Nissen recovery journal

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Jonh71
Regular Member


Date Joined May 2012
Total Posts : 121
   Posted 10/10/2012 3:08 AM (GMT -6)   
Haven't posted for a while will explain as below.

Day 1 oct 3rd
Had surgery at 2:30pm, returned to ward at 6:15pm
Surgery went well managed to do the redo as lap
Felt bad this day and don't really recall a lot
Was limited to 30ml fluids per hour
Given fluids IV
Given morphine IV
Orally tramadol
No food
Oxygen via mask

Day 2
30 ml per hour liquid orally
Fluids IV
Morphine injections
Anti nausea injections
Oxygen via mask
No food
High temp 39.6 deg
Antibiotics IV

It s now that things get a bit confused as I had a very high temp that was as a result of a chest infection and tonsillitis. I had chest X-rays and also noted that I had a partially collapsed lung on LH side. I cannot actually recall huge amounts of what happened between days 2 & 4 other than lots of attention from the staff and being given a lot of medication. Anyhow it was strange feeling as I could not seem to focus properly either in site or thoughts.

Day 5-7
Started eating soft foods only such as soup and mashed potato with a lot if gravy, was still having antibiotics via IV and pain relief. Allowed free fluids so drank plenty, tonsils the mani problem and was still coughing up phlegm and fresh blood but gradually reduced and by day 7 I only had small amounts of old blood and was a little phlegm 3-4 times per day. I was also put on a nebuliser at day 3 up to day 6 to help clear chest.

Now have been discharged to begin recover properly at home.

SO FAR NO REFLUX, I am happy.

Baza
Veteran Member


Date Joined Jan 2011
Total Posts : 513
   Posted 10/10/2012 5:54 AM (GMT -6)   
HI John,youve been through a hell of a lot,i hope this redo sorts your reflux out for good,you deserve it for everthing youve been through! Good luck! Barry

Jonh71
Regular Member


Date Joined May 2012
Total Posts : 121
   Posted 10/10/2012 1:09 PM (GMT -6)   
Day 8 nearly done
Stomach feels upset almost like travel/motion sickness, some pain when overdoing it such as walking to far or stretching. Eating is ok have had porridge, soup, custard and mashed potato with mashed veg.
Some coughing still from chest infection (confirmed by hospital as bacterial pneumonia), and hiccups are painful. In general energy levels are only probably 30% of normal and I need to rest in the afternoon.

In general pleased with recovery, tender around incisions but overall pleased.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 10/10/2012 2:47 PM (GMT -6)   
Hi jonh71,
It's good to hear that you made it through surgery (laproscopically...yay!) and are on the road to recovery!  Happy redo!  It sounds as if you're doing well.  As you remember, these first few weeks are pretty rough, and it's just a matter of going with the flow and following your recovery's lead.
 
I assume you've been given an anti-nausea script.  Be sure to keep it handy, as you won't want to vomit at this early stage of recovery.
 
Like you, I had a lung infection before, during, and after my recovery.  I coughed A LOT, and it did irritate my incisions.  The worst was my left rib incision, so I iced it a lot during early recovery. It helped a lot.  I used to worry that all my coughing would damage my wrap, but thankfully, it didn't. 
 
Happy healing!
Denise
You've probably read this, but since we both share the coughing/lung issue, I'll post my early recovery journal:
 
 
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.”

Jonh71
Regular Member


Date Joined May 2012
Total Posts : 121
   Posted 10/11/2012 12:54 PM (GMT -6)   
Day 9

Today I ate some probiotic yoghurt, broccoli and Stilton soup, baked potato with baked beans (mashed together).

I have had some stomach pain at LH side after all meals and general discomfort, also my voice is getting a lot weaker which I can only put down to a combination of the remainder of the mucus at the back of my throat and recovery from op.

Still feeling washed out and as you say Denise I have most pain around LH rib area incision when coughing. Have some other general pain but I am sure this is just the healing process, the swelling in the abdomen is noticeably less but sleeping on my side can still be uncomfortable. All said i am happy with the outcome.

dany1982
Regular Member


Date Joined Jan 2012
Total Posts : 158
   Posted 10/11/2012 4:21 PM (GMT -6)   
glad that you are doing good and recovering, that sounded very scary
you are a tough cookie turn

Jonh71
Regular Member


Date Joined May 2012
Total Posts : 121
   Posted 10/12/2012 1:09 PM (GMT -6)   
Day 10

Much same as day 9 except for I tried to eat some flaked white fish and it was a bad mistake. I was in pain for around 7 minutes and unable to talk etc due to intensity of the pain. I know that I should know better but I thought I had been doing so well and the fish was very soft, it was accompanied with sauce (white) but even though I chewed it was not happening.

On other side still some pain in back and stomach and hiccups really are painful. Also struggling sometimes to stand out of the chair without pulling at my insides.

Anyhow still positive.

Jonh71
Regular Member


Date Joined May 2012
Total Posts : 121
   Posted 10/14/2012 1:31 PM (GMT -6)   
Day 11& 12

Still doing ok, pain is persistent in LH side and back making sleeping a challenge, some pain at incision site also. Generally still feeling a bit beaten down and energy levels still low. Pain I ca attribute to surgery recovery and fact that still healing internally, food still mainly soups and mashed potato with mashed veg and lots of gravy.

Main thing no reflux or significant ppi rebound.

