Welcome to Healing Well! One thing that doesn't make sense is that you're on Reglan with a pyloric sphincter that doesn't close. Reglan helps the stomach empty quicker, and it would seem that your stomach would empty quickly without a closed pyloric sphincter. I'm not a doctor, so there may be another reason he/she has ordered the Reglan, but I'd ask. Actually, while Reglan can have some neurological side effects (twitches, and more) I took it for probably 3 years straight without any consequences. I stopped because it wasn't doing a bit of good as far as I could see. I'm sure susceptibility to its side effects are unique to each individual.
Definitely get a second opinion. There are ways around anything if you find the right doc. Be sure to research any potential surgeon very thoroughly before choosing him or her to do a Nissen. It is a specific procedure that requires lots of practice, so you'll want one with lots these specific surgeries under his/her belt and good results.
Sure, the PPIs aren't ideal, but many people have taken them for years without adverse side effects. Would it be better to be off them? Sure. Unfortunately, these are the cards we were dealt, and you need them right now. PPIs are safer than bathing your esophagus with acid nonstop. Relax and take them without worries.
In fact, many GI docs are prescribing long-term PPIs in place of surgery. As long as the PPIs protect the esophagus and stop the symptoms the vast majority are not recommending surgery.
Glad you've joined us!
Hang in there!
Nissen Fundoplication 2/09
"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.”