Part 2 of POST OP LAP NISSEN FUNDO/HIATEAL HERNIA REPAIR...Please conitinue to post.

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TammyGrl0528
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   Posted 11/14/2007 8:20 AM (GMT -6)   
This seemed to be a hot topic,  so please guys, continue to share.
 
The old one was locked simply because there were too many replies.  So, I started a new one, and would love for you all to continue to share your stories.
 GERD Forum Moderator
    Please share, only if you can spare! 
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 Clickable Link that may be of interest to some...as I find I often like to check drug interactions...Drug Interactions
 
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Red_34
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   Posted 11/14/2007 9:30 AM (GMT -6)   
Hi Tammy :) You might want to put a link of the original post in this post so others can refer back to it and that way too the original post won't get lost in the shuffle.
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nocough
Regular Member


Date Joined Nov 2007
Total Posts : 44
   Posted 11/14/2007 9:57 AM (GMT -6)   
Thanks Tammy, I am 8 days post opt nissen so thi has really helped me. Has anyone had trouble sleeping? I am, and I can fall asleep at a drop of the hat! I can take naps and be asleep in ten minutes ever sicne the surgery no. I thought it might be the vicotin but I was over it for 24 hours and still had a problem, maybe it takes longer to get out of your system? Also has anyway had any problems with the nauseaus feelling? I had to take a phnegren last night and this am it took care of it though. What would happen if the body did need to throw up and it cant??

nocough
Regular Member


Date Joined Nov 2007
Total Posts : 44
   Posted 11/14/2007 10:00 AM (GMT -6)   
Other than the nausau and no slep doing well. The gas pockets are gone thank goodness and no more major pain. The scars are a bit tender especiallywith the lap belt, I got to drive yesterday. A frined told me to put a teddy bear between me and the best and it helped cushian it I hope it is still safe if heaven forbid I got in an accident.

HappilyWrapped
Regular Member


Date Joined Oct 2007
Total Posts : 183
   Posted 11/14/2007 1:43 PM (GMT -6)   
nocough,
Sounds like you're doing well so far. I'm glad for you.

I didn't use a teddybear, I used a folded bath towel - it was less lumpy and spread uniformly over my abdomen under the seat belt. In case of an accident, a folded towel would not prevent the seatbelt from working properly like a lumpy stuffed animal would - your body weight would not be properly distributed against the belt with the toy. You also wouldn't want the stuffed toy between you and the airbag if it deployed.

The problem with vommiting is that your wrap is not healed yet and it could slip/move/pull the stitches. Hence the need to prevent you from vommiting or retching. Should you have dry heaves where nothing comes out - this could also cause the wrap to slip because of the way your muscles are moving. Check through the old posts - there was quite a bit of info on the nauseau and you may find an answer in there.

I had no trouble sleeping. Because you are only 8 days post op, you might still have anesthesia in your system. My surgeon said it would take about 2-3 full weeks for that to get out of my system - it might have something to do with your inability to stay asleep. This is just a thought, I don't know for sure on what would cause you to be able to fall asleep but not stay asleep.

TammyGrl0528:
Thanks for continuing this post area. I thought we might have violated some rule and were shut off. I can see by the number of visits this post has received that our information is being viewed by many. Glad we could offer up-to-date information regarding this procedure.

To all:
This past weekend's painful episode seems to have been a turning point. I was miserable over the weekend, but I feel better today than I have in a long time. No heartburn or reflux pain, no post-op pain anywhere, and I'm able to tolerate soft foods again and not just broth. I don't feel as physically drained as I did last week. I'm in bed by 10 and sleep through to 7 and am able to function without laying down during the day - what a wonderful feeling it is to sleep without a wedge and wake up without a vile taste in my mouth and burning in my throat. I'm at work from 9-4 and doing everything I did before except heavy lifting and I do walk slower. I'd say I'm back on the track to recovery again. I hope others are doing well - please send an update to this new area.

doghouse
Regular Member


Date Joined Oct 2007
Total Posts : 138
   Posted 11/14/2007 3:58 PM (GMT -6)   
mad  My doc wants me to try a month on Zegreid before I come in for my appt on Dec.  I took it once before with my prevacid for when I had esphagitis and I didn't notice any difference.  I'm still having issues and he's switching me from prevacid to zegreid.  Not sure I understand the thinking, just feel like I'm moving backwards.....bummer.  I wanted to be discussing other solutions at this point..aka surgery.  I've tried everything else.

