From: Vanny on
Forgive my concern, but it is rooted in a past relationship with an
alcoholic who was able to knock back gallons of the stuff and physically
function perfectly - except for always having to have his own way and
ignoring or unable to relate to others' needs. He finally ended up with
severe psychosis and depression.

Clean arteries will not compensate for a damaged liver and brain. Enjoy your
refound dietary freedom, but please don't overdo it.

A concerned poster.


"christophe" <chris_pham(a)optusnet.com.au> schrieb im Newsbeitrag
news:b39b0cb5-6f00-40e7-9469-0a0e996b502d(a)u36g2000prf.googlegroups.com...
> Vanny writes: "Glad to hear that you are doing well, although 3-4
> glasses of Shiraz most
> nights puts you in the ranks of an alcoholic."
>
> Possibly Vanny, but do I write like someone under the influence of
> alcohol. Actually, I went nearly 6 months without a drink at one stage
> so I suppose if I do so now I'm making up for lost opportunities. Six
> months without alcohol is hardly the form of an alcoholic, though.
> Even so, it is best not to drink at least 2 nights a week so that the
> liver can recover :)
>
> Thanks for your kind wishes. I have a high regard for almost all of
> the contributers to this site.
>
>
>
>
>
>


From: Bob Noble on


Hi Chris,
First, just because you got a 270. doesn't mean it won't work or really last
a shorter time. You just read averages, so lets just hope you are one of
those that everything works well. It can. So, you got no choice in this
matter, so go with the positive.

Second, I found all the beano and antigas stuff to be useless, but you can
try it.

The shoulder pain is likely from the co2 they use to inflate you. It causes
fairly severe shoulder pain for a week or two, at least on me.

I also found that if I drank a mouth full of liquid it was worse then
drinking a glass full of the liquid and that is still the case, even now.
Cold or cool was worse then warm on liquids.

From my experience, I think the doctors got this gas stuff all wrong and
haven't given it enough real thought with a little logic.
And the longer I get experience with the effects of this operation, the more
I am sure on this.

There may be a few people that really swallow air, but most I think do not.
I think the problem is more to do with the esophagus coating what goes down
with some kind of protective stuff that blows into gas when it hits the
stomach proper.
I think this is why a little liquid is worse than a lot. I've done a few
tests to check this and they are consistent.
I chewed an antigas pill early on and swallowed it to have it immediately
come back up. I looked down and expected to see a gob of chewed pill pieces,
but what I saw was each little piece of the chewed pill was encapsulated in
a little clear bubble of spit looking stuff.
So, I tried eating a dried cherry. Chewed it up and estimated it's effect as
far as pain. Then, I ate a whole dried cherry without chewing.
There was diffidently more pain with the chewed cherry. More pieces, more
little coated bubbles, more pain and gas.
There was almost no pain with the whole dried cherry.
It was recommended to eat cottage cheese early on. Cottage cheese went down
hard and caused me to get thick mucus in my throat and stop me up bad. It
still is hard to do cottage cheese.
Cottage cheese is like water in that it has a lot of little pieces, more
little protective bubbles that blow a lot of gas.
I found sweet things went down better and generated very little gas.

So, you can play around with the air swallowing and gas stuff all you want
and I don't think anything will help except time.
Oh, as far as a little liquid being worse then a lot. A little liquid blows
in millions of pieces and causes a gas explosion when it hits the stomach
proper. But if followed with more liquid, it seems to wash out the coating
thing and goes down better.

A good example of this is when I used to eat, I'd eat with some liquid. Eat
something and have a swallow of liquid to wash it down. Now this will cause
me to possible have a blockage for a short time, right after I swallow the
liquid.
I find it better to eat the solids first and save the liquid for last and I
don't have problems.

The story goes that gerd patients develope air swallowing problems, then why
when you get this thing all fixed, does one swallow so much air?
I don't think we do.
So, you say, since we don't burp as much we pass more air. Bull.
I can burp and do, but I'm still passing a huge amount of gas.
Something doesn't add up.

Anyway, Chris, you are on your way to recovery and hopefully will have a lot
of success with the operation, even with your 270 wrap.

