Swallowing issues 1 year after Hiatal hernia surgery & Lap Nissen.

Posted by faithann64 @faithann64, Apr 29, 2020

So I made a trip to the ER a couple days ago because of severe cramping and problems swallowing ! 1 year ago I had Hiatal hernia surgery and Nissen Fundoplication, Have had on and off problems since the surgery. Last couple months the abdominal pain and swallowing been getting worse ! I double over in pain and even sips of water is difficult ! The hospital did an ex ray chest and CT scan of my stomach but couldn't say really what was causing so much pain ? I have pain from throat to stomach, Even swallowing anything is painful. Abdominal pain all the time ! And yes diarrhea, ugh..And ridiculous amount of gas .. My surgeon like I said in a prior post is trying to get me in for an upper endoscopy to check my esophagus ? Has anyone had issues later on after this kind of surgery ? Thank You. ( Male , 56 years young )

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Profile picture for stoclady @stoclady

Good Morning,
I had the identical operation in early June. I do have a lot of gas and have almost thrown up when anything gets stuck and won't go down. I am unaware of what your Dr. told you when you were finished.... I was told that my esophagus was of little help, stay on soft foods for the rest of my life. Masticate very well anything I eat. Take sips of water after each bite. I had a motility test of the esophagus the day before the operation so that he would know whether to do a full or partial wrap. Due to the low motility (his words, your esophagus is of little help), he did a partial wrap and a partial mesh implant. I have not had any reflux since that operation and I would rather eat soft foods than go thru what I did for 14 years.

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JJ

I have been to Heart group but return to see G/I department doctors. Can you give me an idea of who you visited and was it for HH?

I can’t get appt for GI for several months so I have time to make appointment.

I had such a great team in Cardiology. They were warm and thorough. Found some possibilities but needed more tests. Excellent diagnosis, but they referred me to GI Dept.

Your suggestions are great for any GI problem.

Thank you very much for sharing.

Barbara (babswel1)

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Dr wolfson at Jacksonville, FL Mayo.

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Yes! Go for the tests! I was diagnosed after having hiatal hernia surgery with gastroparesis! Go for the swallowing test & a gastric emptying study…. 🙏❤️

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I had my Nissan Fundoplication Hiatal Hernia surgery on 9/23/23. Although it's only been a month, I find it hard to swallow water at times, is this normal? I try eating and if feels as though everything gets stuck in my throat. It's painful at times and sometimes I have to throw up to get rid of anything I've eaten in order to feel better. Is this normal. I'm hoping I don't go through all of these issues from here on out.

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After mine, I was told to eat small bites, and swallow nothing larger than a pea! Also, sip rather than drink! It took 3-4 mos, but I can swallow easier now. I also had a valve replaced between the Esophagus. You probably had that too! I just can't burp or throw-up any more.
I was told, "get the flu, it's gotta go thru!"

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I am scheduled for a laproscopic hiatal hernia repair and Nissen Fundoplication at Mayo Rochester in a few weeks. I was hoping to read some positive things at this site, but frankly all the postings are scaring the crap out of me! I am almost ready to back out of the surgery. My paraesophageal hernia is Stage 4 (giant) and my spleen has herniated into the diaphragm; it has gotten much larger in the past couple of years. I do not have symptoms that I cannot live with -- some acid reflux, bloating, but I can control reasonably well by eating smaller meals and staying away from irritating foods and alchohol. I have Barrett's esophagus (short segment; no dysplasia) for many years and treat with omeprazole with regular follow-up EGDs. I have never had surgery or anesthesia of any type (I do EGDs and colonoscopies without sedation), and needless to say, I am fearful of the hiatal repair surgery, although the Mayo surgeon and anestheseologist have provided a good level of comfort. My fear of not having surgery is a strangulation or a volvus. I am a reasonably healthy 73 year old, spend a good part of my time in Ireland, and I don't want to have an emergency situation present itself. As expected, no one can give me reliable odds of the chance of an emergency, and I am not getting any younger.... Does anyone have any positive words for me? Good outcome they have had -- or at least not a terrible one? Especially if your surgery was done at Mayo, I would be interested in hearing from you. Thanks in advance.

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Profile picture for ruthrg @ruthrg

After mine, I was told to eat small bites, and swallow nothing larger than a pea! Also, sip rather than drink! It took 3-4 mos, but I can swallow easier now. I also had a valve replaced between the Esophagus. You probably had that too! I just can't burp or throw-up any more.
I was told, "get the flu, it's gotta go thru!"

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@ruthrg omg I deep wet belch hundreds and hundreds of times a day , I dry heave now daily since I suddenly lost my husband 4 months ago , throw up sometimes too .
I have small hiatal hernia for 10 yrs . I also have Gastritis, Esophagitis, GERD , Diverticulosis, cannot eat or want to much anymore, and other mood disorders now . The gastrointestinal issues started 11 years ago .
Tried everything, 5 GI Dr’s every Mayo Clinic Jax for tests in 2021 .
Did the holistic route too .
I could never get that surgery as I have to expel all the horrible churning & deep wet belches out of me . I hope surgery works for this person who wrote this . How are you doing now ?

