Guest guest Posted January 30, 2012 Report Share Posted January 30, 2012 My doctor told me he doesn't want me to vomit after my HM....ever!! Not sure if it even possible or not. > > Is it possible to vomit after the Heller Myotomy? I have surgery scheduled for next Tuesday and am trying to figure out what is waiting for me! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 30, 2012 Report Share Posted January 30, 2012 i dont know about anyone else. i can regurge sometimes but not much and sometimes i feel i really need to... i did this past weekend (PERHAPS TMI) but i had eaten half a hamburger and it was NOT working. also i was going to say the other day someone mentioned hair loss. my hair is normally very thick and it got very thin before i had my surgery i was getting worried and thinking i was going to have to do a sinead conner thing. It is all better now..,. Kim I dont kno Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 30, 2012 Report Share Posted January 30, 2012 I was assured by my surgeon that I could vomit. He was right! in Santa Barbara In a message dated 1/30/2012 12:39:46 A.M. Pacific Standard Time, wendy.taljaard@... writes: Is it possible to vomit after the Heller Myotomy? I have surgery scheduled for next Tuesday and am trying to figure out what is waiting for me! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2012 Report Share Posted January 31, 2012 From what I've read, If you have a partial fundo as opposed to a whole you are able to vomit but it is VERY, VERY hard, and that is speaking from experience. I gathered that it's not the HM but the wrap that causes problems. How can a doctor tell you not to vomit? I had no choice when I had the flu and my stomach took over. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2012 Report Share Posted January 31, 2012 Lol! I think they are just letting you know it will be different than it was before where most of us were vomiting all the time. But vomiting is difficult for me, now, too. (Heller with partial wrap) > > > From what I've read, If you have a partial fundo as opposed to a whole you are able to vomit but it is VERY, VERY hard, and that is speaking from experience. I gathered that it's not the HM but the wrap that causes problems. > How can a doctor tell you not to vomit? I had no choice when I had the flu and my stomach took over. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2012 Report Share Posted January 31, 2012 What would cause someone to vomit? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2012 Report Share Posted January 31, 2012 Drinking too much, roller coasters, motion sickness, stomach flu, salmonella, listeria, food poisoning, perforated bowel, bowel blockage, pregnancy, migraines, head injury. . . .etc. Manometry, lol! > > What would cause someone to vomit? > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2012 Report Share Posted January 31, 2012 Oh, manometry yeah. I vomited. Thank you for reminding me Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2012 Report Share Posted February 1, 2012 Almost three years post myotomy my son has started having severe spasms coupled with violent vomiting. After 3 ER visits, we finally agreed to try niphedipine sublingual for the spasms and zofran for the vomiting. Dr rice had told us he didn't like using niphedipine, I assumed that was because he is still a teenager. It worked well for about a month. Now it seems to have lost it's initial potential. I want to ask those of u who suffer with spasms this, does forced vomiting quell the spasm? Or is the vomiting happening as a result of the spasms termination? I know stress in my kid seems to play a hugh role, even though he claims he is not stressed, looking back on this last christmas diabolical he was way stressed about college. And it seems only on hindsight can we see what was causing the stress. Waking today he is again in the throws of spasms with violent vomiting, almost like dry heaving. My husband and I have been experiencing some financial decision making which has cause one or two " discussions " . Could overhearing conversations trigger a stress response which then demonstrates itself as spasms with vomiting? How do I teach my kid coping skills, or does the mere suggestion that it is that simple, howbeit not easy, minimize what is really happening. Does anyone really know stress causes spasms or do doctors feed u that because the simply have no other explanation. If u wake from a dead sleep with spasms followed by vomiting could it truly b said it is stress induced. Answers? Suggestions? Connected by DROID on Verizon Wireless Re: Vomiting after HM Drinking too much, roller coasters, motion sickness, stomach flu, salmonella, listeria, food poisoning, perforated bowel, bowel blockage, pregnancy, migraines, head injury. . . .etc. Manometry, lol! > > What would cause someone to vomit? > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2012 Report Share Posted February 1, 2012 I'll speak for myself alone here, having had intense spasms, like you're describing your son having, for years. Â I know that for me, there