2 week after surgery and heartburn back again

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Silent world
Regular Member


Date Joined Aug 2012
Total Posts : 35
   Posted 3/28/2013 7:36 AM (GMT -6)   
I had my surgery don 2 weeks ago , sometims i feel light heartburn and LPR symptoms like throat pain and i feel needed to clear my throat , im still had my PPIs day and tow days off , i asked my surgeon about this and he told me :
" This is caused by acid rebound when you taper off of PPI. Please take an H2 blocker on the days you don't take PPI. H2 blockers such as Zantac or Pepcid will help. You should stop PPI completely and use H2 blockers and mylanta as needed.

Once your hormone levels normalize (Gastrin), you won't have the acid rebound "

My qustion is had anyone feels like me in this early stage thin had improved with reflux or acid rebound ?

Somthing els my sergeon is dr Carson liu from santa monica, CA

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 3/28/2013 12:11 PM (GMT -6)   
Hi Silent World,
Welcome to the Healing Well yeah yeah yeah Wrapped Club! yeah yeah yeah Glad you've joined us. Many surgeons recommend that their patients continue with PPIs during the early healing months, and begin stopping them after healing has progressed a little further. This way the healing wrap is protected from the rebound acid you're describing. That's what I did, and it was very helpful.
 
At two weeks, you are still experiencing a lot of surgical pain. My surgeon told me that the esophagus is a "dumb organ", and that it interprets all pain as reflux. Pain that you're experiencing as reflux is very likely the esophagus misinterpreting surgical pain.
 
Did your surgeon tell you that your wrap would become increasingly more swollen during the first two weeks or so, and that your swallowing would get worse before it got better? Did he/she tell you that this is a long recovery, and that it takes a full six months for most of the healing and a year for the rest? This is important information for you to know, since it will help you understand that at your stage of recovery you are in the infancy of recovery and you have a long road ahead.
 
Because of the swelling of the wrap, it can be misshapen (more swollen on one side than the other, for example) and that can allow reflux to slip through. Once things have healed and the wrap fits against the esophagus/stomach smoothly, it will work much better.
 
Keep in mind, though, that even after surgery and complete healing, you can still get some reflux...just much, much less. If the surgeon made your wrap tight enough to stop ALL reflux, it would be too tight to swallow. Their goal is to reach "normal" levels of reflux...the kind "normal" people without GERD experience when overeating or eating too much of a trigger food.
 
Hang in there! It definitely gets better with time. I would suggets that you continue on the PPIs for a while, and give your wrap a chance to heal before it faces the onslaught of acid rebound. Of course, that's an individual decision that you and your doctor can make.
 
Again, glad you've joined us!
Happy healing,
Denise

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Nissen Fundoplication 2/09
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