Has my Nissen come unwrapped??? Help!

Really hope You get some answers from the test. I had my surgery this past dec and lately I'm feeling the same symptoms you are. I just had a motility test And they said it was slightly abnormal but nothing serious. Really? Ugh. Anyway. Let us know if you find out anything. Even tonight my esophagus is in spasm and burning!

Well it looks like good news. My wrap didn't come undone, but it's just looser than it used to be. So as a result just a lot of redness and inflammation especially around the wrap area. Good thing is I caught it very early so hopefully meds will resolve it. I just hope I get a few more years out of this wrap before it needs to be redone. So glad today showed the best possible outcome tho! Next time I might not be as lucky but for now I'm breathing a sigh of relief :). Having to have my wrap redone is my worst fear and I know it's probably just a matter of time. I don't usually have the best of luck in this department lol. Thanks for your responses, at least I know I'm not alone and that the pain is normal for what the issue is. :)

Unfortunately no, they didn't say why only just that it sometimes happens. It usually depends on how the surgeon sutured and anchored everything in I believe. I was surprised to hear that it had loosened because my surgeon made sure to anchor everything in really good so this wouldn't happen. I'm good about eating fairly small meals and not overstuffing myself and staying away from anything carbonated or anything that can expand my stomach very much. I know that expanding your stomach when you eat, etc. can put pressure on the permanent sutures and maybe cause them to loosen prematurely. So now I'm having to be overly cautious as to the size of my meals to be sure I don't loosen it up anymore than it already is. Other than that there's not much else I can do, just staying on my PPI and Carafate, and the always so fun bland reflux diet until the irritation has had time to heal. I can only hope as time goes on it doesn't get any worse. On the plus side, right now I'm still much better off (symptom wise) than I was prior to the Nissen but perhaps my spirit is just a little crushed that I'm having problems so soon.

During the first year you can cause stretching of the stomach which can cause stitches to lossen or break by overeating.
Also throwing up can cause the same thing to happen. That's why you're told to carry around anti-nausea meds the first year.

My gp suggested my wrap burst due to eating a meal with a drink and then lifting a cycle into a car boot. I have heard this a few times so yes I believe it to be possible.

No, just don't stuff yourself or overexert yourself during recovery.

This is why they have the recovery rules to follow. If your surgeon doesn't tell you them then you were not very informed about things.
My surgeon was a bariatric surgeon. He was well versed in stomach surgery and the post-surgical care.
He left me with these rules:
For six weeks don't lift anything over 5lbs. Then slowly add 5 lbs each week. If you feel discomfort wait then try 5 more pounds. It took me about 4 months before I could carry in about 50 lbs of groceries.
The second rule is don't throw up! I tried to follow this rule very strictly. I took anti-nausea meds all the time. I did get gastroenteritis around the 7th month. Threw up for 12 hours, but the stitches held, thank goodness.
The third rule is follow the diet of 2-3 weeks liquids (I did 4 because I wasn't ready). Followed by 2 more weeks on soft foods (think baby food). Then gradually add more solid foods leaving raw veggies, soft breads, and steak for last (around week 12).

Hi everyone,
Well, here's the most recent update with me since I made my initial post about the possibility of my wrap coming undone. I've since been back to see my surgeon since my symptoms haven't gotten better being back on meds and based on my symptoms he believes the wrap may have slipped. Don't know to what degree but here I go with another Bravo PH test and upper GI this next week to see how severe my reflux is and hope that the upper GI shows something (anything!) with what the wrap is doing. I don't have high hopes for the upper GI though. The last one I had done (among a million other tests and procedures) never showed my hiatal hernia so I have no clue how it'll show a slipped wrap. It was a total surprise when they found the hernia when they were in there doing the Nissen! lol. Anywho, I'm frustrated and worried on two ends here. First, what if the tests don't show the severity of my reflux and they decide to do nothing (leaving me stuck with all my symptoms regardless of meds). Second, what if it does confirm my worst fear and I'm stuck with a Nissen re-do? Ugh either way it's not exactly a great outcome. My surgeon said if the tests come back like they're expecting, a second surgery is the only way to fix it. Oh joy, right? So here I am, back on all my meds and symptoms eerily similar to pre-Nissen. https://www.healingwell.com/community/emoticons/confused.gif

They did say that they usually see slipped wraps very early after surgery (within a few months post op) and not 2 yrs out like I am but then again leave it to me to be the oddball! I figure I'm young (31) and already dealt with this for over 10 years and here we go yet again. I had a mini melt down the other week because I was just so frustrated with all of this. It's days like that where I just don't know how I went for so long feeling so sick! You forget what normal feels like. And now that I've had normal for 2 years, I forgot what sick felt like. Now I remember that it SUCKS!! Thanks for letting me vent. It's nice having people to talk to who can relate https://www.healingwell.com/community/emoticons/smile.gif