Thank you for taking the time and reviewing my case, I had fundoplication toupet over a month ago and I am still experiencing chest pain, belching all day and uncontrollable gas.
To describe the condition I was experiencing, I will say that I was constantly belching, even if I ate small portion of an oatmeal. When I woke up in the morning I was fine, but when I ate or drank something a bit solid I started to belch. Food while being swallowed with reflux came right back up again in more mushier form and I had to swallow it again in order to get it all the way down to the stomach. It took a lot of strain for me to do this process, It took me almost one and a half hours to eat normal sized meal. Throughout the day I was belching and throwing up food in more liquid form with small pieces and bits left in it. I felt constantly tired, experience fatigue, didn’t feel like going out or doing something, my heart rate was 51, I was taking Silentex and Nexium 40 mg at the time and was not eating anything that contained sugar and also avoiding all spicy foods. I was constipated, didn’t experience much of a heartburn, but maybe it was due to my restricted diet, since I didn’t eat things that might cause it.
I saw two surgeons in total, one told me to get 360 degree Laparoscopic Anti-Reflux surgery and the other said to get 270 degree one.
I had the surgery on November 29th with general anesthesia. Underwent laparoscopic cruroraphy, fundoplication toupet (partial 270 degree one), abdominal cavity readjustment, after the surgery they found left sided pneumothorax, and it was liquidated with one puncture.
The surgeon said that I had an inborn hiatal hernia and it was huge, that was the reason why the operation took three and a half hours.
They gave me chicken broth soup the day after the operation and I got sick and felt like throwing up, they put a probe into my nose and pumped the soup out.
When I got back home I had terrible chest pain and went back for x ray, they said that gullet was swollen and changed my medication, for the pain they gave me ketorolac and Toradol but it gave me an anxiety attack.
Then I went to see a gastroenterologist and had Barium X ray on an empty stomach, Lungs and heart were consistent with the age and norm. Gullet was passing barium meal well, walls were elastic, wrinkles were evident, and it was right angled.
Stomach is in shape of a hook, is expanding normally, there is a lot of secretion in the cavity, is puffed up. Shape on large curvature is looking simpler, plain. Mucus shape is deformed, poor. Peristalsis is of average depth, equal. Evacuation of the contrast is timely. Duodenum bulb is deformed. Regurgitation is evident. In horizontal state hiatal hernia relapse is not shown.
Conclusion was that I have acute gastritis, duodenal gastric reflux.
Right now I am on my fifth week, I am taking Nexium 40 mg two times a day, one pill in the morning on an empty stomach and second before going to bed, Tridat Forte (trimebutine maleate) three times a day before each meal ( I eat three times a day 250 grams of food after blending it in a food processor), Simalgel (Aluminum hydroxide & Magnesium hydroxide & Simethicon) before each meal which helps with gas.
My day starts with me waking up belching a little, then when I eat (food that does not cause gas) my belching worsens, I walk for an hour or two belching trying to relieve the chest pain. I eat three times a day every four hours and when chest pain is bit lessened when I eat it worsens again. I feel pain in my breast bone and most of times it reaches my heart and the sensation is like I can’t breath and I am suffocating, when I belch it seems to relieve the pain for a second. I am afraid of taking opioids because as I said it caused me an anxiety attack but I am on my fifth week and the symptoms are not getting any better. I am very nervous and trying not to worry, I take half of 10 mg amitriptyline at night to help me sleep, but at around 6 am I wake up and fail to go back to deep sleep and I am tossing and turning before I wake up altogether.
A week ago I had diarrhea and it caused me a lot of pain because spasms were even worse, but since then I am even more careful with what I eat and I make sure that medications I take don’t list diarrhea as their side effect, because of it my stomach is feeling better and it is functioning well.
The surgeon said that gas is caused by functional side of my stomach but since these past few days my stomach is functioning well, I am wondering why doesn't the chest pain and uncontrollable belching and gas go away?
I am low on energy and since walking seems to help me with belching I am losing energy even more.
I read somewhere that 270 degree surgery leaves you with belching and in case of 360 degree people have trouble to burp. I wanted to ask you guys is there any medication that can help me with chest pain and can you help me understand what situation I am in? Also what portions do you eat? Is 250 grams too big? When will the pain go away?
Post Edited (Tatia) : 1/1/2018 2:50:55 AM (GMT-7)