Hi Silent World,
Welcome to the Healing Well Wrapped Club! 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!
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.”