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Kayda
New Member


Date Joined Oct 2014
Total Posts : 8
   Posted 11/2/2014 10:51 AM (GMT -6)   
Hi. Glad I found this site and wishing all recoverers well. My surgery will be 11/6/14. After a trip to the ER 4 wks ago due to vomiting for 15 hours, I found out my stomach is upside down in my diaphragm and was obstructed, and have a large hiatal hernia. I knew about the hernia and have dealt with it for years. But my stomach almost ruptured and a nasogastric tube down my throat saved my life.This is my first major surgery and I'm SO nervous. One of many questions I have is this; if you can't swallow anything but liquids after , how do you take other meds in pill form? Some don't come in liquid, and are not supposed to be crushed. Any answers will be appreciated.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5004
   Posted 11/2/2014 1:32 PM (GMT -6)   
Welcome to the forum, Kayda.

You don't swallow pills. Get a pill crusher at any pharmacy (ask) and some pudding and applesauce. Your doc will give you a script for liquid pain meds when they send you home.

I'm surprised you weren't already in surgery as an emergency. These things don't go away by themselves.

I hope you are in a large university hospital with VERY experienced surgical team. This is a very complicated surgery. I know. I've had it. GPEH (Giant ParaEsophageal Hernia). My stomach was pushed into my chest during an accident.

No use being scared. This is life-saving surgery for you. It's going to be more involved than what most people get because they have to pull your stomach back down into your abdomen - below the diaphragm where it belongs.

Did you have reflux/GERD symptoms previously? If so, they will probably be doing a "fundoplication" (google that). Hopefully they will be doing the op laparoscopically, through your abdomen. Mine was! They have to reach up into your chest and let down (cut loose) some of the esophagus so the stomach will stay in the abdomen. Sometimes this is done through the chest - hope not! (My roommate had her's done through spreading the ribs.) Far less pain through abdomen. Laparoscopic has only a few small incisions. Way better than old-fashioned big abdominal incision. It does take longer that way. Mine took 4 1/2 hours.

Get a bunch of soft foods in stock, some liquids too. You won't be going shopping for at least a couple of weeks, maybe more. Look up "post-fundoplication diet" - UPMC has a very good one.

Don't let them send you home too soon! Try for 3 days at least, especially if you don't get the laparoscopic op. Plan on staying in bed or on couch the first week, maybe more.

I'm glad I had the surgery! I was in 60s when this happened and had other problems because of the accident, so it took longer to heal, but it was do-able.

There are many, many posts on this surgery, some links posted too. Just put some of the words I've mentioned in the search box at the top of the page. Don't respond to the old posts - keep using your own for better responses.

You can watch videos online if you want. I'm a biologist, so I did.

smu48
New Member


Date Joined Apr 2014
Total Posts : 4
   Posted 11/2/2014 5:16 PM (GMT -6)   
good luck with the surgery, Hope everything comes out fine hugs nad orayers

SharonZ
Veteran Member


Date Joined Mar 2014
Total Posts : 1371
   Posted 11/3/2014 7:17 AM (GMT -6)   
Actually, I was able to swallow pills after my Nissen.

Kayda
New Member


Date Joined Oct 2014
Total Posts : 8
   Posted 11/3/2014 10:15 AM (GMT -6)   
Hi Alcie. Thank you for the info. My surgery is now elective instead of emergency 4 weeks ago. In the ER the drs inserted a nasogastric tube which pumped 2300cc's of fluid out of my stomach which relieved the obstruction. They were afraid to move me before that. Then a heart attack patient came in and was taken to the OR instead of me. So I was admitted and observed for 3 days, and was able to start on liquids and then solids, so I was sent home. Met the surgeon a week later, and here I am. 2 days to go.
I did check out the UPMC site and printed the diet list. Going shopping tomorrow.
I have had GERD for years and controlled it with one Prilosec a day. The only time I've had problems was if I ate too much or ate something with black pepper or basil. Those were my problem foods which I always tried to avoid if possible. I also have no mucus stomach lining so while Ithink I will still need to take a pill, the surgeon does not. We'll see. And yes, I am having the fundoplication as well as putting my stomach back where it should be.
Thanks for taking the time to answer my post. It helps to hear from others who have had these problems!

Fit2Btied
New Member


Date Joined Oct 2014
Total Posts : 11
   Posted 11/3/2014 8:59 PM (GMT -6)   
Kayda,

Best of luck to you on your upcoming surgery. I know how nerve wracking this waiting period can be. I've been waiting since April, and my big day isn't until November 19th.

What part of this big world do you call home?

Take care of yourself and please let us all know how thing went for you!

Lori

Kayda
New Member


Date Joined Oct 2014
Total Posts : 8
   Posted 11/4/2014 7:36 AM (GMT -6)   
Hi Lori,

I live in Western Mass. Where are you from?

