Please dont be scared by the following explination. I will try to explain from first hand experience. Your situation may be different or require different treatment.
Severe GERD my be caused by a Hiatal Hernia or a weak Lower Esophigeal Sphyintec(LES) or both. My hernia damaged my LES and thats what was causing my pains. The LES is the valve that holds the contents of the stomach in so they wont leak up in to the esophogus causing you heart burn and possibly damaging your esophogus. I had sever erosion of the esophogus because of my damaged LES. So far surgery is the only way to corect this when medication fails to controll the acid. I had the surgery 5 weeks ago and feel 100 times better! No more acid, phlem in my throat, regurtating food, or severe burning. I can allready drink OJ again, eat sour cream, and many other mildly acidic food that would send me to the hospital before.
A Barium swallow test shows real time with an x ray video camera, when you swallow a heavy liquid to similate food what your esophogus does when the contents enter the stomach. It shows any reflux and can even show the hernia if that is the case. A
Motility test tells the doctors how strong your esophogus is and what the pressure of the LES is as you swallow water. Both tests have to be requested by a G.I specialist. Depending on the test results is the path or options they will give you to make you feel better and live a normal life. I had both tests done.
The word "surgery" scares people who dont know what they have yet. I would do this surgery every 10 years or as necessary to feel as good as I feel now compared to 6 weeks ago. Though this surgery is typically a one time thing some people have had to have it re done. Its ver non invasive and you end up with 5, 1inch long scars on your abdomin.
I hope I didnt scare you but I wanted you to know what severe GED leads to or what the cayuse may be. You may not need surgery and may juts need to find a good specialist that will give you the necessary prescription to ease your symptoms.
I hope that helped you learn a bit more of what some of us have gone through with this desiese.
Post Edited (rlopez75) : 9/15/2009 3:00:11 PM (GMT-6)