I have not seen the official report - however the nurse was kind enough to provide her "Nurse's Opinion" as well as a copy of output from a motility study. I will post the results at the bottom.
I am a 36 year old male - was on Nexium at various dosages. Was sent through a huge gambit of asthma evaluations to eventually determine I was not asthmatic. GI put me on a large dose of Nexium and in 45-60 days the chronic cough along with all of the 'asthma' symptoms went away. Eventually taken off of Nexium as it made my already dicey digestion from the stomach on down very bad. So we thought - on Zantac and the loose/frequent stools are still daily - sometimes as often as 7 episodes in a day.
I am interested in discussing surgery with the doc. I hate the drugs - but the reflux is awful. On a typical day I have spells of hiccups several times for an hour or four. They are violent and painful. The pain in my chest becomes awful at times as a result. They are worse, much worse, after running (I'm active duty Army, I have to run).
anxiety (GAD and OCD)
evaluation by endo tomorrow for "fatigue"
severe insomnia - even when I do sleep... it doesn't seem to refresh/work. I've already moved to a piece of furniture that I can comfortably sleep in a sitting position.
decreased concentration/mental capacity/motivation
libido (returning with test replacement)
extreme muscle aches/weakness
heat intolerance (yes, I know we're starting to hit a lot of classic hyper-thyroid symptoms)
appetite non-existent until afternoon.
I have already made most of the recommended lifestyle changes - except I have not eliminated coffee. I have reduced it to a quarter of what it was though.
Items on study outside of reference ranges:
LES, resp min (mmHg) 0.1 (4.8-32.0). you read that correct: point one!
LES, resp mean (mmHg) 5.8 (13-43)
UES, mean (mmHg) 20.7 (34-104)
Relax time-to-nadir(ms) 65 (74-365)
Relax duration (ms) 176 (480-1020)
Recovery Time (ms) 111 (256-760)
Chicago Classification Findings:
EGJ: Normal Relaxation
Mean IRP (1.2 mmHg) is less than 15mmHg
Espoh body: All swallows have failed peristalsis
Finding: Absent Peristalsis
The "Nurse's Opinion" - She explained in much more detail - all items observed showed a very weak system. She was concerned that they would not consider surgery since my smooth muscles may be too weak to push food through a tightened LES. She did say that this would be determined by the doc that writes the report and my GI though.
I have not seen the pH results.
I have already had an endoscopy. Every item the GI observed was labeled followed by -itis! He said from that alone I had a very severe case of GERD. He did dilate a stricture as well.
Any thoughts or advice?
I really appreciate it!