HappilyWrapped
Regular Member


Date Joined Oct 2007
Total Posts : 183
   Posted 11/14/2007 6:49 PM (GMT -6)   
Doghouse,
At least when you have your appointment in December, you can say you've done all the meds and they don't work. Then you can go forward with the MD and discuss surgery and the tests that lead up to it. I know how tough it is to wait, my procedure was in the planning stage for 1 1/2 years. I was really disappointed when it kept getting postponed in order to try other meds and retest the manometry and ph. However, when you're talking about an irreversable procedure that could impact your ability to swallow for the rest of your life, maybe it's not such a bad thing that the doctor is moving cautiously.

Patience....patience....patience........your time will come.

porcelain doll
Regular Member


Date Joined Mar 2007
Total Posts : 128
   Posted 11/14/2007 9:37 PM (GMT -6)   
I am so glad this thread is helping so many people.  Thanks Tammy for letting us continue.  I guess I was lucky the way I titiled it and people are finding it and the information useful.  I just hope I can keep all of the names/participants straight.  So many people are getting the surgery and some of the stories I read really scared me to death as they were practically all horror stories. 
 
Alycarr00:  That is good that you decided to postpone, trust me on this one you won't be sorry you did.
 
Doghouse:  I didn't have the ph test done because my surgeon knew I had severe gerd from reading my file and didn't want me to have to be off of a PPI for any length of time.  As far as the manometric test goes, I did have to have that one because this one tells the surgeon how tight to do the nissen wrap and also how well your LES is working.  He did do an endoscopy when he removed my gallbladder and said that the hiatal hernia was the problem.  Doghouse, also sometimes some of these gastro doctors aren't too keen on the nissen procedure as it is usually not done until you have exhausted all other measures.  I did try zegerid and I think I remember reading something about you aren't supposed to take it with calcium.  Zegerid is (Prilosec) omperazole with sodium bicarbonate in it. 
 
HappilyWrapped:  I know what you mean about that medication hiting you right away when it goes thru the i.v. and seeing funny things.  I think you can burp better than I can.  I can't even burp in the morning and if I do it is a tiny burp only when I drink some water but not at all like I used to.  I sure do wish I could let out a big burp.  I am glad you are getting better and recovering from your setback. 
 
Nocough:  I am so glad you found the website and are doing well.  I don't know if your youth is on your side as far as recovery goes.  I don't know if it's just me but this recovery is sooooo slow and manytimes, I just wish I could rush it.  You want to prevent yourself from vomiting at this time because if you do it can tear the wrap.  Nausea has been a problem for me as I have mentioned on the previous posts.  Have your doctor give you a prescription for anti nausea medicine (I am taking promethazine 12.5 mg) and it really does help.  Luckily, I don't have a problem with sleep but I do notice that I do usually have to take a nap during the day.  I think this may be due to the lack of food and I don't know if I am even consuming 1000 calories a day, I doubt it.  I am glad you aren't having a problem with choking but Carla had really warned me to be careful and take tiny bites and chew really well and I think it helped alot. 
 
Booklady:  You are so lucky to be the librarian and not actually teaching a class like I was.  As I had mentioned in my previous posts there is no way I could handle a classroom right now.  I couldn't even yell if I wanted to or had to.  I don't know as to how much of a degrees my nissen wrap was done but the surgeon said it was a full wrap which I think is 360 degrees.  Is your IBS diarrhea or constipation?  I know that if you have lots of constipation what helps alot is using whole psilliym (sp?) husk.  I am always on the constipation side and know it does help but I am not using it right now because the husk makes the water kind of thick and can't drink a whole glass at one sitting. 
 
Good luck to all and I hope I got back to everyone.  HappilyWrapped you are right, the best thing is to be positive. I know I must try to make the best of it because God willing we should all have positive outcomes and have our lives greatly improved because of the surgery.  I know that for all of us the way we were living was no way to live.     

doghouse
Regular Member


Date Joined Oct 2007
Total Posts : 138
   Posted 11/15/2007 12:09 AM (GMT -6)   
Thanks Happilywrapped,

I know....patience..good things come to those who wait :) I will start my Zegerid tomorrow....weee!!!!

nocough
Regular Member


Date Joined Nov 2007
Total Posts : 44
   Posted 11/15/2007 7:53 AM (GMT -6)   
Hi All,

Prcelien doll, the doctor did say my age, 31, would help me recover faster. I have dealt with gerd since age 16 and it was only 2 years ago that anyone figured out it was gerd. The chornic cough was most annoying especially when you are on the phone all day. I felt like that other lady too in public, people would shy away from ou thinking you were sick. Also I am a travel agent so I ahve to call the airlines alot and theyhave those darn computer prompters and if I coughed in between the questions it would say something like :Im sorry we do not understand" and then I would have to start over. Very aggravating. Probably the worst part was my esphogas was always irritated so if I got a cold it ended up being a 3 month ordeal usually ending up in Bronchitus.

