Vomiting after Nissen Fundoplication

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FlaCracker
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Date Joined Oct 2013
Total Posts : 234
   Posted 11/7/2013 10:08 AM (GMT -6)   
I have posted about my nissen fundoplication. Everything has been going well so far until this past Tuesday November 5th. I got a stomach bug and vomited off and on for 24 hours. I took Reglan, Zofran, Phenergan pills. Phenergan suppositories. I can't take Compazine as it drops my blood pressure too low. Nothing would stop it. I went into the emergency room and the doctors could not stop it either. Finally, exactly 24 hours it has ended. The doctor said it looked like the wrap was intact with the x-ray but I am scheduled for an Upper GI.
 
I need help to understand all of this. My sensation is a burning in tummy. No upper GI burning. The tightness around diaphragm is not as severe. Liquids are moving down my throat better not like down a drain.
 
I am very upset by how swiftly this can happen. I don't want to redo this procedure.  rolleyes   
 
FC

Alcie
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Date Joined Oct 2009
Total Posts : 5005
   Posted 11/7/2013 12:55 PM (GMT -6)   
I understand Paregoric liquid is back on the market. It's miraculous in stopping full-blown vomiting. If you can just get it swallowed it works within seconds. The only drawback is the horrible taste.

An upper GI should show whether the wrap is where it belongs, below the diaphragm.

FlaCracker
Regular Member


Date Joined Oct 2013
Total Posts : 234
   Posted 11/7/2013 3:16 PM (GMT -6)   
I am now experiencing pain after eating. I could hardly eat any chicken soup today. Have not eaten since Tuesday. I called the surgeon's office and they are stating they don't think I need the upper GI as they don't think the wrap came undone. Severe pain in back too. Surgeon's office said I would not be able to talk if wrap was damaged. I don't understand all of this.
 
FC

Alcie
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Date Joined Oct 2009
Total Posts : 5005
   Posted 11/7/2013 4:42 PM (GMT -6)   
Of course the wrap could have been damaged. I had a bad episode of vomiting that pushed my wrap slightly above my diaphragm, which means back through my just previously repaired hernia. I grabbed the Paregoric I had left, but not fast enough; the damage had been done. Fortunately I was able to get the episode stopped and prevented more serious herniation. I could talk just fine. The wrap location shows on CTs and MRIs, but I can live with it at least for now.

I would ask your regular gastroenterologist. He's more likely to order the test. If he won't, your PCP can order it. I've had more than one surgeon tell me there was nothing wrong with me when I complained about a problem after surgery. I've been right, in general, about something needing to be corrected, although not necessarily surgically.

I would go back to liquids until that's comfortable, maybe use a blender and avoid hard things like beef. Then follow the rest of the prescribed diet as the stomach and esophagus allow.

You are allowed a second opinion! (even here on the forum, where hopefully you will get several)

lajenner
Regular Member


Date Joined Jul 2013
Total Posts : 349
   Posted 11/7/2013 6:55 PM (GMT -6)   
I'm sorry to hear about this. I sure hope some of the more experienced mods/admins from this forum help with their advice, soon. I was told that if I vomit, I have to go immediately to the ER. That scares me since the surgeons around where I live don't do the nissens, so how could they fix one gone bad?

I hope it's just some swelling going on, but I would demand some accurate testing to find out.

Take care and advocate for yourself!
Laurie
GERD (Nissen Fundolplication Sept. 2013)
IgG, IgM Deficient
Chronic Pain caused by Degenerative Arthritis,
Asthma, Chronic Sinusitis, Allergies,
Chronic Kidney Stone Disease, Depression/Anxiety

FlaCracker
Regular Member


Date Joined Oct 2013
Total Posts : 234
   Posted 11/7/2013 7:24 PM (GMT -6)   
Thank you for the feedback. I don't know if I can drink a barium swallow at this point. My body is still fighting this flu/virus. But I am able to absorb the anti nausea meds in my system at this time. 
 
Can an endoscopy show a damaged wrap as well?
 
