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Author Questions For Howard, Lap Nissen Surgery Completed/ Power Lifter
MrUsaMike

2006-05-04, 1:09 pm

Hello Dr. Howard and Fellow Members:

I had the NIssen surgery completed on April 24th and I am still in the
healing process. As you might remember I had a weak esophagas and weak
valve and in the last 6 weeks prior to the surgery had started to
develope throat issues. The surgery went very well and the surgeon told
me that I had a "Huge" hitial hernia which they pulled down and
corrected. If I understood my Dr. correctly, he had used both of his
hands to show me how large the hernia was, he stated that the hernia
had extended to underneath my heart. Is that possible? I subsequently
developed bronchitis(sp) & cough 4 days after the surgery. Now taking
amoxicillian.


Heres are my questions.

1. Due to the bronchiatis I coughed alot..Do I have to be concearned
about damaging/ weakening the new valve?

2. I still have the ability to burp. Is that an indicator that surgery
was not successful?

3. I have a dull ache pain underneath my left pictoral which seems to
extend to my right pictoral. Does not feel like GERD. Is this part of
the healing process?

4. Because it was a lap nissen instead of a full (open) surgery. How
many years do they usually last?

Again thanks Dr. Howard for your responses,


Mike

Howard McCollister

2006-05-04, 6:09 pm


"MrUsaMike" <mrusamike@hotmail.com> wrote in message
news:1146762974.441818.217700@y43g2000cwc.googlegroups.com...
> Hello Dr. Howard and Fellow Members:
>
> I had the NIssen surgery completed on April 24th and I am still in the
> healing process. As you might remember I had a weak esophagas and weak
> valve and in the last 6 weeks prior to the surgery had started to
> develope throat issues. The surgery went very well and the surgeon told
> me that I had a "Huge" hitial hernia which they pulled down and
> corrected. If I understood my Dr. correctly, he had used both of his
> hands to show me how large the hernia was, he stated that the hernia
> had extended to underneath my heart. Is that possible? I subsequently
> developed bronchitis(sp) & cough 4 days after the surgery. Now taking
> amoxicillian.
>
>
> Heres are my questions.
>
> 1. Due to the bronchiatis I coughed alot..Do I have to be concearned
> about damaging/ weakening the new valve?
>
> 2. I still have the ability to burp. Is that an indicator that surgery
> was not successful?
>
> 3. I have a dull ache pain underneath my left pictoral which seems to
> extend to my right pictoral. Does not feel like GERD. Is this part of
> the healing process?
>
> 4. Because it was a lap nissen instead of a full (open) surgery. How
> many years do they usually last?
>
> Again thanks Dr. Howard for your responses,
>
>



A lap Nissen is no less likely to be successful than when done open.

Coughing is generally not a problem, but it's important to avoid retching or
vomiting in the first 6 weeks.

The ability to burp really indicates nothing. It may be esophageal air
rather than stomach, but even if it's stomach, that's not usually an issue.

The dull pain you're experiencing is pretty common.

HMc



MrUsaMike

2006-05-04, 6:09 pm

Dr. Howard.

Thank you for your response. I did end up retching two days in a row
after the surgery. Keeping my fingers crossed that I didnt weaken the
valve. I would hate to have to go underneath the knife again if I did
something to it. I guess I am a slow healer which doesnt help either.
Howard, this is a silly question, but should I be completely pain free
from the gerd or is there residual pain in the chest and high stomach
area for months after?

Thanks again,

Mike

Pete

2006-05-04, 6:09 pm

MrUsaMike wrote:
> Dr. Howard.
>
> Thank you for your response. I did end up retching two days in a row
> after the surgery. Keeping my fingers crossed that I didnt weaken the
> valve. I would hate to have to go underneath the knife again if I did
> something to it. I guess I am a slow healer which doesnt help either.
> Howard, this is a silly question, but should I be completely pain free
> from the gerd or is there residual pain in the chest and high stomach
> area for months after?
>
> Thanks again,
>
> Mike


Mike...are you saying that you were retching (or trying to vomit) as a side
effect of the surgery, or was there another reason...Pete


MrUsaMike

2006-05-05, 1:11 am

Hey Pete:

I was congested and ended up dry heaving 2 days in a row. But very
limited, lasted 20 seconds on each occassion. I coughed and gag reflex
kicked in. Ugly feeling when you realize that you might damage some
very special surgery.

MIke

Howard McCollister

2006-05-05, 1:11 am


"MrUsaMike" <mrusamike@hotmail.com> wrote in message
news:1146782729.130202.154580@i40g2000cwc.googlegroups.com...
> Dr. Howard.
>
> Thank you for your response. I did end up retching two days in a row
> after the surgery. Keeping my fingers crossed that I didnt weaken the
> valve. I would hate to have to go underneath the knife again if I did
> something to it. I guess I am a slow healer which doesnt help either.
> Howard, this is a silly question, but should I be completely pain free
> from the gerd or is there residual pain in the chest and high stomach
> area for months after?
>
>


Chest pain, neck pain, shoulder pain, pain on deep inspiration - all these
things to some degree would not be unusual for a few weeks after surgery,
especially if there was a large hiatus hernia whose sac had to be dissected
out of the middle of the chest (mediastinum). But, you should indeed have no
GERD.

You mentioned a large hiatus hernia. It's important that there be sufficient
esophagus inside the abdomen before doing the wrap - usually at least 3
centimeters. In your case, after reducing the hernia, excising the sac, and
then closing the hiatus, I would want to make sure there was no esophageal
shortening. This is known to be a potential cause of failure of the
operation and in some cases requires lengthening the esophagus. It's
something you may want to ask you surgeon when you see him.

HMc



sherrybove@gmail.com

2006-05-05, 11:11 am

Heartburn in seniors can lead to other problems, lifestyle changes,
medicine can help symptom

Dangers of Heartburn

Heartburn symptoms can show up in a variety of ways - as a painful
burning sensation in the chest sometimes spreading to the throat, a
sour or bitter taste in the mouth, frequent belching, coughing,
wheezing or a sore throat. If your husband is experiencing some of
these symptoms at least twice a week, he needs to see a doctor.
Frequent heartburn symptoms may indicate gastroesophageal reflux
disease (GERD), which if left untreated, can lead to serious health
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problems, Barrett's esophagus, esophageal cancer and more.

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several things you can do to prevent or reduce heartburn. Like:-
Change Diet, Eating habits, stop smoking, weight management, relax etc.

For complete information:-
http://www.medical-health-care-info.../5-5health4.htm

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