bruised/sore wrap or reflux?

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Worker Bee
Regular Member

Date Joined Aug 2011
Total Posts : 21
   Posted 3/31/2013 1:27 PM (GMT -6)   
Hi All,
I am 2 years post Nissen Fundo.  I am lined up for revision surgery in October of this year as I have some recurrence, as evidenced on 24hr pH testing.  However, my symptoms have been much worse the last 4 days, after I rushed some food at lunchtime.  This was some BBQ chicken and chunky fries.  I ate a couple of mouthfuls quickly, then swallowed.  The swallow, at it approached/passed through the wrap as momentarily quite painful, akin to the feeling of food "going down the wrong way."  I had a second mouthful to try to assist the first one through, but got the same sore sensation of food bolus going down, which I never normally have post fundo.  Since then I have had what feels like bad, chronic heartburn as well as some pain radiating across laterally to the right from the wrap (possible hernia repair scarring or nerve endings?)
I am wondering whether these heartburn sensations are real heartburn, with the food bolus I swallowed perhaps having been too large and stretched the wrap as it passed through.  This would seem unlikely, given how strong the wrap is supposed to be, but the sensations are identical to heartburn.  Alternatively - and this is where I would like your views - perhaps the wrap was momentarily stretched/strained/scratched/bruised and what I am left with is a sore wrap that just needs to calm down.  Problem is that it has been 4 days of misery with no lightening of symptoms.  The discomfort doesn't really respond to Ranitidine, which makes me think it might not be reflux, just the esophagus sending pain like messages that are the same as reflux.  Any suggestions as to how I might speed up the healing/calming down process, assuming it isn't reflux?  It is certainly getting me down. 
Also, my barium swallow x ray did not show reflux, but my 24hr studies (had two of them to be sure) did show reflux.  Has anyone else had these divergent results?  I know 24 hr testing is the gold standard, as barium swallow is just a snap shot (and stomach is distended during testing so not necessarily representative of the stomach's behaviour during normal eating).
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