Thanks for the reply =).
He didn't mention that I had them. I did not do the barium swallow, but now you mention it..I think it is not fully closing. I do sleep in a recliner chair, and do feel some irritation in that area if i don't sit up right, but what I don't understand is that the irritation is gone when I wake up in the morning...but it comes back after a meal. Missed taking nexium by a few hours today (woke up late), and I did feel a little burning sensation around that area. It went away after I took it. I do not get heartburn or the serious symptoms that some people have with GERD. The irritation (or is this heart burn?) is the "worst" symptom I'm having right now, and I take DGL, which helps soothe it. Stopped eating well known foods that cause reflux. my diet consists of low fat fish (salmon), brown rice..potatoes,
I'm just paranoid that I need to take PPIs for a long time and what it could do to my body (afraid of losing a kidney haha). Also, doesn't help that I'm a type 2 diabetic..I take the lowest dosage of metformin ER, but I been maintaining my H1AC around 5.6 to 5.8%..due to the changed eating habit from my reflux. the ONLY upside to this.
My primary doctor doesn't want me on PPIs for too long, and he's surprised I'm still on it. He said he could send me to another gasentrologist (@ Stanford University, but dunno if that would even change a thing) for a 2nd opinion. My gastroenterologist thinks its normal if you take the regular dosage for awhile (i.e 1 nexium a day vs 2-3 x 40 mg),but advises against taking more.
I thought about the Linx surgery (maybe its overkill for what I want to get fixed), but I think i may wait a few more years to see additional data, and its not available in northern California yet.
I ranted enough..thanks for answering my q =P.