Hi PERFECT TIME,
My situation is very different because of my very reactive asthmatic lungs. I am not taking PPIs because I have reflux, but rather as a proactive measure, in case I have reflux. If they make the wrap/repair tight enough to ensure absolute zero reflux, food couldn't get through to the stomach. Surgeons only aim to make the wrap tight enough so people get only "normal" amounts of reflux...the type that doesn't cause problems. However, even very small amounts can cause problems for sensitive, asthmatic lungs. Better to be safe than sorry.
Prior to my surgery, no amount of PPI protected my lungs. They were in life-threatening condition, and no amount of steroid treatment made a bit of difference. Since my surgery, I have my health back. My lungs are doing great, other than my normal pollen-induced episodes. I'm thrilled with the results. The precautions my asthma doctor asks me to take are understandable. The fact that I'm asked to continue PPIs doesn't mean the surgery was unnecessary. It was a lifesaver for me.
For people with very high volume reflux (and high DeMeester scores on the pH testing), the surgery can give them their lives back, and increase the quality of those lives tremendously. Those without other sensitivities like asthma, most often never take a PPI again.
All that said, anyone who has their symptoms well-controlled by PPIs doesn't need the surgery, and shouldn't have it. While it is a life-saver many, it's not something to take lightly. It should be a last resort. Some people can't tolerate PPIs and get very bothersome side effects. Others don't get any help from them and continue to suffer with debilitating reflux. For those, the surgery is a welcome option. I would say, anyone choosing that option should do so carefully, and take time and effort to find a surgeon who has great skill and experience doing the fundoplication surgery.
As far as a wedge pillow goes...
I still sleep with the head of my bed elevated (for the same reason I'm using a PPI before dinnertime). I find that much, much more comfortable than a wedge pillow. I take the wedge pillow with me when traveling, to mimic the elevated bed. You many have one of those big, 3/4 bed length wedges, which I've never tried, but are probably more comfy. Still, I always slide off a wedge, which can actually place my stomach in a more negative/pressure causing condition.
I guess it's an individual comfort choice, but I've always slept with a pillow, even on the wedge.
Hope things continue to go well for you!Best wishes,
PS...Here's a great document that explains how PPIs work, and how to take them properly so you get the most out of them:www.practicalgastro.com/pdf/January07/Jan07FrankArticle.pdf
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.”