FC 

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 11/7/2013 9:32 PM (GMT -6)   
Hi FC,
Remind me...how long ago did you have your NF?  Sorry to hear you're struggling.  Did you have a barium swallow x-ray?  If you were that sick for that long, even if your wrap held strong, you're going to have plenty of pain and irritation. 
 
It would be expected, as all that vomiting (both acid and stress on the wrap) would definitely cause serious pain and irritation.  It will take quite some time to get feeling better again.  Babying it is a wise decision.
 
Hope it gets feeling better soon!  Let us know what you find out and how your healing progresses!
Take care,
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

FlaCracker
Regular Member


Date Joined Oct 2013
Total Posts : 234
   Posted 11/8/2013 3:44 AM (GMT -6)   
Dencha,

I had my Nissen just about 3 months ago. The wrap is sore. I can only take liquids. Right at the V part of the diaphragm, I was having severe tightness prior to all of this sickness. Now the tightness has dropped just below that V. I don't know if that explains much but I do not feel the vicegrip around the chest/diaphragm anymore. It did not bother me as I had gotten used to it.

My surgeon's take on the whole thing was I was challenging my wrap. I experienced esophageal spasms. All I was eating at the time was mac n cheese. I have only been eating soft foods since the surgery. Do esophageal spasms induce vomiting?

I don't mean to be a downer. I have been depressed by everything that has transpired. I was feeling really good and people were commenting that they couldn't believe I had been in surgery. It has certainly been a setback.

FC

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5005
   Posted 11/8/2013 2:28 PM (GMT -6)   
When you vomit, are you just heaving or does something actually come up? You shouldn't actually be able to vomit past the wrap. It's great to hear the anti-nausea meds are helping. Keep some with you at all times.

Endoscopy is worse than the barium swallow, and there's a chance of doing damage to the esophagus. Endoscopy only allows the doctor to see inside the esophagus and stomach while you are still. Barium swallow shows what happens when you eat or drink, awake and in different positions and whether any reflux is happening.

Chew, chew, chew your food! We should all do this, always, whether or not we've had surgery.

Depression is normal after major surgery or when you are in pain. Hopefully that will end when you feel better. If it doesn't, get help. There is a depression forum on the website.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 11/8/2013 2:56 PM (GMT -6)   
Hi FC,
At 3 months, eating mac and cheese shouldn't be challenging your wrap unless the macaroni isn't cooked enough, or you're not chewing it to a liquid.  Chew, chew, chew is the mantra around here, and it's worth taking it seriously.
 
You can cause discomfort and nausea by challenging your wrap, but it shouldn't involve vomiting that won't quit.  Esophageal spasms are very painful, but don't mimic nausea and vomiting, at least from what I've read here on the forum.
 
It sounds as if you got a bad stomach bug.  Retching or vomiting are both very hard on the wrap (BTW, I have been able to actually vomit in three different bouts of stomach illness.  I could feel the wrap holding things back, but with enough pressure, it gave way enough to vomit.) . Even vomiting/retching one or two times can set your recovery back and make things very uncomfortable for a few weeks.  After what you've been through, I expect you've got lots of swelling and irritation.
 
It's important to baby your wrap.  Liquids and soft foods only, until it gets feeling better.  It is totally expected to have pain and swallowing discomfort, and even spasm, after such a trauma.
 
Hang in there...it'll get better again!
Take care,
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

FlaCracker
Regular Member


Date Joined Oct 2013
Total Posts : 234
   Posted 11/8/2013 3:24 PM (GMT -6)   
Thank you Alcie. I was able to vomit. Meds are working now and having clear liquids. I've got to remember to chew. Another patient I know who went to the same surgeon forgot the same thing to chew. Vomited. You feel really good and forget. It's a painful reminder. The depression forum is an excellent suggestion.

Thank you lajenner,
Feeling better. Actually made it into work today. Can't burp anymore like that terrible night so I'm guessing that's a good sign.


Thank you Dencha,
I keep forgetting to chew, chew, and chew. I want to go back to my old eating ways. My wrap feels just like the day out of surgery. Super tight around diaphragm, and swollen. Irritated shoulder blades and neck. It's like I took three steps forward and two steps back.

