Nissen fundoplication

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cw1305
New Member


Date Joined Mar 2014
Total Posts : 4
   Posted 3/29/2014 2:16 AM (GMT -6)   
Hi guys, I've recently gotten the Nissen fundoplication procedure done by keyhole surgery. Before the surgery, I was suffering from bad reflux so I decided to try put a stop to it. Since having the surgery (currently on day 6) I have been unable to swallow without getting bad hiccups and having the need to make myself vomit to relieve what can only be described as trapped air and agony! After being sick I feel relieved and the pain pretty much goes away completely, I'm in hospital on a drip and a lot of iv drugs as I'm not able to swallow anything in tablet form without severe discomfort. Has anyone else experienced symptoms similar to this?

FlaCracker
Regular Member


Date Joined Oct 2013
Total Posts : 235
   Posted 3/29/2014 6:48 AM (GMT -6)   
I hope you feel better. I had no trouble swallowing pills my entire life. After the Nissen, I can only have pills in liquid form or crushed. The hiccups are a side effect of the surgery. Sneezing and coughing too. I was also admitted to the hospital after the Nissen last year. I had a stomach bug and was severely dehydrated. The recovery takes a long time.

Michelle

CaryF
Veteran Member


Date Joined Nov 2007
Total Posts : 505
   Posted 3/29/2014 10:08 AM (GMT -6)   
Once again,Your rude posts are NOT going to be allowed.

Post Edited By Moderator (opnwhl4) : 3/29/2014 10:15:10 PM (GMT-6)


cw1305
New Member


Date Joined Mar 2014
Total Posts : 4
   Posted 3/29/2014 4:50 PM (GMT -6)   
Hi Cary F, I can assure you that this is my first post ever on the website! I was wrongly told to go home the day after my surgery without having swallowed a thing and have only come back into hospital yesterday as I had two horrible days of dehydration and starvation at home! I'd appreciate it if you wouldn't post these kind of comments on my posts as I am genuinely looking for help from others, thanks

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 3/29/2014 6:24 PM (GMT -6)   
Hi cw1305,

Welcome to the Healing Well yeah yeah yeahWrapped Club! yeah yeah yeah Glad you've joined us!

While I'm not certain I'm interpreting what you're saying correctly, it sounds as if you've got an extremely tight wrap, or a lot of swelling causing it to be tight. That would explain why things are likely getting stuck at the base of the esophagus--being held back at the wrap site, and why you're "vomiting" it back up for relief.

It makes sense that you're back in the hospital, to get some relief from discomfort and especially to get liquids into you via IV. Occasionally, someone's wrap swells an extreme amount, which keeps them from being able to eat or drink. I'm glad you're under medical care, so you can receive the proper help you need.

I will say it's not wise to make yourself vomit, once wrapped--especially at this stage of recovery, no matter how much discomfort you have. Once you've had the fundoplication, you should always carry anti-nausea medication, just in case you get a stomach bug or vomiting episode. During early recovery, especially, the wrap is adversely affected by the amount of pressure is caused by vomiting or retching.

Be sure to ask your doctor or surgeon for anti nausea drugs, just in case you need them. I have a script for Zofran, which works on less severe nausea, and one for Compazine suppositories, which works best when you're having an all out stomach bug. It stops you from vomiting repeatedly.

The hiccups are a very common and painful symptom post-Nissen. I believe the cause is irritation to the diaphragm during surgery. I didn't have the problem, but from what I've read here, it can be brought on by drinking something that is too cold, and eating too quickly. I'm sure there are other triggers as well.

What you're experiencing is not typical, but it happens occasionally. Hang in there. You're in the midst of the most difficult part of recovery, and you're experiencing more difficult than average symptoms. If you can "keep the faith", and make it through the next couple weeks, you should find things getting better.

Sorry you're having to deal with this!
Glad you've joined us. I'm sure there will be other members stopping by to welcome you and provide support and information.
Very 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

cw1305
New Member


Date Joined Mar 2014
Total Posts : 4
   Posted 3/30/2014 12:15 AM (GMT -6)   
Hi dencha, thanks a lot for such a positive reply! The vomiting and retching have stopped as i seem to have more control over the hiccups now, I find that drinking smaller sips of water helps a lot! I've managed to keep down tiny sips of water and apple juice which I'm pretty happy about!
I feel myself getting slowly better, I think it's better to focus on the baby steps (or baby sips in my case) to recovery!
Thanks again for your kind words they've helped a lot!

