Question for Bill and or Denise

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txman4102
Regular Member


Date Joined Jul 2013
Total Posts : 90
   Posted 2/12/2014 5:11 AM (GMT -6)   
I hope you all are doing well. I have not chimed in for a while but it looks like I have run into some trouble. Like BColt and Stephanie, I had a full wrap in Aug and am having problems. Recently I noticed some heart burn but the acid was only burning the wrap and could not come up any further. Shortly after the heartburn started, I was having chest pains very similiar to what I had before surgery including shortness of breath, etc. The chest pains and flutters scared me enough to go to ER where the docs noticed an abnormal blood enyzme. They kept me two days for observation but determined that my problems are realted to GERD.
 
I do not think my wrap has been compromised but maybe just irritated? I still cannot voluntarily burp and again I do not think the acid is reaching my esphogaus. I have been on a high fiber soft diet since being discharged from the hospital on Saturday but the tightness in the chest is still persistent. I have had maybe two carbonated drinks since the surgery (Aug) and I thought I was doing everything right for a long lasting recovery. Guess not.
 
It also feels like my wrap is being shocked (having flutters). I am not sure what else I can do. I am taking 2 Nexiums a day along with some carafate. Did either one of you experience anything like this 6 months after your surgery? I hope the wrap is just irritated but I do not see any signs of the irritation going down.
 
I see my surgeon today to discuss options. I really hope I do not have to go through the procedure all over again. Thanks again for all your help.
 
Rob

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 2/12/2014 3:37 PM (GMT -6)   
Rob-

If it still intact, and it sounds like it is, there could be something in your diet irritating your stomach and causing this.

I did have a few episodes where I'd eat something that irritated my stomach and since the wrap held everything down I had pain there. I haven't had anything like that sine the 1 year mark, unless I over eat.

Have you added anything new or been adding any larger portions to your diet?

Remember only about 80% of the healing happens in the 1st 6 months and the rest takes another 6 months.

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 2/12/2014 9:41 PM (GMT -6)   
Hi txman,

Sorry to hear you're having some discomfort. It doesn't sound as if your wrap has failed, so you don't have to worry about that. At six months, you're still healing, so things may bother you more. I remember getting wrap irritation whenever I ate too many side salads in a row, or even one big dinner salad. Hamburgers also bothered me...I guess the grizzle going through the wrap.

I always have described it like this: If the stomach is sensitive or sensitized, the wrap will be also, since the wrap is created out of that stomach. In my case, I have a reactive stomach, so because of that I have a reactive wrap.

I figured I'd always get an irritated wrap when eating too many salads or raw veggies, but lo and behold, some time after the year mark--maybe even closer to two years--I began being able to eat as many salads as I wanted without a single twinge of irritation.

That's the thing...even though you may still be getting some discomfort now, it doesn't mean it will always be the case. Conversely, there's nothing that says something you eat might not bother you many years out. Those of us who have had severe enough trouble with our upper GI tracts to require surgery, have some upper GI issues, and these could rear their ugly heads anytime.

The main thing is, don't panic or worry over it. Just baby your wrap for a while and give it a chance to heal and get feeling better. Once it's back to normal, and feels good for a couple weeks, go ahead and introduce those fun foods back into your diet.

Let us know what your surgeon says!
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

eLaReF
Regular Member


Date Joined Aug 2012
Total Posts : 74
   Posted 2/13/2014 4:42 AM (GMT -6)   

Hi Rob

I'm 10 years in from my wrap and did have a tummy bug a few years back which was causing quite sharp pains in my chest slightly to the right of my heart and below my ribs - but I didn't have any burning/heartburn sensations.

I went to my doctor and she gave me some pills for a suspected bacterial infection (don't remember what these were).  She said I needed to come back if the problem persisted, but it resolved itself over the next few days so I didn't need to.

Were you checked for H. Pylori and other bacterial infections when you were in ER, as I think these can cause abnomolies in your blood results?

Hang in there.

Les.

 

 

 



txman4102
Regular Member


Date Joined Jul 2013
Total Posts : 90
   Posted 2/13/2014 6:31 AM (GMT -6)   
Thanks for the replies and sound advice. I will make sure to stay on a soft diet for a while. I met with my surgeon yesterday and he set me up for an endoscopy next Thursday.
 
Les: You bring up a good point about infections in hospitals. According to my cardiologist, my abnormal blood test indicated that something had stressed or is stressing my heart. I told him that I feel swelling in my chest and it is restricting my airway.
 
 

txman4102
Regular Member


Date Joined Jul 2013
Total Posts : 90
   Posted 2/21/2014 4:21 AM (GMT -6)   
Hello everyone. I had my endoscopy yesterday and the doctor was pleased to inform me that my wrap is still in tact.....Good call Denise! His diagnosis is Gastritis. He has placed me back on Nexium and a high fiber diet (which I have always been on). No greasy or spicy foods.
 
I have a followup meeting with my doc on Mar 2 to discuss further treatment. In the meantime, I am going to take ya'lls advice and cut down on food consumation by breaking my meals into four or five smaller ones. Cannot hurt to try.
 
I have grown accustomed to stomach pain and bloating, but what convinced me to seek medical help is the intense pressure in my chest and the feeling of having a heart attack. After my ER scare two weeks ago and the abnormal heart enzymes, I will go ahead and make an appointment with my Cardiologist just to make sure everything is ok. I still think the cardio problems are a result of the gastritis but we will see. Thanks again for all you do on the forums. We could not make it without you.
 
Rob

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 2/21/2014 4:33 AM (GMT -6)   
Rob-

That's good news. I think the smaller frequent meals will help out.

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 2/21/2014 10:04 AM (GMT -6)   
Hi Rob,

That's what I suspected. Having a reactive stomach, that's something I'm very familiar with. In fact, when discussing the problem with my GI doc once, I mentioned that I thought I had chronic gastritis. Instead, he diagnosed a reactive stomach, and was very confident with that diagnosis. They're very similar. As I said, your wrap is created out of your stomach, so when your stomach is feeling poorly, so will your wrap. They're "cut from the same cloth", so to speak.

Keep babying that stomach, and be sure that anything that enters it is either soft to begin with, or is chewed to a liquid/creamy consistency. Part of the digestive process involves stomach muscles mashing its contents, so anything in there that could scratch or irritate will make things worse. Smooth, soft, liquid--all good.

My GI doc said to wait until my stomach felt perfect for two weeks before trying any foods that might challenge it. At that point, introduce foods slowly, and see how you do. Healing gastritis takes a while, so be patient. The PPI will help a lot. Whenever my stomach gets going, I step up my acid reduction meds, and it really helps.

Good luck!
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
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