4 weeks post nissen pitfall, what is wrong?

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grantdawwg
New Member


Date Joined May 2012
Total Posts : 2
   Posted 5/27/2012 12:28 PM (GMT -6)   
Hi I am Grant, and I would like to thank you all for the fantastic support I have seen reading these forums for the past month or so. This forum soothed many of the frantic worries I had during the first 2 weeks of my recovery, and I am hoping to get some insight into my current predicament.

I am a 25 year old male, and two weeks after my Nissen fundoplication I was feeling well enough to go back to work part time. A week later I began working full time and during week four I really got back into my routine, doing some light exercise, lots of work and starting to gain some weight back. I must have overdone it because all of a sudden after week four I started to feel horrible, very nauseous and lots of abdominal pains. I had intense soreness underneath the my bottom of my ribcage and a migrating burning sensation throughout my sternum.

I had to lay completely flat on my back 23/24 hours a day for about 10 days, seeing very slow day to day improvement until I could get into see my surgeon. The pains seem different than the post-operative pains I was having immediately following the surgery.

My doctor said I simply had inflammation of the skeletal muscles in the region, an issue that sometimes occurs in skinny young men after surgery due to a higher ratio of skeletal muscle to whatever else. He told me to take ibuprofen for 5 days every 4 hours and then to stop as to not risk developing ulcers. He expected a quick day recovery but order a barium swallow just in case.

I felt much better the next few days and after 3 days ran some errands and walked around for a few hours. Unfortunately I was back to feeling horrible the next day. I am now around 7 weeks post-op and off of the ibuprofen, very slowly getting better as I lay in bed 23/24 hours a day on medical leave. No heartburn but definitely not an improvement in quality of life yet. I have done the barium swallow and will discuss the results with the doctor in a few days, however he did seem pretty perplexed as what else the problem could be. Any ideas? I have read a lot of forums but I don’t think I have seen this problem yet, any links?

Thanks for the support,

Grant

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 5/27/2012 3:16 PM (GMT -6)   
During the first six weeks your body is very quirky. You look healed on the outside, you feel better, but you forget your insides have been remodeled.

My surgeon insisted on me following a strict diet and exercise program during my recovery.
Do not lift anything over 5 lbs for six weeks (risk of tearing stitches) and start with liquid diet for two weeks, then soft foods for two weeks, and finally slowly add more solid foods leaving bread and steak for last.

What was your orders?
Joy

grantdawwg
New Member


Date Joined May 2012
Total Posts : 2
   Posted 5/27/2012 5:08 PM (GMT -6)   
Thanks for the reply Joy,

I received similar orders from my doctor, liquid foods and very soft foods for the first 4 weeks and then solids were OK. By week six I could eat bread and steak with lots of chewing. They told me not to lift 20lb or more from the start, and cleared me for light exercise after the first 2 weeks. My external wounds have healed well, do they have to put stitches inside the body as well?

Grant

Timmy15fan
New Member


Date Joined Apr 2012
Total Posts : 5
   Posted 5/28/2012 6:55 AM (GMT -6)   
Grant,
Due to all the reading I did here prior to my surgery, AND from previous experience having surgery, I have taken the sloooow road to recovery. I am now 7 weeks past surgery, and basically doing really well. However, I did not return to work until after 4 weeks, and then I went in very part time. I have not added bread or steak to my diet yet, and don't plan to for at least another month. I take it VERY slow and easy on what I eat, and have learned that everyday is still an adventure. It is not uncommon to have days where I am extremely nauseated....those days I just go back to shakes and applesauce.
After surgery, our outsides heal quickly, but we have had MAJOR surgery. There are staples inside. I think you may have overdone it...and now you need to take baby steps to get back to where you were. From everything I've read here, the recovery process is 6 months to a year, so you are still very early in your healing. Give yourself time....and know that this too shall pass.
Good luck!

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 5/28/2012 10:58 AM (GMT -6)   
Yes, you are stitched up inside. I wasn't eating solid foods until week 8 because I would hurt if I ate them before that. I made the mistake of eating Zaxbys during week 6 and hurt terrible for days.
Are your portions small? I think at 4 weeks I couldn't handle more than a half cup of food a meal and eating every 2-3 hours. No drinking through straws.
Joy

tuffluv
New Member


Date Joined May 2012
Total Posts : 18
   Posted 5/30/2012 5:22 PM (GMT -6)   
I am into my fourth week and find I can only eat a few soft foods. I find if I try to eat something new, or too much i suffer. Slow and easy is how I take it. Yes I am cranky, ask my family, but it's what has to be done. My Doctor told me not to lift anything more than 15 pounds., & no steak until maybe the 4th of July. The family had hots dogs...I was jealous, but swallowed my applesauce & potatoes.
This too will end....
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