Nissen Fundoplication 2 Years Later - Constant Burping?

Oh, I should probably mention: I did get sick a little over month ago and vomited once. It wasn't violent vomiting or anything like that, and I didn't have any immediate issues following that, but maybe a week later I did have some sharp pain sort of behind my lower sternum region when I was packing some stuff around the house.

Generally I trust the durability of the wrap and I try not to exacerbate issues or do anything that would cause excessive abdominal pressure. While I try not to fall into the mentality that any foregut pain indicated wrap failure, it is troubling to have this persistent feeling of pressure and discomfort in my lower esophagus again.

Thanks Sharon.
I expected it would be a few days before I got responses. I doubt I'll need the feedback I came here for, though. Last night I had two significant reflux incidents, including one where I had a lot of food come up. So... I think I know what I'm dealing with now, unfortunately. For me, it's now just a matter of getting back into a good economic situation where I can deal with this again. Can't win 'em all, I guess.

Yeah, it was the same surgeon for both.
To be fair, he has a lot of experience and doesn't have a reputation for failures. That said, every situation is different and I don't necessarily blame the surgeon. It's safe to say that I likely won't go to him to get it fixed this time.

I had some difficulty swallowing for a couple weeks shortly after the pain began. I don't have too much difficulty with food, but with water it feels like I need to swallow an extra time. It's a curious thing; it feels as if I'm trying to swallow an extra time in order to feel like I'm done swallowing.
I will say that my digestion in general feels a bit off lately, like my food stays in my stomach for longer than it did previously. I know that a hiatal hernia can cause delayed gastric emptying due to the change in gastric pressure.

The initial manometry test I did was fine. I had it done at the Mayo Clinic in MN. I would imagine that my swallowing is still fine and it's the reflux that causes the issue. For example, when I drink water, I can hear a gurgling, croaking-like sound sometime for a minute or so after I swallow. The discomfort isn't in the swallowing itself, but rather the time after I've swallowed.
When I previous surgery failed, I had similar issues. I had a 3cm hiatal hernia, which isn't particularly dramatic, but it still presented itself rather profoundly in symptoms. There was damage to the crural diaphragm after the first failure, and my wrap was mostly undone and partially migrated, and both had to be repaired. Whether or not these problems resulted in explicit dysphagia or simply mimicked it may be negligible; from what I read in research articles, I get the impression that the symptoms reported in instances of wrap failure present themselves differently from those in hiatal hernias in patients who haven't had previous operations.

That said, I think I'm at a point where may not be worthwhile to speculate much further. The simple facts of the matter are that I've been having issues with reflux, burping, chest pressure and pain. The digestive tract has its own (enteric) nervous system, and it doesn't necessarily "communicate" in a way that is easy to diagnose independently. Once I'm in a financially stable position again, I'll just have to run back through the gauntlet of tests and find a professional with experience in nissen revisions and failures.