Acid after Fundo

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David614
New Member


Date Joined Oct 2014
Total Posts : 5
   Posted 10/25/2014 9:35 AM (GMT -6)   
Hello everyone,

This is my first post here, and I would appreciate your thoughts/opinions. I am a 30 year old male, I was diagnosed with extreme GERD as a baby. As a kid I had multiple endoscopies, visited the children’s hospital and eventually had a partial wrap nissen fundoplication done when I was 17. This surgery lasted about 10 years.

I had a “re-do” in June 2014, a full wrap. I stayed on my Prilosec 20 mg (4 daily) for a month. I then had my post-op appointment with my surgeon and he stated to go off of my meds completely. I did, and acid returned. I called the office and explained it was back, and they stated to go back on the meds and wait until the follow up appointment in November.

I did as they instructed and actually tried to go off of the meds completely on my own starting in late August. It was great, I slowly came off of the Prilosec (4 daily) and eventually was taking no meds for acid. Things have been great, no acid until 5 days ago. Now the acid is back strong, I started taking the Prilosec again four days ago, 2 a day and Zantac as well. This has not relieved the acid. I am going to go back to the four a day today.

My follow up appointment with the surgeon is in November and I will address all of this with him. I am simply wanting to know if this is normal? I never had complications with my first nissen. Is it possible that I will ever be off of meds again? I have been very careful with this surgery.

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 10/25/2014 2:28 PM (GMT -6)   
David614

Welcome to the redo club!

Even at 4 months you are still early in your recovery. You are older now and I'd expect your recovery to be different than before.

At this stage a lot of people get food sitting at the wrap and it feels just like reflux, but meds usually don't help much if at all. Be sure to chew very very well and after eating take some extra drinks to wash everything through.

Let us know if it helps.

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

David614
New Member


Date Joined Oct 2014
Total Posts : 5
   Posted 10/26/2014 10:20 AM (GMT -6)   
Bill,

Thanks for the response. If this was food sitting, would it be constant reflux like pain? I feel the burning sensation in my esophagus. I haven't had anything "stuck" for over two months now.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 10/27/2014 9:23 PM (GMT -6)   
Hi David,

As Bill said, you can get foods/medications held up at the wrap site and not be aware of it. That can irritate your esophagus and create reflux symptoms. The esophagus is a dumb organ and interprets all pain as reflux.

At four months post-op, people tend to branch out in their eating choices, and sometime challenge their wrap and end up with some problems and backslide on their recovery. This is totally normal and nothing to worry about.

Be sure that you take small bites and chew, chew, chew your food until it's a liquid, creamy consistency. This surgery takes six months for most of the healing and a year for the rest. You're still in the midst of early recovery, so be patient.

It's possible that you challenged your wrap enough to allow a little extra reflux through, although my money is on food sitting at the wrap site. Either way, it's a normal part of your recovery, and nothing to panic over.

Patience! You will recover and things will improve with time. Hang in there!

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

David614
New Member


Date Joined Oct 2014
Total Posts : 5
   Posted 10/28/2014 10:03 PM (GMT -6)   
Denise,

Thank you for the reply. I read that the "esophagus" is a dumb organ. I hope this is the case with me. I have been having pain on my left side, about 5 inches away from the belly button, under ribs (near two incisions). What would this be from? It is not constant, but happens occasionally, almost like "needles" being poked in.

Regarding my diet, I must admit, I haven't really followed anything for the last couple months. My surgeon simply said eat solid food once you feel comfortable.

What about activity limitations? I have six kids, so my recovery has been very fast. My surgeon didn't discuss this, I asked and he simply said, "be careful because I won't do a third surgery on you as you would need to be cut open (due to scar tissue)."

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 10/29/2014 12:59 PM (GMT -6)   
Hi David,

At four months post-op, you're bound to get some pains. Some of these will persist for a while. Actually, for probably two years after my surgery, I'd awaken with pain at the wrap site if I slept on my side for too long. This resolved sometime in the third year or so.

Your internal organs were moved and held out of the way to make room for the surgical tools. There is one port (generally in the rib area) where most of the tool manipulations occurred, and that will be the one where pain persists the longest.

At your stage, you need to always remember to take small bites and chew, chew, chew. I suspect that you're irritating things by pushing too many challenging foods and forgetting the importance of chewing it to a liquid. Just because things don't feel stuck any more, doesn't mean that you no longer have to make adjustments for the tightening of your LES.

Hang in there...it's all worth it in the end. Actually, redo surgeries can take a little longer for recovery, as they're more extensive than the first one.

You can do this!
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

David614
New Member


Date Joined Oct 2014
Total Posts : 5
   Posted 11/13/2014 10:27 PM (GMT -6)   
Bill & Denise,

I “weaned” off my Prilosec in four days, and have been acid free with no medication for the past two weeks. I have been eating smaller meals. Thank you for all of your suggestions/assistance. I was honestly worried the wrap was failing, I think I just tested it.

I had my follow up appointment this Monday with my surgeon. He mentioned that the acid episodes can be normal. Additionally, he just emphasized that I watch my diet still.

Regarding exercise, he was adamant that I CANNOT do weights, pull ups and even push ups. Now this is the second time I have heard this from two different surgeons. He specifically mentioned it is because this was a “re-do” and things are more complicated now. I was surprised by the “push ups” limitation. He recommended walking, biking and swimming. Bill, since you had a re-do as well, have you heard the same thing from your surgeon (regarding exercise limitations)? Thanks

David

MyUniqueMe
New Member


Date Joined Oct 2014
Total Posts : 14
   Posted 11/17/2014 2:54 AM (GMT -6)   
Hey David,

A couple of thoughts. When you say the acid is back, do you mean your tummy feels the acid/burning or you feel reflux and that old burning up the throat, or worse? I know you've discussed the "dumb organ" situation above, but I was just curious.

I am still on my prevacid solutabs and will be for the foreseeable future, per the doc's orders. I mentioned to him that I have some tummy acid and I'm burping a LOT which he said is normal with a posterior wrap. He asked me to take a dose of pepto in the morning to coat the tummy/protect it and to CHEW a couple of gas-x during the day to help neutralize the stomach acid/gases. I just checked to make sure there is a chewable form as opposed to the tablet.

Lastly, as far as exercise goes, I know that anything that causes you to tense up the diaphragm is going to be off limits for a long time. Walking, biking, swimming are all lovely forms of cardio that don't require that "grunt/push" that would come with weight training and all the other exercises you mentioned. Tensing and doing the ole "poop grunt" as my weight trainer calls it could cause problems at the surgery site so so be very kind to your tummy. :-)

Be safe!

Tami

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 11/17/2014 8:39 PM (GMT -6)   
David-

Sorry I have been away a bit.

Well I've had 2 redoes and a torn esophagus that had to be patched. None of my 3 surgeons said I couldn't lift, do pulls ups, pushups or anything I wanted to do, well they did say power lifting was probably a bad idea.

2 of these surgeons are at 2 separate larger teaching hospitals in 2 different states. I'm thinking if it was an issue one of them would have said something, since I asked both of them if I would have any limitations physically.


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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