Why Bother With All The Testing?

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thegspeak
Regular Member


Date Joined Nov 2012
Total Posts : 196
   Posted 1/2/2013 2:06 PM (GMT -6)   
A few of you know I'm seeing the author of the book "Dropping Acid" and i am having all those doozy tests in two weeks. There is ZERO doubt I have reflux. I am pretty textbook with the cough and when I don't stick to the right diet I get the vapor burning in my throat which gets me back on the low acid diet REAL quick. I'm sure you know how unpleasant the burning is. I consider sticking to the diet a good way to control it. I wasn't sure so I experimented and I will NEVER do that again.

My question is this: Why exactly am i having the transnasal Esophagocopy, the high def Manometry, the PH Monitering and the flexible Endoscopic Eval of swallowing? Why?

I know I have it, I know there is no cure for it. I know how to control it (diet and Gaviscon occasionally) What can she tell me that I don't already know?

Seems like a LOT of (uncomfortable) testing for very little result. I don't want to be another "patient case" for a book or something. I want to get better!

SoldierzWife
New Member


Date Joined Dec 2012
Total Posts : 19
   Posted 1/2/2013 2:37 PM (GMT -6)   
thegspeak,

The tests confirm the reflux, monitor the level of acid in your stomach, rule out esophageal dysmotility (if you do have it you are not a candidate for the Nissen), & tests for damages done by the acid such as Barret's Esophagus, ulcers, & esophageal cancer. Based on test results your doctor may recommend surgery or find that there is another underlying problem. I would be quite concerned if my PCP didn't refer me for testing. Good luck.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7185
   Posted 1/2/2013 2:49 PM (GMT -6)   
Hi thegspeak,
 
I second that...these tests are critical to moving toward getting you better.  Yes, it's obvious you have reflux.  You know your body best, and you know how you feel.  But it is a credit to the professionalism and skill of your doctor that you are going to have these tests.  Both your doctor and you will have a better idea of what is going on. 
 
Much of GERD's damage is silent, so it's important to have a thorough check of everything.  And as SoldierzWife has pointed out, if surgery is an option these tests are a prerequisite.  You might as well get them over with!
 
Hang in there, and
Happy New Year!
Denise
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"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.”
Eckhart Tolle

thegspeak
Regular Member


Date Joined Nov 2012
Total Posts : 196
   Posted 1/2/2013 2:59 PM (GMT -6)   
I guess. I'm just feeling more than a little discouraged after reading that the cough doesn't resolve after surgery. And if I do have a motility issue, how is that treated? The cancer I get.

thegspeak
Regular Member


Date Joined Nov 2012
Total Posts : 196
   Posted 1/2/2013 2:59 PM (GMT -6)   
oh and thank you for your replies :)

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7185
   Posted 1/2/2013 3:13 PM (GMT -6)   
Hi thegspeak,
My cough resolved.  I guess it depends upon the cause and the individual.  I guess you also have to consider whether that's your only discomfort, or if there are symptoms that would be resolved.  At that point you have to decide whether or not you're suffering enough to deal with surgery and its recovery/changes.
It was for me, but we're all different.
Good luck,
Denise
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"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.”
Eckhart Tolle

thegspeak
Regular Member


Date Joined Nov 2012
Total Posts : 196
   Posted 1/2/2013 3:16 PM (GMT -6)   
Thanks Dencha, I would love to think the surgery would help all my symptoms. Just feeling discouraged after reading that. I'm happy to hear your cough resolved! I see so many happy people here....I'm soooooo uncomfortable. Thanks for letting me know it CAN work with cough!

SoldierzWife
New Member


Date Joined Dec 2012
Total Posts : 19
   Posted 1/2/2013 3:21 PM (GMT -6)   
My surgeon explained that dysmotility is a swallowing disorder. I read that there weren't any treatments; however my GI said there is a procedure that he does. On the other hand dysmotility makes you a non-candidate for the Nissen because the your tummy is wrapped around your esophagus to tighten things up & keep acid & food from going back into your esophagus. If you already have a swallowing disorder it would only complicate things. And btw, those tests also give your doctor the support he needs to offer other treatment options as well. The tests aren't all pleasant, at least mine wasn't, but I'd do it again if that meant I could have this problem taken care of.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7185
   Posted 1/2/2013 3:21 PM (GMT -6)   
I was suffering for a long time before surgery became an option.  Sometimes it's just what needs to happen.  Hang in there.
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"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.”
Eckhart Tolle

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 1/2/2013 5:24 PM (GMT -6)   
The Surgery stopped my coughing.
Joy
Lupus, Fibromyalgia, Glaucoma, Asthma, Hypothyriodism, Sleep Apnea, Degenerative Disk and Facet Disease, and Allergies

When life throws you lemons....
Pick them up and throw them right back at them! :))

stacey77
Regular Member


Date Joined Dec 2012
Total Posts : 109
   Posted 1/2/2013 8:17 PM (GMT -6)   
i think the surgery cures your reflux..and by that your throat will have time to heal...with you still refluxing the acid still might be irritating your throat....when the refluxing stops for the most part..im assuming the healing begins and the cough subsides.

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 1/3/2013 12:21 PM (GMT -6)   
Just because you have a motility issue does not mean you can't have the nissen. I have a motility issue after an esophageal tear and still had a full wrap. They can also do a variety of degree wraps. Joy has a 270 degree wrap because of this.
know how your esophagus functions allows them to determine which type of nissen is best for you.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11
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