Open main menu ☰
HealingWell
Search Close Search
Health Conditions
Allergies Alzheimer's Disease Anxiety & Panic Disorders Arthritis Breast Cancer Chronic Illness Crohn's Disease Depression Diabetes
Fibromyalgia GERD & Acid Reflux Irritable Bowel Syndrome Lupus Lyme Disease Migraine Headache Multiple Sclerosis Prostate Cancer Ulcerative Colitis

View Conditions A to Z »
Support Forums
Anxiety & Panic Disorders Bipolar Disorder Breast Cancer Chronic Pain Crohn's Disease Depression Diabetes Fibromyalgia GERD & Acid Reflux
Hepatitis Irritable Bowel Syndrome Lupus Lyme Disease Multiple Sclerosis Ostomies Prostate Cancer Rheumatoid Arthritis Ulcerative Colitis

View Forums A to Z »
Log In
Join Us
Close main menu ×
  • Home
  • Health Conditions
    • All Conditions
    • Allergies
    • Alzheimer's Disease
    • Anxiety & Panic Disorders
    • Arthritis
    • Breast Cancer
    • Chronic Illness
    • Crohn's Disease
    • Depression
    • Diabetes
    • Fibromyalgia
    • GERD & Acid Reflux
    • Irritable Bowel Syndrome
    • Lupus
    • Lyme Disease
    • Migraine Headache
    • Multiple Sclerosis
    • Prostate Cancer
    • Ulcerative Colitis
  • Support Forums
    • All Forums
    • Anxiety & Panic Disorders
    • Bipolar Disorder
    • Breast Cancer
    • Chronic Pain
    • Crohn's Disease
    • Depression
    • Diabetes
    • Fibromyalgia
    • GERD & Acid Reflux
    • Hepatitis
    • Irritable Bowel Syndrome
    • Lupus
    • Lyme Disease
    • Multiple Sclerosis
    • Ostomies
    • Prostate Cancer
    • Rheumatoid Arthritis
    • Ulcerative Colitis
  • Log In
  • Join Us
Join Us
☰
Forum Home| Forum Rules| Moderators| Active Topics| Help| Log In

Linx recovery : 3 months, 2 weeks

Support Forums
>
GERD & Acid Reflux
✚ New Topic ✚ Reply
12
❬ ❬ Previous Thread |Next Thread ❭ ❭
profile picture
josin
New Member
Joined : Jul 2014
Posts : 16
Posted 11/3/2014 1:31 PM (GMT -8)
Hello all!

name : Jo
gender : male
age : 31

I have been lurking around this forum for the past 4 months or so and the first thing I want to say is thanks!
Reading about other peoples experiences has been invaluable to me as I don't know anyone that can relate to what I've been through, and what I've been through has been nothing short of an ordeal.

I had initially promised myself I would not post unless I had an absolute home-run of a story to tell you all. I've read enough whiney conclusion-less rants over the years and want to provide you all with something positive. I have not yet fully conquered my Bruce Lee style personal demon, but all is not lost, and the day I do I solemnly vow to tell you all about it. For the time being Ive decided to break my silence as I do have some positives for you, that certainly if I could go back in time and convince my past self of said positives he/I (getting a bit sci-fi here, sorry) would be extremely grateful.

I developed gerd/lpr (not sure which to be honest no one ever really cleared that up for me) 5 years ago and to put it bluntly it completely effed up my life. My career went to crap, my social life down the pan and my self esteem was at an all time low. The drugs never did much for me, the searing pain/nausea was excruciating at times, sleeping became a traumatic experience (waking up in pain EVERY NIGHT after 3-4 hours is not the one). I found I put on weight because the act of eating was the only (temporary) respite (10-15 mins) I could find, also the reflux made my throat balloon in size (double chinsville) which left me mortified as I am completely vain. The toughest thing about this condition for me is the fact that no one around you understands and even the ones closest to you struggle to remember even once you've explained it to them many times. After a while you can see them tire of you referencing it and cant help but see it as you moaning. I've lost track of the number of occasions (birthdays anyone) in which everyone around you is happy and relaxed and expect you to be the same despite the fact that you're in agony on the inside. There's a social stigma attached to chronic medical conditions I suppose. A big topic that I am not equipped to tackle.