Bob Noble
http://www.sonic.net/bnoble
"christophe" <chris_pham(a)optusnet.com.au> wrote in message
news:4803d854-5ee4-4262-8d66-cfa9c18509b5(a)p39g2000prm.googlegroups.com...
> On Jun 3, 11:55 am, "Bob Noble" <bno...(a)sonic.net> wrote:
>> Hi Chris,
>> Sounds like you aren't really doing too bad. I could barely eat or drink
>> for
>> about six weeks. The only thing that really kept me going was everyday, I
>> could notice a slight improvement, so give it some time.
>> Could you explain the gas problem you are having, trying to come up,
>> bloat
>> or just passing a lot of it?
>> One of the side effects of this operation is passing a lot more gas,
>> which I
>> do. It's a bit embarrassing, but I'm old enough, I don't really give a
>> darn
>> most of the time. :O)
>>
>> Bob Noblehttp://www.sonic.net/bnoble
>>
>> > I have some good days, some bad days. The surgeon thinks that swelling
>> > might still be causing me some irritation. I have an endoscopy booked
>> > for another 3 months and that should be more conclusive.
>> > I agree with you about the hazards of big meals - not just for reflux,
>> > but for health in general. I am not drinking beer, but have 3 to 4
>> > glasses of shiraz most nights. I also have two coffees a day and drink
>> > Japanese green tea and water to keep my fluids up. I return to the gym
>> > this week.
>> > Post fundo, gas is quite a problem. I also get a little constipated. I
>> > might not be refluxing at all, although some of the symptoms seem to
>> > mimic reflux.
>> > Thanks for sharing sure experiences. Your feedback is both very
>> > positive and very useful. I was curious about your use of reglan.
>> > Isn't that drug used for bile reflux? What tests have you had post op
>> > to ensure the wrap is ok?
>> > Best wishes,
>> > chris
>
> Hi Bob,
>
> Firstly, thank for your feedback on both this thread and others.
> You're right - I'm doing pretty well, really. Remember, however, that
> I only had a 270 (partial) wrap. This might explain my ability to eat
> a range of foods far more quickly than the norm. Unfortunately, it
> might also explain (or at least) predict why my wrap might not last as
> long as yours.
>
> On the gas, there are two separate problems. Firstly, there is the
> passing of a lot more wind. That doesn't worry me at all and is
> consistent with my expectations before surgery. The second issue is
> chest pain. This pain is relieved by a very good bowel motion, but is
> still pretty scary when it's happening. I'll just have to try a little
> harder to get the diet right - I'll be eliminating beans as soon as I
> get off the soft foods. I also suspect that gas is causing the reflux
> type symptoms.
>
> In this country, there are two products for gas. The first is chewable
> and contains simethicone and an antacid; the second must be swallowed
> whole and contains only simethicone. I am keen to try the second
> option, but I'm afraid to swallow a tablet whole. On the other hand,
> I'm very reluctant to use the antacid because this is the reason I
> undertook surgery in the first place.
>
> In addition to the other pains, I am also experiencing some pain near
> the collarbone. The surgeon said that this pain was most likely due to
> the suturing.
>
> In writing all of that, I'm still happy overall. I'm onto more normal
> foods far quicker than I ever imagined I would be.
>
> Thanks again, Bob, for your contribution to this site,
> chris

From: Vanny on
http://health.msn.com/nutrition/slideshow.aspx?cp-documentid=100199067&imageindex=13

Food Mistake #7: You toast your health with a glass of wine or beer

More than 100 studies have found that moderate drinkers have about one-third
lower risk of heart disease than those who abstain. But excessive
drinking-three or more alcoholic beverages a day, most studies agree-has
also been proven to send blood pressure climbing. New evidence shows that
even light to moderate drinking on an empty stomach can contribute to high
blood pressure risk. In a 2004 study that looked at data from 2,609 men and
women ages 35 to 80, State University of New York at Buffalo assistant
professor of preventive medicine Saverio Stranges, MD, found that the risk
of hypertension was almost 50% higher in people who drank alcoholic
beverages without food than in those who imbibed only with a meal.



"Vanny" <Vannyss2003(a)antispam.com> schrieb im Newsbeitrag
news:g25l4o$lp1$1(a)newsreader2.netcologne.de...
> Don't forget that with GERD one burps a lot. After the operation this will
> not be possible/happen as frequently and hence more air goes out the other
> end.
>
> Here is a 'scientific' treatise of foods and their properties with respect
> to wind production. http://en.wikipedia.org/wiki/Flatulence
>
> Glad to hear that you are doing well, although 3-4 glasses of Shiraz most
> nights puts you in the ranks of an alcoholic.
>
> Vanny
>
>
> "christophe" <chris_pham(a)optusnet.com.au> schrieb im Newsbeitrag
> news:4803d854-5ee4-4262-8d66-cfa9c18509b5(a)p39g2000prm.googlegroups.com...
>> On Jun 3, 11:55 am, "Bob Noble" <bno...(a)sonic.net> wrote:
>>> Hi Chris,
>>> Sounds like you aren't really doing too bad. I could barely eat or drink
>>> for
>>> about six weeks. The only thing that really kept me going was everyday,
>>> I
>>> could notice a slight improvement, so give it some time.
>>> Could you explain the gas problem you are having, trying to come up,
>>> bloat
>>> or just passing a lot of it?
>>> One of the side effects of this operation is passing a lot more gas,
>>> which I
>>> do. It's a bit embarrassing, but I'm old enough, I don't really give a
>>> darn
>>> most of the time. :O)
>>>
>>> Bob Noblehttp://www.sonic.net/bnoble
>>>
>>> > I have some good days, some bad days. The surgeon thinks that swelling
>>> > might still be causing me some irritation. I have an endoscopy booked
>>> > for another 3 months and that should be more conclusive.
>>> > I agree with you about the hazards of big meals - not just for reflux,
>>> > but for health in general. I am not drinking beer, but have 3 to 4
>>> > glasses of shiraz most nights. I also have two coffees a day and drink
>>> > Japanese green tea and water to keep my fluids up. I return to the gym
>>> > this week.
>>> > Post fundo, gas is quite a problem. I also get a little constipated. I
>>> > might not be refluxing at all, although some of the symptoms seem to
>>> > mimic reflux.
>>> > Thanks for sharing sure experiences. Your feedback is both very
>>> > positive and very useful. I was curious about your use of reglan.
>>> > Isn't that drug used for bile reflux? What tests have you had post op
>>> > to ensure the wrap is ok?
>>> > Best wishes,
>>> > chris
>>
>> Hi Bob,
>>
>> Firstly, thank for your feedback on both this thread and others.
>> You're right - I'm doing pretty well, really. Remember, however, that
>> I only had a 270 (partial) wrap. This might explain my ability to eat
>> a range of foods far more quickly than the norm. Unfortunately, it
>> might also explain (or at least) predict why my wrap might not last as
>> long as yours.
>>
>> On the gas, there are two separate problems. Firstly, there is the
>> passing of a lot more wind. That doesn't worry me at all and is
>> consistent with my expectations before surgery. The second issue is
>> chest pain. This pain is relieved by a very good bowel motion, but is
>> still pretty scary when it's happening. I'll just have to try a little
>> harder to get the diet right - I'll be eliminating beans as soon as I
>> get off the soft foods. I also suspect that gas is causing the reflux
>> type symptoms.
>>
>> In this country, there are two products for gas. The first is chewable
>> and contains simethicone and an antacid; the second must be swallowed
>> whole and contains only simethicone. I am keen to try the second
>> option, but I'm afraid to swallow a tablet whole. On the other hand,
>> I'm very reluctant to use the antacid because this is the reason I
>> undertook surgery in the first place.
>>
>> In addition to the other pains, I am also experiencing some pain near
>> the collarbone. The surgeon said that this pain was most likely due to
>> the suturing.
>>
>> In writing all of that, I'm still happy overall. I'm onto more normal
>> foods far quicker than I ever imagined I would be.
>>
>> Thanks again, Bob, for your contribution to this site,
>> chris
>
>


From: christophe on
On Jun 5, 6:50 pm, "Vanny" <Vannyss2...(a)antispam.com> wrote:
> http://health.msn.com/nutrition/slideshow.aspx?cp-documentid=10019906...
>
> Food Mistake #7: You toast your health with a glass of wine or beer
>
> More than 100 studies have found that moderate drinkers have about one-third
> lower risk of heart disease than those who abstain. But excessive
> drinking-three or more alcoholic beverages a day, most studies agree-has
> also been proven to send blood pressure climbing. New evidence shows that
> even light to moderate drinking on an empty stomach can contribute to high
> blood pressure risk. In a 2004 study that looked at data from 2,609 men and
> women ages 35 to 80, State University of New York at Buffalo assistant
> professor of preventive medicine Saverio Stranges, MD, found that the risk
> of hypertension was almost 50% higher in people who drank alcoholic
> beverages without food than in those who imbibed only with a meal.
>
> "Vanny" <Vannyss2...(a)antispam.com> schrieb im Newsbeitragnews:g25l4o$lp1$1(a)newsreader2.netcologne.de...
>
> > Don't forget that with GERD one burps a lot. After the operation this will
> > not be possible/happen as frequently and hence more air goes out the other
> > end.
>
> > Here is a 'scientific' treatise of foods and their properties with respect
> > to wind production.http://en.wikipedia.org/wiki/Flatulence
>
> > Glad to hear that you are doing well, although 3-4 glasses of Shiraz most
> > nights puts you in the ranks of an alcoholic.
>
> > Vanny
>
> > "christophe" <chris_p...(a)optusnet.com.au> schrieb im Newsbeitrag
> >news:4803d854-5ee4-4262-8d66-cfa9c18509b5(a)p39g2000prm.googlegroups.com...
> >> On Jun 3, 11:55 am, "Bob Noble" <bno...(a)sonic.net> wrote:
> >>> Hi Chris,
> >>> Sounds like you aren't really doing too bad. I could barely eat or drink
> >>> for
> >>> about six weeks. The only thing that really kept me going was everyday,
> >>> I
> >>> could notice a slight improvement, so give it some time.
> >>> Could you explain the gas problem you are having, trying to come up,
> >>> bloat
> >>> or just passing a lot of it?
> >>> One of the side effects of this operation is passing a lot more gas,
> >>> which I
> >>> do. It's a bit embarrassing, but I'm old enough, I don't really give a
> >>> darn
> >>> most of the time. :O)
>
> >>> Bob Noblehttp://www.sonic.net/bnoble
>
> >>> > I have some good days, some bad days. The surgeon thinks that swelling
> >>> > might still be causing me some irritation. I have an endoscopy booked
> >>> > for another 3 months and that should be more conclusive.
> >>> > I agree with you about the hazards of big meals - not just for reflux,
> >>> > but for health in general. I am not drinking beer, but have 3 to 4
> >>> > glasses of shiraz most nights. I also have two coffees a day and drink
> >>> > Japanese green tea and water to keep my fluids up. I return to the gym
> >>> > this week.
> >>> > Post fundo, gas is quite a problem. I also get a little constipated. I
> >>> > might not be refluxing at all, although some of the symptoms seem to
> >>> > mimic reflux.
> >>> > Thanks for sharing sure experiences. Your feedback is both very
> >>> > positive and very useful. I was curious about your use of reglan.
> >>> > Isn't that drug used for bile reflux? What tests have you had post op
> >>> > to ensure the wrap is ok?
> >>> > Best wishes,
> >>> > chris
>
> >> Hi Bob,
>
> >> Firstly, thank for your feedback on both this thread and others.
> >> You're right - I'm doing pretty well, really. Remember, however, that
> >> I only had a 270 (partial) wrap. This might explain my ability to eat
> >> a range of foods far more quickly than the norm. Unfortunately, it
> >> might also explain (or at least) predict why my wrap might not last as
> >> long as yours.
>
> >> On the gas, there are two separate problems. Firstly, there is the
> >> passing of a lot more wind. That doesn't worry me at all and is
> >> consistent with my expectations before surgery. The second issue is
> >> chest pain. This pain is relieved by a very good bowel motion, but is
> >> still pretty scary when it's happening. I'll just have to try a little
> >> harder to get the diet right - I'll be eliminating beans as soon as I
> >> get off the soft foods. I also suspect that gas is causing the reflux
> >> type symptoms.
>
> >> In this country, there are two products for gas. The first is chewable
> >> and contains simethicone and an antacid; the second must be swallowed
> >> whole and contains only simethicone. I am keen to try the second
> >> option, but I'm afraid to swallow a tablet whole. On the other hand,
> >> I'm very reluctant to use the antacid because this is the reason I
> >> undertook surgery in the first place.
>
> >> In addition to the other pains, I am also experiencing some pain near
> >> the collarbone. The surgeon said that this pain was most likely due to
> >> the suturing.
>
> >> In writing all of that, I'm still happy overall. I'm onto more normal
> >> foods far quicker than I ever imagined I would be.
>
> >> Thanks again, Bob, for your contribution to this site,
> >> chris

Thanks, Bob. I continue to improve and hope that gerd has become a
disease of the past. I am able to eat most things except for very soft
bread. Of course, I still have to eat slowly - which is not a bad
thing when you think about it. All of the sacrifices seem worthwhile.
I can even cope with the gas!

Vanny, I'm sorry that you had such a bad time with your ex partner. I
agree with you - alcohol often contributes to poor relationships. My
students usually keep me on the straight and narrow, though. I have
two groups of students on Saturday and Sunday and I return to full
time work in early July. In other words, I'll be working 7 days a week
again pretty soon. There will be less time for alcohol then.

Just on your situation, Vanny, I know you have Chrohn's disease, but
is a fundo (partial or full) completely out of the question. I also
remember reading about surgical intervention for Chrohn's as well. Is
it possible for your symptoms to go into remission? Also, how do the
PPIs affect your other gastro problems?
chris

From: Vanny on
Crohn's disease doesn't necessarily mean that one can't have a
fundoplication. It depends on the location of the Crohn's - it can occur
anywhere between the mouth and anus.

I discussed fundoplication with my surgeon in May 2006 where a key issue is
not being able to (easily) vomit thereafter. I had to be admitted for gall
bladder removal, which was causing me a great deal of pain every time I ate.
One feature of my Crohn's is that I keep on having subileus (serious almost
complete closure of the small intestine) and the usual means of this
resolving itself is involuntary vomiting. My surgeon agreed that, in my
particular case, a fundoplication would perhaps not be such a good idea
because a subileus in the future might develop into a full ileus or lead to
intestinal perforation if I was not able to vomit. This would mean a
laparoscopic operation and the loss of part of my intestine or my life. I
have already been operated on 9 times, including 5 lapararoscopies and have
lost over 2 metres of my gut - colon, rectum, terminal ileum and 30 cm of
the midsection of the ileum. I can't afford to lose anymore intestine
because I already have intestinal failure (aka short bowel syndrome), which
makes me very weak and incapable.

At the moment PPIs are not just good for my GERD, but are also good for my
intestinal failure. Basically, I am missing the sphincters and feedback
mechanisms in my gut, which leads to due to the malabsorbtion and
malnutrition. As a result the stomach produces excess acid (perpetual
starvation), as food is dumped into the duodenum and the transit time
through the intestine is so high. Hence, I have to be injected with the
fat-soluble vitamins (A, D, E, K) and folic acid, and I take sublingual
vitamin B12 because I had an anaphylactic shock at the third injection. I
also drink astronaut drinks and I have had a couple of short spells of TPN
(total parenteral nutrition).

My Crohn's is a smouldering form of Crohn's, which is present all the time.
I have not really had a period of remission and have been sick since I was a
child, but it only went fulminant in my late 20's. I am on chemotherapy, but
my liver is being damaged and we will probably have to change the treatment
soon. The signs of inflammation have also been increasing steadily over the
past couple of years.

There are patients who only have one bout of Crohn's and then it goes into
remission. However, these are generally far and few between. The majority of
Crohn's patients will be operated on at sometime in their lives and have
other problems as the disease can indirectly affect most organs, including
skin, joints, eyes, brain, liver, pancreas, kidneys, etc., as the
inflammation spreads around the body.

Vanny

>
> Thanks, Bob. I continue to improve and hope that gerd has become a
> disease of the past. I am able to eat most things except for very soft
> bread. Of course, I still have to eat slowly - which is not a bad
> thing when you think about it. All of the sacrifices seem worthwhile.
> I can even cope with the gas!
>
> Vanny, I'm sorry that you had such a bad time with your ex partner. I
> agree with you - alcohol often contributes to poor relationships. My
> students usually keep me on the straight and narrow, though. I have
> two groups of students on Saturday and Sunday and I return to full
> time work in early July. In other words, I'll be working 7 days a week
> again pretty soon. There will be less time for alcohol then.
>
> Just on your situation, Vanny, I know you have Chrohn's disease, but
> is a fundo (partial or full) completely out of the question. I also
> remember reading about surgical intervention for Chrohn's as well. Is
> it possible for your symptoms to go into remission? Also, how do the
> PPIs affect your other gastro problems?
> chris
>