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A 40-year-old male asked:

Pre nissen, bile reflux 20 mg aciphex 2 daily. post nissen, gurgle and reduced reflux at night. go back on non-responsive ppis, or is there an alternative?

2 doctor answers6 doctors weighed in
Dr. Rebecca Gliksman
Internal Medicine 38 years experience
Reflux post nissen: http://www.medscape.com/viewarticle/804147_4 Post Nissen there are several causes . Gas venting , motility, recurrent reflux ( though many who feel like reflux do not have pH evidence of reflux) , would elevate head of bed at night( pillow under mattress) avoid smoking , alcohol, caffeine reflux triggers, eat small meals, check gastrin,gallbladder, consider reglan, ranitidine f/u /w /doc
Dr. Scott Welker
General Surgery 27 years experience
Mechanical changes: Until your surgery, you will continue to have stomach juices gurgle up into your hernia and further up. But there are a few things you can do. First, elevate the head of your bed. Not just extra pillows! Put concrete blocks under the bed supports to raise the head 8", and chock the foot so it doesn't move. Also, stop all caffeine; no eating 4 hrs before bed; eat a light dinner! Good luck.

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Last updated Apr 29, 2019
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