I had the fundo op done two and half years ago because I had very bad acid reflux and hiatus hernia. For 18 months all was well except for regurgitation caused by my poor motility. Went out for a meal and ate very little as I was getting over number 3 dilatation and only had one glass of wine. My stomach all of a sudden swelled up to a 9 month pregnant lady with terrible sharp pain between the ribs which radiated to my back and shoulders,including wanting to be sick but couldn't. To this day I am told I am suffering from gas bloat and hospital want to do another dilatation. I am at my wits end as I have to allow for expansion when buying cloths. I cannot go swimming, gym, do gardening or any physical activity as these all give me pain due to the expansion of stomach. Can anyone explain to me why this has happened and will a dilatation cure me? The hospital are hoping the gas will escape easier. Incidentally I burp and pass wind as normal and I do not think gas bloat is the problem. I am seriously thinking of having a take down and suffer with the acid as it has really messed up my quality of life as I am now. Has anyone suffered a similar fate or can anyone tell me where I can get a specialist opinion who is experienced in this problem?
In 2000, i did have a nissan fundo but in my case it was essential as I had reached the stage of choking to death and all the tests were positive. However, even though it was done as it should have been, I am experiencing similar symptoms as you. I used to have one BM per day and little gas but after the surgery, I get nauseated when eating, have several BMs and fart all over the place. What is worse is that I am not absorbing my nutrients and am dehydrated a lot. I told my gastroenterologist that sometimes if I ate fatty foods or too much, I felt like immediate nausea, weakness and fainting at the table. He remarked that this was pressure on my vagal nerve. So maybe you can get a surgeon who is willing to go in and remove the scaring and finish the takedown. As for me, I think that the surgery was done for a good reason but it could have been slap bang thank you m'am...2 hours with a laparascope which I feel does not give the doctors a good enough view to be careful. Let me know what you think. Contact me at ***@****
I wish I could get a surgeon who could go in and move things around properly.
Elizabeth
hi i had a nissen funiplication in 2001. I am not sure I really needed it - my symptoms were not typical. I since deiscovered that lots of my rouble have been cuased by food allergies - bloating, upset stomach, iritable bowel - like symptoms. I did have a slight hiatus hernia and there was inflamation so acid must have been a factor.
anyway the post op bloating was bad - i had a month or 2 of excruciating pain as gas worked it's way down rather than up. The pain was paralysing sometimes - I'd have to just lie on the floor and not move for an hour until it passed out. I think me intestines somehoe got used to the process becuase the pains came less often from several times a day to once a day then oce a week to maybe once a month. It took about 3 years but eventualy I could burp again - I guess it's loosening up again. I think my LES is working like a normal person's now so I'm happy at last. It was scary thinking the pain would never go, but it did.
good luck with what ever you get done.
hi i had a nissen funiplication in 2001. I am not sure I really needed it - my symptoms were not typical. I since deiscovered that lots of my rouble have been cuased by food allergies - bloating, upset stomach, iritable bowel - like symptoms. I did have a slight hiatus hernia and there was inflamation so acid must have been a factor.
anyway the post op bloating was bad - i had a month or 2 of excruciating pain as gas worked it's way down rather than up. The pain was paralysing sometimes - I'd have to just lie on the floor and not move for an hour until it passed out. I think me intestines somehoe got used to the process becuase the pains came less often from several times a day to once a day then oce a week to maybe once a month. It took about 3 years but eventualy I could burp again - I guess it's loosening up again. I think my LES is working like a normal person's now so I'm happy at last. It was scary thinking the pain would never go, but it did.
good luck with what ever you get done.
Thank you Dr. for your response to my question. I would greatly appreciate if the Surgeon who visits this board would provide his thoughts and recommendations.
Thanks
As follow up to my post above I should have pointed out that I would really appreciate if the Surgeon on this site would also reply to this question as it is very much a surgical related issue and problems I'm having as a result of this surgery. Thanks
I am not a surgeon, so I'm afraid my insight will be limited.
The 24-hr pH test is the most conclusive test for GERD, and with it being normal, it certainly would be unlikely that the fundoplication would help.
Other possible causes for the symptoms can include gastroparesis, gastritis, or irritable bowel syndrome.
You have mentioned the upper GI. You can consider an upper endoscopy - which would be the more comprehensive test. A blood test for H Pylori can also be considered - since this bacteria is associated with inflammation and ulcers.
If these options are non-revealing, you can consider optimizing your treatment for irritable bowel - first by increasing the fiber in the diet, as well as anti-spasmodic agents.
It is possible that recovery can happen after a fundoplication take-down. However, I would discuss this option with your personal physician and surgeon.
I also cannot comment on whether the removal of the blood vessels are contributing to your symptoms.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b