is a definite correlation between stress and having spasms. Â Of course, it's not the only thing, but inevitably when I'm experiencing stressful times in my life, I will have more spasms than in more " calm " times. Â When they are the worst, I will spend most of the day throwing up. Â It doesn't help the spasm, but it's not a nauseous feeling necessarily either. Â That probably is hard to understand, but it just happens. Stress is a subjective thing too. Â What one person might find particularly stressful might be something that another person wouldn't give a second thought to. Â If someone is stressed about something that is unnecessary to stress about (say, if it's going to rain today), then making mention of how it's not really something to spend time worrying about would be reasonable, I would think. Â But financial issues are things that lots of people do stress about, some quite rightly so. Â If your son is hearing your " discussions " , and worrying, then you could simply try to include him in some of the conversations, or try to make sure that he understands that you are working the situation out. Â Whether that will help his stress level or not is unknown, but worth a try. Â Also, just because he's waking from sleep with pain doesn't mean that he's not had stress. Â Take it from me... stress can compound and it's not a flip of a switch that turns it off and on. Â Good luck! Â It's dreadful dealing with them, and I wish I had more answers for you kim in canada ________________________________ From: " kotacj@... " <kotacj@...> achalasia Sent: Wednesday, February 1, 2012 10:05 AM Subject: Re: Re: Vomiting after HM Â Almost three years post myotomy my son has started having severe spasms coupled with violent vomiting. After 3 ER visits, we finally agreed to try niphedipine sublingual for the spasms and zofran for the vomiting. Dr rice had told us he didn't like using niphedipine, I assumed that was because he is still a teenager. It worked well for about a month. Now it seems to have lost it's initial potential. I want to ask those of u who suffer with spasms this, does forced vomiting quell the spasm? Or is the vomiting happening as a result of the spasms termination? I know stress in my kid seems to play a hugh role, even though he claims he is not stressed, looking back on this last christmas diabolical he was way stressed about college. And it seems only on hindsight can we see what was causing the stress. Waking today he is again in the throws of spasms with violent vomiting, almost like dry heaving. My husband and I have been experiencing some financial decision making which has cause one or two " discussions " . Could overhearing conversations trigger a stress response which then demonstrates itself as spasms with vomiting? How do I teach my kid coping skills, or does the mere suggestion that it is that simple, howbeit not easy, minimize what is really happening. Does anyone really know stress causes spasms or do doctors feed u that because the simply have no other explanation. If u wake from a dead sleep with spasms followed by vomiting could it truly b said it is stress induced. Answers? Suggestions? Connected by DROID on Verizon Wireless Re: Vomiting after HM Drinking too much, roller coasters, motion sickness, stomach flu, salmonella, listeria, food poisoning, perforated bowel, bowel blockage, pregnancy, migraines, head injury. . . .etc. Manometry, lol! > > What would cause someone to vomit? > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2012 Report Share Posted February 1, 2012 Kim wrote: > > ... Take it from me... stress can compound and it's not a flip of a > switch that turns it off and on. ... > Exactly right. Stress changes your body chemistry. Those changes effect many things including neural transmitters and the immune system. The effects don't just immediately go away when you relax. notan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2012 Report Share Posted February 1, 2012 I agree with kim about stress. I left my husband last week and am now able to enjoy a bit of solid food again. Who knew?!! J Sent from my CrackBerry® powered by Virgin Mobile. Re: Vomiting after HM Drinking too much, roller coasters, motion sickness, stomach flu, salmonella, listeria, food poisoning, perforated bowel, bowel blockage, pregnancy, migraines, head injury. . . .etc. Manometry, lol! > > What would cause someone to vomit? > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2012 Report Share Posted February 1, 2012 kotacj@... wrote: > > ... It worked well for about a month. Now it seems to have lost it's > initial potential. ... > That often happens with medications to relax the esophagus. > ... does forced vomiting quell the spasm? Or is the vomiting happening as > a result of the spasms termination? ... > Does he bring anything up? If so does it look like it came from the stomach or the esophagus? If it is coming from the esophagus then it could mean there was enough in the esophagus to distend it. Distention is known to be a trigger for NCCPs and spasms. Does he feel like there is trapped air before the