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onesolar
New Member


Date Joined Jan 2013
Total Posts : 1
   Posted 1/29/2013 3:44 PM (GMT -6)   
I have had heartburn for years. I have had major pain for 2 years ,being that I have cardiac prolems in my family that's what they looked at . So I now have a stent I'm on plavix have been on Dexilant and Reglan for 8 mos. 6 months ago I was scoped and was found that my pyloric sphincter is not closing and I have a hiatal hernia to boot. So the Dr. say's I should have a Tiff procedure. Well I prepared for the Bravo ( which my Dr. said is needed) but could not go a week with out the meds. (the pain was incredible) So he said there is nothing he can do. So I'm back on all these meds. The Pharmacist says the meds are not good long term.  I'm lost what can I do now? 

Gastricman
Regular Member


Date Joined Jan 2013
Total Posts : 294
   Posted 1/30/2013 7:57 AM (GMT -6)   
Hi onesolar,
 
Welcome to the forum!
 
What I would do is see a different Gastroenterlogist for another opinion as soon as possible.
Bring a copy of all your current test results.
 
Get off the Reglan which is a drug with many side effects and should only be used for a short duration. As a matter of fact my own Gastro MD wouldn't even consider it for me. Next, forget about the TIF procedure. You probably need a Nisssen Fundoplication (many variants) or the newer LINX procedure. The manometry needs to be verified to see if it was done correctly or another one is needed.
 
As far as I'm concerned the TIF is a real dud, with some complications.
 
Have you had an upper endoscopy recently? (important.)
Stay with the Delixlant (are you taking 30mg or 60mg?)
 
Hope this helps.
 
Gastricman :-)

Post Edited (Gastricman) : 1/30/2013 11:51:43 AM (GMT-7)


dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 1/30/2013 12:21 PM (GMT -6)   
Hi onesolar,
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!
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
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