A Message from Peter Waite--the founder of Healing Well:So you found our forum, but do you know about all the wonderful resources HealingWell.com has to offer? Visit the GERD - Heartburn Resource Center located at https://www.healingwell.com/GERD/.
Take a moment to explore, we hope that you will stay awhile and visit Healing Well often!
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Surgery Diaries and Nissen Fundoplication Diets
We hope these resources will help inform your decisions and help you in your recovery.
Denise's Nissen Recovery Journal
My Forum Journal
https://www.healingwell.com/community/default.aspx?f=45&m=4097753
Bill's Nissen Recovery Journal
https://www.healingwell.com/community/default.aspx?f=45&m=2337138
JPT's LINX Recovery Journal
https://www.healingwell.com/community/default.aspx?f=45&m=2639859
Nissen Surgery Information:
http://www.webmd.com/heartburn-gerd/fundoplication-surgery-for-gastroesophageal-reflux-disease-gerd
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Post-Nissen Fundoplication Diets
We never offer medical advice here at HW, but do provide as many resources as possible.
Please consult your physician regarding the diet you are expected to follow after your surgery. At times surgeons provide little detail, and these resources will help fill in the blanks.
Also you will find as you read the many posts on the HW GERD forum, that some surgeons are very strict—requiring a liquid diet for quite some time, while others give much more control to their patients judgement and allow a soft diet from the start as tolerated.
One important rule is to never eat something that can’t be chewed to a liquid consistency in the early weeks. Keep a paper napkin handy and don’t swallow anything that can’t be chewed completely. Also take small bites.
If you discover an additional dietary resource, please share it!
Remember these basics to be followed during recovery—
No straws (they introduce air into your stomach which can add to uncomfortable bloating.)
Avoid carbonated beverages
No iced drinks (They can cause painful spasms)
When you start solid/soft foods, be sure to only eat foods that can be chewed thoroughly into a creamy consistency. (You will always want to eat more slowly and chew your food thoroughly—even after full recovery. It’s a good eating habit to develop!)
Don’t panic if something gets stuck at the wrap site. If you keep a warm drink handy it will help you calm the resultant spasms.
Little swallows will help move it through. You don’t have to try to cough it up. That said, stay away from big no-no’s like steak! ONLY things that can be chewed thoroughly.
I remember a time in the early days when I thoughtlessly chewed and swallowed a cherry tomato at a restaurant. I learned that day to be more mindful when eating!
You will only be able to eat small amounts of food in the beginning. The top of the stomach sends the message of fullness to the brain. The post-op swelling is interpreted as fullness.
Your wrap will become increasingly more swollen during the first couple of weeks, peaking on or about the end of the second week. This usually causes additional difficulty and discomfort swallowing, so you’ll likely experience ie as a setback—but don’t worry. This too will pass!
Often people experience worrying pain/swallowing issues at around the 3 month mark. This is generally a result of more adventurous eating choices and forgetting the slow/chew food to a creamy/liquid consistency.
It takes six months for most of the healing and a year for the rest. Many find improvements into the second year—I did.
We can add more to this list as time goes on...
UPMC Diet
https://share.upmc.com/2016/01/diet-after-nissen-fundoplication-surgery-for-gerd/
National Jewish Health Diet
https://www.nationaljewish.org/treatment-programs/tests-procedures/adult-surgery-procedures/esophageal-surgery-postoperative-care/advancing-your-diet-the-post-fundoplication-levels
University of Michigan Diet
https://www.med.umich.edu/1libr/surgery/thoracicsurgery/mushydietafternissenfundoplication.pdf
Ohio State University Medical Center Diet
https://patienteducation.osumc.edu/documents/dietnissenfundoplication.pdf
UW Health Diet
https://www.uwhealth.org/healthfacts/nutrition/397.pdf
Oregon Surgical Diet
https://www.oregonsurgical.com/wp-content/uploads/nissen_fundoplication_diet.pdf
http://www.upmc.com/patients-visitors/education/nutrition/pages/diet-after-nissen-fundoplication-surgery.aspx
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Anti-Dumping Diet Information
http://gicare.com/diets/anti-dumping-post-gastrectomy-diet/
https://med.virginia.edu/ginutrition/wp-content/uploads/sites/199/2014/04/post_gastrectomy_and_dumping_diet_2017.pdf
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Postoperative Gastrointestinal Complaints After Laparoscopic Nissen Fundoplication
A study from the Journal of the Society of Laproscopic Surgeons
It's a little technical, but generally easy to follow.
http://www.ncbi.nlm.nih.gov/pmc/articles/pmc3015672/
Caution: These links are for your information only and should never take the place of instructions given to you per your surgeon.
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GERD-Acid Reflux
A doctor said that you have gastroesophageal reflux disease (GERD), a chronic disease that causes ongoing pain and burning in the chest and throat (heartburn). GERD is also called “acid reflux disease.”
You want to know what research says about your options.
* Check out these link provided by one of our wise members.
http://www.enetmd.com/content/gerd-diet-plan-and-table
http://news.healingwell.com/index.php?p=news1&id=623131
http://my.clevelandclinic.org/disorders/laryngopharyngeal-reflux-lpr/hic_laryngopharyngeal_reflux_lpr.aspx
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When GERD and IBS Symptoms Overlap
http://www.everydayhealth.com/gerd/gerd-ibs-connection.aspx
Caution: This link is for your information only and should never take the place of instructions given to you per your Physician
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Medications and Side Effects:
http://www.drugs.com/
Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment.
Data sources include Micromedex™ (updated May 17th, 2013), Cerner Multum™ (updated June 18th, 2013),
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Information on ACV aka Apple Cider Vinegar
https://www.healingwell.com/community/default.aspx?f=45&m=3157034
This link is for an on going thread about one person's experience, and the possible side effects of Apple Cider Vinegar.
https://www.healingwell.com/community/default.aspx?f=45&m=3147061
Please consult with your doctor before starting any new treatments for GERD/LPR.
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LPR Or Esophageal Hypersensitivity
Sometimes it is difficult to pin down a reason for the pain we experience. One reason for upper GI pain can be hypersensitivity. Here are a some resources to provide information on the topic.
Remember—these links are informational only, and never meant as medical advice.
https://www.ncbi.nlm.nih.gov/pmc/articles/pmc2950665/
https://www.researchgate.net/profile/jose_remes-troche/publication/309420804_esophageal_hypersensitivy/links/580fe46d08aee15d49121329/esophageal-hypersensitivy.pdf
https://www.nature.com/articles/ajg1999141Post Edited (dencha) : 2/14/2019 7:39:24 PM (GMT-7)