spasms? A bad belch reflex could also trigger spasms. Vomiting would be one way of releasing the gas. Has he been scoped lately? Esophagitis can trigger spasms. So can anything that irritates the esophagus. Some people say that just a drink of water can stop their spasms. I wonder if for those that it works it does so sometimes by washing away a bit of food that got stuck and started irritating the esophagus. Acid can trigger them. Is he taking a PPI? If not you could try an OTC one. They are usually half the dose they start the prescription ones. If he has less spasm with the PPI then acid could be his trigger. When one starts it is too late for the PPI but he could try an antacid. > ... Does anyone really know stress causes spasms ... > It causes all kinds of problems and it isn't hard to figure it could effect having spasms. Many people in this group have related symptoms and even their first symptoms to times of stress. notan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2012 Report Share Posted February 1, 2012 So sorry to hear your son is struggling with spasms. Definitely stress plays a role, however I too wake in the middle of the night with them. Hard to say what our subconscious is telling us while asleep. Â With regard to the vomiting, for me it seems like the vomiting comes at the end of a horrific spasm. I almost welcome it as it usually signifies the " end " of the spasm is near. It's almost like the E is in spasm to reject what may be caught in there, then finally is able to eject it and everything calms again. Others may likely have a different experience... I've tried all types of medications - the niphedipine never did help me. Currently I get some relief with Donnatal. Since swallowing is impossible for me during a spasm, I let it melt sublingualy. Â Hopefully it will continue to work. If stress is indeed a factor and other natural therapies don't help, perhaps you might want to consider something for anxiety to help through the tough times. I'm not an advocate of any type of drugs, but I'll do whatever it takes to stave off a spasm. I would be interested to hear why Dr. Rice thinks this is happening again since he's already had a HM. Kim ________________________________ From: " kotacj@... " <kotacj@...> achalasia Sent: Wednesday, February 1, 2012 9:05 AM Subject: Re: Re: Vomiting after HM Â Almost three years post myotomy my son has started having severe spasms coupled with violent vomiting. After 3 ER visits, we finally agreed to try niphedipine sublingual for the spasms and zofran for the vomiting. Dr rice had told us he didn't like using niphedipine, I assumed that was because he is still a teenager. It worked well for about a month. Now it seems to have lost it's initial potential. I want to ask those of u who suffer with spasms this, does forced vomiting quell the spasm? Or is the vomiting happening as a result of the spasms termination? I know stress in my kid seems to play a hugh role, even though he claims he is not stressed, looking back on this last christmas diabolical he was way stressed about college. And it seems only on hindsight can we see what was causing the stress. Waking today he is again in the throws of spasms with violent vomiting, almost like dry heaving. My husband and I have been experiencing some financial decision making which has cause one or two " discussions " . Could overhearing conversations trigger a stress response which then demonstrates itself as spasms with vomiting? How do I teach my kid coping skills, or does the mere suggestion that it is that simple, howbeit not easy, minimize what is really happening. Does anyone really know stress causes spasms or do doctors feed u that because the simply have no other explanation. If u wake from a dead sleep with spasms followed by vomiting could it truly b said it is stress induced. Answers? Suggestions? Connected by DROID on Verizon Wireless Re: Vomiting after HM Drinking too much, roller coasters, motion sickness, stomach flu, salmonella, listeria, food poisoning, perforated bowel, bowel blockage, pregnancy, migraines, head injury. . . .etc. Manometry, lol! > > What would cause someone to vomit? > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2012 Report Share Posted February 1, 2012 Notan in response, the emesis appears digested as it is mostly liquid. I am unsure if he has trapped air. I do know he belches alot. Initially he was excited about that because prior to the heller he couldn't belch at all. He was scoped 8 months ago, when he first started experiences these severe spasms and vomiting and drinking water to arrest them failed to be effective. His gi doctors said at that time everything looked " good " . Meaning he saw no dilation and the dor wrap looks good. He does have a script for nexium. We have tried giving it to him in the morning on an empty stomach as well as at night to suppress acid at night. The irony here is he says he doesn't feel heartburn ever. That said he says he doesn't know if he has heartburn or not as he can't seem to differentiate. I didn't realize that nexium wouldn't work after a spasm