Weight gain after Nissan fundoplication.good or bad?

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Tena believes
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Date Joined Nov 2017
Total Posts : 67
   Posted 12/25/2017 4:23 PM (GMT -6)   
Hello, wanted to ask a a question. I've read a couple of post where people have said that it wasn't a good thing to pick up weight, I guess they're saying too much weight.. after a Nissen because it would put too much pressure on the wrap. Has anyone found that to be true as I am planning on gaining weight in the future.

Post Edited (Tena believes) : 12/25/2017 6:54:07 PM (GMT-7)


celerity-dad
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Date Joined Mar 2017
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   Posted 12/26/2017 12:02 PM (GMT -6)   
I believe the weight gain issue is more about adding excessive visceral fat (intra-abdominal) rather than healthy weight gain. I lost 27 lbs post surgery and I've gained 15 lbs back since which was healthy for me. I didn't add to my belly fat much at all so I'm not worried about the wrap.

-Mark

Tena believes
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   Posted 12/26/2017 5:36 PM (GMT -6)   
Thanks Mark I saw a dietitian today I'm hoping she'll be able to help me pick up some weight I'm 4 months and 2 weeks. still having trouble getting over the gas and the bloating. I'm feeling kind of discouraged. I lost half a pound it puts me at a hundred and four and I'm 5 foot 6. but hearing that you picked up weight gives me hope. Appreciate the response they're always welcomed! I tried the egg whites it didn't work too well for me I think I should have started off slow I'll probably go back to it later.

celerity-dad
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   Posted 12/27/2017 12:19 PM (GMT -6)   
I here you regarding the gas and bloating. It's the number one thing that held me back from getting more active and adding more calories to my diet. It takes time. More time than I liked but it's so much better now that I'm 10 months post surgery. I still get bloated sometimes but the episodes are getting farther and farther apart. I use some digestive enzymes daily and double them with any high protein or high fat meal. I've slowly increased my fiber intake over the last couple months and take a stool softener every morning. I'm still lactose sensitive so I avoid it. The last time I had regular milk I had a very painful bloating episode.

Once you can increase your calorie intake the lost muscle weight will start to come back as well as healthy water weight. I was really dehydrated because I just couldn't handle fluid or food volume for months post surgery. I had to learn to drink more calories to give my stomach a break. The lactose free fairlife milk products helped a lot. You can pick them up in single bottles to see how you tolerate them. And they taste pretty good.

-Mark

Tena believes
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   Posted 12/27/2017 1:06 PM (GMT -6)   
Thank you Mark that is so encouraging! I was at HEB is where I saw the dietitian and I bought some mootopia which is lactose free milk giving it a shot. I was doing the rice milk which has a lot of carbohydrates and because of the gluten-free diet I I have to eat it does get challenging because there's so many starches involved in a gluten-free diet. I've been trying to find the water protein2o I was going to call Vitamin Shoppe and see if they carry it it's just so good to talk to somebody who struggled with their weight loss the same as me.. thanks so much for responding can't wait to hit 10 months. LOL!

Tena believes
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Date Joined Nov 2017
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   Posted 12/30/2017 9:28 AM (GMT -6)   
Hello, mark I was wondering if you wouldn't mind sharing what types of fiber you are using I I am curious to know?

celerity-dad
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Date Joined Mar 2017
Total Posts : 124
   Posted 1/2/2018 11:48 AM (GMT -6)   
I now like the Fiber One bran cereal. I add it to my Wheat Chex in the morning. That gives me 13 grams to start the day. I've added Chia seeds to my smoothies and I've also added Benefiber to my water. I try and get fiber from foods as much as possible, that way I get a variety of fiber. To much of one type of fiber can have some ill effects rather than helping. I've also found low carb multi-grain wraps with 9 grams of fiber each. Regular bread can sometimes be a problem volume wise so I like to use tortilla wraps instead.

