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Newly Post-op with heartburn, no fluid in band.



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Hi, I'm Abby. Wasn't exactly sure where to post this as didn't think it would be appropriate in newly banded for new bandsters that are learning like me. If anyone has any advice, please help! I know there are several topics on heartburn AFTER a patient has been too tight or has had fills but I haven't had anything in my band.

My lapband surgery date was 9/13/13. I had the AP-L band with no Fluid placed in band. I did have hiatial hernia repair 3 x 4 CM. Today is my 14 day post op and I am having heartburn. I did not have heartburn at all the first week post op. I do not lay down after meals, so I know it is not related to that. I also have ONLY had Water to drink for fluids since day 8 and forward from surgery.

I had my post op appointment this last Wednesday (9/25) with the nurse. I had only had one bad heartburn experience the past weekend and thought it was an isolated incident but still mentioned it. She suggested that I trial prilosec for about a month or so until the swelling subsides from the surgery.

I just wanted to give you some background information and what I’ve been doing so you have all the info.

Prior to surgery, I probably have had heartburn 5-10 times in my life that I can recall. The only thing that triggered it was if I drank more than two glasses of alcohol which was a rare occasion. I was never sensitive to any other types of food. It was also relieved by taking two tums within 10-30 minutes.

My first week post-op I was unable to burp for 6-7 days. Every time I had the pressure to burp, I was unable to for some reason. Starting day 6-7 and forward I burp multiple times throughout the day. I don’t know if that’s a factor since it opens up the Lower esophageal sphincter. I do try to not gulp air and try to SIP my water.

My first heartburn experience was on day 8, first day of pureed/soft type foods per surgeon guidelines. I had three bites of lowfat cottage cheese at 12:00 p.m. I tolerated that fine. I had no other food and only sipped on water starting at 1:00 p.m. At 3:30 p.m., I developed heartburn that lasted until 7:00 pm. I took two tums and a chewable prevacid around 5:00, the heartburn finally relieved itself two hours after that.

I had no episode of heartburn on Sunday.

On Monday I had very mild heartburn that lasted about 1-2 hours and then went away.

No episode on Tuesday or Wednesday.

Yesterday Thursday (9/26) I had heartburn from 4:00 p.m. until 9:30 p.m. I did have ¼ of Tomato Soup at noon but had no symptoms of heartburn and had Tomato Soup previous days without problems (I understand this is acidic) At 3:30, I ate two ounces of tuna fish and 1 low fat laughing cow cheese wedge. At 4:00 p.m., I had heartburn. I took two tums and prevacid at 4:30 without relief. I continued to sip my water but no other food. At 8:30 I took two more tums and then Pepto-Bismol. Had no relief. Finally at 9:30 I started to drink my Protein Shake (only water and whey protein) and I had relief. I was afraid to try any more food even though I was hungry in fear of having heartburn all night.

This morning I woke up around 8:30 a.m. with heartburn. It is my third day of omeprazole.

I’m really upset as it is uncomfortable, I had no problems of reflux prior to surgery AND I had a hernia repair. My throat and esophagus feel irritated now and then to have another episode makes it more irritated than the initial episodes. I don’t know if there is something wrong but this is NOT normal for me. If this is related to swelling from the surgery, wouldn't of I experienced it the first week? Or no?

I have NO night cough, no nausea, no vomiting. I also don't feel gastric juices in my throat. Just a "burn" from my sternum to my throat area. I've had minimal hunger since surgery. Maybe feel hungry once a day. I am eating roughly 500-700 calories this week. I have tolerated swallowing everything I've tried. No PB or slime. I've tried Protein shakes (only water and whey stirred), broths, blended Soups, lowfat cottage cheese, refried Beans, greek yogurt, pudding, tuna fish, laughing cow cheese wedge, and Peanut Butter.< /p>

Is there a reason post op with no fluid in the band why I would be experiencing this? :(. I left a voicemail to make an appointment with the surgeon but seeing if in the meantime someone else had a solution. Thanks.

-Abby

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Hey Abby, welcome. Sorry to hear you're having difficulties. I'm almost 8 weeks post op. I never had any issues with heartburn or GERD, except when pregnant. But, my surgeon did give me a script for Prilosec 40 mg, to take for 30 days right after my band surgery. She explained that even though my stomach wasn't 'cut' that it would swell, along with my esophagus, simply due to the trauma of the surgery, and the Prilosec would be proactive to help reduce the swelling, and make eating easier. I also had a hiatal hernia repair at time of banding. I would say do as the nurse suggested, try the Prilosec, make sure you take it first thing in the morning on an empty stomach, and give it time to take effect. Also, my surgeon said to stay on blander foods, she said no Tomato Soup, it's very acidic. I hope the Prilosec helps you, and I would definitely follow up with your actual surgeon. And if you are ever in doubt, always place a call, no advice could ever replace your surgeons advice. Best wishes for a safe, speedy recovery :)

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Hi, I'm Abby. Wasn't exactly sure where to post this as didn't think it would be appropriate in newly banded for new bandsters that are learning like me. If anyone has any advice, please help! I know there are several topics on heartburn AFTER a patient has been too tight or has had fills but I haven't had anything in my band.

