Welcome to the Healing Well Wrapped Club! Neck and specifically shoulder pain are extremely common post Nissen surgery. Actually, for most people, that pain is worse than the surgical pain from incisions. From what I understand it's caused by a combination of the gas pumped into you to open the field of vision for the surgeon, and the irritation of the diaphram/nerves. If you can get up and walk as much as possible, you may find it helpful. Even walking around the house can work. I had a treadmil and started walking on that, as it was winter and I couldn't get out. If you can get out to take a walk, and walk around the house in between, I think you'll likely find some improvement.
As far as the spasms continuing, I wouldn't worry. First, the irritation that created those spasms will not disappear after just 6 days of relief from reflux. Also, the esophagus is a dumb organ that interprets all pain as reflux. Your lower esophagus and stomach have been through a lot, and it will take time for everything to calm down and get feeling better. You've undergone major surgery, and it is going to take time to get feeling better. The pains are to be expected. Your esophagus didn't get that irritated in a few days, and it won't heal in a few either.
Be sure to stay away from iced or very cold drinks, as they can create spasms, which will only make your problem worse. Also, stay away from straws, as they can create even more bloating.
It's totally normal to worry about whether or not your surgery was a success or failure. We've all done that. During the early weeks of recovery it can be very difficult, and many question whether or not they made the right decision to go forward with their surgery. Given a few more months, though, they're posting glowing reports and are very happy wit the results.
Keep in mind that your wrap will become increasingly more swollen during the first two weeks post-op, so don't be surprised if your swallowing gets worse before it gets better. After your swelling peaks on or about the 14 day mark, it'll begin subsiding and your swallowing will improve again.
As far as your exhaustion goes, keep in mind that although you only have five little incisions, on the inside your body has undergone major surgery, and being tired is to be expected. Your internal organs were moved around, and your upper GI tract has been completely revised.
Every surgeon is different regarding eating protocols. Mine had me eating "anything that could be chewed to a liquid (creamy consistency)" from the fifth or sixth day post op. I did this, and had no problem at all. If you're anything like me, your stomach fills up very quickly. I could only eat a quarter to a half cup of food at one sitting. It's better to eat many small meals all day than to overstuff your stomach. If you take very small bites and chew, chew, chew, your mouth will act as your blender, and you'll do fine. If something doesn't chew completely, don't swallow it...deposit the offending food in a handy paper napkin.
Here are some eating recommendation links:
You'll find some recipes for blenderized drinks that are high in nutrition.
I don't know if you've run across my early recovery journal, but just in case you didn't see it, I'll include it here:
It'll give you an idea of what another person's experiece was like during the early recovery process.
Again, glad you've joined us! From what you've described, it sounds as if you are recovering just fine. You're in the toughest part of recovery, so hang in there! It gets better. If you can surrender to your recovery and follow it where it leads you, you'll do much better. You can't rush this. Your healing will take its own sweet time. Listen to you body and let it tell you what to do. If you can go with the flow, you'll find your recovery much easier.
Nissen Fundoplication 2/09
Allergy/Asthma"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.”