In general, I'll get 10 to 20 grams from my nutrition. Then I'll add 10 to 20 with what I mentioned above. I didn't add it all at once. Early on my goal was 20 then 30 and now 40. 30 to 40 works well for me now.

Also, I still use the low FODMAP diet as a guide for food selection to avoid bloating and gas.

Hope this helps,
-Mark

Tena believes
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Date Joined Nov 2017
Total Posts : 67
   Posted 1/2/2018 6:55 PM (GMT -6)   
Thank you Mark for your reply. I tried some quinoa the other night and I wasn't used to really doing a lot of fiber and it caused so much bloating because quinoa is very high fiber and it's got a lot of magnesium so I ended up with diarrhea and I ended up with dry heaves which had never happened to me since I've had the surgery. That incident scared me I'm hoping since I'm 4 months that it didn't hurt anything. I'm curious in what ways has the fiber helped ?

celerity-dad
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Date Joined Mar 2017
Total Posts : 124
   Posted 1/3/2018 9:24 AM (GMT -6)   
We've all learned the hard way when recovering from this surgery. The wrong food, eating to fast, eating to much. I haven't tried quinoa. I've had many episodes of bloating over the past 10 months. Usually, I could point to the food I added to my diet to see what would happen. No onions, garlic, beans, or cabbage. All my veggies are cooked rather than raw. I still have a restrictive diet to avoid bloating but it's trial and error.

The fiber helps to keeps food moving through my digestive tract and keeps me regular. Some types of fiber actually absorb gas and help with bloat (like kiwi and chia seeds). But it's always an experiment at first and I introduced foods one at a time and in small amounts. 10 grams per 1000 calories is a basic guideline for fiber intake. And I take a stool softener (1 pill in the morning) with breakfast. I probably could stop taking it but everything is working well right now and I don't want to make a change.

-Mark

Tena believes
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Date Joined Nov 2017
Total Posts : 67
   Posted 1/3/2018 9:34 PM (GMT -6)   
Thank you Mark for answering my questions I always seem to have a lot of questions. It's just good to hear someone who's had the surgery and he is doing well now I'm still back here in the 4-month stage I feel like I'm all over the place. I was doing so good I felt like I was making some progress before the quinoa incident! now my stomach's been bothering me a lot lot of burning and queasy feelings in my stomach. I feel kind of discouraged.. when you say kiwi are you talking about kiwi the fruit? and I haven't eaten onions or garlic or cabbage in a long long time when I had to go gluten free I just cut out a bunch of foods my stomach seems very sensitive. I do the Benefiber but I don't like to do it because it has 20 parts per mL of gluten in it but I still use it. I've got some chia seeds here I haven't tried yet. I sure will be glad when I turn a corner. thanks again for the reply. Do you still do muscle egg? And I haven't been able to find Fairlife maybe they would have it at Whole Foods. I'm not a member of Costco or Sam's Club.

Post Edited (Tena believes) : 1/3/2018 8:44:51 PM (GMT-7)


celerity-dad
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Date Joined Mar 2017
Total Posts : 124
   Posted 1/4/2018 12:06 PM (GMT -6)   
Kiwi fruit. MuscleEgg sometimes but the cost is high so I ration it. It still has artificial sweeteners and I was a bit sensitive to that so I keep the amount to no more than a cup a day. 'fairlife' milk can be found at Walmart for a decent price. I find it at our local Winco stores. I would be surprised if Whole Foods doesn't carry it. It's a great product and pretty popular for people who want to cut lactose.

Green grapes have been my go to fruit for a long time now. They provide some fiber and I tolerated them very well early in my recovery. I haven't used Benefiber for a while now because I've been able to get my fiber from whole foods. I still introduce foods one at a time and in small amounts to check tolerance. Looks like your doing the same for a few reasons. 4 months is still early in recovery considering my personal experience.

