Gastritis after nissen??

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gloopstar
Regular Member


Date Joined Dec 2013
Total Posts : 81
   Posted 10/19/2014 9:43 AM (GMT -6)   
I had my nissen done 10 months ago (December 2013) and my recovery has been pretty OK. in the last month or so i feel as though my reflux symptoms have returned. i keep getting the burning sensation and acid in my chest and it seems to anything and everything i consume. i have also had burning in my actual stomach, and prior to the operation I was diagnosed with gastritis. i was wondering if this was the problem? I am taking gaviscon at the moment, is it worth trying PPI therapy again? ive been really upset and depressed over this because im 21 years old and thought having the nissen would sort the reflux out and now i have this awful feeling my wrap has failed
sad sad sad

does anyone have any similar experiences or any advice they could offer me as it really has got me worrying!
I have posted a few times on this forum in the last few weeks but don't seem t get much response like i used to and i dont understand why??

Many thanks
Gloopstar

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 10/19/2014 9:26 PM (GMT -6)   
Hi Gloopstar,

A reactive stomach/gastritis is very separate from your Nissen. I have a reactive stomach, and get gastritis fairly often. For a long time I assumed I had chronic gastritis, but my GI doc said he'd put his money on the fact that I had a reactive stomach.

There is one thing that I think brings the two together...if your stomach is reactive, and your wrap is created out of your stomach, it's likely that your wrap will be sensitive as well.

I had my Nissen in February 2009, and it has improved my condition 100%. I had severe asthma made uncontrollable by reflux. That said, I still can get my stomach reacting, by eating/drinking badly for an extended time, or taking irritating medication.

When your stomach is flaring it is true that you can get some reflux, even post-Nissen. Keep in mind that your surgeon can't get your reflux to zero without making your wrap so tight that you can't get food through. It's no reason to panic, or be overly worried.

When I get a stomach flare, I do start taking my PPIs--maximum dose, an hour before breakfast and an hour before dinner. (Keep in mind that after the hour has passed, be sure the first thing you put in your stomach is high in protein, to ensure that your PPI works to full capacity. Milk is a good option.)

I also use Carafate Suspension, and find it extremely helpful in healing up an irritated stomach/gastritis. It also makes me feel more comfortable pretty much immediately.

You can also add Zantac at bedtime, if your stomach is a mess. These meds are only necessary until your stomach improves. The other important thing to remember is that you need to be sure that any foods you eat are soft once they hit the stomach. No raw veggies or popcorn, etc. No irritating spice, acidic foods, or alcohol. My GI doc said to be very careful with my diet until my stomach "feels perfect for two weeks, then begin adding back more challenging foods."

Good luck! Healing gastritis requires patience. It will get better!
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

gloopstar
Regular Member


Date Joined Dec 2013
Total Posts : 81
   Posted 10/20/2014 10:28 PM (GMT -6)   
Hi Denise!
Thankyou for your response. I went to my doctor today who has placed me on lansoprazole 30mg twice daily for a few weeks then ween off them. He also like you said just to take this whilst I am in a flare up and said it sounds like my wrap is irritated because I have a reactive stomach (I also have IBS you see!)

Can I ask how long you took the high dose of PPi?
I have felt better today and the reflux like pain has settled down

Many thanks :)

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 10/21/2014 8:33 PM (GMT -6)   
Hi Gloopstar,

I took it until my stomach felt "perfect" for those two magic weeks. I always found the reduction of acid in the stomach to be very helpful in helping heal it. Did you mention the Carafate to your doctor? If you've got a reactive stomach/wrap, it is something you would find very helpful to have around. It is one more item in your arsenal.

I should say that my PCP and asthma docs have requested that I continue taking a PPI before dinner daily, even though my Nissen has been a great success. The surgery doesn't eliminate all reflux...if the wrap was tight enough to stop ALL reflux, it would be too tight to allow food by. The goal is to create a situation where our reflux is like that of our normal friends who aren't bothered by enough reflux to send them to surgical repair. I have very sensitive asthmatic lungs, and the continuation of a PPI is a proactive way to protect them.

The wrap will protect you from the typical painful reflux that can occur when weaning off the PPI. I remember my experience having a 24hr pH monitor, and going off all PPIs. Pre-Nissen I had terrible pain and suffering when taken off the PPIs cold turkey, and post-Nissen I had absolutely no trouble.

Hang in there. Gastritis is no fun, and it takes patience to get it healed. Don't jump the gun on eating/drinking challenges. You can set your healing back quite a bit. You can do this!