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 3/30/2014 1:16 AM (GMT -6)   
cw1305

I want to apologize for the earlier comment. That is not typical of this forum.

As Denise said, avoid cold drinks and keep with the small sips frequently. I got hiccups when my stomach was full. It let me know to stop eating or drinking.

At your stage in the recovery things are swelling and your stomach volume is much smaller. I also want to caution you about the vomiting and retching. It is very hard on the wrap and can really irritate it even once you have healed. I carry anti nausea meds with me at all times just to be safe.

Gas bloating can be a problem after this surgery for a while, but does usually get better with time. It may take several months to go away though. Try to keep from swallowing air by not using straws and avoid carbonated drinks until things improve.

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

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

cw1305
New Member


Date Joined Mar 2014
Total Posts : 4
   Posted 3/30/2014 2:19 PM (GMT -6)   
Hi Bill, that's fine no hard feelings!

I managed to eat a yogurt and some jelly and ice cream for the first time in a week today, so hopefully that's a good sign of progress!
I think the best approach for anyone else going through this recovery period is to take comfort in the fact that you're better than the previous day and focus on the little positive things!

Cidermilljulia
New Member


Date Joined Mar 2014
Total Posts : 6
   Posted 3/31/2014 6:28 AM (GMT -6)   
I hope that you feel better soon.

I am past the four weeks mark now and can eat and drink a lot more.

I think that before the surgery I had no idea what a major operation it was

Now that I have accepted this I am giving myself plenty of time to heal I feel a a lot better about everything. As you said ..... small steps.

Kind regards Julia turn

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 3/31/2014 1:45 PM (GMT -6)   
Julia-

Surgeons not giving enough or the correct information about what this recovery is really like is a common complaint. I too wasn't given much information my 1st time around and sure wish I had found this forum before I had my 1st one done.

We are in the works of putting something together for the resource page at the top of the forum for information about all this.

It's good to hear things are turning around for you.

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

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

FlaCracker
Regular Member


Date Joined Oct 2013
Total Posts : 235
   Posted 3/31/2014 5:58 PM (GMT -6)   
Bill,

Is it common to have residual pain around the shoulder blades 7 months after the Nissen? Or pain in the chest area?

Michelle

Josij
New Member


Date Joined Mar 2014
Total Posts : 3
   Posted 4/1/2014 6:50 AM (GMT -6)   
I had the nissen fundoplication surgery done Friday, March 28, 2014 which was only a couple days ago. It has been rough but i am home now so on with the healing process. I havent felt like eating much of anything but I know I have to. This morning I had a little cream of wheat so far. My stomach just feels so bloated and yes my whole body aches like a trailer truck ran over it. When I take a breath my whole frame hurts. I am a active person so sitting here it hard for me. I want to do my laundry and things but it will have to wait. I was only around 127 lbs before this and i am roughly 5ft 6 in. I had severe gerd acid reflux for over 10 years and a hiatal hernia so I had to have this. I went to Pennsylvania hospital to go with a specialist in this even though I live by the Jersey Shore.
I am so glad for this forum because I didnt really no what to expect. I know it is going to be a long healing process. I just want to get pass this and be able to eat without acid reflux choking me. I am not on anything at this time but tylenol. I hate ppi's (proton pump inhibitors) all they ever did was make me worse. I can hardly wear anything at this point but a dress because my stomach feels so swelled. Thanks for all the input on here.

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 4/1/2014 10:13 PM (GMT -6)   
Michelle-

At 7 months you are somewhere around 80% healed. The rest takes the better part of another 6 months or so. So, yes, you cans still have pains there.
I had pain in my back after my 1st redo that finally went away after the 1 year mark.

Does it hurt all the time or do certain things set it off?

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

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

FlaCracker
Regular Member


Date Joined Oct 2013
Total Posts : 235
   Posted 4/2/2014 5:23 AM (GMT -6)   
Bill,

Yes...I am still feeling the pain most of the time but I am partly to blame for it. I was able to eat better and gained 8 pounds very fast. I'm thinking pressure and still residual gas caught in diaphragm area from the large repair. I can feel that "air" in the chest too. When I burp, it's better.

Michelle
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