Jonh71
Regular Member


Date Joined May 2012
Total Posts : 121
   Posted 10/17/2012 5:40 AM (GMT -6)   
Day 13 & 14

Still no reflux so happy about that.
Still getting pain in LH side behind ribs and through into back, suspect this may be exacerbated by the issues with the lung and pneumonia. Some discomfort on eating and still only eating very soft foods although I have progressed to mashed banana and custard.

I have lost weight as I can see it in my face but have not bothered to weigh myself as long term I know it will stabilise but if I was to guess I would suggest around 5 kg (11lbs).

Energy levels still very low and doctor has not cleared me to return to work until I have had another review in 2 weeks.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 10/17/2012 12:38 PM (GMT -6)   
Hi jonh71,
It sounds as if you're doing well.  Keep in mind that at 14 days you're on or about peak swelling of the wrap, which can cause some discomfort and difficulty swallowing.  Once peak is reached, your swelling will subside and you'll be on the road to recovery. 
 
I had pain in the left rib area because of coughing.  I found ice to be very helpful.  After a period of time it healed, but it took a lot longer to get rid of the pain in that spot.  The surgeon's resident said that's where the tools used for the surgery entered and were manipulated. That makes sense.
 
Happy healing!
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.”

Jonh71
Regular Member


Date Joined May 2012
Total Posts : 121
   Posted 10/21/2012 12:19 PM (GMT -6)   
Day 15-18
Still swollen, stomach is very hard to the touch and I have what feels like gastritis but intensity is not as high as when I had gastritis last time. Pain still predominantly in LH side with some pain on breathing at times.

I am eating a soft diet but have added things like soft carrots and broccoli along with minced lamb and beef. Portion sizes are still very small and I have very low energy levels.

Most concern is my hypotension has really started to increase in intensity and duration and I have gone to ground twice in last few days.

I am getting better as I can feel it and focusing on trying to increase food intake.

Still no significant reflux or ppi rebound so I am happy, still not back at work as not enough energy but I am ok and happy with results.

Jonh71
Regular Member


Date Joined May 2012
Total Posts : 121
   Posted 10/23/2012 12:03 PM (GMT -6)   
Day 19&20
Progressing well apart from pains in stomach and a general lack of energy. Eating is still very small and I have calculated that my average intake is around 400 calories per day. I am finding it now very difficult, and have headcache as I write this. Went for cardio check today and all ok but vasovagal episodes are now very frequent due to endocrine system shock following surgery. Some of this attributed to food intake also, so today have tried to increase food intake but resulted in severe stomach cramps and feeling unwell.

Having a rough time at present which I hope is just a blip, the dizziness, light headed, and fainting are the real issues for me at present. I just cannot see how will be returning to work next week. darn hyporeninemic hypoaldosteronism is a complication I didn't need.

Still - no reflux

Pat Tall
Veteran Member


Date Joined Aug 2012
Total Posts : 950
   Posted 10/23/2012 6:09 PM (GMT -6)   
John. Thanks for keeping us updated. You have gone through so much. Do you have someone helping with your meals. Would using a blender, making it very liquid allow you to sip more calories throughout the day. Want you better real soon.

Jonh71
Regular Member


Date Joined May 2012
Total Posts : 121
   Posted 10/24/2012 3:16 AM (GMT -6)   
Hi pat fill, have a lot of ready made meals blended before I went in and my wife is helping cheers. I am struggling to eat sufficient as I have no appetite and get a lot of stomach pain after meals. I feel like I have gastritis with pain in waves, from my first Nissen I knew I would go through a rough period around the 3-4 week time, just forgot how bad it got last time. I like your idea of sipping it through the day, will be asking wife to help prepare some meals that I can store in flask and go at through the day. Biggest problem is lack of energy and motivation to actually do something about it as I just feel drained.

I appreciate your idea, thanks.

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 10/25/2012 4:44 AM (GMT -6)   
Jonh71-

I was told to eat ice cream for higher calories. Since you are struggling with getting enough calories and having a hard time eating enough small meals you might try this. It worked for me. I made a lot of shakes and added protein powder some times.
I know about the passing out due to vagus nerve and low calorie intake, sucks. I also was low on postassium and magnesium when this happened,

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11

Jonh71
Regular Member


Date Joined May 2012
Total Posts : 121
   Posted 10/30/2012 11:37 AM (GMT -6)   
Week 3-4

Things progressing ok, still on a soft diet but have introduced thicker soups and soups with veg chunks. Have managed to add in shredded cooked chicken breast and also minced meat in form of ******ts, now I am able to tolerate anything that I can chew to a pulp before swallowing. Still having stomach pains after every time I eat, they are sometimes very painful (around level of 7 out of 10). I honestly think I may have gastritis based on previous experience. Still not working as I need to get over the vasovagal episodes and get stronger, the last thing I need to is to be in pain at work or passing out.

Generally I am pleased with diet improvements in terms of variety, need to continue working on increasing intake but will get there. Still no reflux issues other than a little heartburn in the odd instance.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 10/30/2012 12:27 PM (GMT -6)   
Hi jonh,
It sounds like all-in-all you're making excellent progress. It's highly likely that you've got some gastritis going, so be sure to be very careful with your food choices.  Smooth (or chewed completely to creamy) foods, and stay away from spicy and acidic.  It takes time to get an irritated stomach healed. Hang in there!
 
You're still in the thick of the most intense healing period.  It will get better over time.
Keep the faith!
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.”

Jonh71
Regular Member


Date Joined May 2012
Total Posts : 121
   Posted 10/31/2012 3:20 AM (GMT -6)   
Hi Denise

Thanks for the encouragement, will keep update in a few days.
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