A member asked:

Suffer from bile reflux. if my nissen is loose after 7 months. redo? i did this to get off meds, now i feel stuck and unhappy with continued gerd.

4 doctors weighed in across 3 answers
Dr. Rebecca Gliksman answered

Specializes in Internal Medicine

Reflux s/p Nissen: Surgical outcome is never absolute For residual issues, f/u w/ doc and second opinion. Consider diet, ( no alcohol, caffeine, energy drinks, spicy food, elevate head of bed when sleeping), gallbladder status, check gastrin level rarely may be Zollinger Ellison syndrome , check for gastroparesis. Medications like reglan or erythromycin may promote motility. f/u/ w/ do

Answered 2/22/2017

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Dr. Erik Borncamp answered

Specializes in Wound care

First make sure : Could be continued reflux Or it could be due to other issues. An upper GI( X-ray) should help document if any reflux if still there. And then unfortunately you are looking at a redo

Answered 2/23/2017

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Ideal candidate ess,: Bile reflux can be difficult to distinguish from gastric acid reflux. The signs and symptoms are similar, and the two conditions may occur at the same time.. But there is little evidence pinpointing the effects of bile reflux in people. Bile reflux may be caused by surgical complications, PUD, GB surgery.Unlike gastric acid reflux, bile reflux can't be completely controlled.

Answered 5/18/2019

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