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Adult Open Nissen Fundoplication

WHAT YOU SHOULD KNOW:

An open Nissen fundoplication is surgery to treat gastroesophageal reflux disease (GERD). During this surgery, the top part of your stomach is wrapped around the lower part of your esophagus. This helps prevent stomach acid from moving up into your esophagus.

AFTER YOU LEAVE:

Medicines:

  • Pain medicine: You may need medicine to take away or decrease pain.

    • Learn how to take your medicine. Ask what medicine and how much you should take. Be sure you know how, when, and how often to take it.

    • Do not wait until the pain is severe before you take your medicine. Tell caregivers if your pain does not decrease.

    • Pain medicine can make you dizzy or sleepy. Prevent falls by calling someone when you get out of bed or if you need help.

  • Antibiotics: This medicine is given to fight or prevent an infection caused by bacteria. Always take your antibiotics exactly as ordered by your healthcare provider. Do not stop taking your medicine unless directed by your healthcare provider. Never save antibiotics or take leftover antibiotics that were given to you for another illness.

  • Take your medicine as directed. Call your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Bathing with stitches:

Follow your healthcare provider's instructions on when you can bathe. Gently wash the part of your body that has the stitches. Do not rub on the stitches to dry your skin. Pat the area gently with a towel. When the area is dry, put on a clean, new bandage as directed.

Rest when you need to while you heal after surgery.

Slowly start to do more each day. Return to your daily activities as directed.

Eating after surgery:

After surgery, you may start eating foods that are easy to swallow. These include thick liquids and soft foods. You may be able to eat regular foods as your swallowing improves. You may need to meet with a dietician or throat therapist. They can help you find foods that you can eat. Do the following to prevent swallowing too much air and keep your stomach from swelling:

  • Do not drink carbonated beverages, such as soda or sparkling water.

  • Do not suck candy, chew bubble gum, or use a straw when drinking.

  • Eat slowly, take small bites, and chew your food well.

Follow up with your healthcare provider as directed:

Write down your questions so you remember to ask them during your visits.

Contact your primary healthcare provider if:

  • You have a fever.

  • You have chills, a cough, or feel weak and achy.

  • You have nausea or vomiting.

  • You have questions or concerns about your surgery, condition, or care.

Seek care immediately or call 911 if:

  • Blood soaks through your bandage.

  • You feel full and cannot burp.

  • You have pus or a foul-smelling odor coming from your incision.

  • You have trouble swallowing.

  • Your abdomen becomes tender and hard.

  • Your bowel movements are black, bloody, or look like tar.

  • Your vomit looks like coffee grounds or has blood in it.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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