I did not have typical GERD symptoms, but chest tightness/asthma like symptoms. To confuse things, I have had asthma all of my life but was very well controlled on a daily inhaler for many years. My issues would start again when I would try to go off the PPI.
I wanted a permanent fix, so I had all of the testings done for a fundoplication. They found high acid and also believed I was aspirating acid into my lungs silently, as I would never wake up, cough, wheeze, choke, etc.
I had a toupet fundoplication due to motility issues and gastric empty issues March 2016. After the swelling went down a month after I started having my chest tightness/pain again. I had an EGD which was good and another Bravo probe, this time acid was under control.
My surgeon thought they were esophageal spasms. We tried several medications and one called Baclofen worked perfectly. I was symptom free for 4 months until this December when out of the blue my chest tightness/pain came back. I am now back on a PPI, along with the Baclofen, Qvar, and now Spiriva. I am so upset at the continued symptoms. On top of this, due to the fundoplication I cannot burp, get full very fast, and cannot gain weight.
I have read from her Dencha/Denise who was the past moderator, who also had similar asthma/lung issues before her fundoplication. She said a PPI is still needed per her doctors due to tiny amounts of acid that can sneak through and irritate the lungs. While I am upset I'm a back on a PPI at this point I will just be happy to have an answer. My PCP said the Bravo probe is a small snapshot in time, that it necessarily does not reflect what happens everyday or over a long term period. Also, I had a partial wrap, which may account for less control?
I'm sorry I do not have answers for you, but you are not alone. I would be going back to your surgeon to make sure the wrap is okay, and if is maybe work with your PCP and gastro doctor. This is where I am now. I have also been working with a pulmonologist again and bein sent back to the cardiologist, although heart was cleared two years ago and believe this will happen again, as this does not feel heart related.
Best wishes, keep us posted.