Be encouraged. Now that I'm 10 months it's so much easier and I feel so much better.
-Mark

Tena believes
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Date Joined Nov 2017
Total Posts : 67
   Posted 1/8/2018 5:18 PM (GMT -6)   
Hello everybody, I know I've talked about this before about the gas and the bloating but today is the second time I've had very serious gas bloating experience so bad like my whole right side of my abdomen was swollen and I was in such pain I'm 4 months and 2 weeks and I'm really wondering if this is normal.I mean I don't really eat a whole lot of different foods I pretty much stay to what I know works for me I'm just not sure if this is a normal thing or if this is something needs to be looked into I mean this was kind of scary like the first time it happened to me I had the dry heaves and diarrhea.

Post Edited (Tena believes) : 1/8/2018 4:21:17 PM (GMT-7)


SharonZ
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Date Joined Mar 2014
Total Posts : 1371
   Posted 1/9/2018 6:45 AM (GMT -6)   
What you are experiencing is normal. Your digestive system is still trying to settle down after major surgery. I still occasionally suffer from bouts of gas, bloating and diarrhea almost 4 years later. One thing I can suggest is to watch your sugar consumption. Sometimes dumping syndrome will give you these same symptoms.

Tena believes
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Date Joined Nov 2017
Total Posts : 67
   Posted 1/9/2018 2:31 PM (GMT -6)   
I don't mean to sound negative.. but, none of this feels normal it all feels so non-normal.. I didn't have anything sweet yesterday this is nerve racking it's like you don't know when it is going to hit you... I really pray this get's better soon. I already had a restricted diet because I can't do gluten or milk... I do appreciate you taking time to respond... I am just feeling discouraged and overwhelmed.. I was really unprepared for all these side effects...


Thanks...

SharonZ
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Date Joined Mar 2014
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   Posted 1/9/2018 3:04 PM (GMT -6)   
It's not your fault, your surgeon probably did not explain to you what to expect during you recovery. You are discouraged and overwhelmed because you are exactly right - you were unprepared. As I've said before, these are some of the same issues that I still struggle with, and also Mark. I still get waves of nausea for no reason almost 4 years later. Unfortunately, this is all part of the healing process and you can't do anything to speed that process up. You just need to relax and take one day at a time.

Tena believes
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Date Joined Nov 2017
Total Posts : 67
   Posted 1/9/2018 4:35 PM (GMT -6)   
Thanks Sharon but you know it still doesn't seem like a very good way to live your life. And I guess it's just different for all of us because the two people that I know that had the surgery they haven't had any of these problems or they might have had them for a little while but now they're okay I mean one of them still has gas but they don't blow up they just pass it. You know I hate to think of you still having problems 4 years later. Are you able to enjoy your life?

SharonZ
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Date Joined Mar 2014
Total Posts : 1371
   Posted 1/10/2018 7:12 AM (GMT -6)   
Absolutely, to me it was a complete success. The turnaround in my life was so dramatic, I don't let little things like the occasional gas/bloating, nausea bother me. These are common things that people suffer from that don't have GERD or haven't had surgery. I went in with a positive attitude, was fully aware of how lengthy and rough recovery would be, and haven't looked back. I never expected a quick recovery and was quite prepared to deal with what came with it.

Tena believes
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Date Joined Nov 2017
Total Posts : 67
   Posted 1/10/2018 7:51 AM (GMT -6)   
Well, that's encouraging... so things do get better and easier to deal with... I know everyone tells me this and like I said before sometime I get a handle on it, and then something new to deal with comes up... I also just lost my dad and my sister's husband is passing as well with cancer, so I am dealing with some other things as well... I sure am thankful to God for this forum it has brought a lot of hope and encouragement.


