Best treatment plan for gastroparisis, barretts, nighttime gasbloat and hiatal hernia, ibs ?i see a gi , just for looking options as im newly diagnosed.

See below: Complex but not rare constellation of problems. Barrett esophagus most important - severe esophageal damage due to reflux. If no dysplasia on biopsies can be treated by hernia repair and fundoplication. Repeat surveillance endoscopy may be advised first. Gastroparesis concerning but fundo. Can sometimes improve gastric emptying. By lbs do you mean morbid obesity? Running out of space.

Check gallbladder: Sometimes gas bloat and "gastroparesis" could be secondary to dysfunctional gallbladder. Fixing the hiatal hernia would definitely improve the reflux. Losing weight would improve lots of symptoms.

Tough situation: Gastroparesis is probably the cause of everything else, but figuring out why you have it may be only way to fix things. No really good drug therapy or endoscopy. A surgeon in rochester, jeff peters, may be worth a drive and the consultation fee. Tops in the field.