Doctor insights on:
Acid Reflux After Gastric Sleeve
Yes indeed : There is a 15% incidence if de novo reflux symptoms after sleeve. It may be that repairing hernia at the diaphragm where esophagus come through may prevent these symptoms. Gastric bypass cures reflux 100%. If there is a history of sever reflux causing esophagitis or barrett's esophagus, go with bypass. ...Read moreSee 2 more doctor answers
Technically called GERD, acid reflux is the presence of acidic stomach contents in the esophagus. The acid irritates the esophagus causing heartburn symptoms. The regurgitation or reflux can vary greatly as can the symptoms. Blocking stomach acid with medications can alleviate the burning but medication cannot stop the reflux. Complicated GERD requires surgical treatment ...Read more
Stomach contents: Reflux refers to the acid, fluid and sometimes partially digested food in the stomach traveling back up the esophagus. This is irritating and can be treated with elevation of the upper body (not sleeping flat), not eating late in the day or too much at once, and medications like Omeprazole (which is otc) drinking alcohol, eating spicy or acid foods may bother you as well. ...Read more
After Reflux Surgery: Bloating and discomfort from gas buildup and inability to burp are common problems after reflux surgery. I usually keep my patients on a liquid diet for a week after surgery and advance to soft foods as tolerated. This decreases the likelihood of these symptoms. Consult with your surgeon on a dietary regimen. Most often this resolves with time. If it persists, then you may need additional work up. ...Read moreSee 1 more doctor answer
It depends: There are a few surgical options for wt loss and a few are actually very effective in reducing gerd symptoms. I do have patients who report more gerd sx after lap band but usually improves with dietary modification. Sometimes band adjustments are helpful for persistent symptoms. ...Read moreSee 2 more doctor answers
I have chronic excess throat clearing,excess burping,no heartburn. Gastroscopy showed sliding hiatus hernia, is Laryngopharyngeal reflux likely ?
LPR : Laryngopharygeal reflux is when a small amount of acid comes up into the throat and irritates it. It is a common cause of dry tickle cough, chronic sore throat, lump in the the throat , post nasal drip, phlegm in the throat, and throat clearing. Many studies show it responds best to proton pump inhibitor rx. It is possible you may have this. See an ENT for evaluation. ...Read more
Been experiencing hiccups, burping and bad breath and acid reflux ? Solutions ? Prescribed proton pump inhibitors for acid reflux. Acid reflux is gone
Careful on the long: Be careful with the a ppi as a 19 year old man. With prolonged use, they can cause rebounding (addiction) and seem to cause osteoporosis. Try using an h1 blocker like zantac (ranitidine) or pepcid. Give it a couple of weeks and see if it resolves. If it does not, follow up with your pcp. ...Read moreSee 1 more doctor answer
Can gastric reflux cause delayed gastric emptying? Also can a dairy intolerance cause gastric reflux?
Gallbladder post 1year bravo test negative for acid reflux, but upper gi showed esphogitis reflux and some erosion, what is causing if no acid reflux ?
Non-acid reflux: Could be non-acid reflux. Also, no test is perfect, and the bravo study could be incorrect. Its also important to use the bravo data to correlate symptoms to acid reflux episodes. There is also a 24 hour pH-impedance study that can detect reflux that is not acid. Ask your GI doctor about these. Hope this helps! ...Read more
No really: Carafate (sucralfate) is good at helping ulcers heal. If you have ulceration in your esophagus from acid reflux, then it might help. If you just have inflammation (aka "reflux esophagitis") then carafate (sucralfate) is generally a waste of time and money. It's really difficult to take (4 times per day) so I only advise my patients in whom I suspect ulcers to take carafate (sucralfate). ...Read more
Bile reflux-acid reflux, being treated for acid reflux 40mg Pepcid (famotidine) and 40mg pantaprozole each 2/aday. But symtoms of bile reflux..Wrong meds?
Bile or acid reflux?: If you have acid reflux disease and are having symptoms despite high dose acid-reducers and acid-blockers, then either your reflux is more severe and other treatment options should be considered, or the reflux is not acid-related but possibly gall bladder/liver related. ...Read more
Excess burping, occasional chest pain, no heartburn. