2 months nissen advice

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red cat
New Member


Date Joined Feb 2012
Total Posts : 3
   Posted 4/6/2012 4:59 PM (GMT -6)   
Hi everyone, could anyone who's had a nissen have any reason why at 2 months my lpr is worse than ever? I can eat okay without food sticking, a bit of bloating but nothing to bad.I feel mobile and get no pain. I can burp sometimes and can feel the wrap resisting movement. However this last week or two i have felt worse than ever, nausea congestion etc. I understood the swelling should be reducing and i should be improving? or am i wrong?

Also in a more general gerd and lpr question. I have what i call funny turns of nausea, maybe 2 or 3 half hour bad periods a day. It isn't always after a meal so can appear quite random. When i feel very sick is the reflux happening at that moment or has it happened just before? Is it even over night and my body is reacting strangely in the day. I get a bit breathless and congested which is horrible but tolerable. However i'm starting a new job in a few days and nausea is a big worry as it stopped me working full time pre Nissen.

I'm trying to relax and go with the healing but it isn't always easy when bills need paying and i need to work but feel more like sitting in a dark room!

any advice?
many thanks

p.s i was on a larger dose of lansoprazole pre surgery and my surgeon told me to cut it all. I have disregarded his advice as i felt so bad and take a half dose 30mg. In this first few months is it advisable to take the maximum dose or is it not much of an issue and better to allow more normal gut function?

Obsidian99
New Member


Date Joined Mar 2012
Total Posts : 18
   Posted 4/6/2012 9:10 PM (GMT -6)   
I had Nissen 5 weeks ago. I can't really speak to all of your issues, but I can tell you my experience:

I was instructed to continue taking Omeprazole 40 mg (my pre-surgery dose) for 30 days post surgery. I just met with my surgeon, and he told me to reduce my dosage gradually. For the past 3 days, I've been on 30 mg daily, and for the first time since my surgery, I experienced nausea and a new kind of stomach pain. I believe this is a direct consequence of my acid rebound, and I fully expect it to get worse, then better, then worse as I move my dosage down again in a month.

I also continue to experience lpr; however, my surgeon wants to give it time. He believes it will slowly get better. I, however, took matters into my own hands a few days ago, and started taking an anti-mucosal agent (Allegra-D) in the mornings. It actually really helped, and it has made me realize that I was experiencing throat symptoms from both my reflux AND another cause. I have not yet diagnosed the other cause, and maybe it really is just left-over from the reflux, but in any case, for now, I feel much better during the day.

I believe that a lot of the lpr symptoms that I'm having are just because food is not going down completely yet. It feels/tastes the same as it did prior to surgery, but my guess is that pre-surgery, the vomitus was actually coming up from my stomach through my LES, and post-surgery, the material is staying at the bottom of my esophagus for as long as hours, and then traveling back up to mimic reflux and lpr.

Of course, in my case, the vomitus is not acidic, so it doesn't burn. If yours is burning, then it would suggest to me that you have acid in there, and my story may not apply to you.

I hope your symptoms improve.

Best!

Jesper A
Regular Member


Date Joined Nov 2011
Total Posts : 131
   Posted 4/7/2012 2:50 AM (GMT -6)   
Hi Red Cat,
I am about 5 months out and had the Nissen due to LPR.
I can totally relate with the symptoms getting worse at times, I have had at least 3 major setbacks.
The past 3 weeks things has started to get a little better though and I am now for the fourth time trying to cut back on PPI's. I have reduced to 15mg Lansoprazole in the morning and 30 mg. in the afternoon. When I cut back I instantly felt more mucus building up in the afternoon and night and my throat is sore in the morning. Still a little bit better than before the op with this slightly smaller dose so crossing my fingers!

The anti-mocusal agent sounds really interesting. I have been after something like that ever since my LPR got out of hand 2½ years ago. I think I will i give it a try to see if it help step out of medication quicker.
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