Dyspepsia and Stomach Gas After Nissen Fundoplication

New Topic Post Reply Printable Version
32 posts in this thread.
Viewing Page :
 1  2 
[ << Previous Thread | Next Thread >> ]

elenisamerka
New Member


Date Joined Aug 2012
Total Posts : 5
   Posted 8/5/2012 2:25 PM (GMT -7)   
Hi there!

I am 29 years old and it's been 8 weeks since I had my Nissen surgery. The reasons I had the surgery were a) chronic reflux and b) 2cm hiatus hernia.
Recovery is good in general (apart from food getting stuck and all the other common symptoms) , but I lost a lot of weight (from 52 down to 46 kilos).
I am very patient with my slow recovery. For the first 4-5 weeks I was putting everything in the blender. It took me 5 weeks to add some well cooked spaghetti to my diet and other solid foods like boiled potatoes etc. Of course I chew the solid food very well as I was instructed by my consultant and of course it takes me ages to eat. (before surgery it was taking me 3 minutes to eat/gulp my food and now it takes me 30 minutes for a small meal)

Now, my major problem is that air gets trapped in my stomach. As it is well known, this is one of the Nissen symptoms/complications because belching is more or less impossible. Lately I noticed that every time I eat food that produces gas in the stomach (milk, cream, vegetables etc) I encounter sickness/nausea and dyspepsia. This happens mostly during evening hours. Also, I always make sure that I eat my last meal at least 3 hours before bed but even though when I lie down in bed I hear all sort of gas-travelling-noises coming from my stomach and it really freaks me out because they are loud. (and it's all from my stomach NOT my intestines, although flatulence is another major issue but I won't go there for all the obvious reasons)

Is this something normal? Will it get better?

Thanks for your help

Lena

jpvn2015
Regular Member


Date Joined Jul 2012
Total Posts : 63
   Posted 8/5/2012 3:09 PM (GMT -7)   
It seems relatively normal to me - at least from what I've heard/experienced. I know I had months of awful pain before it finally disappeared. If you are concerned about this, I would suggest contacting your PCP at once.

But, it seems normal to me.
The advice I provide and present to you is solely based on research and doctor diagnosis. I am personally not a doctor. Going to a doctor is far better than listening to what I have to say.

I have experienced a lot over the course of years, and I am glad to give you some pointers to help you overcome your struggles.

elenisamerka
New Member


Date Joined Aug 2012
Total Posts : 5
   Posted 8/5/2012 3:27 PM (GMT -7)   
jpvn2015 thank you so much for your prompt response.
I need to be patient I assume!!
How long did you have the pain for, until it finally disappeared?
And how is your eating at the moment?

jpvn2015
Regular Member


Date Joined Jul 2012
Total Posts : 63
   Posted 8/5/2012 5:25 PM (GMT -7)   
The pain lasted six months for me, but I heard that it usually goes away long before then.

My eating is almost normal, but it is not completely normal. I find that I need to drink a lot more to flush down the food. Other wise, it feels like it gets caught in the throat.
The advice I provide and present to you is solely based on research and doctor diagnosis. I am personally not a doctor. Going to a doctor is far better than listening to what I have to say.

I have experienced a lot over the course of years, and I am glad to give you some pointers to help you overcome your struggles.

bowecho
Regular Member


Date Joined Nov 2011
Total Posts : 146
   Posted 8/5/2012 5:49 PM (GMT -7)   
I had gas issues for a while. My surgeon told me most folks are burping normally by week 3-4, however it took me several months until I could burp well and relieve the gas. I still had some gas issues, but they continued to get better. I'd say by month 6 is when I really noticed I was rarely ever having gas pain.
Learn lots. Don't judge. Laugh for no reason. Be nice. Seek happiness.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 8/6/2012 8:13 AM (GMT -7)   
Hi elenisamerka,
Welcome to the Healing Well yeah yeah yeah Wrapped Club! yeah yeah yeah It does sound as if what you're experiencing is very normal post-op.  Be sure to stay away from foods that are gassy as much as possible.  I found that if I took BEANO (an enzyme supplement that helps break down vegetables and make them less gassy) it helped a lot.  Hopefully you can find something like that where you live.  Perhaps you have a milk intolerance, and you could get some lactose free milk products, or a lactase product that will help make it more digestible.  Be sure to stay away from carbonated beverages and don't ever drink from a straw.  All these types of things put more air into your stomach and add to bloating. 
 