Happily Wrapped: Thanks for advice about the towel, I was worried about that whole teddy bear theory. I put the towel aroun dmy tummy area and the lap belt wasnt an issue anymore.

Well I reported the other day I didnt have any issue with choking. well I had gone to gel advils because it wasnt anissue and yesterday it almost got stuck. I could even feel pudding go down. Very strange that it is just now swelling, huh?

Anyway glad we can keep this thread going, I think it will benefit alot of people.

HappilyWrapped
Regular Member


Date Joined Oct 2007
Total Posts : 183
   Posted 11/15/2007 8:24 AM (GMT -6)   
nocough:
NO PILLS! (notice the capital letters here) Not gel capsules, not anything hard. You have to remember that food going down can change it's form to go through the opening, a pill cannot. Get liquid Advil - children's and adjust the dose for your weight. Or get adult extra-strength liquid Tylenol. Swelling will happen intermittently for a while, so play it safe and stick to soft stuff. It is normal for the swelling to happen later after your surgery.

Glad the towel idea helped.

Doghouse:
Happy 1st day of Zegrid. Each day you take it is a day closer to surgery discussion with the doctor. Patience is a virtue .... so continue being virtuous :)

Barbara:
I'm sorry you're still tired. I'm feeling pretty good as long as I get to bed early. I'm definitely tired by the end of the evening and ready to fall into bed. Hope you start feeling better soon. I still think part of your long recovery is the two surgeries back to back. Your body has really been stressed. Take care.

tiredofGERD
New Member


Date Joined Nov 2007
Total Posts : 6
   Posted 11/15/2007 9:52 AM (GMT -6)   
Hi Everyone,
 
I am new to this site, but have been lurking for a few weeks.  My nissen is to be done in December.  I am now 33 and have had GERD since my early teens. 
 
I am glad most of your recoveries are going well. I have learned alot from you and what to be prepared for after surgery.
 
THanks,
 
Michelle

nocough
Regular Member


Date Joined Nov 2007
Total Posts : 44
   Posted 11/15/2007 10:29 AM (GMT -6)   
HappilyWrapped-ok no pills, I guess I was pushing it but I didnt have the swelling at 1st. I havnt damaged my wrap though have I? I just about choked though, not good! Back to liquid I go. The bubble gum flavor is great good.

Michelle: Glad you found this site, wish I had before I had my surgery I would have known more what to expect. You have a similiar cas as me as I am 31 and this started when I was 15. I had a chronic cough, heartburn but the cough was the worst. What are your symptons? The cough is gone, that nasty taste of acid coming up is gone and no more heartburtn, YEAH!

HappilyWrapped
Regular Member


Date Joined Oct 2007
Total Posts : 183
   Posted 11/15/2007 11:14 AM (GMT -6)   
no cough -
No, you probably didn't have swelling at first - that's normal. My surgeon explained to me that it takes a while for swelling to happen, so you'll have more swelling a week or so past surgery date than on the day after surgery. Swelling can come and go as things heal. Advil will also help reduce swelling - tylenol will only help with pain. Because Advil is one of the medications that causes GERD symptoms, it was suggested to me to alternate Tylenol and Advil so I'd get the pain relief as well as a bit of help with swelling (suggestion from surgeon). Because I have an issue with hypertension and Advil tends to increase blood pressure, I stuck to just Tylenol.

I don't think you did damage to your wrap, but I do think you taught yourself a good lesson and added a huge "what not to do" for others reading your post. Remember, you feel fine, but your insides are still healing and you can't see inside to know exactly how big the opening is between esophagus and stomach. Somehow I don't think you'll be pushing it again for a while :)

Hey Michelle -
Welcome. Glad you stopped lurking and joined in. You'll be so well prepared for your surgery in December that you'll breeze right through the procedure and recovery.

To all -
I'm starting to have an appetite now. I actually feel hungry and that hasn't happened in weeks. I finally broke down this morning. I just had to have something yummy. So I sucked on a cheddar goldfish until it was mush and washed it down with water. Who knew that a simple fish cracker could bring so much joy. My smile is bigger than the one they drew on the goldfish on the package. Now if I could just stop at one, two, three, ok, maybe at four I'll stop.....................

