I think many of us thought that our Nissen surgeries would take our reflux to zero, but unfortunately that is impossible if we want to be able to swallow food and expect it to enter our stomachs!
This is the thing...Because reflux is possible after surgery, we still have to be aware of what and how much we're putting into our stomachs. Otherwise, that pesky reflux will start up. Certain triggers will cause reflux, but NOTHING like the reflux you had prior to your surgery.
All surgeons aim to do is get your reflux back to "normal amounts". Wouldn't it be nice if we were able to get it to zero? Unfortunately, no such luck. Since "normal" reflux amounts are not generally damaging to the esophagus, your surgeon isn't likely to recommend PPIs for protection purposes. Still, if you're experiencing discomfort at times because of eating extra amounts of trigger foods, you can pick up PPIs for a short duration, until things settle down again.
My PCP and asthma docs want me on 40mg Protonix before dinner, and I still sleep with the head of my bed elevated to minimize even tiny reflux events. That's because I have very reactive lungs and asthma.
Before my surgery I was on dangerous amounts of steroids to try to keep me breathing. Now I take a tiny fraction of the inhaled steroids I was taking, and my lungs are GREAT. I'm fine wth the proactive treatment of possible reflux, because I trust their judgement and want to keep my lungs in the great condition they are right now.
Prior to surgery, even though I was taking 40mg Protonix twice a day and 300mg Ranitidine, my reflux was bad enough to keep my lungs an a "life-threatening" condition (my doctor's words as he pushed and pushed me toward surgery).
Some take PPIs regularly if the small amount of reflux they're experiencing is bothersome. The main thing is to remember that you still have to be careful with trigger foods.
Since you were really challenging your stomach/reflux during the test, I'm sure that it was the reason your reflux was more extreme. The rebound effect was another exacerbating issue.
I'm very glad to hear that your wrap is in tip-top condition!
Have a great weekend,
Words of wisdom by Eckhart Tolle:
"Whatever you fight, you strengthen, and what you resist, persists.”
“Worry pretends to be necessary but serves no useful purpose”
“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”
Post Edited (dencha) : 5/5/2012 7:59:53 AM (GMT-6)