5 days post large HH and nissen

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Sadiegirl
New Member


Date Joined Aug 2013
Total Posts : 12
   Posted 8/19/2013 6:22 PM (GMT -6)   
Hello every one. I!m new here and posted before but I don't see it so here goes again. I had the nissen fundo 5 days ago and am having such bloating, it's not even funny. Never had a problem swallowing so I have eaten crock pot chicken which falls off when you touch it and mashed potatoes and gravy. It goes down very well, but aftermI eat I get this phlegm that makes me cough. My whole stomach was in my chest because of a huge hiatel hernia. I never had gerd, which I,m pretty lucky but this bloating, never feeling hungry and I don't think I will ever be able to go out to eat again cause restaurant portions are always huge. Thanks for any advice.

Post Edited By Moderator (opnwhl4) : 8/19/2013 8:05:51 PM (GMT-6)


opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 8/19/2013 8:05 PM (GMT -6)   
Sadiegirl

Welcome to Healing Well and the Wrapped Club!

First off, SLOW DOWN. What you need to do for meals is eat 1/4 to 1/2 cup several times a day. No more 3 a day meals at least until you are healed. Your outside will heal WAY before your insides do. Think 6 months for about 80% healing and up to a year for the rest.
You will start to have issues with swelling of the wrap within the nest week or 2 and while that is happening it will be tougher to get food past the wrap. This is normal. Most likely your wrap will also get irritated and feel like reflux. This is from the swelling as well. Food can get stuck at the wrap and ferment if it doesn't go through. To help this try drinking something warm. It helps to relax the swollen wrap and finish washing what's left through.
Chicken can be a big problem once the swelling takes a hold. Solid meats and soft bread are a problem early on as well and should be waited on until about 6 to 8 weeks out. Mashed potatoes can be a problem too if not runny. Things without enough "body" to it is what usually gets stuck.
If the wrap area gets irritated back off your diet for a couple days and try again slowly. Chew everything to a liquid. Toast usually is okay as it can be chewed to a liquid, same with ground meats.
Please stop by the resources thread at the top of the forum and read Denise's (dencha) recovery journal. She has a lot of great info there. We also have several recovery threads going on right now that will be of great help.

The phlegm and mucus is from going to fast with your diet. Again remember small frequent meals. No straws, carbonation, or overly cold drinks. These will either add excess air into your stomach or cause the wrap area to spasm. Eating slowly, like waiting 30 seconds or more between bites will help ease the amount of air swallowed as well.

It's more important to stay hydrated early on than eating a lot.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 8/19/2013 8:29 PM (GMT -6)   
Hi Sadiegirl,
Welcome to the Healing Well yeah yeah yeah Wrapped Club! yeah yeah yeah I can see Bill has already provided you with a wealth of great information.  I agree 100% with what he has told you.  The top of the stomach is where the fullness receptors are located.  The swelling caused by the surgery sends a message of fullness to your brain.  This will resolve as healing progresses.  It's a natural part of recovery.
 
Please slow down on your eating.  Take tiny bites and chew, chew, chew.  As Bill said, a warm beverage can be helpful in relaxing the esophagus and helping things get through the wrap.
 
Here's the link to my early recovery journal:  http://www.healingwell.com/community/default.aspx?f=45&m=2183443
Hopefully, it will provide you with some helpful information.
 
Glad you've joined the forum!  Be sure to ask any questions that come to mind, and we'll do our best to answer them.
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

pennie
Regular Member


Date Joined Aug 2013
Total Posts : 33
   Posted 8/22/2013 1:14 PM (GMT -6)   
Bill
 
You told Sadiegirl not to drink anything overly cold or it will cause the wrap to spasm. What about drinking your Boost cold? Is it possible for your wrap to be swollen at 11 wks. I still have soreness in my wrap area. 
 
 
pennie idea

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 8/22/2013 3:42 PM (GMT -6)   
pennie-

Yes your wrap can be irritated. I wouldn't think it's still swollen from surgery, but can be from irritation. That can be anything from something getting stuck to something too cold or hot. The first 6 months is a crap shoot as to who will be issue free in 2 to 3 months or take 6 months or a little longer.
Since you still have soreness there it could be from food sitting there. I would try drinking something warm a few minutes after your eat. Like warm tea or coffee, water. That can help relax the wrap and flush what's sitting there on through.
Have you tried a heating pad or ice on that area? I used both during my recoveries.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

pennie
Regular Member


Date Joined Aug 2013
Total Posts : 33
   Posted 8/22/2013 4:08 PM (GMT -6)   
Bill
could it be that I'm just not healed on the inside yet. I thought it take at lease six months to feel 80% better. The inside usually take longer to heal than outside right. For some reason I thought the wrap stayed swollen until you heal on the inside. If wrap is swollen from irritation what  do I need to do to get rid of the irritation?