Bloating can be a problem anytime after a Nissen, but it becomes far less frequent and bothersome.  I just had a bloating episode after toasting my son's engagement with champagne!  Who'd have thought? 
The problem is that the way a Nissen is formed, the flap becomes tighter the more full the stomach becomes.  So once the gas gets ahead of you, it becomes impossible to get it out until it makes its way through the lower GI tract.
 
Gas-X (Simethecone) can be very helpful (I took it with some relief after my champagne episode) if you can get a burp out.  I always carry it with me, just in case.
 
If you stomach is getting nauseous, I would suggest taking a dose of Ranitidine (Zantac).  I have always found it helps.  I think that the nausea is caused by irritation of the stomach, and Zantac can cut the acid, which is helpful.  
 
The loud stomach gurgles are also very normal, so don't let it freak you out!  It used to be pretty embarassing at a meeting, when people across the room started offering me something to eat, since they thought they were hunger grumbles!  This gradually subsides and gets less and less frequent, but in my case, it didn't disappear until into the second year.  I'd decided that I'd have to live with it, when one day I realized that it was gone! 
 
Hang in there!  Things will gradually improve over time.
Glad you've joined the forum!
Very best wishes,
Denise
Words of wisdom by Eckhart Tolle:
"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”

jpvn2015
Regular Member


Date Joined Jul 2012
Total Posts : 63
   Posted 8/6/2012 10:23 AM (GMT -7)   
Yes, I completely agree, dencha. Whenever I'm just not feeling right, usually some Gas-X works. I haven't used it recently, but it definitely helped when I was recovering from Nissen.
The advice I provide and present to you is solely based on research and doctor diagnosis. I am personally not a doctor. Going to a doctor is far better than listening to what I have to say.

I have experienced a lot over the course of years, and I am glad to give you some pointers to help you overcome your struggles.

elenisamerka
New Member


Date Joined Aug 2012
Total Posts : 5
   Posted 8/6/2012 3:04 PM (GMT -7)   
Thank you all!!!

I will definitely get some Gas-X but the problem is that I cannot belch at all. And in order for the trapped air to find its way out through the lower GI tract it takes long long time and that is what makes me feel bloated.

I also avoid fizzy drinks as Denise advised and I know that I need to stay away from any form of fizzy beverage for long time.

Now, as fas as the nausea is concerned, yes Zantac ,or similar pills, help but was that supposed to happen after the Nissen? I was hoping I would get rid of these symptoms at once after the surgery.

Maybe I am a bit too impatient as it has only been 8 weeks.

Thank you once again!!

Lena

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 8/6/2012 3:49 PM (GMT -7)   
Hi Lena,
Yes, indeed, you are being too impatient!  Your upper GI tract has been through a lot, and it's understandable that it will complain!  The symptoms you had prior to surgery didn't take 8 weeks to cause problems...and it'll take longer than 8 weeks for them to heal.
 
If you stomach is irritated and inflamed (certainly understandable considering what it's been through in the past 2 months) the Zantac will help calm things down and allow healing. 
 
Many surgeons/GI docs recommend that their healing patients continue with PPIs during recovery to help them feel more comfortable and aid in healing.  Because you need help during this recovery period, it doesn't mean you'll always need that help.  The most important things is that you're comfortable, and helping your body heal.
 
It takes a full 6 months for the majority of healing to occur, and a full year for the rest.  You've still got lots of healing ahead of you, so patience!  Everyone's healing schedule is unique, and if you can surrender to the path your recovery is taking, and follow where it leads, you'll find your recovery much easier.  Those who struggle against what is, have a lot harder recovery experience.
 
Things will improve with time. 
Happy healing!
Denise

elenisamerka
New Member


Date Joined Aug 2012
Total Posts : 5
   Posted 8/20/2012 5:41 AM (GMT -7)   
Hi again!!