Until this year of 2014 I could not afford to go private having received little help from the NHS. I had multiple GPs in London deny me specialist treatment and turn me away, giving me broad answers and looking at me blank faced until I left their office. I live in East London and it seems the GPs here are completely overloaded and struggle to give a crap unless you're basically dying. My pre-op demeester score turned out to be 67, which I'm told is crazily high, so their treatment of me was outright cruel. I don't know at some point I think I will chase it up and write letters. Eventually I went through my family GP in Southampton and he was more helpful. If I could go do it all again I would have gone straight to him but by the time I started to get somewhere with him I had lost patience (I was desperate for relief) and went private and which was much, much easier and faster (and pricey, oh my days, probably £18,000 including the op). I opted for the Linx despite my private GP (Dr Wong, Kings College Hospital) actually recommending me the Nissen, calling it the gold standard anti-gerd procedure and sighting unconvincing statistics regarding the Linxs' success rate. I should say, Dr Wong was a great help to me, guiding me through the diagnosis, he's very good at what he does and I think by recommending me the Nissen he was playing it safe which is understandable. My feeling was that despite his recommendation, the Linx was still a better option (the fact that the Nissen needs to be re-done every 15 years or so is a joke to me) so I asked him to recommend me a surgeon who performed the Linx Management procedure. The surgeon he recommended was Mr Ameet Patel (Kings College Hospital). Mr Patel has an impressive online bio and along with him being confident he could fix me, it was enough for me and I went ahead with the procedure in June.

So here I am at 3 months and 2 weeks. I recently had a second PH study done which I will hear about on December the 15th so Ill get back to you on that.

What I would like to say about my Linx experience so far is that the recovery is a VERY gradual process, like, don't even bother analysing your symptoms too much in the first 2 months, mine were all over the shop. I swear I had reflux still (or symptoms that were very similar) for the first couple of months and swallowing was really difficult too. I used to have to hug a toilet bowl and spit up all this thick saliva for 10 mins every other day. Dysphagia is no picnic, and I suspect mine still needs another month or 2 at least until it clears up. Plus points for me - my breathing had gone from painful and laboured to almost completely normal, I can drink booze for a full night out and get away with it and my sleep and lying down is much easier (but not perfect). I can say happily that if I was a gambling man I would bet on a near full recovery in a few months. We shall see chaps!

Main bullet points

If you think you have reflux CHASE it up, don't get disheartened, don't try and tough it out like I did for the first few years, be dogged in your interactions with medical professionals and never be shy when quizzing them. If you think your GP is mishandling you, change them, look up a good practice and sign up to that one. If you can afford it I would begrudgingly recommend you get private treatment (f you Cameron), firstly because as far as I'm aware you can't yet get the Linx done on the NHS and secondly the waiting times for the NHS are bananas (2-3 months wait for each step).

The PH and manometry test seems to be key when diagnosing reflux, far more reliable than a barium swallow, so push for that. It is pretty 'orrible though, tube up the nose never get easier. Dr Wong actually told me the best thing to diagnose reflux is called a 48 hour Bravo (but it costs 6 grand, so no thanks).

If you get the Linx, write off the first 2-3 months (the first couple of weeks were the worst for me, I felt worse than before which COMPLETELY freaked me out) DON'T worry at all about the potential success or failure of the procedure within that time frame (unless of course you're having severe pain or something, you know, be safe of course). I would say take a month off work if you can, it took a serious toll on me, I don't know how these people move on with their lives after just 2 weeks. Dysphagia (guaranteed for the first 3 months) is a nasty condition don't underestimate it.

um ive run out of energy for now, I hope this has helped, i will try and answer questions

big hugs and kind thoughts

Jo

p.s. side note : Dr/Surgeon secretaries have a tendency to be tyranical power-mad maniacs, try and stay on their good side but sometimes you need to take them on a bit

Post Edited (josin) : 11/3/2014 3:09:10 PM (GMT-7)

profile picture
josin
New Member
Joined : Jul 2014
Posts : 16
Posted 12/15/2014 8:45 AM (GMT -8)
not that you asked but it was a success! I just received the results of a ph study and manometry 3 months post surgery which said my swallowing is functioning well and demeester score is now 6. whoop
profile picture
josin
New Member
Joined : Jul 2014
Posts : 16
Posted 2/17/2015 7:03 AM (GMT -8)
to be honest I feel like retracting this whole thing. Im whatever 6 months along and I feel almost as bad as I did before the surgery. I feel stupid because I was really trying to be positive in the first bit I wrote but the reality is i feel slightly better, like the surgery seems to have gotten rid of the very worst symptoms and nothing more. I still can't seem to eat a meal with out nausea throat pain headaches and tiredness.

