My husband is 5 months in hospital after cardiac surgery followed by a laparotomy to correct a twisted bowel. The last obstacle before he can be discharged is an inability to keep food down. His swallow is fine ,he eats a soft diet but either straight away or later (hours) he starts coughing, retching and up comes the lot .Water, can be a trigger also Sometimes he chews gum before eating and it seems to help. Any suggestions what might be causing this ? Any possible solutions would be appreciated. Many thanks.
I've had both surgeries that your husband has experienced, but not in the same sequence. I had heart issues prior to the bowel obstruction, but the bowel obstruction created a great deal of stress on my heart. My bowel didn't twist, scar tissue from either football or boxing caused a bowel blockage and needed a laparotomy. I was warned that my organs were starting to shut down and to expect secondary problems, and a cardiac surgeon was present during the procedure, but I had no serious heart issues, just a bleeding problem from the drug Plavix I was taking prior to the surgery. A bowel obstruction is extremely serious, as you know, and can cause serious problems to all the organs.
However, I did some violent vomiting with the bowel obstruction. Intestinal matter has no place to go but back up when the bowel is obstructed/twisted, enough said about that, but in my case it destroyed the LES valve that is supposed to keep stomach/intestinal matter where it belongs. I had to have a surgery called a Nissen Fundoplication that successfully kept acid from backing back into my throat and caused me to vomit. If that valve is damaged in your husband's situation, it could be a reason for his situation. Also, it's possible with the cardiac/intestinal surgeries that the vegal nerve can be cut.
My guess is that your husband's doctors have investigated these matters, but since you asked, I'd suggest you talk to them about the possibilities. Best wishes, I hope you keep us informed.
The Doctors can not discharge him before they know what is the cause of the vomiting and inability to keep food down! Heart-surgery takes its toll and to add a serious problem like what he had with his bowel is very hard and a shock to the body and he now needs food to get his strenght back!
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.