3 month post op reflux?

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Regular Member

Date Joined Aug 2013
Total Posts : 25
   Posted 1/5/2014 9:43 PM (GMT -6)   
I had the lap nissen done late September 2013 and over the last 2 weeks or so I've started experiencing reflux symptoms again. I'm getting chest pressure, cough, needing to clear my throat and pain below my sternum. These were my symptoms before the surgery and I'm worried that it didn't work. I was able to eat normal pretty quickly after the surgery and feel I recovered well. The symptoms have only been going on for about two weeks now. Christmas was painful even though I don't feel I ate that much, I was bloated and had gas and my chest hurt all day. It's been pretty constant since then with burping even after just water.

I understand it takes 6 months to a year for full recovery and so I don't know if I should go back to the doc or give it time. I've started retaking my Zantac and it has helped some but not enough. I was told a received a loose wrap and wonder if it was just too lose? They did also fix a small hiatal hernia. I'm going to start watching what I eat again, going back on the GERD diet, and maybe start taking Zantac twice a day instead of only once a day ( I've been on that dosage and schedule before)

Any advice would be great. If you've had repeat surgeries how and when did you know you needed it redone?

Army Wife Strong

Nissen 09/25/13

Forum Moderator

Date Joined Feb 2009
Total Posts : 7188
   Posted 1/5/2014 11:23 PM (GMT -6)   
Hi CMiller,
At three months people often get into problems. That's when we tend to introduce more challenging foods into our post-Nissen diets, and we challenge our newly-formed, still healing wraps. The esophagus is a dumb organ, and all pain is interpreted as reflux. It's likely that much of that pain is just irritation. Christmas is a time when everyone overdoes it.

No worries...just baby your stomach. It'll likely take a couple weeks to get back to a comfortable state, but be patient. Back off and stick with softer foods for a while. Stay away from irritating spices, acidic foods, and alcohol. Give your poor wrap/stomach a break.

I know it's hard to deal with, but this recovery isn't a straight line. It is a bit of a roller coaster, with ups and downs. Steps forward and steps backward. You'll get there, though.

Those of us with sensitive GI tracts are even more susceptible to all those challenging foods/drinks around the holidays. The surgery doesn't cure our sensitive stomachs...just keeps most of the acid in our stomach, where it belongs! Of course it is possible to get some reflux after surgery. The surgeon goes for "normal" levels. If he/she were to make the wrap tight enough to keep absolutely all acid at bay, you wouldn't be able to get food past it!

Hang in there. With rest, your wrap/stomach will get feeling better.
Happy healing,

GERD/Heartburn Moderator
Nissen Fundoplication 2/09

"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

Veteran Member

Date Joined Dec 2008
Total Posts : 4961
   Posted 1/6/2014 4:53 AM (GMT -6)   

I agree with Denise. also I knew something was very wrong with my 1st wrap about 8 weeks in. I had a very hard time getting anything past the wrap unless U coated it in some type of sauce.

With my 2nd redo I knew right away also because the wrap was tore apart and my symptoms were worse than I ever had. This was caused from what had to be done to save my esophagus though when it tore.

Take care,
Moderator: GERD/Heartburn, Kidney disease

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

Regular Member

Date Joined Aug 2013
Total Posts : 25
   Posted 1/6/2014 10:08 AM (GMT -6)   
Thanks for the advice, I'll take it easy and give it some time. I have added some spicy foods and alcohol to my diet recently so maybe it was just too much.

Army Wife Strong

Nissen 09/25/13
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