Yes, I know the waiting is terrible, 1 day to go and it's all I think about. Are you having a fundoplication done? Although I don't see where the
"fun" part of that is! I wish you the best of luck with your surgery!

Fit2Btied
New Member


Date Joined Oct 2014
Total Posts : 11
   Posted 11/4/2014 8:44 AM (GMT -6)   
Hi Kayda,

I live in Washington State.

To tell you the truth, I only met the surgeon once back in April, and because all my testing wasn't complete, he didn't know what type of fundo I would have, or if I was even a candidate. The testing was completed and all I know is I got a call from his office scheduling the surgery. I have an appointment with him the day before..so I guess I will find out then. He is the chief of staff for Thoracic Surgery, and has a very full schedule. I live almost 3 hours from where he is so the distance has added to my anxiety.

I don't know how you are coping with the stress of this! I woke up at 1:30 this morning and didn't go back to sleep. I feel like crap this morning....

Are you able to eat today? I was told I could have a light breakfast the day before, and clear liquids from then on. I'm scheduled for noon on the 19th.

I hope today passes quickly for you!

Wishing you all the best!!!!!

Kayda
New Member


Date Joined Oct 2014
Total Posts : 8
   Posted 11/4/2014 9:17 AM (GMT -6)   
Hi Lori,

I haven't slept thru the night since Sept 22nd! On Sept 23rd I had a fistulotomy with seton in place, and am still healing from that. Then on Oct 2nd, all this other stuff happened necessitating this surgery on Nov. 6th. And I have a blood clot in my left arm from the IV site when I was in the hosp on Oct 2 - 5. Have been on Xarelto for 3 weeks now and have to stop taking them tomorrow, day before surgery. Whew! Too many things to think about.
My surgeon is also busy. He is away alot teaching laparoscopic technique in other countries. He was in Chile a few weeks ago. So I too, have only met him once. Talk about faith and placing your trust in someone! Hope he's well rested!
I can eat today up till midnight tomorrow. But I know me, and won't have much of an appetite tomorrow. Probably mostly liquids. I've lost 20 lbs already. But that's ok, I wanted to lose some weight anyway.
Your surgeon must but good if he's chief of staff. Mine is an associate professor at Tuft's, and he's young.

Try to rest and keep up your strength. I know it's easier said than done, but try.

Take care for now. It's nice talking to you!
Kayda

Fit2Btied
New Member


Date Joined Oct 2014
Total Posts : 11
   Posted 11/4/2014 11:07 AM (GMT -6)   
Hi Kayda,

Wow.....

I can't believe everything that you have endured in the past two months. When it rains it pours, huh? You are one strong woman! I hope that you have the support that you need to heal and get over these incredibly difficult health situations that you are facing. It isn't fair that our bodies don't behave the way that they were designed to...but thank goodness we have skilled men and women in the medical field that can handle our problems.

Has the blood clot in your arm lessened in severity? Obviously they will keep a close eye on that while you are dealing with the fundo. Did your surgeon address how the hernia is repaired? I have a moderate sized one and there has been no mention of how that is handled - but in fairness, I haven't had my "face to face" meeting with my surgeon yet to discuss the finer details of the surgery.

I re-read your previous post and assume you made it out shopping to get all the provisions for your new diet. I need to lose about 20 pounds so I am actually looking forward to that aspect of surgery - sounds stupid but when you have no choice but to eat small amounts it may help my mindset after I am all healed. I tend to be a gulper, and I eat way too quickly - its a bad habit I have had for as long as I can remember. Patience has not been one of my virtues, and I pray that this experience will help me in that area.

It is very reassuring to "know" someone else who is going through a similar experience. I will pray for you and your surgeon...

Take good care..
Lori

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5004
   Posted 11/4/2014 6:37 PM (GMT -6)   
Best wishes! Let us know how it went when you can.

Kayda
New Member


Date Joined Oct 2014
Total Posts : 8
   Posted 11/5/2014 3:31 PM (GMT -6)   
Hi Lori,
After my surgeon sutures my stomach back in place, the plan is to do a full wrap for the fundo. He may have to lenghten my esophagus by using part of the top of my stomach. We'll see when he gets in there. Hopefully it will be laparoscopic like he wants to do. The blood clot is there, hopefully dissolving.
Gonna try to get some sleep tonight. Surgery's not till 11:30 am
tomorrow so I don't have to get up too early.
Take care for now and I'll let you know how it went as soon as I can.

Kayda
New Member


Date Joined Oct 2014
Total Posts : 8
   Posted 11/5/2014 3:33 PM (GMT -6)   
Hi Alcie, I'll let you know.
Thanks,
Kayda

Fit2Btied
New Member


Date Joined Oct 2014
Total Posts : 11
   Posted 11/5/2014 4:59 PM (GMT -6)   
Kayda I'll be thinking of you! Hope you can get some rest tonight! You'll soon have this behind you!!

All the best

Lori
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