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New Member

Date Joined Jul 2008
Total Posts : 9
   Posted 8/3/2008 8:36 AM (GMT -6)   
My husband has been able to control his reflux with nexium for years, then about 3 months ago he began
having terrible pains in the bottom middle of his rib cage radiating pain to the lower right back. Severe nausea unable to eat, always feeling like he is going to throw up. Terrible headaches won't go away.The pain has increased so intensely that this week his GI ordered a gall bladder scan, endoscopy and an mri with contrast of his liver, pancreas and gall bladder. He personally requested the results from all three (stat) and let me know the results the same day. The esophagus and stomach lining is a little inflamed and gall stones were ruled out. His liver enzymes are elevated but he is on so much medication due to
having ulcerated colitis and degenerative spine disease that he feels the meds are what is elevating his
liver. He went thru a liver biopsy several years ago because of high elevation and everything was o.k.
with the liver. I was so sure it was gall bladder related due to the symptoms of severe pain, reflux nausea and bloating, unable to eat but the tests rule that out.

I ran across the nissen information thru this forum and have never heard of this before. We live in Orlando and Tampa or Mayo Clinic Jax. does this procedure so is this something I should request to have done? , we seem to be out of options. He woke up at 3:00 am. this morning in such severe pain and vomiting I kept begging him to let me call 911 but he said there would be nothing they could do for him.

Sorry this is so long, but my heart breaks for him in such pain and I feel so helpless to help.
He takes pain pills (oxycodone, percosect) to help the severe headaches and pain, phenegrene for nausea but nothing helps.
His GI is so wonderful and I think he is a little loss at what to suggest, he wants us back in the office Monday for some more blood work to check his liver enzymes.


Elite Member

Date Joined Apr 2007
Total Posts : 32602
   Posted 8/3/2008 9:11 PM (GMT -6)   

I'd like to extend a warm welcome to you on your first visit to Healing Well!   I am Kitt. :)  I am so sorry your husband is having so much trouble.  I would read some of the stories of the members who have had the surgery that have threads on here re their experiencies. They are very wise and willing to share. :-)

Surgical intervention is reserved for patients whose chronic, reflux is disabling and unresponsive to non-pharmacological management or who have developed complications such as stricture, bleeding, Barrett's esophagus,  or pulmonary aspiration.  This is something you and your husband should discuss with your GI and perhaps even get a second opinion.  It is a serious surgery.  Younger patients and those with preserved functions of the esophageal body have the best outcome.

Please keep posting and know you are among friends here..

Gentle Hugs



Kitt, Moderator: Anxiety, Panic & Depression 
*~* *~*
Not a mental health professional of any kind
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~
Clickable Link: Anxiety-Panic Resources

Regular Member

Date Joined Oct 2006
Total Posts : 317
   Posted 8/3/2008 9:11 PM (GMT -6)   
Hon, I feel so badly for you and your husband.  It's horrible to watch someone you love going through such pain.  I just hope they find the answers soon.
I'm having the Hill repair surgery next month but I don't have anything like what your husband is experiencing.  I have alot of acid coming up which isn't controlled very well by medication so I'm opting for the surgery.  At this point, the Nissen surgery is only to control acid reflux and your husband would need alot of tests to find out how much acid is coming up and for how long during the day. The endoscopy showing some signs of irritation means he is getting a little breakthrough acid even on medication.   Whether this is contributing to his pain and vomiting is something the tests would hopefully give a result.  I know alot of people have pain and vomiting when they have a hiatal hernia which also causes reflux.  The endoscopy should have been able to detect a hernia though.    
It sounds like you trust your GI and he's doing his best to arrive at the answers for you.  Taking so much medication is also something I'm sure the doctor will look at to determine the causes.  I do hope he finds some relief soon.  God bless. 
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