Question: Hi Dr. XXXXXXX

I apologize that is has been some time since we talked. I asked my Dr. about the medications you recommended I should take since my Nissen Fundoplication surgery has not helped my acid reflux at all. You recommended Levosulpiride or Domperidone & Acotiamide in combination.

When I mentioned these drugs to my Dr. he told me that those kind of drugs are only used for people with some serious physiological problems that I don't have. He said my body has no signs of a serious problem and that this is a quality of life issue in getting my acid under control.

I have one more follow up appointment with him and I have been asked to be referred to a specialist as well from the University of Utah. They are more on the cutting edge of science and can think "outside the box" so to speak. I hope they will be of some help. It could take 8 weeks before I can make an appointment.

I read some information once about how acid reflux can be due to the pressure differential in your body/stomach. Is it possible that the Nissen wrap procedure could be trapping gas down in my stomach (I can't release it by burping) and therefore causing more pressure down there which causes the acid to be pushed up my espophagus? I may be way off, but thought I would ask if that's a possibility?

Lastly, you recommended I take Rabeprazole 20mg twice daily. Do you think this would be more effective than the 80mg of Nexium I am currently taking daily (along with 400mg of Famotodine daily).

Thanks again for your time, and I'm sorry if you have forgotten any details of our previous conversations due to my absence. Sincerely, XXXXXX XXXXXX