First of all I would like to thank you for your help!! its being a very difficult period for me and I really appreciate all your tips!!!

I would like to ask something else. Do you ever experience stitching pain in your abdomen? Lately I get stitches for no reason (especially on the right side of my abdomen), while sitting at home after dinner.

Have you ever experienced something similar?

Thank you!!

Lena

skcollins57
New Member


Date Joined Oct 2015
Total Posts : 7
   Posted 2/2/2016 6:44 AM (GMT -7)   
I am 7 weeks post op and still have a lot of problems with gas pain and bloating. Does anyone have experience with flying after a fundo. Do the gas pains get worse at altitude?

aero1
Regular Member


Date Joined Oct 2015
Total Posts : 186
   Posted 2/2/2016 5:36 PM (GMT -7)   
this surgery, is pretty significant. recovery is slow, backwards, sideways, with a painful learning curve. gas bloating, weird unexplained pains, is all part of it. give your body time. do not overeat, stay hydrated, and try to stay optimistic. [ probably the hardest part] I am just reaching, the six month mark and finally, starting to get on the good side of this. skcollins57, I would talk to your surgeon, in regards to flying. we cancelled a trip, to Greece that was planned way before, my stomach decided to visit my chest. and as hard as this recovery was, I am very glad we did.

skcollins57
New Member


Date Joined Oct 2015
Total Posts : 7
   Posted 2/3/2016 5:27 AM (GMT -7)   
Thanks for the reply. We are scheduled to go to China (19 hour flight) mid April which will be 4 months. We are still planning to go so hopefully i will be settled down by that time. Hopefully I will hear from others who have flown post op.

noisynellie
Regular Member


Date Joined Mar 2016
Total Posts : 22
   Posted 3/12/2016 1:41 PM (GMT -7)   
It has been 10 weeks since my surgery and I just found this forum........it is a relief to read that what I am enduring (horrific flatulence) is "normal"........that being said, I am glad that I didn't read these posts when I had surgery as I had enough negative thoughts ranging from being scared to being depressed for WEEKS........I definitely have a different relationship with food now....have to go slow, chew forever, and don't get the joy from eating as I used to. Hoping that those who have posted that they are symptom free at the one year mark are predicting my future!!!

Ringer4
Regular Member


Date Joined Feb 2016
Total Posts : 53
   Posted 3/12/2016 2:44 PM (GMT -7)   
I still get scared and depressed during this long recovery. I am trying to remain positive that my surgery (2/16/16) worked and all will be well. Like you, noisynellie, I no longer enjoy food anymore. I only eat what I need to for energy but I do drink as much as I can stand to remain hydrated. I hope this will eventually change. I am determined though to be a success story! Best of luck to you!!

noisynellie
Regular Member


Date Joined Mar 2016
Total Posts : 22
   Posted 4/5/2016 2:24 PM (GMT -7)   
HelloRinger4-It has been about 3 weeks since I last signed in - hoping that you are doing well and that you are continuing to find foods that you enjoy putting forth the effort to eat! I am now 10 weeks out and feeling unbelievably better. I am trying to continue eating small portions of food that are good for me. My surgeon is consumed with worrying about her patients gaining weight and causing damage to the place where the stomach and esophagus were repaired. I am assuming she has seen many patients get too happy with the food that they couldn't eat prior to surgery and are now able to eat 3 or so months after surgery. I have lost a bit of weight and I am eating mini meals to keep the weight permanently GONE! One of the biggest failure rates is people gaining a ton of weight and causing a rupture. Hope today was a good day for you! idea

Ringer4
Regular Member


Date Joined Feb 2016
Total Posts : 53
   Posted 4/9/2016 10:02 AM (GMT -7)   
Noisynellie things are going very well for me after almost 8 weeks. The gas and bloating has slowed, my depression and impatience has lifted (now that I have accepted the slowness of this recovery) and I no longer have reflux. I saw my surgeon this week and he has said I probably still have some swelling which is causing my spasms. He wants me to eat more "regular" food, as I am still remaining on the soft diet (by choice) so I am slowly introducing different things. I still have to remember to chew slowly and thoroughly. Food still remains only as an energy source so I eat to live not live to eat anymore. I will be seeing a Nutritionist in a couple of months to check on my diet and vitamin intake which was a new wrinkle in this story. I had not heard that this was part of the recovery but apparently my surgeon requires it. My daily walks have increased so much that I am now back at the duration and length I was before the surgery. Exercise always makes me feel better. I haven't gained any of the 20 pounds I've lost so far which doesn't bother me at all! So all in all I think I can say I am and continue to be a success story!!

