Nissen post-op questions: diet and exercise rules

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Jinx77
New Member


Date Joined Apr 2012
Total Posts : 14
   Posted 3/1/2013 9:32 AM (GMT -6)   
Hi everyone! I'm a 28 year old average weight female here, and 17 days after my first nissen fundoplication (partial wrap) surgery. At this stage I am very pleased with the procedure. For five years I had chronic reflux, bleeding ulcers, hiatus hernia, esophagitis, inability to burp/uncontrollable belching, loud gurgling sounds, trapped gas pain, and severe heartburn. It's early days but at this stage all these symptoms are gone :-) I still have a feeling of tightness and minor discomfort in my chest that increases with exercise but I expect that this will ease as my body adjusts to the wrap (fingers crossed!). I also have an infected incision wound due to doctor removing stero-strip too early, but am now on antibiotics and the wound is beginning to heal again. The minor inconveniences after surgery are nothing compared to the years of daily pain associated with GERD!

I have several questions about post-op particularly relating to food:

1) The nutritionist put me on a full liquid/vitamised diet for 4 weeks, then a soft food diet for another 2 weeks after that. She was quite adamant that I could only eat vitamised foods for the first month, nothing with any lumps in it whatsoever (eg: mashed potatoes). However on reading this forum I was surprised to read that most people advanced to solids within days. Must all soups be strained until the second month? Also is it okay to eat tiny portions of smooth peanut butter from a spoon, or is this considered a solid? What about strawberry smoothies with those little bits of seed in them? I ask this because I'm really struggling with a diet of juice, strained soup, vitamised veggies, smoothies and yoghurt. At 2 weeks I'm itching to try new things even if it happens to be soup with tiny vegetable flecks in it tongue

2) After the 6 weeks post-op diet, at what rate should I gradually introduce other foods eg: bread back into my diet? Salad rolls are my favourite food, when can I introduce these back into my diet? Also I am going to Japan in three months, is it safe to expect that by then I will be able to eat what I did before the surgery?

3) Are there any foods I will have to avoid permanently after having this surgery?

4) The nurse told me not to lift anything heavier than a milk carton and to avoid any rigorous exercise including walking for more than 20 minutes a day. When I do my daily walk to the train I do notice I feel puffed out and my stomach is sore. At what stage can I begin doing more walking and household chores such as vacuuming again?

5) How likely is it that I will have to have my wrap re-done later down the track?

6) Every day I do diarrhea several times. I have had IBS for many years and trying to figure out whether the diarrhea is just the IBS playing up or if I should be worried about dumping syndrome.

7) Is the tight pain in my chest normal for 17 days post-op? It is in between my breasts and I assume it's where the wrap is.

Thanks everyone in advance :-)

Also I would like to say good luck to all those on this board experiencing GERD and considering Nissen surgery. Everyone is different and surgery is not for everyone, but at this stage I have been very happy with my procedure and feel like a weight has been lifted from my shoulders. It feels so good to eat soup and have it stay down afterwards, rather than making a surprise appearance 45 minutes later! Let's hope it lasts, hey?

Post Edited (Jinx77) : 3/1/2013 8:48:23 AM (GMT-7)


Jinx77
New Member


Date Joined Apr 2012
Total Posts : 14
   Posted 3/1/2013 11:37 PM (GMT -6)   
Any help would be very much appreicated :-)

Lallabee
Regular Member


Date Joined Dec 2012
Total Posts : 20
   Posted 3/2/2013 4:53 PM (GMT -6)   
I hope someone can answer these questions for you, because my Nissen is in 9 days and I'm curious.
So glad to hear things are going well for you. Makes me less nervous.
By vitamised do you mean blended? We use a Nutribullet...well my husband does mostly, but I'm having awesome healthy veggie and fruit drinks everyday to make my body strong for the surgery.
Surgeon said it would be great to use it after surgery, but I don't know if he mean't right away. Probably after the week of clear liquids.

Jinx77
New Member


Date Joined Apr 2012
Total Posts : 14
   Posted 3/2/2013 6:57 PM (GMT -6)   
Good luck with your surgery Lallabee hope it goes without a glitch! Yes vitamised just means put through the blender until there are no lumps or flecks. I was told to vitamise then strain all soups, even store bought already smooth ones, to break up any bits of vegetables. I was only on clear liquids for a day then they wanted me to progress to full liquids on the second day, maybe they'll do the same with you. Take care!
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