Vomiting after surgery - did I cause damage to my wrap ?

I have not posted in a while as have been muddling along with my fundoplication (lap Nissen Oct 2010, 360 floppy).  I haven't been entirely happy with my surgical outcome as still experience heartburn and LPR. 24hr PH tests showed reflux events 20% of the time, which the doctors thought was too high for a fundo patient.  However, the barium test showed no reflux, so the doctors think the wrap may actually be too tight so some hold up could be occurring.

Anyway, I was muddling along until this week, when I went into surgery to have some lumps removed from my throat.  Unfortunately I vomited the night after the surgery (could have been the anaesthesia though it may also have been a bug in the family). I wasn't violently sick and only produced some bile rather than food, but I certainly would have placed the wrap under some strain with the dry heaving.  This was 2 nights ago and I now have a sharp heartburn feeling and burning throat.  I am hoping this is the wrap having been aggravated and perhaps swelling up and causing hold up of food, rather than a damaged wrap.  But the panic button in my head is telling me that I have damaged the wrap.

I would be interested to hear of other fundo patients experience of being sick.  I know that many fundo patients actually can't vomit post surgery.  I think that may have been the case with me, hence only producing some bile despite having eaten a few hours previously, but the heartburn pains I am getting now and the burning espophagus and throat are worse than before the surgery so my question is whether these symptoms are typical after vomiting and whether these settle down, or whether these are indicative of damage.

I look forward to hearing from you all.

Many thanks

Simon

Edit:  Simon, I gave your thread a title.

Post Edited By Moderator (stkitt) : 11/1/2012 8:31:37 AM (GMT-6)

Thanks for responding.  My discomfort has improved a little, but I think my problem is that my esophagus is generally inflammed as my wrap isn't doing a good enough job (as evidenced by the 24hr results), so the vomiting has just stirred things up even more.  One surgeon I saw who scoped me recently though the wrap looked too loose, another thought my symptoms were down to the wrap not opening and closing properly, so some acid may squirt up above the wrap and just sit there.  So who knows the answer!!  I think a revision is in order though there's never a convenient time for that.

Thanks again for coming back to me.  This is such a great forum due to the caring people that attend it.

Simon