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Acid Reflux / GERD Message Board

Acid Reflux / GERD Board Index

So far, my surgery seems very successful. I know we're still early in healing, but it's very encouraging.

I had the Lap Nissen Fundoplication on 11/19/13. I am 3 days out from it today. Here's my story.

I was officially diagnosed with GERD on October of 2012, but I had symptoms of GERD for probably 3 years prior to the diagnosis. My symptoms were: nausea, indigestion, nasty, burning reflux, post nasal drip, heartburn, esophageal spasms. I took 40mg of Omeprazole every day, which only helped my heartburn, not the other symptoms.

Here are a few GENERAL things that are going on:

1. I haven't had a BM. I'm taking Miralax and a stool softener, but so far, nothing. [B]Any suggestions on how to fix that?[/B]

2. I still have the lump in my throat. I am a bit worried that means the surgery did not fix it, but I know it could just be from being intubated during surgery. I don't know how to describe it, but it does feel different than the lump I had before surgery. Time will tell with this one.

3. I am TOTALLY OFF OMEPRAZOLE, and I have not had any heartburn, regurgitation, post nasal drip, or indigestion. It feels like 90% of my GERD symptoms are gon.

4. I have had a little nausea, but that's likely from the pain meds and not eating enough when I take them. I'm not concerned about that, as I know it will pass. I have great meds for the nausea.

5. Walk, walk, walk. I've walked a good bit, and I'm convinced that's why I haven't had gas buildup that hurts.

6. If you have time, get in shape before your surgery. I'm positive that's why it's been a good recovery so far.

Here's my daily journal so far:

[B][U]Surgery Day[/U][/B]
Dr. Heniford, a leader in this field, is my surgeon. He has done 1400 of these procedures, and he actually fixes a lot of botched LNFs. I felt very lucky to have a world class specialist with GERD surgery only 30 minutes away.

I had a hiatal hernia that had to be fixed as well in my surgery, so it took a bit longer than normal. I was in surgery for 2.5 hours. I woke up in recovery, and then they took me to my room around 2pm. I had great nurses and a great surgical team. They checked on me every hour.

I was not allowed to eat or drink anything that day, even though I felt like I could tolerate sipping water. I wasn't expecting that, but it was probably for the best.

I did have some nausea, but I was able to call the nurse, and she would arrive in 10 minutes or so with IV Zofran, which wiped out the nausea. They also gave me a motion sickness patch (Transderm Scop) to wear behind my ear. I have since stopped the Zofran, but I'm keeping the patch on for a week or so.

That night my heart rate was too high, in the 130s, so they were concerned about that. They woke me up about every 30 minutes to check it. I'm not sure if they gave me any medicine for it b/c I was doped up. I know they called the cardio/heart doctors to see what to do.

I had a catheter in, which made it difficult to sleep. It did not hurt; just uncomfortable. I also had pumps on my legs to prevent blood clots. They gave me Hepfrin throughout my stay as well, to prevent clotting.

I also had a Morphine drip/pump that allowed me to medicate myself for pain.

I went for a VERY short, assisted walk that evening. I was shaky and a little dizzy, but had no pain during my walk.

I did not have much pain the first day.
Day 2[/U][/B]
Woke up around 6am when the surgical team came in to check on me and my incisions. Everything looked fine. They wanted me to try some soft foods with breakfast (eggs, grits, etc.), but I didn't feel up to it. So, the nurse brought me chicken broth, jello, juice, and an Italian ice. I ate a few sips of broth, a piece of jello, a couple sips of juice, and part of the Italian ice. No problems swallowing, and nothing got stuck.

My heart rate remained on the high side (110-130), but my blood pressure, oxygen level, temperature, and breathing where all fine, so they just monitored me every hour. If it had gone over 135, they were going to call the heart specialist in to take a look and do an EKG. Luckily that didn't happen.

They took my catheter out in the burned a little coming put, but it was over very quickly, and I was so relieved to have it out. I was able to get up and go to the restroom pretty quickly after that, so they knew my kidneys and bladder were working just fine.

I had more pain, and a headache. Morphine causes headaches, just FYI. It hurt to get up from bed, and to get back into bed. But other than that, my pain remained at a consistent 2 out of 10.

Later in the day, they took me off the Morphine drip, and started giving me oral pain killers -- Lortab. Turns out I cannot tolerate Lortab -- they made me VERY itchy all over. They switched me to Demerol, which worked VERY well and I didn't have itching with it.

The doctors decided to keep me one more night, mainly because I refused to eat soft foods at lunch too. They needed to see me swallow foods (not just liquid). I am actually glad I stayed one more was a comfortable room, had a place for my partner to sleep, and I felt very well taken care of.

In the evening of my second day, I ate a few small bites of Greek Yogurt, and a few cubes of canned peaches. I got up and had 5 assisted walks that day, which felt great, and also put me on the path to getting out of the hospital.

My pulse remained high, but peaked at 110, so a small improvement.

[B][U]Day 3
I woke up on Day 3 feeling good. The surgeons came in and checked on me, and then gave to go ahead for the nurses to begin the discharge process (YAY!).

I went for a much longer walk around the hospital floor, and it felt great. I still had significant pain getting in and out of bed, but once I was in a steady position, either laying down or standing up, my pain was a 2.

I ate grits, chicken broth, and canned peaches for breakfast. I had some of the grits get stuck, but it wasn't bad at all. I just stopped eating, got up and moved around a bit, and the grits slid down in about 5 minutes. I had no pain with getting food stuck.

They put me on Percocet to take home. Works great for pain, but I still had some itching. The itching was no where near as bad as with the Lortab, and they gave me benadryl to combat the itching.

We came home, and I went straight to my recliner to rest. It felt great to be home. I took a shower, which felt amazing. I walked as much as I felt I could do, around my house.

I slept laying completely flat on my bed, and only had to get up once to take some more pain meds.

I also had 2 burps; not big ones, but enough to get some gas out of my stomach. I'm also passing a significant amount of gas out the other end ;)

I tolerated the soft foods diet quite well -- grits, mashed carrots, broth, canned fruit, kellogg's breakfast to go drink, etc. I've had a couple "stuck" issues, but I just stop eating, get up and move around a bit, and it passes.

My incision sites look great.

I slept well that night.

I am going to try and post each day or so about my experience. The experiences I read from others who have the wrap made me so much more prepared.

If any of you have any ideas for a BM or about the lump in my throat, I'd really appreciate any help. Also, please feel free to ask me questions.

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