Approx 7 Months Post Nissen Reflux Sensations after Retching Episode Approximately 3 Months Ago

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

sreynolds
New Member


Date Joined Sep 2012
Total Posts : 19
   Posted 3/29/2013 8:23 AM (GMT -6)   
My daughter had the lap Niessen fundoplication surgery last August.initially,she had no sensations of gerd. After an episode of retching (CT scan said wrap was entact and upper gi said no reflux) she has been having regular "gerd" type symptoms just about every day. Now she is experiencing it before rising in the morning. She is taking pepsid,and tums. She also takes nexium sometimes.
I am told that these symptoms can be related to healing,does anyone have any suggestion or ideas about this? Thanks.
 
Added thread title...

Post Edited By Moderator (dencha) : 3/29/2013 11:33:18 AM (GMT-6)


dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 3/29/2013 12:28 PM (GMT -6)   
Hi sreynolds,
Welcome back to Healing Well!  Sorry your daughter is having problems.  When I had my surgery, my surgeon told me that "the esophagus is a dumb organ, and it interprets all pain as reflux".  It sounds as if your daughter has caused irritation with her retching.  I assume that you now have anti nausea drugs handy so it doesn't happen again.  The one that works best for me is Compazine suppositories, but others have good luck with Zofran and even Phenegran.
 
If she has irritated her wrap/esophagus, it will take time to get it healed again, and will set back her recovery.  In the best of situations (without the retching episode) the six month mark is a turning point when most of the healing is complete.  Her problem with retching has set this date back. It's not abnormal to be having a problem like this when retching has occurred.
 
Be sure she's eating very carefully...stick with soft, easy to chew foods.  Make sure she's taking small bites and chewing completely (to a creamy/liquid consistency) before swallowing.  This is very important as it will help protect the healing wrap from further injury.
 
It takes a full 6 months for most of the healing and a year for the rest.  In your daughter's case, this timeline has been increased.  Tell her not to give up hope.  She will get better!  It just takes time.  I think it's a good idea to take acid suppressers as she heals, since acid can create even more stress on the healing tissue. 
 
If she's actually refluxing some (probably from the swollen wrap being misshapen with one side more swollen than the other, thus allowing more reflux through) the medication can help her feel more comfortable as she heals.
 
Good luck!  Hang in there...
Best wishes and happy healing,
Denise
GERD/Heartburn Moderator
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.”
Eckhart Tolle

sreynolds
New Member


Date Joined Sep 2012
Total Posts : 19
   Posted 3/29/2013 8:00 PM (GMT -6)   
Thanks Dencha.
Could she be having reflexive the upper gi series said she wasn't?
Also, do you know about infections in the esophagus? I have seen that it can cause similar symptoms, including bad breath,which she has had a problem with. Is it going to be a problem if she gets back on nexium and pepsid every day when she is healed?

sreynolds
New Member


Date Joined Sep 2012
Total Posts : 19
   Posted 3/29/2013 8:01 PM (GMT -6)   
*reflux if...

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 3/29/2013 8:19 PM (GMT -6)   
Hi sreynolds,
If the upper GI series said there was no reflux, then it means that her wrap remains intact, and she didn't damage it during her retching episode.  Still, she could get some intermittent reflux that is bothering her. If she takes a PPI and it makes her feel better, then I'd suspect a little reflux is getting through her probably swollen wrap.  This doesn't mean she'll always need a PPI...just while she is healing.
 
No, there should be no problem with acid rebound when she goes off the PPI once she's healed, as the wrap will hold the acid in her stomach where I belongs.  She could always take a Zantac type medication to cover her, if her stomach seems to react.  Sometimes my stomach gets acidy, and I take a PPI to deal with that, rather than my non-existent reflux.
 
If the PPI doesn't help, then it's an indication that the "reflux" feeling she's having is really just pain.  All of this should clear up with more healing.
 
Good luck!
Denise
GERD/Heartburn Moderator
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.”
Eckhart Tolle

sreynolds
New Member


Date Joined Sep 2012
Total Posts : 19
   Posted 3/30/2013 7:44 PM (GMT -6)   
Thanks again. Would you wait it out or should we contact the surgeon? I'm afraid they will want to do more testing, and at this point I don't know if it is warranted.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 3/30/2013 8:20 PM (GMT -6)   
Hi sreynolds,
That's your call.  Only you know exactly how she's feeling. They did the testing and all was intact.  If it were me, I'd probably baby my stomach and wait it out.  You're within the healing period, which makes the likelihood that she'll heal and feel better pretty high. 
 
I'm not her doctor (or her Mom), though.  Still, even after years post-op, you can get some irritation caused by retching/vomiting.  Even then you have to wait it out...baby the stomach and wrap as it heals. It's important for her to eat slowly and chew her food completely, so it doesn't irritate the wrap as it enters the stomach. 
 
Did you get some anti-nausea drugs just in case (heaven forbid) she gets another bout of nausea?  That's key.  I carry it with me wherever I go, just in case.
 
Best wishes!
Denise 
GERD/Heartburn Moderator
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.”
Eckhart Tolle
New Topic Post Reply Printable Version
Forum Information
Currently it is Tuesday, September 18, 2018 6:01 PM (GMT -6)
There are a total of 3,004,432 posts in 329,145 threads.
View Active Threads


Who's Online
This forum has 161738 registered members. Please welcome our newest member, Rosheen.
206 Guest(s), 9 Registered Member(s) are currently online.  Details
OzLyme, JoHnGaMeR90, island time, Ss800, jberda1, John-Can, Relentlesswill, brucen36, Mamatomypeas