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Suffering From GERD And On Ppi. Nausea In Upper Oesophagus, Internal Gas And Abdominal Cramps. Suggest The Treatment?
Question: Hi,
I have been a gerd sufferer on ppi's for past 15 years.About 2 years ago the pills started not working as well as i ended up with nausea in upper esophagus,lot of XXXXXXX gas at digestion,more abdominal cramps,more reflux etc...2 months ago my throat started getting very dry especially at night with a lumpy feeling in it.I have gastritis in 2 spots plus esophagitis symptoms.I had a catscan which showed no major issues only some diverticula.The throat problem does not go away and if i exercise i get tired easily and more dificulty sleeping at night due to throat.Do you think nissen fundoplication can help? XXXXXXX
note:my throat issue is not tied to phlegm or nasal issue,it started strictly with a throat issue with difficulty swallowing saliva which improved a bit with more acid reducing medication (i xantac plus 1 ppi per day i don't want to go more due to impacts on my stomach)
I have been a gerd sufferer on ppi's for past 15 years.About 2 years ago the pills started not working as well as i ended up with nausea in upper esophagus,lot of XXXXXXX gas at digestion,more abdominal cramps,more reflux etc...2 months ago my throat started getting very dry especially at night with a lumpy feeling in it.I have gastritis in 2 spots plus esophagitis symptoms.I had a catscan which showed no major issues only some diverticula.The throat problem does not go away and if i exercise i get tired easily and more dificulty sleeping at night due to throat.Do you think nissen fundoplication can help? XXXXXXX
note:my throat issue is not tied to phlegm or nasal issue,it started strictly with a throat issue with difficulty swallowing saliva which improved a bit with more acid reducing medication (i xantac plus 1 ppi per day i don't want to go more due to impacts on my stomach)
Brief Answer:
Suggestions
Detailed Answer:
Hi,
Thanks for the query. It seems that despite the sigle dose daily PPI that you still have symptoms.
I would suggest that you review the possibility of taking the PPI twice daily for a few weeks with your doctor. Sometimes this will reduce the acid content enough to allow for healing and may reduce the likelihood that you would need any surgery.
The Nissen is a consideration but only if all of the medical therapy has been tried first.
Thanks again for the query,
I wish you all the best and continued good health.
Dr. Galamaga
Suggestions
Detailed Answer:
Hi,
Thanks for the query. It seems that despite the sigle dose daily PPI that you still have symptoms.
I would suggest that you review the possibility of taking the PPI twice daily for a few weeks with your doctor. Sometimes this will reduce the acid content enough to allow for healing and may reduce the likelihood that you would need any surgery.
The Nissen is a consideration but only if all of the medical therapy has been tried first.
Thanks again for the query,
I wish you all the best and continued good health.
Dr. Galamaga
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks doc.I will discuss two ppi's with my doctor but i thought zantac 150mg is almost the same but easier on the stomach.That is why i take one xantac and one ppi.The ppi's make me more tired.
I have a follow-up question on the nissen fundoplication and you may want to pass it through another specialist if needed.
Assuming (i know there is no guarantee) that a fundoplication procedure would yield 7 years for example without the need for ppi's,is there a chance that the current inflammation in the stomach and esophagus could be reduced during that period (assuming reasonable diet) or are those situations going to stay the same or slowly get worse.Can i expect that my stomach should function better with its full gastric acid complement?
Thx.
XXXXXXX
I have a follow-up question on the nissen fundoplication and you may want to pass it through another specialist if needed.
Assuming (i know there is no guarantee) that a fundoplication procedure would yield 7 years for example without the need for ppi's,is there a chance that the current inflammation in the stomach and esophagus could be reduced during that period (assuming reasonable diet) or are those situations going to stay the same or slowly get worse.Can i expect that my stomach should function better with its full gastric acid complement?
Thx.
XXXXXXX
Brief Answer:
Followup
Detailed Answer:
I would expect that with an intervention such as a Nissen that the inflammation will potentially significantly improve.
I think you would still need close surveillance by a gastroenterologist to make sure nothing new develops in the esophagus - perhaps a scope every few years would be reasonable.
It is difficult to predict how well your digestive function would fare after such a procedure.
If you have a question specific to a surgical specialty you could submit a specialist query or direct it to one of our surgical experts.
Sincerely,
Dr. Galamaga
Followup
Detailed Answer:
I would expect that with an intervention such as a Nissen that the inflammation will potentially significantly improve.
I think you would still need close surveillance by a gastroenterologist to make sure nothing new develops in the esophagus - perhaps a scope every few years would be reasonable.
It is difficult to predict how well your digestive function would fare after such a procedure.
If you have a question specific to a surgical specialty you could submit a specialist query or direct it to one of our surgical experts.
Sincerely,
Dr. Galamaga
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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