pennie

Post Edited (pennie) : 8/22/2013 4:11:02 PM (GMT-6)


dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 8/22/2013 4:28 PM (GMT -6)   
Hi Pennie,
You're definitely not healed on the inside yet.  As Bill said, it takes a full 6 months for most of the healing and a year for healing. Your insides take MUCH longer to heal than your incisions on the outside. 
 
 The wrap can become a bit swollen when it gets irritated either by foods getting stuck at the wrap site, or rough foods going through the wrap.  This is totally normal.  If you get some irritation, just be careful to chew your food thoroughly, and only swallow smooth foods.
 
I would recommend that you allow the Boost to get a little less cold before drinking if it is bothering you at all.  Iced drinks can cause discomfort and spasming.  The wrap can stay swollen, which is why some people continue to have some bloating problems during the early months of healing.  All you need to do with wrap irritation is to baby your wrap and stomach by eating carefully.
 
The swelling will gradually subside over time as you heal.  As Bill mentioned, you're not having the "peak swelling" that we discussed earlier.  You're past the worst of it.  Whatever swelling you may have would be mild compared to that. 
 
It sounds as if you're worried, and I want to emphasize that you don't need to be.  Just go with the flow and let your body take its own sweet time to heal.  You can't rush healing, but you can slow it down if you don't follow the eating rules of taking small bites and chew chew chewing your food until it is a liquid/creamy consistency.  Don't eat anything that does not chew to a liquid.  When you eat and take medication, be sure to sip plenty of water afterwards, so your esophagus muscles have a few more opportunities to push things through.
 
If you can surrender to your recovery and follow its lead all will be well.  Try not to struggle against the reality of recovery.  Just hang in there and stay positive!
 
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

pennie
Regular Member


Date Joined Aug 2013
Total Posts : 33
   Posted 8/22/2013 9:10 PM (GMT -6)   
Hi Deneise,

Ice cream and sherbet is on the menu my doc gave me. Am I suppose to follow the menu and just not eat the ice cream and sherbet? The only protein on my menu is soft fish. My food feels like it is still sitting at the wrap site waiting to get in because some still back up in my esophagus a little. It's not as bad as in the beginning. It's gotten a little better. In my fourth week my doc said it was not food coming up from the stomach but food that was sitting at the wrap waiting to get in. Is it normal for all of your food to not still get through the wrap at this stage in my recovery (12 weeks). I don't think it is the reflux I was feeling before surgery. I will follow both you and Bill's advice and not drink anything overly cold because you guys have already been through this and know what you're talking about. I'm going to also stop eating ice cream and sherbert. I have a doc appointment Monday. In the back of my mind I feel like my reflux is back. My husband keeps telling me that my surgery is still young and I'm not as young as I use to be so it is going to take longer for me to heal inside. I'm really hoping that is the case because I donot want another surgery. Is it possible that reflux sensation will go away after I heal.
 
pennie rolleyes

Post Edited (pennie) : 8/23/2013 6:20:58 AM (GMT-6)


Lois123
New Member


Date Joined Aug 2013
Total Posts : 13
   Posted 8/22/2013 9:44 PM (GMT -6)   
Hi all, I never knew about the cold being a problem. I'm 2 wks post NF, and appreciate the experience and wisdom . im just going with the flow, everday is better than the last. Thanks, Lois

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 8/23/2013 7:17 AM (GMT -6)   
Pennie-

everything you are experiencing is very normal. food and stuff sitting at the wrap is very common while everything is healing. Drinking something warm after eating or taking neds really does help to flush the rest through the wrap.
One thing to remember is that the esophagus is a "dumb" organ, it basically senses all pain as heartburn or reflux. It takes time for everything to heal. And it will with time.

Lois123-

Welcome to Healing Well. and the Wrapped Club!
Perfect way to look at this difficult recovery. Just go with the flow!

