Feb11=> thick mucous in the throat, esophagus ache (no heartburn)
Mar11=> Dysphagia, PPIs side effects started: knee-aches, depression, anxiety, insomnia
Apr=> Esophagus ache cleared. Throat symptoms remained. Side-effects on meds continued
---PPIs/H2s stopped after various experiments and combinations.
May/June/July11=>Severe throat symptoms (no heartburn).
---Experiemented with various other meds: gabapentin, antidepressants, benzos etc. Couldn't stay on them.
Aug/Sep/Oct11=>Throat symptoms subsided - heartburn symptoms started in chest + mouth.
Nov11-Present=>Heartburn symptoms (chest discomfort, warm / cool pain/aches around the LES, achiness in the throat, bitter taste in mouth). Frequency of symptoms reduced - sometimes I get a full day of relief. But, they promptly come back.
I've had 2 endoscopies (normal), 2 manometries (normal) and 2 ph tests (1 abnormal and 1 normal). Going for another pH test (dual impedance) end of this month.
Yes, I've done a lot of research on LINX. However, I am not comfortable with having a foreign object sitting on the soft tissue of the esophagus ... near the vagus nerve ... esp. when this procedure is so new. Looks like Nissen is the best time-tested solution. However, the possible side effects are quite scary. TIF seems like a good middle ground .. however, is fairly new and some studies claim it is not as durable as Nissen.
At this point though, my tests don't show enough evidence of reflux. 99.99% of the people with my level of symptoms do very well on the PPIs. So, I am an absolute outlier ("outlier within the outliers" is how one dr. described me) ... who has mild to moderate GERD but needs a heavy duty surgery to fix it.
I am a 42 year old male .. otherwise healthy (no other problems).
Thats my story so far ...