FC

FlaCracker
Regular Member


Date Joined Oct 2013
Total Posts : 234
   Posted 12/3/2013 6:39 AM (GMT -6)   
Follow up to ER episode last Month (November). As my earlier posts state, I caught a stomach bug and ended up in ER. The x rays showed Nissen intact so I delayed barium swallow. I noticed my stitches had become displaced but since I was feeling actually better; I ignored it. Slowly, I am feeling increased acid reflux and pain while eating. A burning sensation at the sternum where the stitches were. Water burns.
 
Since the 21st of November, I have increased chest pressure and high blood pressure. The blood pressure was always normal. I do not know if I had a tear in the esophagus, hiatus repair. Extreme pressure in back of head. I have had 2 eye hemorrhage since that day. I am on my way to the eye doctor this morning. PCP this afternoon for blood pressure. Appt with surgeon next week. GI doc next week.  
 
Can you get a barium swallow if there is a tear in the chest wall? I am concerned air pressure has leaked into the chest wall. Food etc. Can you do an endoscopy this soon? Need help.
 
FC
 
          

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 12/3/2013 10:01 PM (GMT -6)   
Hi FC,
Sorry to hear you're still struggling. It's good that you're seeking medical attention. I don't think there's any reason not to get the barium swallow. It should be fine.

Hang in there, and let us know how it goes!
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

FlaCracker
Regular Member


Date Joined Oct 2013
Total Posts : 234
   Posted 12/4/2013 2:52 AM (GMT -6)   
Denise,

Thank you for checking.

Eye hemorrhage due to vomiting and or sneezing according to eye doctor.

Blood pressure due to stress at work. Also, PCP mentioned people tend to eat foods or drink that aggravate health problems at the holidays.

Barium swallow appointment set. Will update.

FC

lajenner
Regular Member


Date Joined Jul 2013
Total Posts : 349
   Posted 12/4/2013 10:16 AM (GMT -6)   
Sorry to hear you have to go through all this. I sure hope it all just aggravated and nothing more.
Laurie
Nissen Fundolplication Sept. 10, 2013

FlaCracker
Regular Member


Date Joined Oct 2013
Total Posts : 234
   Posted 12/4/2013 4:25 PM (GMT -6)   
Thank you all for answering.
 
I know the blood pressure is not related to the surgery. My blood pressure was fine throughout the surgery and recovery. My father passed away the day before Thanksgiving 2 years ago so the combination surgery and memories are making it harder than usual the past couple of weeks. Today was a good day. No reflux or pain.
 
Michelle

lajenner
Regular Member


Date Joined Jul 2013
Total Posts : 349
   Posted 12/4/2013 6:46 PM (GMT -6)   
So sorry Michelle :hugs: If it was just the healing from surgery we had to deal with, it would be simple. It seems we all have other issues. Take care and I hope your wrap and digestive tract are are in good order.
Laurie
Nissen Fundolplication Sept. 10, 2013

FlaCracker
Regular Member


Date Joined Oct 2013
Total Posts : 234
   Posted 12/5/2013 6:05 AM (GMT -6)   
Thanks Laurie. I didn't realize so many factors can increase or slow down the healing process. Last night I attempted a Beano pill and it took one hour to go down. Have you or anyone encountered that with pills in the early process of the surgery?
 
Michelle   

StephanieJean
Veteran Member


Date Joined Jun 2013
Total Posts : 500
   Posted 12/5/2013 7:24 AM (GMT -6)   
I had an ibuprofen tablet get stuck early on. it was really horrible.
occasionally I will get gelcaps stuck a little, but not so often.

I am sorry you are having such a hard time. I am thinking of you and hoping that your better days start outnumbering the bad.

RubyOne
Regular Member


Date Joined Aug 2013
Total Posts : 20
   Posted 12/5/2013 12:56 PM (GMT -6)   
:turn All: Thanx to everyone who has offered comments re: Nissen. Today is one month out of surgery and 5 weeks on liquid diets. I can now eat regular foods although after reading so many of your comments, I will be very very careful.

I woke up this morning feeling that old tightness in the chest and immediately became reactive. The thought of fear started creeping in as I know the failure rate is high. My tummy was up in my chest and feeling that familiar sorta indigestion symptom was scary.