HappilyWrapped
Regular Member


Date Joined Oct 2007
Total Posts : 183
   Posted 11/15/2007 6:13 PM (GMT -6)   
You're not going to believe this.............

The test results from the blood work done Friday at the ER show gallbladder issues. After Thanksgiving I'll be heading for an ultrasound. Barbara - I could be doing the same surgeries as you but in the reverse order. I just can't believe another surgery after recouperating from this one.

doghouse
Regular Member


Date Joined Oct 2007
Total Posts : 138
   Posted 11/15/2007 7:13 PM (GMT -6)   
Eeek....my doc not only put me on 40mg of Zegerid, he put me on it twice a day. Isn't it like the superman of PPI's?? Guess if it doesn't work very well that will be a good clue. Then again, it could work wonders. I'm trying to keep an open mind.

HappilyWrapped
Regular Member


Date Joined Oct 2007
Total Posts : 183
   Posted 11/15/2007 9:28 PM (GMT -6)   
Doghouse:
Positive thinking...positive thinking...patience...patience...positive thinking...positive thinking....positive thinking
You haven't had a recent ph or manometry test. It's possible the doctor has put you on the mega med doses so that when you meet in December he can schedule those tests. You'd have to be on those mega doses for several weeks to produce the outcome he's looking for to ensure you're a good candidate for surgery. Check out my previous post regarding double doses of Nexium prescribed for me in preparation of the manometry test to ensure I was a good candidate for surgery. This may be your first step toward surgery preparation. Of course, there's also a chance I'm totally off base and that's not the case. For your sake, I do hope my assumption is correct.

TammyGrl0528
Veteran Member


Date Joined Jun 2007
Total Posts : 1345
   Posted 11/15/2007 10:15 PM (GMT -6)   
I am so happy to see there is so much information being shared here. Keep it up guys!

HappilyWrapped, you are sharing so much, and I appriciate that, as I have no experience with this. Thank you.

tiredofGERD, welcome to healingwell. I hope you are finding the information you need.

Everyone else, keep the conversation going, this is a good one!

Best wishes to all...stay with us!
 GERD Forum Moderator
    Please share, only if you can spare! 
 Diagnosed with Generalized Anxiety Disorder (GAD) and Panic Attacks.
 Clickable Link that may be of interest to some...as I find I often like to check drug interactions...Drug Interactions
 
~Tammy~


heybatr
New Member


Date Joined Nov 2007
Total Posts : 13
   Posted 11/16/2007 12:55 AM (GMT -6)   
This may have been covered in this thread but I just missed it but how long was everyone told to expect to be off work?

HappilyWrapped
Regular Member


Date Joined Oct 2007
Total Posts : 183
   Posted 11/16/2007 7:05 AM (GMT -6)   
heybatr:
This posting area is Part 2 continued from a previous one entitled "Post-op lap nissen fundo/hiatal hernia repair".
If you check the Part 1 posting area, you'll find plenty of information from more than 3 people regarding time off from work. It ranges from one week for one person to another person who is 5 weeks post-op and still not feeling up to working yet. It's worth checking out so you can see what part of the recovery for each person is different.

The quick answer is plan for at least 2 weeks and if you can manage 3, do the 3.

TammyGrl0528
Veteran Member


Date Joined Jun 2007
Total Posts : 1345
   Posted 11/16/2007 8:52 AM (GMT -6)   
 
Here is the link to part one of this discussion.  Please feel free to take a look back there at what else has been going on here!
 
P.S.  Thanks Sherry!  :-)
 GERD Forum Moderator
    Please share, only if you can spare! 
 Diagnosed with Generalized Anxiety Disorder (GAD) and Panic Attacks.
 Clickable Link that may be of interest to some...as I find I often like to check drug interactions...Drug Interactions
 
~Tammy~


HappilyWrapped
Regular Member


Date Joined Oct 2007
Total Posts : 183
   Posted 11/16/2007 9:53 AM (GMT -6)   
Thanks for the link Tammy, I'm sure it will be helpful for anyone needing to go back to the beginning of our journeys through the recovery process. For my own benefit, I had bookmarked (or made a favorite depending on if you are using Internet Explorer or Firefox) both part 1 and part 2 of our postings. I can now easily switch between them without searching for Part 1.

bokbok
Regular Member


Date Joined Aug 2007
Total Posts : 67
   Posted 11/16/2007 1:31 PM (GMT -6)   
hi all i,m thinking of gettin the surgery done as they said i dont have any ulcers, or hernia,s but my reflux is really bad i get it up in my mouth its the recovery i,m not looking forward to dont seem to hear all the the good after the operation.

nocough
Regular Member


Date Joined Nov 2007
Total Posts : 44
   Posted 11/16/2007 2:14 PM (GMT -6)   
Has any of yall that are way into the recovery stage tried soda? They said to stay away so I have. What would it do if I tried it not that I am going too. I am willing to give up soda forever but would rather not. I almost choked on a banana this morning. THe swelling started for me in the 2nd week, when can I expect it to go back down?

