The Carafate helps heal an irritated stomach, but once things feel fine, I eat anything I like. For the first couple of years post-Nissen, I'd irritate my wrap if I ate a large amount of salad, or other rough foods that can't be completely chewed. It worked well for that type of irritation as well, which only ever lasted a few days.
Certain antibiotics kill my stomach. Also, too much coffee or wine (beer is fine). This is the thing, though...when my stomach gets REALLY bad now, I take a PPI to reduce the acid assault on the stomach lining, and take Carafate as well. It is very rare, but it clears up much more quickly than it did pre-Nissen.
Before my surgery, gastritis would bubble acid up into my esophagitis, and the esophagitis was excruciating. I couldn't eat any normal food without pain. I lived on egg custard. That's when I'd end up with a flare that lasted months.
Another thing I'd like to mention is that now that you're wrapped, it's unlikely that you'll get rebound when stopping a PPI. I had a 24hr PH monitor/wire placed a couple years ago on the request of my asthma/allergy doc (it proved the wrap was working fine, which I knew). I went off the PPIs for a week, and had absolutely no pain/reflux associated with that--very unlike my pre-Nissen experience. I guess I'm mentioning this so you know that a temporary use of PPIs for gastritis will not lead to the same horrific rebound problems you had previously.
Yes, if I get a minor irritation issue, I treat it will just Carafate suspension. Given a few days, it generally clears right up. I should tell you that I take 40mg Protonix an hour before dinner always. My allergy/asthma doc wants to make sure that no errant reflux (and there can be some reflux post-Nissen...just much less--if the surgeon brought reflux to zero, you wouldn't be able to swallow food or liquid)makes it to my lungs.
My Nissen was necessitated by severe lung involvement/uncontrollable asthma. When my reactive stomach has a more severe irritation, I just add another PPI dose in the AM. The addition of the PPI really makes a difference, and my stomach feels better almost immediately.
One other thing. I've found that if I get mild nausea, Zantac can really help get it better. I guess I've discovered that in my case, at least, nausea can be caused by an irritated stomach lining, and the Zantac helps calm it down. If you're totally refusing to use a PPI, 300mg Zantac/Ranitidine would be helpful, I'm sure.
As far as my Nissen, though...bottom line is that it has solved the problem. I have allergies/asthma, so I still can get pollen issues, but my condition is now completely controllable. Prior to my Nissen, my lungs were a mess. My PCP said my condition was life-threatening. I'm so happy with the results of my surgery! I have my life back.
Good luck with your stomach issues. Don't be afraid to use meds to help yourself along. Hang in there!
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.”
Post Edited (dencha) : 11/20/2013 6:03:39 PM (GMT-7)