Ph test came back normal...

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Veteran Member

Date Joined Dec 2012
Total Posts : 1178
   Posted 3/6/2013 8:54 AM (GMT -6)   
Hi all

I've just been to see my GI and my ph test came back normal. He asked how long I had been off ppis for it and I said 5 days. He said thats not enough you should have come off for two weeks, to which I said first, you never even sent me a letter saying ANYTHING about medication I had to ring up 3 times and ask myself, secondly I cant be off ppis for 2 weeks I will be in agony and mentally I cant take it.

I could have broken down in tears, I was hoping this test would give me an answer, and now it hasn't. I asked did it not show any non-acid reflux and all he said was there was no acid reflux. He asked about the medication and I said it had definitely helped, so he said he would book me for a barium swallow to test for reflux and send me to a surgeon anyway, saying that given I had a large hiatus hernia and was on max dose of Nexium there was enough to justify surgery just about.

But now Im worried, I mean what if it isn't reflux? I wish he'd given me some more information on the results but all he said was they were normal. I had my usual symptoms on the day itself but nowhere near the agony I have had in the past.

I just don't know what to do, lots of doctors in the past have told me they dont think its acid reflux, but with no basis, just because I have anxiety and depression issues. I was hoping this would settle it once and for all now I am facing either just living like this, or going through with a surgery that may not actually make me any better.

But on the other hand, I think what else can this be!? I have heartburn like symptoms after eating, PPIs have dramatically reduced the severity and pain, and a constant lump in my throat feeling.

But then I have other symptoms, like when I am particularly emotional the symptoms come on stronger. If I dont eat for too long I get similar pains in my esophagus and sometimes eating actually helps that.

I guess I just have to wait for the barium swallow and see what that says, is it a good test for reflux?

Veteran Member

Date Joined Apr 2012
Total Posts : 707
   Posted 3/6/2013 9:29 AM (GMT -6)   
The lump in the throat is usually from non-acidic reflux (pepsin and/or bile). Doesn't sound like your dr answered your question about non-acid reflux, with "no acid reflux". They are two different monsters!

Veteran Member

Date Joined Dec 2012
Total Posts : 1178
   Posted 3/6/2013 9:38 AM (GMT -6)   
I know, I was hoping for a nice print out of the results, like what was actually happening when I pressed the button to say I was having symptoms. I really hate the NHS sometimes its useless.

I was wonderng also about eosinophilic esophagisitis. I was never tested for it in my endoscopy, but just wondered given I often have symptoms even with an empty stomach. I've tried eliminating various things from my diet in the past but it hasn't made much difference besides the classic acidic foods.

Regular Member

Date Joined Apr 2012
Total Posts : 458
   Posted 3/6/2013 12:04 PM (GMT -6)   
Lump in throat is not necessarily from direct contact by bile, pepsin etc. There is research evidence that it can be a result of irritation/reflux in the lower esophagus.
In short, it is the body's defense mechanism against reflux. It makes the person want to swallow and/or keeps stuff "down" that the lower esophagus feels coming up for whatever reason.
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