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

GC1pink
Veteran Member


Date Joined Nov 2012
Total Posts : 532
   Posted 8/23/2013 7:45 AM (GMT -6)   
Hi,

I hope that you are feeling better. May ask what size hernia you had? I already have spasms and do find that a hot drink plus a hot water bottle on my chest helps a lot.

Ian Victor
Regular Member


Date Joined May 2013
Total Posts : 214
   Posted 8/23/2013 9:34 PM (GMT -6)   
Meanwhile, I am following this post closely and hoping to learn from Pennie's experiences. I guess the theme is "take it slow and don't rush anything." Pennie, I really am cheering for you, because I only have 5 days to go before my wrap. Please keep posting. I am interested in how you finish out the week. Get well!

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 8/24/2013 6:54 AM (GMT -6)   
Ian-

My thoughts on this recovery is to think of it as a marathon not a sprint. Nice and steady pace and when things get tough back off and catch your breath.

Trust me, you have a lot of knowledge from here and you are ready to do this.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

Jenn50
New Member


Date Joined Aug 2013
Total Posts : 13
   Posted 8/24/2013 2:08 PM (GMT -6)   
I found the discussion in this thread very helpful. I'm 12 days post op and not doing as well as I thought I would be. But reading this I think that I am eating too much cold food (Ice Cream (my all time fav!), popsicles and cold drinks). After several days cold food and drink no longer caused spasms, so I thought it was completely ok - I even imagined that the cold would help reduce the swelling in the surgical area.
I think I will stay completely away from the cold stuff for a few days and see if it makes things better.
Thanks all
Jenn50

Mindbodynsoul
Regular Member


Date Joined Jul 2013
Total Posts : 32
   Posted 8/24/2013 11:37 PM (GMT -6)   
Hi there. I am 10 days post op and feel great. I have had no problems with my diet. Just following a soft diet, and walking everyday. I purchased a Nutri Bullet and make fresh juices everyday which helps with healing. The only problem I have is tummy tenderness and swelling. My bra hurts, my pants hurts. sitting hurts. It's more uncomfortable than acute pain. I am sleeping ok and feel no reflux at all, just moderate gas pain at times. I am having another 10 days off work and hopefully will be ready by then. I truly believe that moderate walking and plenty of fresh juices helps the overall healing process

pennie
Regular Member


Date Joined Aug 2013
Total Posts : 33
   Posted 8/26/2013 12:44 PM (GMT -6)   
Hi Denise,
 
I saw my doc today. I told him I  still felt soreness between the breast bones (wrap area) and he said I should be healed by now, since it's been almost three months. I told him I thought your insides heal slower than the outside and he said evryone is different. I told him I still felt like I was refluxing and he seems to think I am not. He's sending me to have a ct scan and a barium swallowing test on Wednesday, Aug 28. After reading about LPR, Now I'm beginning to wonder if I have LPR. What kind of doc do you go to for that. Is it a GI Doc. I'm trying not to worry. I might be jumping ahead of myself so I'm just going to take it a step at a time and wait until testing and results are final. He said I should not have any swelling in my wrap area at this stage. Is it still possible that some foods are still sitting at the wrap area, and  coming up feeling like reflux. I will be 11 wks out on Aug 28. How long do you know of people having this reflux sensation. Will it go away.
 
pennie

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 8/26/2013 2:55 PM (GMT -6)   
pennie

11 weeks is very early yet for this recovery. Go ahead and get the tests to help ease your mind though.

Food sitting at the wrap is a huge possibility right now. Have you tried to drink something warm a few minutes after you are done eating?

What you are going through we have seen lots of. Somewhere around 2 to 4 months people are so frustrated with the odd symptoms still going on. Some are afraid it didn't work and some are sure it didn't work. Then usually a couple to few months later the symptoms slowly go away and everything settles down and they are happy.

Please be patient with this recovery. It can be a long drawn out thing that will frustrate anyone. It is very much worth the results in the end though.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

pennie
Regular Member


Date Joined Aug 2013
Total Posts : 33
   Posted 8/26/2013 5:33 PM (GMT -6)   
Bill,
 
Thank you for your advice. It feels good to know that what I'm going through is normal. I don't know why my doc said I should be healed on the inside by now. It was sort of odd when he said that because I am still feeling soreness on the inside. Will let you know the results of my test.
 
pennie
 
 

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 8/27/2013 10:12 AM (GMT -6)   
Sadiegirl

Wanted to see how you are doing. Hoping all is well.

Take care,
Bill devil
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11
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