Post-OP Log
Hour by hour and day by day log of heart
burn operation
April, 2004
This is a log of
what happened after my Laproscopic Neilson Funduplication operation.
I entered the
hospital at noon on Sunday and was assigned a bed. I was there Sunday to do my
pre-op stuff, blood samples, x-rays, and talk to my anesthesiologist. My
operation was performed on Monday, around eleven a.m. It went well, with no
complications. I remember being moved to my hospital bed, but sleep until seven
p.m., when I woke. I had five punch holes on my chest and belly. They felt like
a dull thud, but didn’t really hurt too much. The internal stuff, felt about
the same as always. My first swallow of liquid was a swallow of apple juice,
which caused me to burp when it hit my repaired les area, the part they
repaired. It didn’t go down well. I spent a fairly restful night, just taking
it easy.
In the morning, I
tried to eat breakfast. I was taking small bits and getting some things down,
until the beef broth smell hit me and I became nauseated, so I stopped eating.
I left the hospital
at noon on Tuesday, the thirteenth of April 2004 for home. I remember trying to
drink a swallow of water that day. The swallow put me in a can’t-burp mode.
This is when the liquid hits the les area, it causes it to try to burp, but you
can’t. It feels like a truck wants to get out, you need to burp so badly. You
go to the sink with your hands on the counter, mouth open, and spit flowing out
of your mouth. It feels like a truck needs to get out, but can’t. About the
time you feel like you are going to your knees, it seems to implode on itself
and stops. This would happen if I tried to eat or drink most anything this day.
I realized I wasn’t going to be able to eat or drink for a while and better
limit my physical activities to zero, until I could at least drink.
I also should note that I had fairly strong pain in both shoulders for at least a few days after the operation. I read some where that this is caused by the CO2 gas that they use to blow up ones belly during the operation.
Weds. April 14th
Noon- one more
Vicodin and a smoke, half can of apricots and a bit of frozen apple sauce. Hard
to eat, without the les spasm. Burp relief, ate total half apricot and one
teaspoon of frozen applesauce. Walked around the yard, changing sprinklers and
watering. Rode my bicycle about a mile down the road and back.
3pm-Eat half
apricot, chewed well. It seemed to go down better then the last one at noon. My
les gets a ball feeling, than if I burp or regurge, it will relieve it. This is
from eating or drinking. Lying on my back seems to help relieve this. Smoke also
seems to relieve this pressure, a lot.
3:45pm-Ate about
three teaspoons of frozen applesauce. Went down fairly well, but spasmed a bit
after. Burped, regurged bubble spit. Regurged must of the applesauce and spit it
out. Things have settled down a bit.
4pm-Took one
Vicodin and had a smoke. Hardy pain, like I need to burp badly.
4:20pm-Ate a few
dried cherries, as les was feeling better. Pressure, burp, burp and les mostly
ok feeling.
4:25pm-Ate a few
jumbo raisins. Pressure, regurged several times and spit out to relieve lots of
bubble spit.
4:44pm-Sevire want
to burp problem. Lasted several minutes, almost put me on the floor.
4:49pm- Feel almost
normal now.
5:50pm-Ate half an
apricot. Went down well.
7:25pm-Tried some
chicken noodle soup.
7:30pm-Several
large burps after several spoons of soup.
7:35pm-Two more
spoons of soup, too much pressure, until burping and regurgitating some soup.
7:50pm-More
pressure. Heavy. Finally burped and relieved a bit.
8:05pm-Took one
Vicodin with a bit of water, much pressure, until I burped.
11pm-Ate a half
apricot, pressure, salivate, severe on the floor type pain, finally burped a few
times.
8am-Woke up and
took shower. Try no meds for a while. Everything feels ok, except for the
pressure buildup after swallowing a little bit of anything. Passed some gas
during the night. Burping some this morning.
12 noon-Still now
pain meds, except smoke. Not eating for a while. Not having too much pressure
problems, as I’m able to burp it out.
1pm-Drink about
three small swallows of water. Causes pressure feeling.
1:05pm-Finally
relieved with burps, the pressure from drinking the water.
4:30pm-Sucked on a
butterscotch hard candy. Severe bloat. But finally relieved by tucking neck in
tight and trying to burp. This seemed to help.
8:30pm-Try some
chicken broth. Had five or six swallows with some small pieces of Swiss cheese.
Ok for a while, then, bad bloat. Smoke seems to cure.
9:30pm-Need to eat
or drink, one swallow at a time.
10:30pm-Ate a
swallow at a time of vanilla ice cream. Seemed to help a little. Three or four
swallows.
8:30am-Wake up.
Passed some gas last night. My intestines seem a little less bloated this
morning. Still hard to eat or drink.
11:30am-Ate an inch
of banana. Went down well.
11:35am-Some of the
burp back. Try another inch of banana.
11:40am-That was a
bad mistake. After hard to burp. But finally did.
11:50am-Burping
problems after eating banana and a few small swallows of water.
2:15pm-Trying to
eat one-quarter cup of chicken noodle soup.
2:20pm-Ok, I
finished the soup, with some difficulty in burp back.
2:35pm-Suffering
some. No burp problems from the soup.
4pm-Swallow two
teaspoons of vanilla ice cream. Seems to make me cough.
4:05pm-Swallowed a
swallow of water. Much pressure to burp. Finally burped, which helped some.
8:30pm-Try eat a
half cup halved apricots
9:30pm-Ate only
about one third cup of the apricots. Ate two teaspoons of ice cream.
10pm-That last
stuff was too much. Much Burp stress!
Five punctures have
less pain today. A lot of lower stomach pain. Some shoulder pain. Gas and
burping problems.
3am-Not sleeping
well. Took two Vicodin. Terrible spasm at les. No burp. Smoke. Finally burp.
11am-Woke up.
Feeling fairly well. Good sleep. Can roll over in sleep.
4pm- Took a
Decussate
4:30pm-Had a small
bowel movement/
4:45pm-Have both
shoulders sore today. Have some low internal pain in the esophagus area. Had
first smoke of the day. Helped the pain quite a bit.
5:30pm-Try to eat
about a cup of chicken noodle soup.
6:15pm-Still
working on the soup. It’s a chore.
6:30pm-Adding some
noodles to the last one-quarter cup of soup broth, as they seem to go down the
easiest.
7pm-I think I ate
my cup of soup. I seem full and won’t eat the rest of the added noodles.
9:30pm-Ate
one-quarter cup vanilla pudding. Went down easy. Less than five minutes. Good.
11pm-Jelly bellies
seem to eat well and go down easily.
Overall through,
I’d say there has been quite an improvement in things today. I feel I might
make it yet. :o)
1:40am- I was just
brave and swallowed one-quarter cup of water rather fast. It sure try’s to
spasm the les area. I made it though, without too bad a spasm problem.
10am- I’m up. Ate
a half a banana. Well, I ate half of it. Feels like there is something stuck in
my throat.
12:30pm- Eating the
banana wasn’t a good idea. I ate about half of it. My les is feeling slightly
spasmed, and like, it’s not doing its proper motor function.
4pm- Ate 10 oz. Of
vanilla pudding. It went down fairly well
4:30pm- Took a
Decussate.
7:30pm- Ate another
10 oz. Of vanilla pudding.
8pm- Drank about
one-eighth cup of water down. Lockup, meaning can’t burp badly!
9pm- Ate some
noodle and broth soup. Was able to eat about one-quarter-cup noodle. Couldn’t
do the broth. Too much les lockup.
11:30pm- Ate a
slice of turkey lunchmeat with mayo. Went down fairly well, but had a bad case
of the les spasm, bad case!
11:45pm-
regurgitated some turkey. Hard on me!
12:45am- Bedtime.
Mostly, a good day. Bloat seems to be the main problem. Hurts are hurting less
as far as the five punctures. Les area isn’t as painful, so I can work the
area better. How ever, the les area seems to get into some kind of spasm after
eating or drinking. If I can relieve some of the gas pressure by burping, it
does improve, at least for a bit. So, it seems to me, I’m bloated and the gas
pressure on my sore les is causing me this problem.
**9am- Up, Drank
about one quarter cup warm water in shower. Les spasm. Using two fingers to
press on tongue causes burp, relieving pain.
10am- Ate ten oz.
Chocolate pudding.
11am- Ate eight oz.
Frozen fruit juice, frozen.
4pm- Ate eight oz.
Vanilla pudding.
7:30pm- Ok finished
it. Had some regurgitation, but most of it stayed down with help of burping.
You could also add
about another sixteen oz. of the sugar enriched frozen fruit punch; I’ve been
eating to the other items I listed today.
10am-Up. Ate ten
oz. vanilla pudding
Saw the doctor, my
surgeon. Recommended I use Gasx, eat some yogurt and get some protein from fish
or chicken. Call her in a week.
5pm- Ate six oz. of
blueberry yogurt. Took one Gasx after and a little water.
9:30pm- Eating a
bit of soft beef. Brother brought over. Also starting a six oz. orange yogurt.
Burping myself
10pm- Couldn’t
eat most of the yogurt. Feel full.
10:45p- Add some
tea, chamomile. Got it to go down with not too much trouble. Burped a bit.
11:30pm- Ate some
more frozen fruit juice. Took a Gasx.
12:40am- Ate one
large asparagus with mayo.
10:45am- Ate
sixteen oz. orange yogurt and one Gasx. Some water and tea. Twelve oz., total.
2pm- Ate one Gasx
2:30pm- Ate a
little chicken. Three small pieces. Need to burp.
4:15pm- Ate a few
spoons of cottage cheese. Regurgitated a little of it.
10pm- Ate some
yogurt. Ate one Gasx.
11:30pm- Bedtime.
11am- Had a small
Bowel Movement
12noon- Ate a few
bites chicken
2pm- Sipped eight
oz. of hot Pepsi. Heated to remove bubbles
3:30pm- Ate a
couple tablespoons of cottage cheese
4pm- Ate a Gasx.
4:05pm-
regurgitated some spittle. Interesting, the Gasx was captured in a bubble mucus
mass. Doesn’t seem to help much.
10pm- Finally had a
good burp. Fells better when I can burp without pressing tongue.
**4:30pm- here’s
what seems to be happening. The les area seems to be rejecting any substance
that I eat or drink. It coats things with a clear mucus that seems to bubble.
These bubbles seem to be causing gas.
5:10pm- took one
Gasx pill. No chew type.
9pm- Ate some
chicken pieces and Swiss cheese pieces. Tried not to chew up too much. Took one
Gasx pill.
10pm- Les area has
been bothering me, since I ate. Full pressure got me, ugh! I can burp free now.
11pm- Ate some
avocado
12midnight- Drank
eight oz. of heated water. Most stayed down. Some burped up. Finally, gagged and
don’t feel too burpy at the moment. :O)
1:30am- drank two
six oz. glasses of water. Hot, went down well. Drink more of this!
10am- Drank ten oz.
water, hot. Went down without burp problem-Good.
11am- Ate six oz.
yogurt with one Gasx pill.
12:30pm- Drank
sight oz. hot water.
2pm- Drank eight
oz. hot water.
4:30pm- Drank eight
oz hot water.
8:30pm- ate a six
oz. vanilla pudding. One Gasx.
11:30pm- Drank
eight oz. cold water. Didn’t work. Heated water and was able to consume it,
without creating burping sensation in les area.
2am- Ate fruit pop
cycle and a little ice cream.
Today I tried to
relax on trying to eat, to give my les area time to settle down. But, because I
can now drink hot water, I tried to consume more of that. Now that I can drink
hot water, my dehydration worry is over. This means that I can settle down and
not push so hard to consume.
11am- drank half
glass hot water and ate yogurt.
11:15am- Drank six
oz. glass of hot water and one Gasx pill.
1:30pm- Drank six
oz. hot water.
2pm- about an hour
cutting grass with mower.
3:50pm- Drank six
oz. hot water.
6pm- Drank six oz.
hot water. Had to burp myself, but came out ok.
6:30pm- Ate six oz.
of pudding
7:30pm- Ate two
cooked shrimp. Some back pressure.
9:15pm- Ate another
shrimp. Some Swiss cheese and chicken pieces
10:30pm- Bed
130am- Pop cycle
Fruit, six oz. hot water.
11am- went kayaking
for the day.
5pm- Drank six oz.
hot water.
Had a chicken wing
today. Caused much trouble. Seemed to bruise my les area.
7pm- Ate half fruit
pop cycle.
8pm- took a
Docusate. Drank three oz. hot water.
10:30pm- Ate frozen
juice bar.
1am- Drank eight
oz. hot water. Took two Aspirin and two Tylenol.
6am- Drank eight
oz. hot water.
3pm- Drank eight
oz. hot water
3:15pm- Ate six oz.
vanilla pudding
6:pm- Ate a boil
prawn and one bite chicken
7pm- Drank eight
oz. hot water
7:44pm- Ate a bite
of chicken. One Gasx pill and some water. Tried to barf the water and a bit of
chicken.
9pm0- Ate fruit pop
cycle
11pm- Drank eight
oz. hot water
2am- Drank eight
oz. hot water
5am- Drank eight
oz. hot water
10am- Ate a yogurt
1pm- Drank eight oz
hot water
1:15pm- Small bowel
movement
2pm- Drank about
six tablespoons of chicken broth, hot.
2:45pm- Ate a bite
of chicken noodles
4:30pm- Ate a
couple tablespoons of cottage cheese
6:30pm- Drank eight
oz. hot water
7pm- Ate one
tablespoon cottage cheese. Ate some more chicken noodle soup
8:30pm- Ate a
couple tablespoons of noodles and chicken
10pm- Drank eight
oz. hot water
10:20pm- Ate three
prawns, boiled
11:30pm- Drank
eight oz. hot water
1am- drank eight
oz. Hot water
4:30am- Drank eight
oz. hot water.
Today would have to
be classed as a break day. I’m able to consume solids in small quantities
without all the pain and kickback trying to burp. I’m still smoking a fair
amount of marijuana for pain control in the digestive track.
10:30am- Drank a
cup of coffee.
11am- Ate three
boiled shrimp. Too fast. Some barf back.
11:15am- Ate a
couple table spoons cottage cheese.
3pm- Drank about
ten oz. vanilla milk shake. Eight oz. hot water. Stomach cramps. Tried to barf,
feel better, had a smoke.
7pm- Ate half a
frozen fruit bar.
8pm- Ate one cup
chicken noodle soup. Went down well, with no problems
10:30pm- Ate half
fresh orange. Not ready for that. Had a smoke.
3am- Drank eight
oz. hot water.
Mostly a good day.
Was able to consume a fair amount of chicken noodle soup without much problem.
My stomach proper seems to reject other solids, if I feed it too fast of other
solid things, like boiled prawns.
10:30am- Ate one
scrambled egg. Went down fairly well. Ate it slow.
11am- Drank eight
oz. hot water. One Gasx pill. Mowed some grass, about an hour.
12noon Drank eight
oz. hot water
2pm- Ate one boiled
prawn
2:30pm- Ate one cup
chicken noodle soup
3pm- Start eating
apricot halves
4:30pm- Drank eight
oz. water
8pm- Ate one cup
chicken noodle soup
12midnight-
Finished the half can of apricots, which I started to eat at 3pm.
5:30am- Drank eight
oz. hot water.
Good day. Showed
quite a bit of improvement in getting things down. Ate about two cups of soup.
The les area is a bit sore. Hot things go down better than cold things. It’s
hard to drink cold water, more then a swallow, but I can drink hot water with
little problem, about eight oz. at a time. It’s easy to eat the chicken and
noodles in the soup. My energy level was a bit better today.
10:30am- Ate a
peach yogurt. Mowed grass for forty-five minutes.
11:30pm- Drank
eight oz. hot water
1pm- Tried some
poached fish. Went down, but caused intestinal turmoil. Three bites, having a
smoke to relieve pain.
1:30pm- Drank eight
oz. hot water.
2pm- Had a small
bowel movement.
2:30pm- Ate
half-cup chicken noodle soup with fish pieces added.
2:45pm- Ate fruit
pop cycle
4:30pm- Ate an ice
cream Klondike bar. OK
7:30pm- Ate the
rest of the chicken noodle soup with fish pieces added. Good ay to get the fish
to go down without much trouble. Total, two cups soup today. I think I’m
starting to feel internal gurgles that I think is gas passing out of the stomach
proper.
My les area is
heeling and becoming less sensitive. This means it can handle gas pressure
better, without causing the need to burp sensation. This means I don’t have to
burp as much and more gas is emptying out of the stomach proper.
10:20am- Drank
eight oz. hot water.
10:45am- scrambled
two eggs with a slice of cheese and a cup of coffee, one Gasx pill.
2:30pm- Ate one pop
cycle juice bar.
3:30pm- Ate one
Klondike ice cream bar.
6pm- Ate a few
tablespoon tuna. Drank eight oz. hot water.
8pm- Ate two cups
chicken noodle soup
11:30am- Ate one
slice Monterey Jack cheese.
Les area continues
to heal. More gas felt moving downward.
1:30pm- Ate pop
cycle
4:30pm- Ate a few
tablespoons of cottage cheese. Caused some barf backpressure. Drank eight oz.
hot water
5pm- Ate pop cycle
7pm- Ate one and a
half cups macaroni and cheese. Went down well.
8pm- Small bowel
movement
9pm- Constipated,
bloated cramps in lower intestines. Took one Docusate
10:10pm- Large
Bowel movement. Ended in soft blowout. That flushed my system out.
11am- Ate chicken
noodle soup, fortified with more noodles about one cup.
12noon- Ate vanilla
pudding
3pm- drank eight
oz. hot orange juice, one small breakfast sausage, pork
Drank eight oz. hot
orange juice.
5:30pm- Ate small
pork sausage.
6pm- ate peaches in
Jell-O
Doing fairly well
to day. I can drink cold water, with just a little backpressure burp action. Mat
products are starting to go down, but they seem to bruise the les area a bit,
still.
10am- Drank eight
oz. hot water
3pm- Ate one cup
minestrone soup
4:30pm- Drank eight
oz. hot water.
6:30pm- Ate a few
tablespoons of tuna.
7:30pm- Ate eight
oz. apricot halves.
8pm- took a PPI, as
I’m feeling a bit sore in the les area and I want to see if it settles my
small intestinal area?
8:45pm- Ate two
slices jack cheese
230am- Drank eight
oz. hot water.
3:3pm- One
strawberry milk shake
5pm- took a PPI
6:30pm- Ate three
tablespoons tuna. Causes tightness in the les area, burp pressure. Frank four
oz. hot water to relieve.
8pm- Ate two small
breakfast pork sausages. Regurgitated a bit. Chased with four oz. hot water.
9pm- Bowel movement
9:30 Ate half
Avocado
12midmight: Drank
eight oz. hot water.
The les area is
still improving. As it gets better, I don’t have to burp as much, forcing more
gas downward. It’s still unpleasant to eat meats and drink room temp water.
These things are improving everyday. Even though I’m not burping as much, I
still have to burp a lot, to relieve gas pressure on the les area. I’m trying
to burp less to give my original systems time to heal. I’m sure burping is not
good for my sore throat.
11:30am- Two cups
chicken noodle soup
1pm- eight oz.
orange juice hot
1:30pm- small bowel
movement
3pm- ate fruit
snack bar
6:30pm- took a PPI,
just in case.
7:30pm- two cups
French onion soup with two small breakfast sausages.
8pm- one slice jack
cheese
9pm- eight oz. hot
water
1:30am- eight oz
hot water
Les area is also
still sensitive from the operation, causing burp back-pressure, when eating or
drinking certain items, like room temp water and meats.
Still improving.
12noon- ate peach
yogurt
3:30pm- ate six oz.
ice cream
5pm- two cups clam
chowder with tatters. One Gasx pill. One PPI pill.
6:30pm- ate one
slice jack cheese
7pm- ate three
large asparagus with mayo.
7:30pm- ate ice
cream bar.
9pm- ate half cup
Mac/cheese
10pm- drank one cup
coffee, sorta tasteless
2am- drank eight oz
water.
I’ve tried to
take it easy on my les area today. I tried to eat soft things as not to irritate
it, as yesterday, it was quite sore. This seems to have helped.
I was surprised to
find that I could eat these things with as little difficulty as I did. Maybe, in
a few days, I’ll be able to eat these things and enjoy them too. I noted that
this burger, fries and shake did not cause the normal regurgitations after
eating them, as they usually did, before the operation.
I can drink non-hot
water, but it always causes a need to burp/can’t burp.
The gas I’m
talking about is the gas that is created when food or drink goes through the les
area. It’s what causes bloating.
May 30th
End of week seven
June 13th
End of week nine Wt: 183 lbs.
This week was a
good one. Some things seem to be changing. I’m able to eat and drink most
things without or very little can’t-burp. My les isn’t as sensitive as it
was. I’m still making quite a bit of gas, but the less sensitive les area is
tolerating it better, so I’m able I direct more gas downward, instead on
upward.
I’ve been burping
quite a bit to relieve the pressure on the les area. I know this is counter
productive, burping, and will try to reduce it, as things are getting better. Most
of the original soreness in the les area is gone, but the cold or mucus, in the
les is still with me. Eating scratchy foods right now seem to aggravate the les
area a bit, so it is still a bit tender. I note a big change this week in the
can’t-burp problem. It’s only slight right now, so rarely nave to force a
burp, by pressure on my tongue. Mostly when I can feel it coming on, it now
clears on it’s own. This is also because the les area can handle more gas
pressure as it heals.
At this time, I
will define the can’t-burp problem, as I now know it. As I eat or drink some
things, my les area goes into a mode that makes one feel like they have to burp,
but can’t. It’s hard to eat or drink in this mode, until the can’t-burp
feeling is cleared. I can usually clear this by pressing on my tongue with my
fingers. This creates an air burp or regurgitation of some food. I’ve also
noticed that when this happens, the spit in my throat gets very
I still have the
original cold in my throat feeling, which I has before my operation. I’m still
making more gas that normal, which causes me to burp a lot, which I’m trying
to cut back on. I feel my les area is still too sensitive. Part of the problem
seems to be eating scratchy foods, seems to aggravate it.
The, can’t-burp
thing, when eating or drinking, continues to improve, but is still sometimes a
problem. I note that a good deal of mucus seems to form in my throat when this
happens. I usually bring this up and spit it out.
I believe this
problem is very slowly healing.
Heartburn is almost
totally gone. I can eat most anything, although, carbonated beverages can
sometimes cause the can’t-burp problem. Drinking water, which was one of the
hardest things to get down has become much easier to do, almost back to normal.
The sore in my
throat that I had before the operation is gone. The cold like thing, mucus from
the esophagus, I still have.