Posted 1/31/2014 4:20 PM (GMT -6)
My reactions were 1. feeling like there was a big gas bubble in my stomach and 2. tachycardia. I did not feel the traditional "heartburn" because I was on PPIs and any actual reflux was non-acid. In addition, I had reflux on lying down if I had eaten within 3 hours or so. That reflux gave me choking which was eased after a lot of coughing.
I was usually able to get rid of the bubble feeling and also the tachycardia by trying to get a burp up, which I found later was similar to Valsalva maneuver. The trigger for the "bubble" was usually my breakfast cereal, which had lovely dried fruit (which is sulfited).
After I followed my allergist's directions in keeping a "food journal" and finding my "trigger foods" were all sulfite-containing, I stopped eating those foods and the bubble feeling and tachycardia stopped.
On barium swallow it was seen that my LES was weak and reflux was happening. Part of that diagnosis was seen because the barium available today is all loaded with flavors and sweetener - which contain sulfite.
I did not need Nissen, only a small hernia, until I was in the bad wreck that shoved my stomach into my chest. I was just fine with getting my symptoms stopped and avoiding surgery. My gastroenterologist didn't believe the sulfite story, but the allergist had seen it all before.
I believe in trying all medically approved remedies before jumping into surgery. Nissen, or varieties thereof, have the best success records, especially when a hernia needs to be closed. But this is major surgery! None of them carry a guarantee and there is mortality and morbidity to be considered. You must go through the testing to see what type is right for you, if it is needed at all.