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Acid Reflux / GERD Message Board


Acid Reflux / GERD Board Index


Back for another followup (sorry I said I'd be back in a few days, I forgot/got lazy). Thanks for the advice and support.

I bought various brands of nutrition shakes like Ensure/Slimfast/etc. I ate a little yogurt and drank those almost exclusively for about a week. I bought some Senna and Colace and took them at night on May 21st, seemed to help because I passed my first stool (since my the surgery) fairly easily the next day. I have been taking my omeprazole off and on (couldn't make up my mind). For the first week, it didn't seem to a big difference either way. My swallowing became easier over that week and the pain in my shoulders had mostly gone away after about a week. I seemed to be recovering fairly quickly. On the night of May 26th I decided to test myself because I was having my followup the next day. I had a McFlurry, McChicken, and McDouble (cheeseburger). They went down fairly well actually, only mild difficulty swallowing. Not much in the way of heartburn, at least nothing too bad. I chose McDonald's partly because that is what used to give my heartburn back in college whenever I made latenight food runs. Despite my good recovery, I was still a little conerned about some things I was feeling. I still have reflux shortly after I eat, but as I said before, I just assumed this was stuff which was still working it's way into my stomach. I also had some tiny amount of burn which resembled heartburn, but it was hard to tell for sure if it was just surgical pain.

I had my followup on May 27th. The Dr reinforced my theory about the food coming up and the pain, he said the small "heartburn" pain was just because I am still healing and that food is likely to come up a little bit while it struggles to get into my stomach. He also surprised me by saying I could basically have whatever I wanted. He even encouraged me to try alcohol and carbonated beverages. He only caveated that I wait for carbonated beverages to fizz out a little and that I swallow only one bite at a time. He said that if I end up making myself throw up, I could tear wrap apart. I was surprised to hear him give me the thumbs up for carbonated beverages because the eating schedule they gave me said I shouldn't have them until week 12. He said that the schedule was the "old lady schedule" and that my recovery was way ahead of schedule.

When I left, it was around lunch time and I had a slice of pizza, frozen yogurt, and a soda. It seemed to go down fine. Later that night I had a little scare when I went to eat with my friends. I got a plate of garlic rolls to eat (I wasn't that hungry). I swallowed three separate bites of a roll, but I forgot to chew them thoroghly. I then started to feel a huge pressure in my chest (like the food was getting stuck). I drank some water, but it just made it worse and the stuff wouldn't go down. I sat there trying to swallow it, but I started coughing up the water. I went to the bathroom and threw up 3 separate times. Each time, one of my bites of the roll popped out. The first time it happened naturally and the next two times I induced vomiting. The vomiting wasn't very strong, the bites popped out pretty smoothly and easily (no retching or pain). I was a little worried, but I was pretty sure I only vomited my esophageal contents. Over the next few days, I ate more of a normal diet. I seemed to have more stuff lingering in my esophagus and sometimes I thought I tasted a little sour acid taste. I started to worry that the wrap may be damaged, but there was no pain and I still had difficulty swallowing ... so I assume it must be intact. It is pretty confusing.

Yesterday I had Chicken Pad Thai and I got some pretty bad heartburn. I'm pretty sure it was not simply surgical pain, it was pretty much textbook heartburn. I was pretty worried, but I still had difficulty swallowing it ... so I think the wrap must still be doing it's job to an extent. As I thought more about it, I realized later in the evening that I hadn't had any omeprazole for a couple of days. I now am hoping that the heartburn and extra stuff in my esophagus is just PPI bounceback. There are a few studies that show PPI withdrawal can cause upset stomach and heartburn for a couple of weeks even in NORMAL patients without GERD. So I am hoping that this will all go away once my body adjusts to having no omeprazole. However, to make the transition smoother, I started taking my omeprazole again this morning at a lower dose. I will try to taper off it. I am also going to scale back a little bit on the diet and try to avoid too many veggies and bread to help swallowing and avoid fatty food to help reduce acid production. Fingers crossed. I am debating giving the doctor a call and asking him about it, although he seemed somewhat dismissive of any possibility of acidic reflux at my followup.