The bloating I have had since Day One and do take gas x and it seems to help.

I am going to start back on the Nexium. Is this a big No No?

Seems im a little impatient about feeling really better. I feel a little better. Everyone is different BUT is there a norm when you know you have gone through the recovery aspect and this might be as good as it gets.

Again, thanx for all your information. I am also now aware that I know nothing about the wrap and the after effects. I know I have one.

In wellness I send you love and light

BacciB turn

FlaCracker
Regular Member


Date Joined Oct 2013
Total Posts : 234
   Posted 12/5/2013 2:37 PM (GMT -6)   
Hi Rubyone,

You might want to start a new thread on your symptoms and questions.

There is swelling and you will continue to feel it for a while. There are some experienced forum moderators who can assist you. I take the Nexium every day. Also, Carafate for the stomach lining.

Vomiting or dry heaves is a no. But if you get a stomach bug like I did you need to get to ER or get anti nausea meds. Don't pick up anything heavy for a while. Some people start exercising right away but be careful. I know of someone who started running and at 6 months the wrap came undone while she was on the treadmill. Everyone is different in recovery. Get your medical report from the surgeon and doctor to see what he/she did.

In reading your prior post; I am glad you got the surgery. My HH started as a sliding hernia but during the night the stomach would turn and go under my armpit. I actually felt acid reflux under my armpit.

Any questions you have; feel free to ask the forum group.

Take care...Michelle

RubyOne
Regular Member


Date Joined Aug 2013
Total Posts : 20
   Posted 12/5/2013 2:52 PM (GMT -6)   
OMG. under your armpit. Incredible. When I saw that the doc stated people can go back to work after two weeks and exercising, etc., I thought that was the norm for recovery. Im glad I got the surgery but I'll tell you, what went along with the surgery like 5 days in the hospital where there was a great shortage of nurses. Things like they couldn't find an IV so they put a makeshift in me, don't go to the bathroom alone but there were no nurses answering for 30 minutes or more, etc etc. No patient amenities that worked like call buttons.

Those things plus the surgery could make someone nuts.

I also had to go outside my community for my surgery and couldn't drive for one week after operation so had to stay in Denver in a skilled nursing facility. What a cuckoo's nest that was. I might right a blog about the whole experience. You really had to be thIere to hold on to the sense of humour that gets us through most.

Thanx for response.

I seem to have two handles here. BacciB and RubyOne. I don't know how that happened.

BacciB

FlaCracker
Regular Member


Date Joined Oct 2013
Total Posts : 234
   Posted 12/5/2013 3:10 PM (GMT -6)   
BacciB,

Look at the earlier posts in this thread for the names of the anti nausea meds. Oral or suppositories. Get cough drops. I had a tickle in my throat and kept cough medicine with me at all times. I think it was the work done on my diaphragm. Coughing will aggravate the wrap too.

Sorry about your experience in the Denver hospital. I live in the Washington DC area and I went to the ER recently and the nurse could not find a vein for the IV and stuck me 7 times.

Hang in there...

Michelle

RubyOne
Regular Member


Date Joined Aug 2013
Total Posts : 20
   Posted 12/5/2013 5:05 PM (GMT -6)   
Hi:

I don't know how this post got assigned to me I have not vomited at all. Thank goodness. My daughter lives in DC. I almost went there for the surgery.

After I checked out of the Hospital from Hell, I landed at a Skilled Nursing facility. I didn't know that they caretake mostly dementia patients there. FOdder for another blog.

Thanks for all the info and if I start to vomit I'll let you know LOL. I contacted my surgeons office for a surgery report. You would have thought I was asking for gold. Strange. Im not sure if I was wrapped or not. I think I was. Are there other things to annoy the wrap????

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 12/6/2013 1:23 AM (GMT -6)   
Michelle-

While there is a chance you did tear the HH repair or wrap I really don't believe you tore your esophagus. I've had a torn esophagus and I was in the Er and off to a University hospital ICU within 4 hours of the tear.

It hurt so bad from the fluid and such going into my chest I could hardly breathe.

Here is a link to my story of that and my extra nissens.

www.healingwell.com/community/default.aspx?f=45&m=2337138

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

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