Happy healing!
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

gloopstar
Regular Member


Date Joined Dec 2013
Total Posts : 81
   Posted 10/22/2014 6:43 PM (GMT -6)   
thankyou for the reply denise

Yes i agree, think we sometimes expect a tad too much of the nissen! im very lucky to have gone 10 months with no PPI and no symptons, i guess this is just a blip in the recovery! the reflux i was experiencing with the gastritis has subsided. I too have asthma and used to make frequent trips to the asthma nurse and went through inhalers like sweets!

Since the fundo, I have had very few asthma flare ups and havent even had one since the gastritis so im presuming and hoping that this in itself means my wrap is still intact!

Do you not maybe think asthma inhalers contribute to gastritis and GERD? just a thought..

Many thanks
Gloopstar :-) :-) :-)

Johnny Seven
New Member


Date Joined Oct 2014
Total Posts : 2
   Posted 10/25/2014 10:23 AM (GMT -6)   
I'm writing in the hope that this gets to Denise....I hope I did this right!

I am 57 years old and have been a lifelong asthmatic, never under control, sometimes worse than others, but always a major presence in my life. Despite the obvious issues, I was able to stay in shape, even going so far as running the New York Marathon in 1996, and numerous half marathons from then to now. I always had an on and off problem with reflux and began to have episodes where I would aspirate in my sleep, resulting in several days of respiratory discomfort, sometimes worse. I had an endoscopy about ten years ago, revealing a moderate hiatal hernia and was told by my gastroenterologist that I might benefit from surgery to correct it; that it might help to improve my asthmatic condition.

We kept an eye on the situation, began a daily regimen of 40 mg. of omeprazole, and for a while things began to improve. Things began to get worse about three years ago, with numerous chest infections, increase use of asthma medications, and the use of prednisone on several occasions. In March of 2013, I ended up in the hospital for a night, received large amounts of steroids and began a downhill spiral…On October 7, 2013, I had a coughing fit that resulted in my passing out, breaking my nose on the bedroom floor. I then began to cough and pass out regularly, several times a day. I was admitted to hospital. The gastroenterologists on staff tested me again and all agreed that my symptoms were not as a result of a GI issue…..I was tested for seizures, was told that I may have Myasthenia Gravis, brain damage, and a multitude of other issues…..all were ruled out. I continuously pointed to my original doctor’s point regarding the hiatal hernia and was eager to have the surgery, regardless of whether it would help or not. I felt that I had little to lose.

After ten days, I was sent home, with no solution in sight. At this point, I was using the rescue inhaler twelve times a day in addition to nebulizer treatments, Xolair injections, antibiotics, prednisone, a full dose of steroid inhalers, the omeprazole, reglan and another GI medication which I’ve thankfully forgotten about. Whenever I was taken off of prednisone, I got worse. I was also coughing and passing out up to twenty times a day. I could not sleep for more than an hour and a half at a time. I was lucky enough to have an unemployed sister-in-law who was willing to sit with me during the day when my wife was at work. I went on disability and through another family member, got an appointment with a surgeon who was expert in Nissen Fundlopication surgery. He arranged for all of the necessary pretests and scheduled me for the procedure on November 26, 2013.

Almost a year later, I am on two puffs of a preventive inhaler daily…and I rarely use my rescue inhaler, going days without using it at all. I am also completely off of the omeprazole. I’m back to running, swimming, I sleep through the night and honestly, feel better than I have in all my life. Eating is different after the surgery, even ten months later. I’ve lost about fifteen pounds (I wasn’t heavy to begin with). I can’t eat as much, don’t tolerate much in the way of raw foods…and there are some days where the appetite is just not there like it used to be…I eat smaller meals, enjoy a lot of cereal for lunch and treat myself to cookies and ice cream at the end of most evenings….I have gotten used to living a bit differently and have no complaints. I consider myself lucky to be alive…..my wonderful wife insisted that I get my story onto this site (I consulted it many times before and during my recuperation), so here it is. It is my hope that this story may help others… Thank you for your support in all of this. It was very helpful to check the threads…you provide a lot of useful information to those of us with concerns regarding the process.

gloopstar
Regular Member


Date Joined Dec 2013
Total Posts : 81
   Posted 10/25/2014 10:42 AM (GMT -6)   
Hi johnny seven

Glad your symptons of reflux and asthma settled with the op. I too have asthma and don't suffer as much since Having the wrap.

Gloopstar :)

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 10/25/2014 2:24 PM (GMT -6)   
johnny seven-

Great story!

Good to hear things have gotten better. There is a thread on successful nissen stories and yours would fit right in. You could just copy and paste it there.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease
Esophagus tear 02/11
Nissen 6/06 and 5/09
#3 8/24/11
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