean and healthy as I what I call it for a change. The loss in weight has been good too. I don't want to lose too much more but whatever the recover decides I will go with the flow.

I just hope my symptoms subside......I see my surgeon on March 15 for my second post op appointment. I hope to give him some good news. He's a good surgeon and doctor. I don't want to be one of the failures...

btrflygrl24
Regular Member


Date Joined Mar 2012
Total Posts : 28
   Posted 3/22/2012 10:06 AM (GMT -6)   
Hi Mel,
I'm about 18 months post op and let me say the first few months were tough!! Everything you're experiencing is completely normal. I kept losing weight for 6 months after the surgery but lost most of it within the first 2-3 months. It only took a few bites of food and I was full and I was like that for a long time. I lost about 30 pounds very quickly and was concerned at one point if it would ever stop! I now weigh 115 lbs so thankfully things just leveled out and the weight loss tapered off. I lived off of supplement drinks but unfortunately was able to only drink about half a bottle of Ensure in one sitting as I'm sure you're well aware lol. I had to be sure to put something in my stomach every 2-3 hours even if I wasn't hungry.

As for the stomach gurgling, I still get that even today but it's rare! Luckily it's only annoying and not painful or anything for me. Only occasionally after surgery did I have any nausea but it was usually associated with the pain meds. I had been on numerous meds prior to surgery and found that I needed to reevaluate my meds and try either stopping them or lowering the dosage (with my Dr of course). As of today I'm off ALL of them! At one point I did have horribly debilitating pains in my stomach which occurred about a week or two after surgery but that was from the liquid diet believe it or not! I was up late at night unable to sleep because of the discomfort. Milk products (including liquids!) can cause stomach/intestinal upset and it did with me so I had to limit my intake. Try playing around with different liquids (broths, milk, whey or soy protein, etc.) and see if some more than others bother you. Once you get past the first few months your stomach should start feeling better. I myself was on liquids for 2 months because my stomach couldn't handle the soft foods!! The other thing that really helped was a heating pad on my back/sides! It helped to loosen the muscles up a little around the discomfort making it more tolerable.

I can say that at 18 months out, I have had zero heartburn! Occasionally I will get a stomach ache (probably from excess coffee, tomato sauce,etc. - I'm making up for lost time! lol) but a Zantac always takes care of that. I can safely safe that having the surgery was the best decision I ever made and it gave me my life back. Yes, I still have gas/bloating issues (GasX and Phazyme are my best friends) and only rarely am I able to burp but I will gladly take that any day over how I felt before! Staying away from gum, ANYTHING CARBONATED (such as soda, beer, champagne, sparkling water, etc.), not drinking out of straws, eating slowly and eating smaller meals WILL help reduce any bloating/ gas discomfort. I can only hope I will never need to have my surgery revised but until then I'm feeling the best I've felt in 10 years. Sorry this is a crazy LONG post but I hope my experiences will help you a little bit! Just give it some time. Each week look back at how you felt the week before and you'll see the progress even though it's slow. :)

Carolyn

jdevilliers
New Member


Date Joined Mar 2012
Total Posts : 1
   Posted 3/23/2012 2:02 AM (GMT -6)   
Hi All

I just want to add to this discussion with regards my symptoms and maybe I can have some questions answered. I am 2 months after been wrapped. I have no pain, and basically eat everything that I want.

The only problem that I'm having is that I've got diarrhea or dumping syndrome. I also occasionally experience lots of gas going with the diarrhea. Last night for instance I spend almost more time in the bathroom as in bed. My stumach is gurgling and my stool in watery and lots of gas. I also experience a little nausea but not very often. I went back to my Dr after the first month as I was concerned about the diarrhea. He told me to take Immodiums to try and stop the diarrhea, but he also assured me that it is normal. I've also lost about 7kg since the operation, but I've stopped loosing weight now and it seems to stay the same.

Is there anything else that I can use or do to make the diarrhea less?
Is there something that I can take to make the gas less?

I also need to mention that I am a smoker, and I'm not sure if that is causing the large amount of gas...

Thank you for the inspiring help from everyone on this forum.

Regards
Jeanne
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