Brief Answer:
i would need some info

Detailed Answer:
Hi,

Welcome to Health Care Magic,

I am Dr.Muhammad Ahmad, I have read your message and will try to help you in best possible way.

I would like you to give me some more info in this regard.

Here i will ask you some questions to guide our conversation.

1) Do you have regurge as well?

2) Did your gastro entrologist check for hiatus hernia?

3) Is it burn you have or pain?

4) What did your last endoscopy say and when was it done?

5) Do you have ANY other medical condition?

6) Using any prokinetic drug like motilloum? does it work?

7) Are you away from smoking and alcohol?

8) Are you avoiding caffeine and coffee tea?

9) Did you get a Ph test recently?

10) Got tested for H.Pylori ever?



Waiting for your input.

Dr.Muhammad Ahmad

M.B.B.S

Resident M.D.

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Brief Answer:
Neuropathy has a big part to play in this.

Detailed Answer:
Hi,

Thanks for writing back,



I have read your detailed reply and will try to answer as comprehensively as possible.

You must be knowing that your symptoms are well explained by neuropathy , even non healing ulcers as well..


Did your gastro doctor get your gastrin levels checked? some times gastrinomas cause no healing ulcers.

For better result in gastro therapy your nerve issue have to be dealt with by neurology, i would suggest you to be in touch with them as well.

Nerves do have a role in controlling acid production in stomach and when control balance is lost , ulcers are produced and are hard to heal.

TENS unit:

It does work for a few people butit is nerve stimulation process and if your nerves don't respond to stimulation , it is good for nothing. I would suggest you to discuss this with your doctor too as an option.

Yes surgical options are always there like Nissen's fundoplication, it usually work for people, but it indeed is weighed by a surgeon keeping in mind benefits and risks,

you can consult a general surgeon about this issue, he might want to run some tests and then he will decide if benefits are more for you.

You can use lowest possible dose of tylenol but dont use cyclobenzaprine if worsens dumping synderome and GERD as it blocks nerves further.

I would alos suggest you to avoid coffee I know you need caffeine but you have to get rid of this habit will take a couple of weeks then your body won't need it much.

Here i want to suggest that Dumping synderome even if doesn't get completely cured, is quite controllable, you just have to understand how it happens, read about it and see what mistakes are you making in your diet andlife habits.

Avoid eating sugar and other sweets such as:

,,Candy

,,Sweet drinks

,,Cakes

,,Cookies

,,Pastries

,,Sweetened breads


Also avoid dairy products and alcohol. And avoid eating solids and drinking liquids during the same meal. In fact, don't drink 30 minutes before and 30 minutes after meals.

Foods to eat. To help with symptoms, also try these tips:

1)Use fiber supplements, such as psyllium (Metamucil or Konsyl), methylcellulose (Citrucel), or guar gum (Benefiber).

2)Use sugar replacements, such as Splenda, Equal, or Sweet'N Low, instead of sugar.

3)Go for complex carbohydrates, such as vegetables and whole-wheat bread, instead of simple carbohydrates, such as sweet rolls and ice cream.

4)To prevent dehydration, drink more than 4 cups of water or other sugar-free, decaffeinated, noncarbonated beverages throughout the day.

5)How to eat. Here are some other ways to lessen symptoms of dumping syndrome:

Eat five or six small meals or snacks a day.



1)Keep portions small, such as 1 ounce of meat or 1/4 cup of vegetables.


2)Cut food into very small pieces. Chew well before swallowing.


3)Combine proteins or fats along with fruits or starches. (For example, combine fruit with cottage cheese.)


4)Stop eating when you first begin to feel full.


5)Drink liquids 30 to 45 minutes after meals.


6)Reclining after eating may help prevent light-headedness.

I Hope this answers your question, if your have more queries feel free to ask, otherwise close the discussion and rate it. Wish you the best of health.



Regards,

Dr.Muhammad Ahmad.

M.B.B.S.

Resident M.D.

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Brief Answer:
Surgical options can be considered after 20yrs

Detailed Answer:
Hi,

thanks for writing back,

It's my pleasure to be helping you,

You asked if Nissen's is covered in health cover, well its a surgery and most surgeries are covered, you might want to ask them from health cover consults for better guidance.

Yes you should discuss surgical options with youer GI as well beacuse 20 years are good enough a time to try medicine ,

A surgical consult can be taken.

It's a pleasure to know that you are this much willing to get your diet and life style modifications right. Hopefuly things will get better soon.

I wil be looking forward to know what your GI plans to do.

Stay blessed and wish you safety and health.

Have a great weekend.

Regards.

Dr . XXXXXXX Ahmad

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