Fundo Recovery Questions

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txman4102
Regular Member


Date Joined Jul 2013
Total Posts : 90
   Posted 8/29/2013 3:08 PM (GMT -6)   
Denise and Bill,
 
You both have mentioned that days 14-21 are pretty critical during the recovery phase of the Nissen Fundoplication. I am currently on day 9. My discharge instructions (vague as they are) state I could return to normal activities and diet minus steak and bread on day 6. Of course I have not followed those instructions because I know from this forum that there is more to recovery than what I had been advised. I have been learning from you guys/gals on what steps to take to secure a solid recovery. 
 
I understand that once peak swelling starts (next week for me) that I should back off my soft diet and return to liquids. I have also learned some of the things that I can and cannot tolerate. I had my first cup of coffee this morning and I feel like somebody punched my in the stomach. I have put coffee on the do not drink list. Looks like it is back to Earl Grey tea for me.
 
Some friends want to have some adult drinks after work tomorrow and I am not sure if it is wise to test the waters. I know anything carbonated is a big no-no and I would not even consider it. I read in Bcolt's journal that she had no problem with adult drinks on day 10. Would it hurt my wrap to have a couple of non-carbonated adult drinks on day 10? According to my discharge instructions, I am free to consume whatever I want except bread and steak. I am also off the pain meds. Just wanted your 2 cents on the subject.
 
I would also like to caution folks to consult their pharmacist before having this surgery regarding drug interactions. I did have a negative reaction between two medications. I take lorazapam approximately once a day for panic attacks and my doctor told me to continue taking it even with the Lora-tab (pain meds). I trusted his advice and took them on the same day and wow.....I started having hallucinations and hearing voices. That was my very first experience of drugs not playing nice together. It is no fun let me tell you! As a result, I stopped taking the pain meds and will keep them on hand just in case I have severe pain.
 
Please do not make the same mistake that I did. There are so many drugs on the market these days and sometimes doctors do not stop and think about the potential negative interactions. Please take that extra step and consult a pharmacist if you are taking multiple medications and are prescribed a new one. It could save your life.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 8/29/2013 4:35 PM (GMT -6)   
Hi txman,
It is true that as swelling increases difficulty swallowing does, too.  Just listen to your body.  If you start having trouble with soft foods, then move to liquids.  It's really a trial and error thing.
 
I can tell you that at 6 days post op, my surgeon did warn me of swelling that peaks around the two week mark.  That said, he also turned me loose to use my own good judgment when eating.  No steak or untoasted bread was also advised.  He said I could eat "anything that can be chewed to a liquid/creamy consistency".  I loved that advice.  My teeth/mouth acted as my blender.  Once I got that advice, I never used my blender for anything.
 
That said, I was still very careful about eating.  I took very small bites and chewed my food very thoroughly.  I never swallowed anything that didn't chew to a liquid.  It was trial and error, and I kept a paper napkin handy to deposit any offending foods.
 
My husband and I continued to go out to dinner throughout my recovery.  I generally chose my meals carefully...in the beginning stuck with soups.  One time I had crepe manicotti, which was delicious.  It was a half order and I brought home more than half.  My stomach didn't tolerate very much food in the beginning.
 
I also cooked beef, potatoes, onions, and carrots in a crock pot with a package of Lipton soup mix and a cup of water.  I cooked it for 12+ hours and when it was done it was so soft and easy to chew that I was even able to eat the beef.  Trial and error--don't eat anything that you can't chew to a complete liquid.
 
If you forget sometime (once I ate a half cherry tomato and it didn't chew properly and got stuck) relax.  Just get a warm beverage (stay away from iced drinks)--tea is my choice...and take sips until it goes down.  You'll get some discomfort/spasms, but it'll go down and you'll live through the experience!  Some people find that they cough up whatever it is the way a cat coughs up a hair ball.  I never did that, though.  Still, be careful, small bites and chew, chew, chew.  No swallowing anything that is not chewed thoroughly/liquid.
 
Above all else, listen to your body.  If you get too frisky and push your wrap with too much food exploration, back off to liquids until it feels better.  It's not a straight line recovery...it's more of a roller coaster at times.  In the end, though, it's all good.  If you can surrender to your recovery, listen to your body, and go with the flow, you'll do fine.
 
As far as alcoholic beverages, I'm not a great one to talk to.  I have a very sensitive stomach, and at your stage, I was being very careful with it.  I'd recommend you just take sips and listen to how your esophagus and stomach are reacting to them.  I'd take it very slow, and enjoy the camaraderie without going overboard with the drinking.  Once you're healed, you'll be back to drinking whatever you want.  Just remember you're healing.  Trial and error...see what happens!
 
Have fun with your friends!
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

alib6
Regular Member


Date Joined Jul 2013
Total Posts : 77
   Posted 8/29/2013 5:36 PM (GMT -6)   
Denise
How long was it before you tried lumps?
Thank you
Ali

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 8/29/2013 8:34 PM (GMT -6)   
Hi Ali,
My surgeon set me free to eat at Day 6 to eat "anything that could be chewed to liquid" and I went to town experimenting on what foods I could eat.  I took tiny bites and chewed everything to a liquid, but I ate a wide variety of things.  No raw veggies, no untoasted bread, no hard meats.  Actually chicken worked better than hamburger, which tends to have some grizzle/fat that is hard to chew.  If whatever I ate didn't chew completely, then I spit it into a paper napkin.
 
I was able to eat cooked veggies in soups, but again, only those I could chew completely.  I even at clam chowder on Day 6.  I didn't eat the clams...just the potato and cooked celery and broth.  It was DELICIOUS.  I ate saltine crackers with it...I found that crispy things chewed to a liquid easier than some other things.
 
The key is listen to your body, take small bites, and chew chew, chew, chew.  You'll enjoy your eating!  Now, if your wrap gets irritated, back off and stick with liquids...then move forward again once it feels better.
 
You can do it!
Happy healing,
Dense
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

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 8/29/2013 10:30 PM (GMT -6)   
I was told the same as Denise. Anything I wanted minus solid meat and soft breads, but chew it very well and take small bites.
Stick with your diet as is, but if it does get harder to get past the wrap, then back off some.

As for adult drinks, if it's not carbonated I'd try it. Remember not to drink if you are taking any pain meds though. Also the drinks will probably effect you more since your body isn't 100%.

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

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

alib6
Regular Member


Date Joined Jul 2013
Total Posts : 77
   Posted 8/30/2013 2:26 AM (GMT -6)   
Thank you both so much
Ali
X

txman4102
Regular Member


Date Joined Jul 2013
Total Posts : 90
   Posted 8/30/2013 3:41 AM (GMT -6)   
Thanks Bill and Denise!
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