My lapband surgery date was 9/13/13. I had the AP-L band with no Fluid placed in band. I did have hiatial hernia repair 3 x 4 CM. Today is my 14 day post op and I am having heartburn. I did not have heartburn at all the first week post op. I do not lay down after meals, so I know it is not related to that. I also have ONLY had Water to drink for fluids since day 8 and forward from surgery.

I had my post op appointment this last Wednesday (9/25) with the nurse. I had only had one bad heartburn experience the past weekend and thought it was an isolated incident but still mentioned it. She suggested that I trial prilosec for about a month or so until the swelling subsides from the surgery.

I just wanted to give you some background information and what I’ve been doing so you have all the info.

Prior to surgery, I probably have had heartburn 5-10 times in my life that I can recall. The only thing that triggered it was if I drank more than two glasses of alcohol which was a rare occasion. I was never sensitive to any other types of food. It was also relieved by taking two tums within 10-30 minutes.

My first week post-op I was unable to burp for 6-7 days. Every time I had the pressure to burp, I was unable to for some reason. Starting day 6-7 and forward I burp multiple times throughout the day. I don’t know if that’s a factor since it opens up the Lower esophageal sphincter. I do try to not gulp air and try to SIP my Water.< /p>

My first heartburn experience was on day 8, first day of pureed/soft type foods per surgeon guidelines. I had three bites of lowfat cottage cheese at 12:00 p.m. I tolerated that fine. I had no other food and only sipped on water starting at 1:00 p.m. At 3:30 p.m., I developed heartburn that lasted until 7:00 pm. I took two tums and a chewable prevacid around 5:00, the heartburn finally relieved itself two hours after that.

I had no episode of heartburn on Sunday.

On Monday I had very mild heartburn that lasted about 1-2 hours and then went away.

No episode on Tuesday or Wednesday.

Yesterday Thursday (9/26) I had heartburn from 4:00 p.m. until 9:30 p.m. I did have ¼ of Tomato Soup at noon but had no symptoms of heartburn and had Tomato Soup previous days without problems (I understand this is acidic) At 3:30, I ate two ounces of tuna fish and 1 low fat laughing cow cheese wedge. At 4:00 p.m., I had heartburn. I took two tums and prevacid at 4:30 without relief. I continued to sip my water but no other food. At 8:30 I took two more tums and then Pepto-Bismol. Had no relief. Finally at 9:30 I started to drink my Protein shake (only water and whey protein) and I had relief. I was afraid to try any more food even though I was hungry in fear of having heartburn all night.

This morning I woke up around 8:30 a.m. with heartburn. It is my third day of omeprazole.

I’m really upset as it is uncomfortable, I had no problems of reflux prior to surgery AND I had a hernia repair. My throat and esophagus feel irritated now and then to have another episode makes it more irritated than the initial episodes. I don’t know if there is something wrong but this is NOT normal for me. If this is related to swelling from the surgery, wouldn't of I experienced it the first week? Or no?

I have NO night cough, no nausea, no vomiting. I also don't feel gastric juices in my throat. Just a "burn" from my sternum to my throat area. I've had minimal hunger since surgery. Maybe feel hungry once a day. I am eating roughly 500-700 calories this week. I have tolerated swallowing everything I've tried. No PB or slime. I've tried Protein shakes (only water and whey stirred), broths, blended Soups, lowfat cottage cheese, refried Beans, greek yogurt, pudding, tuna fish, laughing cow cheese wedge, and Peanut Butter.

Is there a reason post op with no Fluid in the band why I would be experiencing this? :(. I left a voicemail to make an appointment with the surgeon but seeing if in the meantime someone else had a solution. Thanks.

-Abby

It sounds like you have been given good advice already.

The only information I would like to add is that it should help to stay away from acidic foods. I cannot tolerate anything made with tomatoes since being banded, as I have noticed a definite causal relationship between tomato products and development of heartburn.

Another thing to help you is to look for a pattern with foods you eat and the development of heartburn. Knowledge is power...and it can help you feel better!

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