Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
171 Doctors are Online

Pain in rib cage during meals. Had Toupet Nissen fundoplication laparoscopy. What could it be?

User rating for this question
Very Good
Answered by

Oncologist
Practicing since : 2002
Answered : 2470 Questions
Question
HAD TOUPE NISSEN FUNDIPLICATION LAPORASCOPY AUG 2. LAST MONTH I HAVE BEEN GETTING SHARP PAINS IN LEFT EIB CAGE WHENEVER I EAT . WHAT COULD IT BE
Posted Tue, 1 May 2012 in GERD
 
 
Answered by Dr. Robert Galamaga 4 hours later
Hello and thanks for the query.

Left sided rib pain can be associated with a number of conditions including esophagitis, pneumonia, pancreatitis or chest wall inflammation.

With your history I am more inclined to think there may be some esophagitis going on. This can lead to pain when food passes by an irritated region of the esophagus.

Sometimes it can take weeks for the inflamed area to heal but we may promote the healing with some medications.

Some medications which may help include omeprazole, ranitidine or sucralfate. These medications help promote healing of irritated tissue either by coating the area or by decreasing acid production.

I suggest you speak to your doctor about a trial of one or a combination of these medications to see if this provides some improvement. If it does not help you may need to have the surgeon evaluate to see if there is an issue with the fundoplication.

Thanks again for the query. I hope you found this response to be adequate and informative. If you have any additional concerns I would be happy to address them.

Sincerely,

Dr. Galamaga
Above answer was peer-reviewed by
 
Follow-up: Pain in rib cage during meals. Had Toupet Nissen fundoplication laparoscopy. What could it be? 38 minutes later
A WEEK AFTER MY SURGERY I STARTED TO HAVE THIS PAIN ESPECIALLY AFTER EATING. THE ONLY ANSWER I GOT FROM THE SURGEON WAS "I STITCHED YOUR STOMACH IN PLACE IN THAT AREA". SO MY QUESTION IS ; CAN THESE PAINS IN FACT JUST BE PART OF THE HEALING PROCESS FROM THE SURGERY AS OPPOSED TO ESOPHAGITIS ETC AND WILL NEXIUM HELP INSTEAD OF RANITIDINE IF IT IS JUST A HEALING THING THANKS AGAIN
 
 
Answered by Dr. Robert Galamaga 22 hours later
Hello,

There is no guaranteed answer to this so I think a trial and error approach is the best option.

I think if esophagitis is the issue nexium is preferable to ranitidine. I would suggest a 2 week trial of this to see if it helps.

Regarding healing - this can take 6 to 8 weeks and yes your symptoms may be due to mild inflammation generated by healing tissues. The fact that you have the pain more with eating makes me suspect irritation of the esophagus but if the food is stretching an area which was stitched this could also trigger the pain.

This is a challenging issue but I am confident that within a month or so you should have significant improvement. Try and remain as physically active as possible as well. This promotes healing.

Thanks again for the query. Please let me know if I may be of any additional help.

Sincerely,

Dr. Galamaga
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Drug/Medication

The user accepted the expert's answer

Ask a Gastroenterologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor