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Nissen on Monday 1/28, diet question

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btr08ex
New Member
Joined : Jan 2015
Posts : 10
Posted 1/28/2015 7:27 AM (GMT -7)
I'm 35 year old male, and I'm having my Nissen surgery this coming Monday. I have been racing BMX bicycles since I was 14 and still compete on a national level. I asked my doctor about competing at a race on March 7. He said that I probably could but might not feel up to it. I'm very determined to do this race, but I'm not dumb. I'm not going to do something that will screw up the surgery. But I'm curious if the wrap can get messed up under strenuous activity.

I've lost about 12 lbs in the past two months by changing my diet and exercise. I feel very quick right now, but I'm concerned that if I lose more weight/muscle, I may get slower. In my normal diet I consume about 2 protein drinks a day. These are the kind that are the powder that you mix with milk or water. From what I've read on here, I don't see anyone drinking these (except for the premade kind like Boost). Are there any restrictions when it comes to milk? I didn't see anything in my paperwork.
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SharonZ
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Joined : Mar 2014
Posts : 2822
Posted 1/28/2015 8:20 AM (GMT -7)
I followed this UPMC NF diet.

http://www.upmc.com/patients-visitors/education/nutrition/pages/diet-after-nissen-fundoplication-surgery.aspx

Dairy products really bothered me, but everyone is different. I made powdered protein drinks using ice, fresh fruit and water.

Truthfully, competing in a race on March 7th doesn't seem realistic to me. Why risk your recovery - if you are set on racing, why not push your surgery back a week?
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btr08ex
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Joined : Jan 2015
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Posted 1/28/2015 8:46 AM (GMT -7)
Thanks for the link. I'll check it out. This race is a 3hr drive from my house. All the races after this are 8+hrs. Also, my insurance is changing March 1 which would charge me several hundred dollars more for the surgery.
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Trotters
Regular Member
Joined : Jun 2014
Posts : 332
Posted 1/28/2015 12:20 PM (GMT -7)
Hi I was fine with milk after my op. But then you don't know how your stomach will react after surgery. You may be very gassy and gurgly and might not be able to tolerate things that normally you can fot a while.

I really think you need to keep an open mind re the race though. The surgery leaves you feeling drained without the reduced calories you will be consuming. Nearly 8 months since my op and I still have tenderness and some tender patches in my abdomen and you realise how much you use your stomach muscles without realising. I really wouldn't risk undoing it until your body has had time to heal.

All the best
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opnwhl4
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Joined : Dec 2008
Posts : 4961
Posted 1/28/2015 6:32 PM (GMT -7)
Realistically your energy level may not be up to it. I raced from 11 to 16 my self and know what it takes.

I'd be a little worried about wiping out to and taking a blow to the stomach

Take care,
Bill
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btr08ex
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Posts : 10
Posted 1/29/2015 6:52 AM (GMT -7)
I'm thinking about putting the surgery off for many years. I originally saw the doctor about the linx procedure. After the tests, it was determined that my 3cm hernia was too big for the linx, but the doctor said it may be possible with future advancements. After reading last night about people undoing the wrap from many different types of strenuous activity, I'm thinking I will eventually fall into that category too. I didn't realize that the stomach area can be stressed by lifting heavy things. I only assumed that stress on the digestive system would be caused by food you put in and what comes back up. I have an extremely active lifestyle that I'm not ready to give up.
Also, before I was diagnosed with GERD, I would only have symptoms when I ate certain things like Italian dishes with marinara sauce. I've been on Nexium for 7 years, and now when I forgot to take it, it’s automatic that I get heart burn. A few months ago my doctor mentioned surgery to get me off meds. It sounded like a great idea, but now, I'm not ready for the proper recovery following the Nissen surgery.
Thanks for the responses.
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SharonZ
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Posts : 2822
Posted 1/29/2015 8:10 AM (GMT -7)
If you can somewhat control the symptoms with Nexium, I would put off the surgery. You're right that the recovery period is a huge commitment and I'm glad you did your research.

Good luck with the race.

Sharon
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btr08ex
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Joined : Jan 2015
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Posted 1/29/2015 11:14 AM (GMT -7)
Well, I just spoke with the doctor, and it turns out that the hernia is actually 6cm. I don't know if that changes anything. I don't know what to do. I left a message with my first Gastro to see what size the hernia was in 2009.

Post Edited (btr08ex) : 1/29/2015 11:28:52 AM (GMT-7)

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JB_The_Great
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Posts : 49
Posted 1/29/2015 11:52 AM (GMT -7)
I've also heard conflicting things about undoing the wrap with strenuous activity, however my surgeon assures me that I would be able to anything I would have been able to before after recovery, and that includes deadlifting 140kg +. This guy's the best in my country so I'd be inclined to believe him!
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btr08ex
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Joined : Jan 2015
Posts : 10
Posted 1/29/2015 5:43 PM (GMT -7)
Earlier this afternoon my fiancee' and I decided to put it off until next summer or a time when she can help take care of me (she's a teacher). I left work early today but I couldn't focus. I had a very mild burning in the middle of my chest since around noon that hasn't that hasn't gone away. Sort of like when you run outside when the air is dry, but today it wasn't dry. I don't know if its the stress of deciding on the surgery or just general reflux. I rode my bike at the track today and noticed that the burning was more intense when I breathed in deep with my chest. If I breathed in using my stomach (diaphragm), I didn't notice it as much. I read somewhere that the hernia can affect breathing. Does this seem like a sign that I should get the surgery done?
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opnwhl4
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Joined : Dec 2008
Posts : 4961
Posted 1/30/2015 12:16 AM (GMT -7)
btr08ex

Breathing using your diaphragm is the "correct" way I am told. If that helps and you can get used to it that is a good thing.

