How can acid reflux or hypersensitive esophagus be diagnosed through one's symptoms?
You have been answering my questions over the past couple of months. Briefly, I had Nissen Fundoplication surgery on Oct. 30th. I still am having identical acid reflux symptoms. I am taking 80 mg Pantoprezole now and at least 400 mg of Famotodine daily. I am aware of the medications you have suggested to me thus far (Rabeprazole, Levosulpiride, Itopiride, etc.). My doctor did not think those were necessary at this point.
Currently, I am scheduled for an esophageal manometry early May at the Univ. of Utah by a specialist. Do you think this is a good test that can gather some valid information? She wants to see post surgery if I'm still actually having acid reflux OR if I have a hypersensitive esophagus instead. Any thoughts/suggestions?
Esophageal manometry is used to measure pressures across various parts of the esophagus. Pressure difference could lead to reflux of acid from stomach into the esophagus.
Secondly, 90% of patients who don't respond to proton pump inhibitors are having hypersensitivity. Therefore, yes, you could go for the test.
Hope I have answered your query. Thanks!
Dr. Ramesh Kumar