FYI Laporascopic Nissen Fundoplication .. NHS 6sep17

[Garysreflux]

Hi .. this post is for information. Despite LNF I still appear to get bile reflux (2 out 5 nights post LNF). Please comment if you feel you have related qs or can contribute to my issues.

i had acid reflux, oesoph narrowing (1 stretch) and dliated oesophagus + giant hiatus hernia (virtually all my stomach above the diaphragm). The oesoph narrowing prevented manometry tests.

Been on omprezole for a year 20m/day. That stopped the acid but bile has been an issue.

I've had just had 360 LNF at st thoms london. Op itself went well. I was out after 3 days and am now in the process of recovery. Feel good albeit a bit sore. I no longer take omprez. Dr told me that my oesoph was literally entangled with my stomach and that my have contributed to swallowing difficulties. He has literally straigtened my oesoph, sewn the stomach below the diaphragm nissen 360 style.

Dr is hopeful that swallowing diffs will improve .. indications are good (no diffs experienced so far .. no serious tests as yet tho. Dr is also hopeful that my dilated oesoph may contract so fingers crossed there.

I mentioned on leaving hosp about bile taste but their response was with respect to taking omprez (any reflux take omprez .. ok to take it on an ad-hoc basis (which I was sure about re. the bounce)). Cant help feeling Bile & its related issues seem to be overlooked and underplayed by GI medics.

Im on soft foods at min, definitely no meat or bread.

I want this bile sorted (it goes almost unnoticed by hosp and yet can cause so much harm) and I will be

.. confirming it is bile not acid (litmus test)

... raising bed elevation, as opposed to addit pillars

.. seeking advice from you guys about food plans to poss reduce bile

My follow up with hosp is 20oct.

Good health to all.

Regards

Gary

[Magpuss]

Have you tried taking Gaviscon? I've found it very useful for bile reflux.

[Hidden]

Yes, St Thomas' can give you a test to confirm or disprove that it is bile, and yes, Gaviscon may well help.

Some of it might be short term reaction to all the adjustments to your digestive system.

[lynnbibb in reply to Hidden]

Somebody on the forum said they take Gaviscon after each meal, and as my husband is allergic to Omeprozole has tried this. it hasn't stopped but has helped considerably . Good luck!!

[Garysreflux]

Thanks for replies. I take your points. Early days and gavascon may get me over blip. Small Bile taste in mouth last night sleepin at 60degrees. Bile taste bad but Issue for me is how much acid/bile was along oeosop. Going to do some more food isolation/volume tests today. Still no ppis. My thinking is reflux travelled up oesoph whilst i am at 60degrees defying gravity. So reflux forcd up by pressure/gas. That gas may b sufficient to lift stomach lid (assume lid now working but hasnt worked properly for 15yr). Still got bit post op constipation .. cld cause pressur to back up. Ive never really been a lover of gaviscon .. main issue is it doesnt last all night but its another tool in box i may introduce at some point. Cheers. G