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Symptoms Returning 1 Year After Nissen Fundoplication

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GERD & Acid Reflux
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Posted 3/5/2012 7:38 PM (GMT 0)
Hello,

A year ago I had the nissen fundoplication procedure done which was recommended by my doctor. I had suffered for quite awhile with some symptoms, mainly stomach pain/pressure, nausea after eating, excessive burping, sinus congestion, and the taste of fumes in my throat which my doctor said was the stomach acid. I did have an upper GI series which showed continual GERD, and every now and then when I would burp I would get acid and food coming back up. Also, every time when I would eat anything my stomach or something would spasm causing almost like a hiccup/burp to occur. After having this procedure done all of my symptoms disappeared to my surprise except for the unusual spasms I would get after eating something. I was able to eat normally again and I could eat foods that I couldn't for the longest time without any problems. For the last couple of weeks my symptoms have come back... all of them, the worst being this taste of fumes in my mouth which I presume is stomach acid again. When I had an endoscopy done they told me there was no inflammation, and I thought this was unusual. If I had a problem with GERD would there not be inflammation? I am wondering if this procedure didn't change something structurally that made my symptoms go away. Can GERD cause the stomach pressure/pain feeling after eating? I find it unusual that GERD would cause some of these things, however this procedure did help for a short time.

What are your thoughts? I don't know what to do from here. Also, I can't seem to eat anything anymore without it causing a lot of gas. I bet I have about 25 episodes of passing gas and burping through each day.
I did have food allergy testing done and I am avoiding all the things that showed an intolerance. I'm afraid of not getting better.... I feel completely toxic from this. I had lost 30 pounds from before and I was able to maintain my weight for the last year... I can't afford to loose any more weight.

I appreciate any comments. Thank you.
Posted 3/5/2012 9:58 PM (GMT 0)
Hi jr,

Sorry to hear you're having some problems.  Have you eaten more challenging food lately?  While the Nissen surgery can reduce reflux dramatically, there is likely some reflux remaining.  If you were to eat or drink a lot of very challenging foods recently, it could stir things up for a while.

If your endoscopy shows no irritation, it would indicate to me that you're not getting significant reflux.

Sometimes my wrap area can feel very irritated because of what I've eaten.  If food is being held back by the wrap, it can be very irritating and mimic reflux.  Are you remembering to continue to chew your food thoroughly?  That requirement doesn't change over time.  Your wrap makes it more difficult to pass food through into your stomach, so you need to always chew it thoroughly after surgery.

Hopefully things will settle down soon.

Denise

 

Posted 3/5/2012 10:36 PM (GMT 0)
Hi JR

I would be very wary of restricting your diet based on tests for food intolerances - these tests are notoriously unreliable, to the extent that you could get tested again and be given a different list of foods to avoid! It may be worth keeping a food and symptom diary to try to pinpoint any trigger foods.

Have you considered trying a probiotic - the gas may be due to fermentation by unhealthy bacteria. Presumably you got tested for Helicobacter?

MMM
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