It definitely can, well actually you end up with both basically.
Just because the barium swallows didn't show anything doesn't mean surgery isn't an option. You really should have a PH study with the dual probe, and a manometry. These will show if it's acid or bile and what the pressure in your esophagus actually are.
There many people who have had normal barium swallows, but still show issues with these other tests and have had the surgery.
opnwhl4 Moderator: GERD/Heartburn, Kidney disease
Nissen 6/06 and 5/09