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GERD, history sliding hiatal hernia - Online Doctor Chats

Date : 21-Feb-2012
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Average Posted in: GERD
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   Hi. I'm a 38 F. last year I was diagnosed with sliding hiatal hernia (which was told it was no big deal) GERD/Reflux. After several PPI's I was put on prevacid 60 mil. this never controled my constant burping but made life liveable until this Nov. I had a huge change...lower right under rib abdominal pain that wrapped around my back. I ate cashews and was doubled over in pain felt like a horse was kicking me. Every time after meals I was in pain and even after no meals. The pain would be present when eating or not. GI doc did another Endoscopy clear- Ultrasound- clear- Loads of Bloodwork- clear and HIDA.Scan= My EJ was 88%. I was told it was normal but high and that I needed Gall removal. Had surgery 6 days ago..was told to eat anything.. I'm not having the "MAJOR" in deep pain like I was so I feel good about that ----but----- all the light pain after meals and even not after meals is present again in the SAME place especially the pain that wraps around my back. It's annoying and makes life diffucult as I have to go back on pain meds to function at work. I KNOW this is not recovery pain. I see my Surgeon on Monday and want SO bad to understand why I could be in pain still?!?!? I have done some research and could this be Sphincter of Oddi? I do not know yet if he looked in the bile ducts. Can reflux (which I started back on meds) cause this pain even when I'm not eating? I need to know what tests to ask for now as I'm exhausted with testing and surgery only to find I still have symptoms. Please advise!
Doctor :   hello
User :   hello
Doctor :   i am
Doctor :   give me a min please, let me read your query
User :   thank you
Doctor :   so all your tests have come normal ?
User :   Indeed
User :   The tests I have had.
Doctor :   this pain you have been experincing now is it constant ? or only happens with food intake ?
User :   Pretty constant.
Doctor :   was an ultrasound done ?
User :   yes abdominal on kineys, liver pancreas
User :   kidneys
Doctor :   yes reflux can be the culprit even without the food intake
User :   Would reflux cause pain on my right side as well as the back pain?
Doctor :   was an EKG done ?
User :   No but I had one done earlier this year
Doctor :   do you haver anyother medical condition ?
User :   with a chest xray when I was first symtomatic of chest pressure.
User :   No- Healthy otherwise...
Doctor :   like high blood pressure or diabetes
User :   Not that I'm aware of no.
User :   BP fine
User :   no diabetes
User :   I'm having pain through percocet 5/325
Doctor :   well there are some conditions that ca cause this typical back radiating pain . 2 most common being are pancreas involvement or a aortic dissection
Doctor :   and also GERD too can present like this
User :   The surgeon said he took a good look around after the gall removal and saw nothing to biopsy...
User :   Gerd can act like this?
User :   he stated everything looked great as we went all the way to my pelvis.
User :   the pain in my back is If you put your fingers on the right side under my ribcagethe circled all the way around that would be exactly where my back pain it.
Doctor :   let me be very honest with you . contrary to TYPICAL symptoms . in real life ANYTHING CAN BE ANYTHING .
Doctor :   a physical examination from the physician would be the right approach right now for you
User :   Ok, so that being said I do understand exactly what you are saying, how should I direct my doctors?
User :   We have been through that already/
Doctor :   CT MRI are the next diagnostic steps . i know you must be tired of the tests but the main cause has to be found so that you can be cured accordingly
User :   absolutley thank you.
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