noisynellie
Regular Member


Date Joined Mar 2016
Total Posts : 22
   Posted 4/9/2016 11:22 AM (GMT -7)   
Congratulations, Ringer4, on how well you are doing post-op! I am so glad that your surgeon is encouraging you to see a nutritionist. That is my current dilemma - getting enough vitamins, minerals, and protein. I am a vegetarian, so getting protein is always a problem. Since I had surgery to eliminate the meds that caused me to have osteoporosis, I have to take lots of vitamins and minerals along with calcium to try to undo the damage caused. This is all on my own - with the help of the Internet. I started on what I think is a good liquid multi vitamin just after surgery. Now I am trying to eat enough to not cause more problems. A nutritionist was never mentioned-you are very lucky to have him/her as a resource. I was just reading a blog by a young woman who lost 80 lbs in a year........not my goal...........but now she is losing her hair in clumps due to lack of protein in her diet. My goodness, if its not one thing to worry about it is 10 other things! Don't be surprised if one day your appetite returns to what it was originally. I was hoping that mine wouldn't but it has! Looking into the alkaline diet ideas as it is supposed to be the Western diet that is full of acid and sugar that contributes to all of the maladies our culture has that the Asian and Mediterranean areas don't get. I would love it if you would share guidelines that your nutritionist shares with you. Have a wonderful day today!! cool

Johners
New Member


Date Joined Nov 2016
Total Posts : 6
   Posted 11/14/2016 1:41 PM (GMT -7)   
Hi
I'm post op 4 months and things get better. Just enquiring if anyone has a gas bloat problem as my stomach feels like a washing machine with the gas. It can be really painful. Sometimes I feel sick but that's because I have gas stuck in my throat. Any ideas for relieve which doesn't involve drinking peppermint tea which is dog awful stuff. If I could calm the gas in my stomach I would be very happy
Thanks and best wishes to all.

noisynellie
Regular Member


Date Joined Mar 2016
Total Posts : 22
   Posted 11/14/2016 3:38 PM (GMT -7)   
Hello Johners - I, too, have had some issues with what feels like a stomach full of gas and I am 10 months out from surgery. First of all, try to figure out what is making the problem worse. Carbonated drinks and coffee are really bad for me. Even drinking water with a straw can be painful - and I won't not use a straw when at a restaurant (ick!) I also have to take calcium (plant based)due to complications from taking acid reflux meds. I have found that the "cramping" is worse when my stomach is somewhat empty........so I try to have eaten before I take my pills or drink. I don't take any kind of over the counter or homeopathic meds for this. I eat way less than I used to when my stomach is full of gas.......eating smaller portions helps. I would love to hear about something that would help.........

Gaspass
New Member


Date Joined Mar 2017
Total Posts : 1
   Posted 3/15/2017 10:30 PM (GMT -7)   
Hi All. 8 months down the line I got a pain just below my rib cage upper right hand side. Went for a sonar - results showed nothing, then did a blood tests and still nothing. They were looking for goldbladder and liver issues. Surgeon put me on Bevispas (not sure what this is called in other Countries, Im in SA) for two weeks this hasnt done anything. Went to my GP who subscribed me with Librax (Librax is a capsule containing a combination of chlordiazepoxide and clidinium) both think it might be my colon and also mentioned Im bloated as a baloon. I do feel better if I eat less and startimg
To expect more than one cup of coffe is bad.

Is there away we can start a thread or post where we all list foods and meds to help us all. I have found that mint green tea helps with bloated pain I have.

Good luck. Whats your experience with alchol?

noisynellie
Regular Member


Date Joined Mar 2016
Total Posts : 22
   Posted 3/16/2017 4:32 AM (GMT -7)   
Hi Gaspass-Just read your post and will list some ideas.......I am 14.5 months since surgery. Perhaps you are having problems with gas no being expelled - and not being able to belch. Are you eating specific foods or trying to go back to your pre-operation foods? What are you drinking other than coffee?? I don't drink alcohol and only have a cup of coffee about once a week.

My experience is that coffee has caused me to have quite a lot of gas and pain in my stomach. It was about a year out before I could slowly drink one cup - with lots of cream. Soda causes lots of gas (that's what makes it soda!) and I still have some issues with drinking any liquid.....even water. I think it has to do with the air in a straw and the air that I "gulp" when drinking without a straw.

When I eat, I take tiny bits and chew chew chew. It's kinda of funny (sad) that foods that are greasy slide down much easier than those with less fat. For instance, one of the first enjoyable foods I could eat (just weeks after my operation), when I was going crazy with jello and pudding and yogurt and mashed potatoes, was GREASY HASBROWNS from McDonalds. Absolutely horrible for me, but they slide down (chewed slowly) and never caused any gas or other problems.

Did you talk with your fundiplication surgeon about the pain just below your rib cage upper right hand side.....if I am picturing it correctly, isn't that where your doctor told you that you would feel the results of your operation? I also had a giant hiatal hernia fixed during surgery. Anyway, right after surgery and for weeks, when food and liquids were stuck and I tried to throw them up (involuntarily), I felt the pain in my back, on the right side, just below my rib cage. Is this where you feel the pain now?

Looking forward to hearing from you - Noisy Nellie

Cmeans24
New Member


Date Joined Jun 2017
Total Posts : 2
   Posted 6/17/2017 3:18 AM (GMT -7)   
I had the surgery about 10 weeks ago and started having really bad hunger panges about 2 weeks ago. It sucks because I'm not really hungry or have an appetitite. I even get pains in my upper back. Has anyone else experienced this?

noisynellie
Regular Member


Date Joined Mar 2016
Total Posts : 22
   Posted 6/17/2017 3:44 AM (GMT -7)   
Hello Cmeans24-You are most likely eating way less than you did before your surgery, so I guess your stomach is getting used to the difference by making sounds/feelings that you are calling "hunger pangs".
I had severe discomfort in the center right side of my back where the connection was made. Is that where you mean when you say "upper back"? Anything and everything stopped there.......sometimes causing me to throw up.......really horrid. My surgery was 12/29/15.....just about 18 months ago.......and I am still having issues with gas and discomfort in my intestines......I'm saying intestines because it seems to be further down than my stomach. Drinking with and without a straw still causes gas. I still have to chew chew chew very small bites and often feel like I have a lump in my stomach with lots of gas.
Be sure to talk with your gastroenterologist about your specific experiences. Things get better and better very slowly, but, eating is not the fabulous experience it used to be!! Perhaps that is a good thing?!?! Please post any other questions or thoughts that you are having. Hope you have a WONDERFUL acid free day!

Cmeans24
New Member


Date Joined Jun 2017
Total Posts : 2
   Posted 6/17/2017 6:18 AM (GMT -7)   
Noisynellie, my pain is exactly as you described. Thank you so much for posting, I don't feel like I'm going insane now. I haven't thrown up yet but did feel pretty nauseous today, but it usually passes. The pain in my back can be pretty extreme at times, I guess this will be something I will need to live with for a while.
New Topic Post Reply Printable Version
32 posts in this thread.
Viewing Page :
 1  2 
Forum Information
Currently it is Saturday, January 20, 2018 7:45 PM (GMT -7)
There are a total of 2,919,450 posts in 320,340 threads.
View Active Threads


Who's Online
This forum has 159399 registered members. Please welcome our newest member, HusbandHelper2018.
489 Guest(s), 14 Registered Member(s) are currently online.  Details
kimbo62, Mak37, aphysicalwreck, Lapis_29, WeightLoss, Zlife, SciBell, Almost a 10, Girlie, magoo2, Paxton, Mergirl, Aimzee, Lola12