starts if it is related to heartburn. I will be sure to keep a liquid antacid on hand and may finally find out if he is experiencing heartburn depending on how well it works. Other things are he has a low foliate level, which he is supplementing, but again teenage compliance is a challenge. He also complains of being tired all the time. I assumed this was due to the low foliate level and it's relationship to b vitamins, particularly b12, but here I am guessing. Thank you so much for your input. Connected by DROID on Verizon Wireless Re: Re: Vomiting after HM kotacj@... wrote: > > ... It worked well for about a month. Now it seems to have lost it's > initial potential. ... > That often happens with medications to relax the esophagus. > ... does forced vomiting quell the spasm? Or is the vomiting happening as > a result of the spasms termination? ... > Does he bring anything up? If so does it look like it came from the stomach or the esophagus? If it is coming from the esophagus then it could mean there was enough in the esophagus to distend it. Distention is known to be a trigger for NCCPs and spasms. Does he feel like there is trapped air before the spasms? A bad belch reflex could also trigger spasms. Vomiting would be one way of releasing the gas. Has he been scoped lately? Esophagitis can trigger spasms. So can anything that irritates the esophagus. Some people say that just a drink of water can stop their spasms. I wonder if for those that it works it does so sometimes by washing away a bit of food that got stuck and started irritating the esophagus. Acid can trigger them. Is he taking a PPI? If not you could try an OTC one. They are usually half the dose they start the prescription ones. If he has less spasm with the PPI then acid could be his trigger. When one starts it is too late for the PPI but he could try an antacid. > ... Does anyone really know stress causes spasms ... > It causes all kinds of problems and it isn't hard to figure it could effect having spasms. Many people in this group have related symptoms and even their first symptoms to times of stress. notan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2012 Report Share Posted February 1, 2012 Kim..it's like this vicious cycle. Stress, spasm,vomit, more stress because of spasm, more stress because of vomiting, more stress because of spasms, more stress because of vomiting...etc. pretty soon u have forgotten what the trigger stress was to start with. Connected by DROID on Verizon Wireless Re: Vomiting after HM Drinking too much, roller coasters, motion sickness, stomach flu, salmonella, listeria, food poisoning, perforated bowel, bowel blockage, pregnancy, migraines, head injury. . . .etc. Manometry, lol! > > What would cause someone to vomit? > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2012 Report Share Posted February 1, 2012 I agree 100%... I've lived it for over 6 years now  It's a hard thing to break, that's for sure... but he'll figure it out, with your help kim in canada ________________________________ From: " kotacj@... " <kotacj@...> achalasia Sent: Wednesday, February 1, 2012 7:58 PM Subject: Re: Re: Vomiting after HM  Kim..it's like this vicious cycle. Stress, spasm,vomit, more stress because of spasm, more stress because of vomiting, more stress because of spasms, more stress because of vomiting...etc. pretty soon u have forgotten what the trigger stress was to start with. Connected by DROID on Verizon Wireless Re: Vomiting after HM Drinking too much, roller coasters, motion sickness, stomach flu, salmonella, listeria, food poisoning, perforated bowel, bowel blockage, pregnancy, migraines, head injury. . . .etc. Manometry, lol! > > What would cause someone to vomit? > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2012 Report Share Posted February 7, 2012 Hi Kim,  I started loosing my hair around the time I had my last dilation in early November. I had lost 35 lbs within 4 months and think the lack of nutrition, sleep and being dehydrated for so long could have started it. My hair is usually pretty thick as well but it has thinned out. It gets so bad I have to stop blow drying my hair to pull the hair off my hands to start drying my hair again.Seems to be not coming out as much lately but still wish it would slow down.......  Kim A ________________________________ From: Kim <kimellenbailey@...