HappilyWrapped
Regular Member


Date Joined Oct 2007
Total Posts : 183
   Posted 11/16/2007 4:06 PM (GMT -6)   
no cough:

NO SODA (notice caps again). Soda causes gas. Maybe a few months down the road, but not now. Will you die? No, but you will have enough gas pain to make you miserable. If you can't burp you can't expel gas so no soda will be for the long term. Giving up soda is a small price to pay for getting rid of that awful cough. Maybe you can have one as a treat once in a while, but definitely not yet.

I think you are rushing your recovery a lot. A banana is probably too thick for you to swallow and you are only 2 weeks postop - I'm 4 weeks and still cannot swallow a banana. I realize everyone is different, but you'll notice you are having more choking issues than the rest of us. Please go back and carefully read our first section of posting. Many of the questions you have asked are answered there along with info regarding the swelling that will come and go for a while. What we were able to eat at different stages post op is also there. To avoid duplicate postings, we are not supposed to keep answering the same questions that we have answered before as it takes up room on the posting area - that's why I keep suggesting that you go back and start at the beginning of our Part 1 post and reread what is already there.

I'm beginning to wonder about your surgeon. They should have provided you with some guidance, not just sent you home. Most people are given an idea of a diet to follow. Everything must slide down easily so that it does not stretch the wrap or get stuck.

The information below is a guide, not gospel. To give proper credit and not infringe on copyright rules, I'm letting everyone know I found this on a web site posted by Dr. Fusco. I am not giving the exact web site because I don't want to break rules on this posting area. This diet is very similar to what I was given and what other doctor/hospital sites have provided online. Because you don't seem to have any diet information from your own doctor, I'm hoping this will help.

-------------------------------------------------------------
DIET FOLLOWING SURGERY -
Due to swelling of the wrap used to prevent your reflux, the following two short term effects are noted in most patients after reflux surgery:

Difficulty swallowing some foods.

Abdominal bloating and pain after eating foods that distend the stomach (gas bloat syndrome).

These symptoms last from two to six weeks. The following diet instructions minimize these symptoms by alerting you to foods that tend to be difficult to swallow or distend the stomach.

STAGE 1: CLEAR LIQUID DIET
When to Start: Night of Surgery. Later, drop back to STAGE 1 if you have problems with STAGE 2.
Your Diet:

Small meals of clear liquids 3-4 times daily.
Avoid extreme temperatures.
Drink slowly.
Allow cold foods to melt in mouth.
No carbonated drinks for 3-4 weeks!

STAGE 2: SOFT DIET
When to Start: Morning after surgery. Continue at this stage for 3 weeks after surgery or as tolerated.
Your Diet:

Soft foods (foods you could eat if you didn't have teeth).
Eat or drink slowly over a 1-hour period until you feel full.
Chew your food well.
Drink fluids with food to keep food moist.
Limit the following "gas-forming / irritating" foods. Tomato products, peppermint, black pepper, caffeine, alcohol, onions, green peppers, "gum chewing", menthol, fatty foods, beans, spicy foods, nuts, citrus fruits, raw fruits, raw vegetables, fiber supplements.
Avoid breads, crackers, biscuits, pancakes, waffles, and French toast.
Avoid dry meats (like cold cuts).
No carbonated drinks for 3-4 weeks

STAGE 3: TRANSITION TO REGULAR DIET
When to Start: about 3 weeks after surgery.
Your Diet:

Soft diet as above.
Begin introducing more challenging foods one at a time.
If they cause symptoms, avoid them and try reintroducing them at a later date.
Drop back to Stage 2 as needed for bloating or difficulty swallowing.
For bloating try taking GAS-X® (available over the counter) with meals.
No carbonated drinks for 3-4 weeks

STAGE 4: REGULAR DIET
When to Start: 6 weeks after surgery
Your Diet:
Regular healthy diet
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