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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Cramps After Having Fundoplication Be Treated?

Dear Doctor I am 10 weeks post Fundoplication and feeling great apart from very painful bowel cramps whenever I need to have my bowels open. I eat plenty of fruit and veg and follow a healthy lifestyle. I'm 53, 5'4 and weigh 90k. Could you suggest anything to help? Grateful thanks, Sandie, Guernsey, Channel Islands,
Fri, 28 Apr 2017
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General Surgeon,  's  Response
Respected Sandie , hi I evaluated your query thoroughly.
*Some degree of cramps with dysphagia is common for solid foods expected
in all cases for first 2-6 weeks after surgery ( due to post surgical edema &
inflammation slowing bolus transit of foods )
*Dysphagia beyond 3 months ( after dietary modifications as soft diets,
plenty of liquids ) usually have fundoplication too tight for their functional
esophageal pump ; previously unrecognized achalasia, healed peptic
stricture & many more.
*Tests are required as Barium Esophagogram, Esophageal manometry +/-
Endoscopy .
* If fundoplication is intact - bougie +/- through the scope balloon dilatation
- Pnematic dilatation if Bougie dilatation fails.
- Revision surgery ( Convert total fundoplication to a partial wrap )
*So dear Sandie , hi moral of the story you have to make on your own.
Hope this clears your query.
Thanks for using Health Care Magic & keeping trust in our medical services
Wishing you fast and speedy recovery from the same.
Regards dear take care.
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How Can Cramps After Having Fundoplication Be Treated?

Respected Sandie , hi I evaluated your query thoroughly. *Some degree of cramps with dysphagia is common for solid foods expected in all cases for first 2-6 weeks after surgery ( due to post surgical edema & inflammation slowing bolus transit of foods ) *Dysphagia beyond 3 months ( after dietary modifications as soft diets, plenty of liquids ) usually have fundoplication too tight for their functional esophageal pump ; previously unrecognized achalasia, healed peptic stricture & many more. *Tests are required as Barium Esophagogram, Esophageal manometry +/- Endoscopy . * If fundoplication is intact - bougie +/- through the scope balloon dilatation - Pnematic dilatation if Bougie dilatation fails. - Revision surgery ( Convert total fundoplication to a partial wrap ) *So dear Sandie , hi moral of the story you have to make on your own. Hope this clears your query. Thanks for using Health Care Magic & keeping trust in our medical services Wishing you fast and speedy recovery from the same. Regards dear take care.