4 months post op - advice needed from smart people here

Hey

Longtime reader of the board, finally posting about a nagging issue.

Little back-story - Im 29 years old in good shape and got my nissen done 29th september 2017. Had it done for various LPR issues that had been going on for over year and a half. High dose of nexium kept it kind of under control but in the end, decided with surgeon that we should try nissen operation, because my LES was just wide open and it would mean lifelong medication with high dose of PPI.

Everything seemed to go nicely until mid-december (2 and a half months feeling great before that) where my LPR issues came back - itchy throat that wants to make me cough and some pleghm production. It happened after an evening of eating more than I probably should have and the next day I also had one instance of sharp pain running through my esophagus.

I let my surgeon now after holidays and after gastroscopy told me that wrap is in place but did see a bit of bile in there. I was put on domperidon and nexium and a few weeks later I even had a "good week" without the nagging feeling the whole day, more like common cold in the morning that went away by day and came back in the evening. After that week, all my symptoms before the op are back and kind of wondering what should I do.

What I am doing myself is continue taking nexium and domperidon, also going back to softer foods and trying to speak less (job involves speaking, a lot). With the surgeons new scope result I should also not run immediatelly for a redo so Ill wait out until 7-8 months post op and see how I am doing then. Today its 4 months and circa 10 days post-op. Should I also have a barium just in case? What else should I do and what to expect?

First of all, thanks for the answer, SharonZ. It was more tongue in cheek as I really think that I do not need a new op - even though I am not feeling good right now, I still can not burp (I do have small air bubbles coming up from esophagus but nothing like a real burp) and I have somewhat more flatulance then before. Because of this, I also believe that the wrap itself is still O.K.

If I might ask, has any of you also had this kind of rollercoaster happening where for the first 2-3 months everything goes quite well and you might afterwards have a month-long or even more relapse period of symptoms? How did you best handle this mentally?

Post Edited (Lingvist) : 2/12/2018 2:24:30 PM (GMT-7)

SharonZ:

Thanks again for responding. For the past few days I have started burping a bit but I can not control it (its just pretty big air-bubbles that come up a minute after eating a bit more) - I wonder if I should be worried about it or its rather a good thing? Still having the annoying itchy feeling in the throat also.

Alright - Ill do it in the new week. It is kind of weird because I contacted my surgeon because of this issue already before (only the itchy throat) and after gastroscopy told me that my wrap is nicely in place. That was also the main issue why I had the op and felt great relief 2 and a half months post op. Could the recent burping be tied with the new use of nexium?