Sam
[QUOTE=SammyCeee;5365302]Back for another followup (sorry I said I'd be back in a few days, I forgot/got lazy). Thanks for the advice and support.

I bought various brands of nutrition shakes like Ensure/Slimfast/etc. I ate a little yogurt and drank those almost exclusively for about a week. I bought some Senna and Colace and took them at night on May 21st, seemed to help because I passed my first stool (since my the surgery) fairly easily the next day. I have been taking my omeprazole off and on (couldn't make up my mind). For the first week, it didn't seem to a big difference either way. My swallowing became easier over that week and the pain in my shoulders had mostly gone away after about a week. I seemed to be recovering fairly quickly. On the night of May 26th I decided to test myself because I was having my followup the next day. I had a McFlurry, McChicken, and McDouble (cheeseburger). They went down fairly well actually, only mild difficulty swallowing. Not much in the way of heartburn, at least nothing too bad. I chose McDonald's partly because that is what used to give my heartburn back in college whenever I made latenight food runs. Despite my good recovery, I was still a little conerned about some things I was feeling. I still have reflux shortly after I eat, but as I said before, I just assumed this was stuff which was still working it's way into my stomach. I also had some tiny amount of burn which resembled heartburn, but it was hard to tell for sure if it was just surgical pain.

I had my followup on May 27th. The Dr reinforced my theory about the food coming up and the pain, he said the small "heartburn" pain was just because I am still healing and that food is likely to come up a little bit while it struggles to get into my stomach. He also surprised me by saying I could basically have whatever I wanted. He even encouraged me to try alcohol and carbonated beverages. He only caveated that I wait for carbonated beverages to fizz out a little and that I swallow only one bite at a time. He said that if I end up making myself throw up, I could tear wrap apart. I was surprised to hear him give me the thumbs up for carbonated beverages because the eating schedule they gave me said I shouldn't have them until week 12. He said that the schedule was the "old lady schedule" and that my recovery was way ahead of schedule.

When I left, it was around lunch time and I had a slice of pizza, frozen yogurt, and a soda. It seemed to go down fine. Later that night I had a little scare when I went to eat with my friends. I got a plate of garlic rolls to eat (I wasn't that hungry). I swallowed three separate bites of a roll, but I forgot to chew them thoroghly. I then started to feel a huge pressure in my chest (like the food was getting stuck). I drank some water, but it just made it worse and the stuff wouldn't go down. I sat there trying to swallow it, but I started coughing up the water. I went to the bathroom and threw up 3 separate times. Each time, one of my bites of the roll popped out. The first time it happened naturally and the next two times I induced vomiting. The vomiting wasn't very strong, the bites popped out pretty smoothly and easily (no retching or pain). I was a little worried, but I was pretty sure I only vomited my esophageal contents. Over the next few days, I ate more of a normal diet. I seemed to have more stuff lingering in my esophagus and sometimes I thought I tasted a little sour acid taste. I started to worry that the wrap may be damaged, but there was no pain and I still had difficulty swallowing ... so I assume it must be intact. It is pretty confusing.

Yesterday I had Chicken Pad Thai and I got some pretty bad heartburn. I'm pretty sure it was not simply surgical pain, it was pretty much textbook heartburn. I was pretty worried, but I still had difficulty swallowing it ... so I think the wrap must still be doing it's job to an extent. As I thought more about it, I realized later in the evening that I hadn't had any omeprazole for a couple of days. I now am hoping that the heartburn and extra stuff in my esophagus is just PPI bounceback. There are a few studies that show PPI withdrawal can cause upset stomach and heartburn for a couple of weeks even in NORMAL patients without GERD. So I am hoping that this will all go away once my body adjusts to having no omeprazole. However, to make the transition smoother, I started taking my omeprazole again this morning at a lower dose. I will try to taper off it. I am also going to scale back a little bit on the diet and try to avoid too many veggies and bread to help swallowing and avoid fatty food to help reduce acid production. Fingers crossed. I am debating giving the doctor a call and asking him about it, although he seemed somewhat dismissive of any possibility of acidic reflux at my followup.

Sam[/QUOTE]

Thanks for your thorough step by step analysis. I'm crossing my fingers for you, and hope it'll be all better soon. You made the right call by going back to being conservative in your healing. Take care!





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