I had the op done privately because as you probably know the nhs is a farce. but Ive run out of money now, and im facing months of wait for 'specialists' to no doubt tell me they dont have any answers. I have an allergy test in a few weeks and if tht comes up blank then I really dont know what that leaves for me.
profile picture
josin
New Member
Joined : Jul 2014
Posts : 16
Posted 2/17/2015 7:05 AM (GMT -8)
i cant seem to find anything on this forum (or on the internet) about linx recoverys like mine. I still struggle to swallow but it certainly feels like ive gotten acid like phelgm in my throat a lot of the time. I dont understand because the ph came out as i think a max of 8 in the day. which i was told is not that bad.
profile picture
josin
New Member
Joined : Jul 2014
Posts : 16
Posted 2/17/2015 7:13 AM (GMT -8)
another hope i cling onto is that perhaps the implant actually takes like a year to settle in, in some cases. but i dunno that could just be me making stuff up to make myself feel like my life isnt over
profile picture
opnwhl4
Veteran Member
Joined : Dec 2008
Posts : 4961
Posted 2/17/2015 11:23 AM (GMT -8)
josin

Sorry to hear you are having so many problems with the Linx. You could be right that your body may need a while longer to heal and let things settle in more.

I really don't have much information about the Linx and hope those who have had this will be along to help out.

Take care,
Bill
profile picture
Trotters
Regular Member
Joined : Jun 2014
Posts : 332
Posted 2/17/2015 11:53 AM (GMT -8)
My first ph study following fundo in May came out with deemester 0.5! Barium swallow normal, bravo capsule alkaline/normal despite me feeling no better than before surgery. On the advice of a lovely member on here I begged for impedance test which has shown "significant pathological acidic and non acidic reflux to the proximal oesophagus " and have been told I need revisional surgery. Just wanted to let you know that sometimes you have to go with tour gut feeling and keep pushing. I woke up coughing again in the night and I have felt lousy all today, my lungs are on fire, sinuses have been blocked and that's just one small milisecond of possible acid reaching my airway. If you have exhausted every other reason possible for your symptoms Id look at impedance test it is meant to be the "gold standard" in picking up all types of reflux. Sorry you feel so rubbish and that you feel your procedure wasn't effective. I understand your disappointment.
profile picture
josin
New Member
Joined : Jul 2014
Posts : 16
Posted 2/18/2015 6:29 AM (GMT -8)
hey Trotters,

thanks for replying, yeah i had a ph/impendence study and it said i was all good. Ive decided to stop eating for a day or two and its just this non stop phlegm that im still getting. I feel better though, but obviously not eating is not a long term solution. One thing my surgery seems to have done is now when i dont eat i do start to feel better whereas before it was just agony all the time.

I dont know i will post my allergy results up here, ive heard long term use of ppi's can leave you vulnerable to food intolerances.

cheers
profile picture
Trotters
Regular Member
Joined : Jun 2014
Posts : 332
Posted 2/19/2015 4:57 AM (GMT -8)
I know what you mean about the not eating...obviously isn't a long term solution for either of us!!! I suffer terribly first thing in the morning and in the first part of the day, up until about 2/3pm and then again for about an hour after my tea I have constant phlegm, almost continuous throat clearing which drives me insane! Its always a lot better if I have an empty stomach.

Yes be interesting to see if you have developed any allergies, I hope not. Have you had your sinuses checked?
profile picture
Pat Tall
Veteran Member
Joined : Aug 2012
Posts : 950
Posted 2/20/2015 6:55 PM (GMT -8)
The phlegm excess is often called 'water brash' . There are several comments about this on the forum. If this is correct, -- then I think your body is creating this excess to neutralize the acidity of any regurgitation you might have. Have you tried high ph or alkaline water. Or use the ph drops in your water to alkalize it.

