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Regular Member

Date Joined Mar 2008
Total Posts : 149
   Posted 2/1/2010 8:53 PM (GMT -6)   
Can someone explain this to me. Im just not getting it.

I have a dysfunctional LES. I have been on Nexium approx, 6 years. Recently got diagnosed with Barretts. And they keep telling me to get on a "gerd" diet! What is the point? I have a mechanical problem inside my body. MY LES does not open or close.... what is diet going to do? Acid is spilling up no matter what. If it wasn't for nexium I would of probably put a bullet in my head by now(figuratively speaking, of course). The nexium works... I don't feel discomfort (well sometimes) but if I were not to take it even on a empty stomach I would have terrible acidic burn. I could drink just water and it would feel like I just ate suicidal wings. So what is Diet going to do? Why do these doctors insist on telling me that "proper diet, sleeping on wedge and taking my PPI's will help and help keep my barretts from turning into cancer. HEY ******!!! I have leak and it needs to be plugged!!! Imagine I'm a mechanic and you come to me with a leaking tire. I tell you well just don't drive on it, I'll fill it with some foam and you'll be set. NO! YOU WILL TELL ME PATCH IT OR REPLACE IT. PERIOD
This is simple mechanics.
I can understand diet IF someone suffers from reflux but they don't have a dysfunctional LES.... than YES you need to stick to a diet and some lifestyle changes to prevent it from turning into what I have and hundreds of others here on the forum.
KEEP things simple: Dysfunctional LES, Medical therapy has negative results='s SURGERY. FIX THE PROBLEM.

How much are these doctors making on me off of my prescriptions? Is it that MUCH???? MY GOD if they were to let me get surgery and I walk away and never have to see a GI again guess What???? There will be 50 people behind me with GERD with the same symptoms as me. The flow of patients won;t stop.

So again what does diet going to do for me in my condition. Because with the most bland diet I would have burning beyond belief and therefore still causing acute damage to the area in question. Either way I'm getting burned and if they really dont treat this.... well, Ill just go start looking for my tombstone no thanks to any doctor.

To the doctors out there...thanks for the second chance. Im happy you were able to stuff your pants with all that money at my expense!!!!!!!!!!!!!!!!!!!!
Edit:  Your post is more in the line of an angry vent.  Please know I am sorry you feel upset but do try to soften your vent next time around.
11. No posts of an overtly political or religious nature OR posts promoting advocacy of particular personal, medical, legal, religious, political, or non-profit causes.  The forums are intended for offering mutual personal support.  Debating controversial subjects should be taken elsewhere.
Thank you for your understanding.

Post Edited By Moderator (stkitt) : 2/3/2010 4:21:23 PM (GMT-7)

Elite Member

Date Joined Jul 2009
Total Posts : 14475
   Posted 2/2/2010 5:53 PM (GMT -6)   
Yes, It does seem a bit rediculous to do the GERD diet when your LES is not working right.
The doctor just wants to make sure that you have exhausted all options before they recommend the surgery because it is so radical. They don't want to be known to rush you into surgery.

If you are so against what your doctor is telling you to do and you feel he's not doing you justice, go find you another doctor. There are more out there.


Veteran Member

Date Joined Oct 2009
Total Posts : 5004
   Posted 2/2/2010 7:03 PM (GMT -6)   
Hi Tracks -
Sorry you are so upset.  If you read enough of the info available you will start to understand yourself, and I hope you will start to feel better.  I've been a GERD patient since I was born, and I'm on Medicare now, although nobody recognized it until I hit my late 30s.  I've spent hundreds of hours researching how to feel better, and it's not the "bland" diet.
I too had a bad LES, but it was never recognized until the last few years.  But that wasn't the cause of my reflux.  Yes, the LES let acid into my esophagus, but PPIs took care of that by cutting the acid.  Reflux has triggers.  In my case it was my diet, or rather, my food sensitivities.  My allergist taught me that!  She had me keep a food log for a month.  Then after I identified the foods, I did "challenge testing."  I needed to find out what it was in the foods that caused the reflux.
It wasn't the waffle, it was the maple syrup I put on it.  It wasn't the hamburger, it was catsup and mustard and pickle.  It wasn't the fruit in the cherry pie, it was the cheap (beet) sugar, the bottled lemon juice and the corn starch.  I could easily recognize wine and beer.  But what do all these things have in common?  They obviously aren't spicy!
My sensitivity (allergy says my allergist) was sulfite.  It's in all the things that give me reflux.  By avoiding sulfited foods I stopped most of my reflux.
Keeping a food log is worth a try.  It's cheap and it doesn't take much time.  Challenge testing is a little more involved, but really easy too. 

Regular Member

Date Joined Aug 2009
Total Posts : 150
   Posted 2/3/2010 11:52 AM (GMT -6)   
hi sorry you not getting any relief ,my doctor told me i had les that was not working and i had to have surgery to correct it .having had the surgery 6 weeks ago im now on no ppi and apart from trapped wind im ok dont dispair get another doc asap

Regular Member

Date Joined Mar 2008
Total Posts : 149
   Posted 2/3/2010 8:39 PM (GMT -6)   
Hey Mookie,
Which surgery did you undergo? Was it the nissen or the Esophyx?

Regular Member

Date Joined Aug 2009
Total Posts : 150
   Posted 2/4/2010 2:21 AM (GMT -6)   
it was the nissen going back to see surgeon today will post later

Veteran Member

Date Joined Sep 2005
Total Posts : 1744
   Posted 2/4/2010 12:55 PM (GMT -6)   
I was diagnosed with GERD almost 8 years ago.  Been on PPIs ever since.  I also have a dysfunctional LES--hypomotility disorder of the esophagus too, and my GI doctor told me it doesn't matter what I eat.  A sip of water will cause my stomach to produce as much acid as chips and salsa.  That being said, I do tend to avoid eating real heavy meals, but I don't avoid spice because that's not the issue.

Current dx: Rheumatoid Arthritis
Suspected dx: UCTD/Lupus
Current Meds: Enbrel, Methotrexate, nexium, tramadol, nasonex, Nifedipine, Folic Acid, Tylenol PM

New Member

Date Joined Feb 2010
Total Posts : 6
   Posted 2/4/2010 2:21 PM (GMT -6)   
Tracks-- How long is your Barretts segment?  They can now do Barrx RFA therapy on it or cryo to destroy that intestinal metaplasia.  Something to ponder.
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