Hello...and should I inquire about a fundoplication?

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Jenzim
New Member


Date Joined Jan 2014
Total Posts : 2
   Posted 1/15/2014 5:22 PM (GMT -6)   
Hi,

Just joined. I have been researching different treatment options for GERD and have been looking at fundoplication.

I'm 25, have had problems with my stomach n Bowels since being a little girl. Gp has me written down as having IBS and now gerd. I have had stomach ulcers twice with h pylori. Went for endoscopy in November due to bad reflux pain returning, but this time they found a hiatus hernia and mild oesophagitis. Back on omeprazole 20mg twice daily and I have just been given metaclopromide. Neither of these seem to help much.

I am not sure if this is to do with gerd it something else, but I wake up very hoarse, throat feels like sandpaper and sometimes like there is something stuck in my throat - has anyone else had this? It tends to go away after a couple of hours being up.

Anyway, get a lot of stomach pain and can sometimes taste the acid in my mouth. Between constipation with ibs and this I am completely miserable at the moment.

After my essay, I was wondering if you think this would warrant fundoplication? Would those who have it recommend getting it done? I'm a bit nervous to suggest this to my doctor, I'm not even sure if my herd is bad enough to warrant it.

Any advice would be very gladly appreciated!!! I want this gerd hell to stop!

Jen x

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5028
   Posted 1/15/2014 6:06 PM (GMT -6)   
Welcome Jenzim.

Mild symptoms aren't usually reason for major surgery. Before getting too involved in research I would suggest a visit to a gastroenterologist.

Is the hernia very large or a "paraesophageal" type? Just having a hernia is pretty common and doesn't necessarily cause a problem unless it's quite large.

A gastroenterologist can do some tests to see if you have a defective lower esophageal sphincter (LES). That would be a reason for gastric contents to reflux up into the throat causing pain and damage.

Beware of metoclopramide, especially if you are taking it several times a day. It can sometimes cause muscle twitching, eyelid tics and such, often in the face. I had this start after taking it for 6 months and had to quit it.

Best wishes and keep in touch.

jamosca
Regular Member


Date Joined Aug 2013
Total Posts : 162
   Posted 1/15/2014 6:33 PM (GMT -6)   
Hi Jen

I think before you consider anything drastic, you should get you h pylori under control. I have attached a link which I found quite interesting and as you have been on a drugs route and it's not worked , you should read this and make up your own mind, bearing in mind I am not sure how messed up your stomach lining , it could take months for it to heal on the inside. Did the endoscope show any gastritis? http://amyking.wordpress.com/2009/02/20/im-so-happy-i-have-h-pylori/. H pylori causes many problems in the gastro tract . Anyway , your can ask your gp for a ph/manometry test which will show how bad your acid reflux is. With these tests they usually allow you the surgery if the test scores are high.I am assuming you are from uk as you use the term gp.

Jenzim
New Member


Date Joined Jan 2014
Total Posts : 2
   Posted 1/15/2014 6:51 PM (GMT -6)   
Thanks for replying.

I don't think it is a big hernia, they didn't say so I am guessing it is only small. Had problems with reflux for years though, just been much worse the last few months. Sometimes I feel I might just be being a big baby. I don't know anybody else with this, to me my symptoms are bad but on the scale of things they are probably mild. I couldn't imagine it getting worse, I am at my wits end. No sleep at night, never get a full night sleep. I had to hide at work today, it was so bad I was in tears. Seems like my whole life revolves around this and ibs.

I've had the metaclopramide for just over a week now, no side effects but no relief either.

I am from the uk, which means I have to go through the gp before getting referred anywhere :( lots of waiting. During the last scope they rechecked for h pylori, despite no ulcers this time, and no h pylori this time. I wish it was, at least the antibiotics cleared it up. I did have oesophagitis. When I went for the follow up the dr said I had gord. It's just got worse n worse over the last few weeks!

Thanks for the replies

Jenx

jamosca
Regular Member


Date Joined Aug 2013
Total Posts : 162
   Posted 1/16/2014 2:53 AM (GMT -6)   
Hi Jen, size if the hernia doesn't really matter, I suggest returning to your gp and telling them the meds aren't working so what do they suggest and that you are still in constant pain. Did you see a gastro consultant at the hospital ? If not get your gp to refer you and then discuss the issues with them . I live in the uk and have a hh and gord, can sympathise on the pain, the throat burning is acid reflux . Luckily I am under the care of a great gastro consultant who is very sympathetic to my issues . Your gp can refer you for the ph manometry test so maybe you should request that first and if your score is high for acid reflux the operation is an option.
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