Sometimes the phlegm accumulates above the Linx as it cannot open the device to let it go through freely-- hence the regular use of alkaline water will push it through and hopefully tame down that excess saliva. These are only thoughts and should be discussed with your physician.
profile picture
Trotters
Regular Member
Joined : Jun 2014
Posts : 332
Posted 2/21/2015 1:07 AM (GMT -8)
I've had mouthfuls of saliva quite bad when I was off ppi for ph testing it is just like a constant mouthful of saliva that keeps growing and growing! I actually kept choking on it as as soon as I swallowed it was back. Speaking for me the phlegm is completely different but think it does work along the same principles of being a protective mechanism.
profile picture
josin
New Member
Joined : Jul 2014
Posts : 16
Posted 3/16/2015 1:43 PM (GMT -8)
Hi guys

I've got a couple of updates.

I am not allergic to anything which is good news / a bit frustrating as i would love some simple solution to present itself.

I have a mucus cyst in one of my cheeks which I'm told is the cause of the excess phlegm, I am on a 2 month course of antibacterial antibiotics which is supposed to sort it out. this apparently is not connected to reflux.

I've developed tinnitus in one of my ears which they tell me is hearling loss related and nothing to do with this constant congestion which i suppose could be super unfortunate timing, I cant help but feel dubious about this.

I was never ill before all this bs so im left feeling bewildered.
profile picture
josin
New Member
Joined : Jul 2014
Posts : 16
Posted 3/16/2015 1:45 PM (GMT -8)
oh the cyst is possibly connected to the roots of some of my teeth protruding into my cheek sinus. plus i apparently have this ear condition where i can hear my own eyes move(!). both unconnected apparently smh
profile picture
annpharmd
New Member
Joined : Mar 2015
Posts : 12
Posted 3/20/2015 9:40 AM (GMT -8)
Hi Josin

I wish I had seen your post. I am 2 weeks out from the Linx. Really hard to swallow most of the time. Warm food seems to help. I don't feel reflux....I'm more nasal congestion, hoarseness, mouth acid and therefore teeth/gum issues.

I'm not too sure how I will know if I'm better or not. Perhaps another PH monitor like you did. But I did have the Bravo and it was AWFUL! Tube down the nose is preferable or to have the ph monitor put in during an endoscopy when you are totally out!

I do have a lot of saliva building up as it won't open the linx. Trying a small bit of food to help that. What was your experience when you first got the Linx vs. now?
profile picture
josin
New Member
Joined : Jul 2014
Posts : 16
Posted 3/26/2015 11:32 AM (GMT -8)
Hi annpharmd,

wow you had the bravo, thats supposedly the absolute best way to diagnose! I wanted one but its like 6 grand right? you will improve a lot for the next month don't judge it too harshly for at least a month or 2.

my experience was that yeah it clipped like 35% of my discomfort and general health problems. Which isn't enough really. swallowing will completely sort out dont worry about that, it takes like 6 months though. I found after about 4-5 months i was eating much easier, Im at 6-7 and I dont even think about it.

the sinus dr's are not sure if I have a sinus issue or not, I have been pushing for an op just because I dont have many other options. I kind of wish i could skip time to like a year later and see if im improved.

I get a terrible achey pain behind my nose and at the top of my throat, and tons of this mucus which seems to cause havoc.

I may still get a sinus drainage procedure, the dr is not confident its the right thing to do though. I will update later
profile picture
annpharmd
New Member
Joined : Mar 2015
Posts : 12
Posted 3/27/2015 12:02 PM (GMT -8)
Hi Josin,
Thank you for the reply! I am now three weeks out and swallowing is already getting easier. At least for the last 3 days. I am down 9 lbs. That is not a bad thing. I could use another 10 for that matter but I'm tall so that is not really much in the scheme of things.

