Morning Heart Burn 32 Days Post Nissen Fundoplication

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Burnin'Up
New Member


Date Joined Jun 2012
Total Posts : 4
   Posted 6/23/2012 9:05 AM (GMT -6)   
Hey all,
I'm about a month post-Nissen and I'm struggling! I wake up every morning (around 4am) with dull, persistent burning in my chest. Tums doesn't help, but getting vertical does. My throat/voice are very sore all day as a result. These are the 2 symptoms that drove me to the surgery. I stopped taking Protonix and Zanac after the surgery, but now I'm back on Zantac (although it has changed nothing).

My question is: Has anyone had these symptoms after the surgery, this long afterwards? I'm worried it failed. My Dr. thinks it might subside in time, as she thinks it's esophago-pharyngeal reflux resulting from food not getting into the stomach before I bed down. I guess she thinks more healing will accelerate my digestion and ensure everything is in my stomach by the time I go to sleep.

I'm skeptical and nervous. Any thoughts would be appreciated.

Thanks,

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 6/23/2012 9:12 AM (GMT -6)   
Hello and welcome to HealingWell.  I strongly suspect that your Dr. is right as you need to give your body time to heal from the surgery.  I know you will be hearing from others who have had the surgery, however, I wanted to take the opportunity to  welcome you to our great forum.
 
Kindly,
Kitt
~~Kitt~~
Moderator: Anxiety, Osteoarthritis,
GERD/Heartburn and Heart/Cardiovascular Disease.



"I am not afraid of storms for I am learning how to sail my ship" ~ Louisa May Alcott

CurbYourEnthusiasm
Regular Member


Date Joined May 2012
Total Posts : 31
   Posted 6/23/2012 9:46 AM (GMT -6)   
burnin up,

do you lie down right after you eat? I know this is a symptom I've been having. I'll feel a fullness in my chest/throat area and my doc told me it's just from food not getting past the wrap quick enough, so it gets backed up a bit.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 6/23/2012 8:31 PM (GMT -6)   
Hi Burnin'Up,
Post op, pretty much anything is possible, and your surgeon's thoughts make all kinds of sense to me.  During the early weeks and months, it's very common to have food and drink (even medications) held back at the wrap site.
 
I don't know how common this is, but often when I wake up in the morning I have some discomfort or irritation at the wrap site until I'm up and have had some breakfast. As soon as I have something to eat I'm fine.  I don't interpret it as reflux, but the wrap feels slightly irritated or uncomfortable.  As soon as I'm up and have eaten...it's fine.
 
I've often wondered if it's related to the way my wrap healed and that I many have an adhesion that pulls on the wrap area, because like you, it feels better in a vertical position.  It's not pain...just kind of a gnawing feeling, and being upright and eating always gets rid of it.
 
Hate to tell you, but I'm 3 and a half years post op.  It's not every day, but every so often I feel it.  I have lungs that are very sensitive to reflux, and my lungs are fine, so I'm confident that it's not reflux-related. 
 
Everyone is different, so don't expect what you're experiencing to last.  It'll probably disappear soon. If it doesn't, though, don't assume reflux.
 
Hang in there...
Denise
 
 

Post Edited (dencha) : 6/23/2012 9:45:36 PM (GMT-6)


Burnin'Up
New Member


Date Joined Jun 2012
Total Posts : 4
   Posted 6/25/2012 6:08 AM (GMT -6)   
Thanks for the responses. I hope you guys are correct! I'm now able to eat large meals, but perhaps that's causing the problem. I'm trying to put back on the weight I lost, and maybe I'm eating too much for the wrap to handle. The fact that tums isn't helping also leads me to believe you folks might be right, and it's not reflux.

If anyone else has these symptoms, I'd love to hear from you.

Meanwhile, I'll try to eat less and see how things go....

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 6/25/2012 6:39 AM (GMT -6)   
Hi Burnin'up,
Your comment about eating larger meals now triggered a thought...It seems to be very common for recovering post-Nissen patients to experience "reflux feelings".  I'm pretty confident that if you back off your eating a bit...smaller meals, chew more carefully, you're likely to get feeling better.  It's not an immediate fix, but over time your irritated wrap and esophagus will get more comfortable. 
 
The esophagus is a "dumb organ" and interprets all pain as reflux. 
Hang in there...
Denise
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