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Metcalfk13
New Member


Date Joined Dec 2011
Total Posts : 5
   Posted 12/20/2011 7:33 AM (GMT -6)   
Hiya. Earlier I posted how I was having trouble with my acid reflux. Well I went to the hospital this past friday and was told I needed to be put on a less amount of omeprazole (only to lessen the headaches, which has worked but now i have more acid reflux) and now a new antacid i cant remember the name of that I am now taking every night before bed.
Also I got some blood tested for allergies or (risks of) diseases.
      On February 1st I am going back to the hospital for an endoscopy so they can look for any abnormalities in my tummy. Im not too thrilled but I am happy something is finally being done. Having acid reflux for 16years+ doesnt seem ideal at all. If anyone has any tips, suggestions, comments questions. please let me know. It would great to know everyone's thoughts on this. thanks for reading. :-)

bcfromfl
Regular Member


Date Joined Nov 2011
Total Posts : 417
   Posted 12/20/2011 8:07 AM (GMT -6)   
I'm glad you're taking the "bull by the horns" and seeking more information on your condition! What you learn can only benefit you in managing your reflux.

Two things to have done during the endoscopy: make sure your doctor takes biopsies for eosinophil counts, and also do the 48-hour Bravo pH study.

Let us know how it works out!

-Bruce

mudmagnetmum
Veteran Member


Date Joined Apr 2011
Total Posts : 1604
   Posted 12/20/2011 11:59 AM (GMT -6)   
Endoscopy should also be routinely done with test for Helicobacter and coeliac disease. In the UK they don't always do those first time round, so over here it's worth mentioning them so that they don't miss the opportunity to get those done!

MMM
New stuff: GERD. Interstitial Cystitis
Lifelong stuff: Food allergies, eczema, asthma

mudmagnetmum
Veteran Member


Date Joined Apr 2011
Total Posts : 1604
   Posted 12/20/2011 12:15 PM (GMT -6)   
In the UK the Bravo test isn't as available I think. You can get pH monitoring done on a separate occasion when they will pass the wire down through your nose. I haven't even been offered it, and I didn't ask because I have zero tolerance to any tubes or wires being passed whilst I'm conscious. In the UK they can (and should) test for Helicobacter by biopsy and coeliac disease by biopsy at the time of the endoscopy. However, it is possible to have your GP do a "direct access" gastroscopy which is just a look see with the camera, with a doctor or nurse specialist steering the camera (I.e. Not a consultant gastroenterologist). If it were me facing a first gastroscopy I would ask to be referred to a consultant -that way you get "The Full Monty" and you get a consultant's opinion on what to do with your medication also.

Second time around I refused the "direct access" gastroscopy as I had a bad experience with failed sedation 3 years prior. My refusal left my GP with no place else to go - they have to rule out cancer as part of the standard protocol, so by not playing ball I got myself referred to a GI consultant who did the whole thing under GA, and I got the benefit of his opinion.

If you have good tolerance for the procedures then you can choose to have the GP-led gastroscopy service - if things resolve then you're all done. However, if medication fails you may face referral to a specialist and end up with a second scope.

In summary, in the UK, you should come away from your first round of tests with a gastroscopy, test for Helicobacter and coeliac disease. You may also get some routine blood tests and a scan of your gall bladder, if appropriate.

Jamaica, I have worked for the NHS and know its workings. Over here we are a lot less "trigger happy" as far as tests and interventions go, but most things are available. However, as you say, it depends on whether the test is clinically indicated and whether the results would change the management strategy.

Hope that helps,

MMM
New stuff: GERD. Interstitial Cystitis
Lifelong stuff: Food allergies, eczema, asthma

mudmagnetmum
Veteran Member


Date Joined Apr 2011
Total Posts : 1604
   Posted 12/20/2011 12:18 PM (GMT -6)   
PS: test for eosinophilic oesophagitis would be done if the specialist saw areas that made him suspect that diagnosis, so that's another reason to go through a specialist for the scope. They may also biopsy for Barretts at the same time.
New stuff: GERD. Interstitial Cystitis
Lifelong stuff: Food allergies, eczema, asthma

mudmagnetmum
Veteran Member


Date Joined Apr 2011
Total Posts : 1604
   Posted 12/20/2011 3:37 PM (GMT -6)   
Go with the gastroenterologist for now and see what that brings. They can liaise with an ENT colleague as and when they need to.

Good luck

MMM
New stuff: GERD. Interstitial Cystitis
Lifelong stuff: Food allergies, eczema, asthma

bcfromfl
Regular Member


Date Joined Nov 2011
Total Posts : 417
   Posted 12/20/2011 3:38 PM (GMT -6)   
I know it seems logical to see an ENT because your symptoms are in your throat, but he can't really do much for you other than write prescriptions. You did right by scheduling an appointment with a GI. Be sure to go prepared with a list of questions and symptoms, and don't be afraid to prompt him with suggestions if he seems to be going off on a tangent. There are many doctors who don't recognize LPR as a special condition, and if you present an organized list of symptoms and/or tests that you feel are appropriate, he may refer you to someone else more qualified.

Good luck!

-Bruce

mudmagnetmum
Veteran Member


Date Joined Apr 2011
Total Posts : 1604
   Posted 12/21/2011 3:58 AM (GMT -6)   
Jamaica,

You may want to try starting a new thread called "Any one else in the UK with LPR?" - if there are any members over here with LPR they might be able to tell you how they got on, how it was diagnosed on the NHS and what tests they had........?

MMM
New stuff: GERD. Interstitial Cystitis
Lifelong stuff: Food allergies, eczema, asthma
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