I do have low grade nausea and daily diarrhea. I assume both is due to acid remaining in my stomach so I started taking Zantac today to see if it would resolve. My primary asked me to call the surgeon in case so I will do that today. Can't think of another reason this would have started up and the surgeon gave me Zofran for nausea so he must have assumed that was going to happen. I do get the saliva in my mouth building up a bit but not phlegm like what you are describing. I think it may be something else causing this like you are saying is possible. But who knows...everyone seems to have had a different experience!

The Bravo was covered by insurance as was the Linx itself. I had to appeal on the Linx part but they approved it after medical review which takes 2 appeals. The Linx company actually did the leg work on that on my behalf.

It is good to know you don't even think about the Linx and eating any more. I'm still in the "Be careful, take small small bites, chew really well" stage. What I would do to eat a big old hamburger!

Keep me posted!
profile picture
DGR10
New Member
Joined : Apr 2015
Posts : 9
Posted 4/6/2015 4:14 AM (GMT -8)
Hello I wonder how are you getting on both now? Any improvements on LINX?

Wishing you all the best
profile picture
annpharmd
New Member
Joined : Mar 2015
Posts : 12
Posted 4/6/2015 8:36 AM (GMT -8)
Hello,
I'm over a month out now. I am definitely doing better eating. It is better if I start with something really soft though and progress because the food definitely can still get hung up for at first bite. It is actually a bit painful. Both at the LES (Lower esophageal sphincter) where the Linx is located but also in my left shoulder where pain is "Referred". My left shoulder hurts before I even know the food is hung up! So strange.

Anyway, it is easier than before but I can't tell you if that is because I'm being so cautious at first bite or if it is the Linx getting scarred in now. I assume the latter.

I am down more than 10 lbs which is good I guess but tells you what an affect it had on my eating because I ate very healthy and pretty good portions before the Linx. But I have been having daily diarrhea too. I am having some tests done for that as the surgeon doesn't think it has anything to do with the Linx.

As I mentioned, I don't get heartburn. Just mouth acid that affects my congestion, tongue and teeth. I feel the congestion is better. Hoping the tongue will lose that "burnt" feeling but that is so subjective and I have lived with it for so long.

Not sure if that helps but feel free to ask any questions. Are you thinking of getting the Linx?
profile picture
DGR10
New Member
Joined : Apr 2015
Posts : 9
Posted 4/7/2015 12:33 AM (GMT -8)
Hello glad to hear you are doing somewhat better. Long recovery it seems. Yes i am thinking about linx, but have not had the necessary tests yet. My reflux started only c 6 weeks ago but in a mighty way. Not eating much, lost 7kg already. As meds are only controlling the pain and giving me lots of side effects and other digestive problems i am looking into other options i suppose even if j have to pay privately as not sure how long can i be like this....

Just trying to find out the negatives about the ljnx not want to get myself in worse situation....how painful it is when food is hung up? What do you do then?

Gosh life is tough!
profile picture
annpharmd
New Member
Joined : Mar 2015
Posts : 12
Posted 4/7/2015 4:15 AM (GMT -8)
Hi again. Well, it is a bit painful but it does go away and subsequent bites are typically fine. You just have to swallow the first bite and wait for it to get all the way down to the LES. Once there, you will know if it is hung up. If you eat 2 -3 bites before letting it go all the way down, there is a lot to get passed through. If you have already lost weight, you may lose more after the procedure. I needed to lose a bit so it was a plus for me though the surgeon said I wouldn't.
Funny thing is, the literature says the swallowing got difficult after 3-8 weeks. Mine was immediate and then got better. The surgeon says what I am experiencing is actually what he has seen with his patients. Confusing.
So do you have actual heartburn? One 6 weeks ago it started? Could there be other factors involved? Increased alcohol, stress? The tests are the way to go. Then you will know for sure. The PH Monitor (Bravo) will tell but Josin said that this is not covered under insurance in the UK? I think that is where you are from right? I will tell you that I had a hard time with the PH monitor! I felt like I was being water boarded! I would suggest them putting it in during an endoscopy when you are totally out. The other test (Barium swallow and nanometry) was nothing in comparison. Josin above did say that he had the ph/impendence study test instead of the Bravo. I think it was covered by insurance. I do not know the difference between the two but I think from what I googled (Below) that it is through the nose, not the mouth so this is probably less scary. I just am not sure the below is what Josin had done. Bottom line, your doctor can explain much better and more accurately.

