Re: Post Nissen Fundoplication Complications...Help
I'm sorry I don't have a lot to say that will help you.
I had a Nissen Fundoplication in October 2008. I think I had good recovery because my surgeon was extremely cautions with regards to what he allowed me to do and eat for quite a while after the surgery.
Did you have a Manometry before your surgery? I do know that for people with motility disorders, recovery from a Nissen Fundoplication can be very difficult and surgery isn't typically recommended.
It could be possible that the surgeon secured your stomach a bit too tight around your esophagus. Hopefully the EGD would show if that is the case. I know some people end up having to have their esophagus "stretched" in response to that.
The issue you are having with trapped gas is classic after having a Nissen Fundoplication. My symptoms there have gradually gotten better, but I still have problems with this sometimes. I do know that the gas can be a cause of the shoulder pain though.
I also had problems with the nausea for quite a while after the surgery. I didn't have nausea problems prior to the surgery. I ended up with a standing prescription for Zofran that really helped.
As for not being able to throw up, that is the worst. With the stomach squeezing and things being blocked from coming up, it just bounces around in the stomach... very wierd and disconcerting. I will say that about a year after surgery I picked up a nasty bug and with the force of things, I vomited repeatedly. I haven't been able to vomit since, but I now know that it is possible.
When I was having some of my nausea problems after surgery, I went to see my GI doc. He said that the stomach is "angry" for at least 8 weeks due to the trauma caused by the surgery. It will take at least that long for the swelling to totally go down.
How fast did your doctor clear you to eat? I was on liquid only for 2 weeks, then soft foods for a few weeks. I didn't add bread and meat into my diet for almost 3 months.
If you are having trouble with liquids, have you talked to your doctor about dehydration issues? That really can be a serious concern.
It may be something way out there, but I'll share anyway. I found out about a year after the surgery that I had TMJ. My TMJ Specialist figures that the tube they placed in my throat during surgery may be the cause. My TMJ symptoms included pain in my neck and facial muscles... right side in my case. I also had shoulder problems due to my neck and face muscles being out of whack. It was the longest time before I found out that it was actually muscle spasms causing my pain. You might try researching cervicalgia and myofacial pain to see if it matches any of your symptoms.
What kind of doctor are you seeing for your follow-up? I had visits with my surgeon, Gastroenterologist and Pulmonologist. When I had problems this last fall, they all were part of my follow-up.
I hope your EGD helps give you answers. You might want to see about getting a second opinion as well. There might be another specialist out there who can help you find your answers.
Asthma, Allergies, severe LPR/GERD, Anemia, TMJD, Hearing Loss, Ulnar Impaction Syndrome, Shoulder Impingement--both shoulders, Benign Joint Hypermobility, possible Ehlers Danlos Syndrome