I haven't had any limitations after my surgery, besides the initial 6 to 8 weeks to let things start healing well. That won't be an issue for you, but giving your body the time it needs to really heal will be right now with your schedule.

Unless the hernia worsens and your stomach starts to go into your chest and stay there sounds like your plan to hold off is a sound one. Look up paraesophageal hernia, this is what I am talking about. Sometimes people get a sliding one which is when the stomach will partially slide through and come back down. sometimes it gets stuck up there and can strangulate.

As for things feeling worse, I'd say stress or anxiety is playing a part in it with you trying to decide what to do. I used generic Pepcid when my wrap was torn apart with an esophagus stent while waiting for my redo. It doesn't have the PPI and it worked pretty well for me. If you aren't using a regular antacid you might give something like that a try while you are waiting.

Do they still have the cruiser class?

Take care,
Bill
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btr08ex
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Joined : Jan 2015
Posts : 10
Posted 1/30/2015 6:33 AM (GMT -7)
Thanks Bill and they do still have a cruiser class. It's probably more popular these days because of how they re-structured the memberships.

I'm still deciding what to do. When I first woke up this morning, the burning was gone, but it was back before I left my house. It increases if I take a deep breath which worries me. I came across a video last night where a chiropractor was doing a pushing maneuver to push the hernia back down. I mentioned it to my chiropractor friend who said that he has performed this with great success on many people. Success meaning after 5-10 visits he has never seen them again. Has anyone tried this?
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btr08ex
New Member
Joined : Jan 2015
Posts : 10
Posted 2/4/2015 3:11 PM (GMT -7)
Surgery went well and I was back home about 24hrs after. I still haven't had a BM even though I'm on stool softeners. My doctor has allowed me to drink coffee but that didn't seem to help either. Any ideas? The last thing I was to go along with recovery is stomach cramps.
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Trotters
Regular Member
Joined : Jun 2014
Posts : 332
Posted 2/6/2015 2:32 AM (GMT -7)
Hi

Hope you are recovering well.
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btr08ex
New Member
Joined : Jan 2015
Posts : 10
Posted 2/12/2015 6:54 PM (GMT -7)
Day 10 - I'm doing well but a few days after surgery I started getting a pain in the middle of my back. It would occur when I would yawn or breathe in very deep. I called the doctor and they said to take gas x. It still hasn't gone away and I think it may be getting worse. Any ideas?
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dencha
Forum Moderator
Joined : Feb 2009
Posts : 7261
Posted 2/12/2015 9:09 PM (GMT -7)
Hi btr08ex,

Welcome to the yeah yeah yeahWrap Club! yeah yeah yeah

During the first two weeks or so, your wrap becomes increasingly more swollen, which can cause discomfort, so that may be what you're experiencing.

Laproscopic surgery is deceiving. Those little slits heal quickly, and it's hard to remember that on the inside we've had full-fledged major surgery. Organs were moved and held back to allow tools free access to the surgical site, in addition to the general trauma caused by the surgical procedure. All of this takes time for adjustment and healing.

Have you tried walking? Even if you live in a cold climate, you can take laps around your house. It might help trapped gas move, if that's part of the problem.

There can also be referred pain from the diaphragm/wrap area to other parts of the body. Often people get excruciating shoulder pain as a result the work your surgeon did on the diaphragm (as well as residual trapped gas). Perhaps your pain when breathing/yawning is a reaction to stress on the diaphragm/hernia repair with the breathing/yawning motion, referring pain to your back. Just a thought.

Never hesitate to call your surgeon's office. My guess is that this is just a reaction to trauma/healing, and it will improve with time--especially once swelling decreases sometime after the two week mark. That said, your surgeon gets paid the big bucks to be there for you during recovery.

Happy healing!
Denise
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peaandham
Regular Member
Joined : Jan 2015
Posts : 39
Posted 2/12/2015 11:46 PM (GMT -7)
Btr08ex, for well over the first week and I had some of what denise was talking about, although mine was more localised to the shoulder. The surgeon advised me that the pains are caused by either excess gas from blowing up the stomach which will need to metabolise out, or unlocalised pain from the diaphragm itself. Then when I thought the swelling has started when Id breathe it would be husky breathing it hurt my chest a little bit.

Walking will help alot, I found I had to stop meals half way between, go for a walk and then come back and try again otherwise I would start feeling quite sick.

The only advice I can offer is to take it easy and try to relax, it will get better.
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Trotters
Regular Member
Joined : Jun 2014
Posts : 332
Posted 2/13/2015 12:51 AM (GMT -7)
Hi

Think Denise is probably right. Think we are all guilty of forgetting just how much goes on inside during laparoscopic surgery.

I had my surgery in May 2014 and it has only been the last couple of months I haven't had shoulder and collarbone pain which like you although in a different area, I would experience if I took a big breath or yawned think it was reffered pain due to the diaphragm moving when my lungs expanded deeply. That's my theory anyway.

Hope you continue healing well.
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btr08ex
New Member
Joined : Jan 2015
Posts : 10
Posted 2/13/2015 6:37 AM (GMT -7)
Thanks for all the helpful responses. I did notice a little pain near my left collar bone yesterday but not this morning. I am walking a lot and went back to work yesterday. I slept poorly the night before going back to work which resulted in more yawning in the morning. I slept better last night and haven't yawned but maybe once or twice so far. The pain is still there though. I will call the doctor today and see if he has any other ideas. Another thing to note is that I'm really cold most of the time. I find myself turning the heat up at home more often than usual. I'm in south Louisiana, so it doesn't get too cold.

Edit: I'm not sure why I put "Monday 1/28" in the title of this thread. My surgery was on 2/2.
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