Thanks so much for caring!
Tena :

SharonZ
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Date Joined Mar 2014
Total Posts : 1371
   Posted 1/10/2018 9:27 AM (GMT -6)   
I'm so sorry you are having such a rough time lately. It's quite possible that the extra stress/anxiety that you have been going through are making it much tougher on your recovery. Prayers to you and your family! Just remember, it does get better.

celerity-dad
Regular Member


Date Joined Mar 2017
Total Posts : 124
   Posted 1/10/2018 12:34 PM (GMT -6)   
Tena,
Sorry to hear so much is weighing on you along with your recovery being what it is. What your going through is normal but no less difficult to deal with. I also had a friend who had the surgery, 15+ years ago, and gave me a very rosy view of recovery. I was a member of this forum at the time and knew better. But even with my knowledge I just wasn't prepared for the first few months of recovery. And the feelings of discouragement week after week are a mental and physical drain. It's just day to day. The bloating episodes will diminish in time. I look back now and know this surgery was the right thing to do and it's working out for me. It just didn't become clear until recently.

My heart does ache for you regarding the loss of your dad. Just yesterday I was told my own dad has a couple months left as he's dealing with stage 4 cancer. It's hard to say goodbye.

Prayers for you during this difficult time. Drop in and say what you need to say. We'll be here.
-Mark

Tena believes
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Date Joined Nov 2017
Total Posts : 67
   Posted 1/10/2018 5:45 PM (GMT -6)   
Thanks guys y'all are the best! Again I'm so thankful to God that he led me to this forum. And Mark I will keep you in my prayers. And on top of that guys my ex- husband who I'm friends with just found out he has stage 3 cancer lung cancer so of course my two sons are pretty down about that. But it's just it's so good to hear that things do get better I think I could hear that a thousand times a day! I need to print them out that way I can have them with me wherever I go on the weekends and everywhere just whenever I'm feeling down or discouraged I could just read them! LOL! Thanks again you guys.

Ginger244
New Member


Date Joined Jan 2018
Total Posts : 1
   Posted 1/17/2018 10:19 PM (GMT -6)   
I'm a new member, but have learned so much. My surgery is scheduled for Monday, 01/22, and I can't lie, some of the comments have scared me to death. Any advise for next week will be helpful.
Thanks!

Tena believes
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Date Joined Nov 2017
Total Posts : 67
   Posted 1/18/2018 2:01 PM (GMT -6)   
Hi, I would just suggest that you get as much info. as possible and be prepared mentally and physically.



Tena smile

celerity-dad
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Date Joined Mar 2017
Total Posts : 124
   Posted 1/18/2018 3:02 PM (GMT -6)   
Hi Ginger244,

Welcome to the forums and also to the anticipation and anxiety that comes along with researching this procedure. It's very disheartening in many respects to read about others experiences with this surgery. But as a support forum you should expect a bias towards those who are seeking out help and have difficult problems. They are more likely to seek out help then those who've moved on.

A few things I'll mention now so you can prepare for next Monday.
1. Yes it's a tough recovery process but the procedure works in a very high percentage of cases.

2. You'll need to be patient with the recovery process. Think in months not weeks when it comes to the adjustments your body will need to make.

3. Look up post-nissen specific diets. Bloating is to be expected, a lot of it at first, but a simple diet that avoids gas producing foods will help.

4. Don't expect an immediate relief of all reflux symptoms right away. It takes time for your esophagus heal. Inflammation and irritation will feel very much the same as reflux burning.

5. Gas-X (Simethicone), stool softeners and laxatives. Have these on hand.

6. Make sure you have anti-nausea medications when you get home. Your surgeon will most likely prescribe them. Getting sick is not good early in your recovery.

Ask away but you might want to start your own thread so we can provide you ongoing feedback. I know it's scary. I was there 11 months ago. I'm doing great now and I'm happy I had the procedure.

-Mark

Tena believes
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Date Joined Nov 2017
Total Posts : 67
   Posted 1/19/2018 2:07 PM (GMT -6)   
Hello, Mark I wanted to ask a question I just started the Fodmap diet. I am now 5 months still struggle with gas and bloating. were you still struggling with this at 5 months? still can't seem to get more than 1400 calories.. it's funny yesterday I had a great day, not so much today.. but, I remeber everyone has said it is a day to day event. (recovery)
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