> " achalasia " <achalasia > Sent: Monday, January 30, 2012 11:36 AM Subject: Re: Vomiting after HM   i dont know about anyone else. i can regurge sometimes but not much and sometimes i feel i really need to... i did this past weekend (PERHAPS TMI) but i had eaten half a hamburger and it was NOT working. also i was going to say the other day someone mentioned hair loss. my hair is normally very thick and it got very thin before i had my surgery i was getting worried and thinking i was going to have to do a sinead conner thing. It is all better now..,. Kim   I dont kno Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2012 Report Share Posted February 7, 2012 kotacj@... wrote: > > ... I didn't realize that nexium wouldn't work after a spasm starts if > it is related to > heartburn. I will be sure to keep a liquid antacid on hand ... > Right. The PPIs and H2 blocker are for reducing the production of acid. Because the acid that has caused an episode of spasms/heartburn has already been produced it is to late to relive the spasms/heartburn by taking them. An antacid neutralizes acid that has already been produced but does nothing to prevent more acid from being produced. If an antacid reliably stops the spasms/heartburn then the spasms/heartburn are likely caused by acid, but not necessarily by stomach acid. They could be because of acid that forms from trapped food in the esophagus. Likewise, if PPIs or H2 blockers reliably prevent spasms/heartburn then the spasms/heartburn are likely caused by stomach acid. If PPIs or H2 blocker do not prevent the spasms/heartburn but antacids stop them then they are likely caused by acid from food trapped in the esophagus. If large doses of both fail to help then the spasms/heartburn are probably not from acid. notan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 13, 2012 Report Share Posted February 13, 2012 Stress has also played a huge part in not only my spasms but my swallowing capability. The more spasms I get, the harder to swallow - add stress and the regurgitation starts. Me personally, I usually need to time and If I am out with other people eating and feel pressured to eat quicker ( which is hard for me to do, especially depending on the day ) I get more spasm and regurgitate more!!! Â So far none of the medications have worked for me either!! b eing your sons age this has to be terribly stressful for him. I hope he gets relief soon. Â Kim A ________________________________ From: Leda Mae <leda444@...> " achalasia " <achalasia > Sent: Wednesday, February 1, 2012 3:02 PM Subject: Re: Re: Vomiting after HM Â So sorry to hear your son is struggling with spasms. Definitely stress plays a role, however I too wake in the middle of the night with them. Hard to say what our subconscious is telling us while asleep. Â With regard to the vomiting, for me it seems like the vomiting comes at the end of a horrific spasm. I almost welcome it as it usually signifies the " end " of the spasm is near. It's almost like the E is in spasm to reject what may be caught in there, then finally is able to eject it and everything calms again. Others may likely have a different experience... I've tried all types of medications - the niphedipine never did help me. Currently I get some relief with Donnatal. Since swallowing is impossible for me during a spasm, I let it melt sublingualy. Â Hopefully it will continue to work. If stress is indeed a factor and other natural therapies don't help, perhaps you might want to consider something for anxiety to help through the tough times. I'm not an advocate of any type of drugs, but I'll do whatever it takes to stave off a spasm. I would be interested to hear why Dr. Rice thinks this is happening again since he's already had a HM. Kim ________________________________ From: " kotacj@... " <kotacj@...> achalasia Sent: Wednesday, February 1, 2012 9:05 AM Subject: Re: Re: Vomiting after HM Â Almost three years post myotomy my son has started having severe spasms coupled with violent vomiting. After 3 ER visits, we finally agreed to try niphedipine sublingual for the spasms and zofran for the vomiting. Dr rice had told us he didn't like using niphedipine, I assumed that was because he is still a teenager. It worked well for about a month. Now it seems to have lost it's initial potential. I want to ask those of u who suffer with spasms this, does forced vomiting quell the spasm? Or is the vomiting happening as a result of the spasms termination? I know stress in my kid seems to play a hugh role, even though he claims he is not stressed, looking back on this last christmas diabolical he was way stressed about college. And it seems only on hindsight can we see what was causing the stress. Waking today he is again in the throws of spasms with violent vomiting, almost like dry heaving. My husband and I have been experiencing some financial decision making which has cause one or two " discussions " . Could overhearing conversations trigger a stress response which then demonstrates itself as spasms with vomiting? How do I teach my kid coping skills, or does the mere suggestion that it is that simple, howbeit not easy, minimize what is really happening. Does anyone really know stress causes spasms or do doctors feed u that because the simply have no other explanation. If u wake from a dead sleep with spasms followed by vomiting could it truly b said it is stress induced. Answers? Suggestions? Connected by DROID on Verizon Wireless Re: Vomiting after HM Drinking too much, roller coasters, motion sickness, stomach flu, salmonella, listeria, food poisoning, perforated bowel, bowel blockage, pregnancy, migraines, head injury. . . .etc. Manometry, lol! > > What would cause someone to vomit? > > > > Quote Link to comment Share on other sites More sharing options...
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