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Profile picture for costelma @costelma

I am scheduled for a laproscopic hiatal hernia repair and Nissen Fundoplication at Mayo Rochester in a few weeks. I was hoping to read some positive things at this site, but frankly all the postings are scaring the crap out of me! I am almost ready to back out of the surgery. My paraesophageal hernia is Stage 4 (giant) and my spleen has herniated into the diaphragm; it has gotten much larger in the past couple of years. I do not have symptoms that I cannot live with -- some acid reflux, bloating, but I can control reasonably well by eating smaller meals and staying away from irritating foods and alchohol. I have Barrett's esophagus (short segment; no dysplasia) for many years and treat with omeprazole with regular follow-up EGDs. I have never had surgery or anesthesia of any type (I do EGDs and colonoscopies without sedation), and needless to say, I am fearful of the hiatal repair surgery, although the Mayo surgeon and anestheseologist have provided a good level of comfort. My fear of not having surgery is a strangulation or a volvus. I am a reasonably healthy 73 year old, spend a good part of my time in Ireland, and I don't want to have an emergency situation present itself. As expected, no one can give me reliable odds of the chance of an emergency, and I am not getting any younger.... Does anyone have any positive words for me? Good outcome they have had -- or at least not a terrible one? Especially if your surgery was done at Mayo, I would be interested in hearing from you. Thanks in advance.

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@costelma I joined a FB group talking about these issues. I was expecting a lot of horror stories, but the people who had the surgery were mostly happy. It's done with robots now and the surgeons seem to know what they are doing. Much better outcome! So start thinking it's going to be great!

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Profile picture for costelma @costelma

I am scheduled for a laproscopic hiatal hernia repair and Nissen Fundoplication at Mayo Rochester in a few weeks. I was hoping to read some positive things at this site, but frankly all the postings are scaring the crap out of me! I am almost ready to back out of the surgery. My paraesophageal hernia is Stage 4 (giant) and my spleen has herniated into the diaphragm; it has gotten much larger in the past couple of years. I do not have symptoms that I cannot live with -- some acid reflux, bloating, but I can control reasonably well by eating smaller meals and staying away from irritating foods and alchohol. I have Barrett's esophagus (short segment; no dysplasia) for many years and treat with omeprazole with regular follow-up EGDs. I have never had surgery or anesthesia of any type (I do EGDs and colonoscopies without sedation), and needless to say, I am fearful of the hiatal repair surgery, although the Mayo surgeon and anestheseologist have provided a good level of comfort. My fear of not having surgery is a strangulation or a volvus. I am a reasonably healthy 73 year old, spend a good part of my time in Ireland, and I don't want to have an emergency situation present itself. As expected, no one can give me reliable odds of the chance of an emergency, and I am not getting any younger.... Does anyone have any positive words for me? Good outcome they have had -- or at least not a terrible one? Especially if your surgery was done at Mayo, I would be interested in hearing from you. Thanks in advance.

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Hi @costelma - the most important thing about your hernia repair is what your surgical team has told you in light of your personal medical situation and history. They tend to give you data from large populations and also talk specifically to your situation. If there are risks, they will let you know about those.

If you have any lingering questions or concerns, you can call the Mayo Clinic operator through the general number, tell them you are scheduled for surgery with Dr. X, and they will locate that surgeon and have them connect with you to talk through any concerns.

I had a Mayo urogynecologist call me back and speak to me for a whole hour and talk me down when I was really considering backing out the night before my hysterectomy with repairs in 2012. My concerns were very emotional, and he basically told me nearly all patients were emotional before and after this particular surgery. He told me to refer to any pro/con lists I'd already written (basically, that it was sensible to proceed with what I'd already logically determined was the right decision). This surgeon really took a lot of time to just listen to me.

Anyway, this conversation helped tremendously. Just wanted you to know that if you are scheduled for a surgery, a phone call to discuss any worries niggling at you is an option open to you and could be helpful.

What are the concerns that have arisen from what you've read that make you consider backing out of your surgery, costelma?

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Profile picture for costelma @costelma

I am scheduled for a laproscopic hiatal hernia repair and Nissen Fundoplication at Mayo Rochester in a few weeks. I was hoping to read some positive things at this site, but frankly all the postings are scaring the crap out of me! I am almost ready to back out of the surgery. My paraesophageal hernia is Stage 4 (giant) and my spleen has herniated into the diaphragm; it has gotten much larger in the past couple of years. I do not have symptoms that I cannot live with -- some acid reflux, bloating, but I can control reasonably well by eating smaller meals and staying away from irritating foods and alchohol. I have Barrett's esophagus (short segment; no dysplasia) for many years and treat with omeprazole with regular follow-up EGDs. I have never had surgery or anesthesia of any type (I do EGDs and colonoscopies without sedation), and needless to say, I am fearful of the hiatal repair surgery, although the Mayo surgeon and anestheseologist have provided a good level of comfort. My fear of not having surgery is a strangulation or a volvus. I am a reasonably healthy 73 year old, spend a good part of my time in Ireland, and I don't want to have an emergency situation present itself. As expected, no one can give me reliable odds of the chance of an emergency, and I am not getting any younger.... Does anyone have any positive words for me? Good outcome they have had -- or at least not a terrible one? Especially if your surgery was done at Mayo, I would be interested in hearing from you. Thanks in advance.

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@costelma perhaps it’s a good move as you have tried the ppis for a number of years? Perhaps 10 or more ? Mayo is certainly an excellent center .. I have a touoet scheduled in December but admit I’m nervous as well after learning I have Barrett in April

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