I think i have had a form of rhinnitis also but there is no pain attached to that just annoyance.And i seem to be the only one in family with it.
I have been on the ppi's for 15 years on 40 mg/day with the exception of the last month where i am trying double dose to help with the LPR.I don't want to stay on double dose more than 2 months.
I have developed tingliness and numbness off and on in the lower limbs since september but the blood tests don't seem to detect critical absorption issues but i am starting to wonder if i can still be affected if i am at the lower end of the normal range (doctors don't tell you that).I am almost sure that the ppi's long term are causing this as my brother's second wife has similar symptoms only after five years on them (plus a general feeling of getting cold easily).
I am in northern canada and although we have a regional haspital where i live you will not find a surgeon doing nissen only surgeries.Which mean likely a 9-10 hour drive to get to a hospital that will have surgeons that do more but not sure if they will do just that as it is not as common as down in the states.
I have some big decisions to make and you seem to have researched your operation very well.What i have read is the nissens last on average beteween five to 10 years some being lucky and for life.If you have really enjoyed being off the pills and your wrap needs repair or redo is it another two hours plus operation or can they fix it in less time once it has been done once?
I can't see from my trials how i could be off the pills without the surgery after all this time on the pills.I aslo have difficulty staying on the pills with the symptoms i have now unless i find what needs to be supplemented. I see the specialist tomorrow to get the result of recent endoscopy/gastroscopy.