Googled information below! Keep me posted!

Multichannel intraluminal impedance (MII) is a new technique that measures gas or liquid reflux into the esophagus. It is useful in patients who have reflux of substances which are not acidic and therefore would not be detected by the pH study or the Bravo capsule. It may be used alone or in combination with the pH study. As in the standard pH study, the impedance study also uses a small catheter passed through the nose into the esophagus. The catheter is attached to the waist recorder, and the patient is asked to perform his or her regular daily activities.

A small catheter (pH catheter) will be passed through one side of your nose. The catheter will be advanced into the esophagus. The catheter will remain in place for 24 hours. The catheter will be attached to a small recording device which may be secured around the waist or over the shoulder.
profile picture
DGR10
New Member
Joined : Apr 2015
Posts : 9
Posted 4/7/2015 11:49 PM (GMT -8)
Thank you for all the info...i hope that you will only continue to improve. Interesting about the immediate difficulty and the improvement. Mh heartburn onset was after big pizza meal wgich 2 days later got worse. Went to GP who prescribed ppi omezaprole and since then i have a daily reflux and heartburn - now despite maximum dozes.... This is why I would like to do the tests to see what is going on. Yes it did happen the first time during very stressful period but I suppose what can I do now. I am just hoping there will be some fix for me like the linx...all the very best to you!
profile picture
DGR10
New Member
Joined : Apr 2015
Posts : 9
Posted 4/18/2015 11:34 PM (GMT -8)
I am deteriorating rapidly and the nhs takes sooo long. Can i ask you went privately with Dr A Patel who also seems to do nhs...can you not go back to him on the nhs? It may be silly question...
profile picture
annpharmd
New Member
Joined : Mar 2015
Posts : 12
Posted 4/19/2015 6:21 AM (GMT -8)
Hi there,
I sure others here can guide you on that. However, I'm in the U.S. so things are different here. Had to appeal to my insurance company since the Linx is so new but they approved it so I was covered. Took a month or two.

Sorry I can't help on this much.

As an update, food still gets stuck intermittently. Have to remember to start out with a small bite and let it clear before eating the next bites. Diarrhea still at issue but improving. They say that is unrelated but I can't imagine that since it started the day after surgery. Going to take some Zantac to suppress acid and see if that helps.

Down 17 lbs now. That has to stop pretty soon..... My ideal weight is only 5 lbs away and that is assuming I should be going for that weight at age 56! Most folks are saying stop now! But what can I do if I just eat so slow and so little throughout the day........
profile picture
DGR10
New Member
Joined : Apr 2015
Posts : 9
Posted 4/19/2015 9:21 PM (GMT -8)
I see. I feel for you. Also losr 12 kg and had not had any surgery yey
profile picture
josin
New Member
Joined : Jul 2014
Posts : 16
Posted 4/22/2015 4:10 AM (GMT -8)
hey guys,

a quick update. Im almost through with my sinus infection treatment (2 weeks left) and its not clearing.

I can't be 100% until its been successfully treated but it looks as the the sinus infection has been running along side the gerd i had been suffering up until the operation. No one told me that post nasal drip actually stings the back of your throat and i think i may have been misinterpreting that sensation as acid. Also post nasal drip makes you swallow air which in turn creates reflux when you burp it up, I dont supppose Ill ever know for sure but could it be that the sinus infection was the only thing wrong with me and the reflux was a symptom?

ill get back to you after I see the doc in a couple of weeks, it looks as though im headed for the sinus drainage op as the antibiotics dont appear to be working.


what a effing mission
✚ New Topic ✚ Reply
12


More On GERD Acid Reflux

The Truth About Proton Pump Inhibitors

The Truth About Proton Pump Inhibitors

Everything You Need To Know About Acid Reflux Disease

Everything You Need To Know About Acid Reflux Disease


HealingWell

About Us  |   Advertise  |   Subscribe  |   Privacy & Disclaimer
Connect With Us
Facebook Twitter Instagram Pinterest LinkedIn
© 1997-2023 HealingWell.com LLC All Rights Reserved. Our website is for informational purposes only. HealingWell.com LLC does not provide medical advice, diagnosis, or treatment.