Is this a lot of reflux?

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GC1pink
Veteran Member


Date Joined Nov 2012
Total Posts : 532
   Posted 1/2/2014 1:05 PM (GMT -6)   
Hi all,

I recently had a manometry ON ppi's - 40mg emozul morning & night plus 3 domperidone plus 300mg ranitidine at night.

My manometry showed that I refluxed 94 times with the longest period being 24 minutes. I'm told I had weakly acid reflux with 22% going into my throat.

Deemester score of 9.45% ON ppi's.

Is this a lot of reflux?

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7185
   Posted 1/2/2014 10:19 PM (GMT -6)   
Hi GC1pink,

Actually, if you got a DeMeester score, what you had was a wired probe (I assume) for a 24hr PH monitor. Most people get the test done OFF PPIs, so your scores will be skewed because of your use of meds.

A DeMeester score of 9.45 is within the "normal" range...the top end of that range is 14. Still, I don't know how the PPIs affect the results exactly. That said, my DeMeester score was always pretty close to "normal", and yet my reflux was creating havoc with my lungs.

I had the surgery, and my lungs are now 100% better. A DeMeester score is one moment in time, and doesn't necessarily capture the true picture of what's going on.

Maybe somebody else will be by who can provide some interpretation of your results in comparison to others who take the test while off PPIs.

Good luck!
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

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 1/2/2014 10:21 PM (GMT -6)   
GC-

I'd say that might be high on PPIs. Just looking at the number of episodes. My GI was going to do a PH study on PPIs, but I opted to have the surgery. They do it that way to see how well the PPIs are working.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

Mcedge
Regular Member


Date Joined Aug 2013
Total Posts : 292
   Posted 1/3/2014 4:50 AM (GMT -6)   
Hi GC1pink

I was told by my surgeon that ppi's only stop the acid and they do not stop the reflux.

On my test I refluxed 65 times and had a demeester score of 33 but I was off ppi's . I would say that your reflux was quite high. Your demeester score would be low because you were on ppi's.

I have been following your posts because your situation was similar to mine. I now know that the hernia caused all the problems. I noticed that you were told that you have weak motility and so your surgeon says he won't operate because of this.

Have you tried other surgeons because I know mine said that he has operated on people with a weak motility. He said he had operated on someone with hardly any motility and all turned out fine.

I hope you find a solution to your problem.

Maria

GC1pink
Veteran Member


Date Joined Nov 2012
Total Posts : 532
   Posted 1/3/2014 10:57 AM (GMT -6)   
Hi Mcedge,
Thank you so much for your reply. I am seeing a different gastro who has said my motility should not preclude me from an operation, however since my LPR has developed now into upper dysphagia this complicates things further. It seems more a case of the longer I wait the more problems I have. I'm thinking of having a dilation on the upper sphincter and another manometry and PH study off the meds, and then contacting another surgeon as I just cannot go on like this.

It's very kind of you to follow my case, and good to hear of other positive stories with poor motility, so my thanks once again!
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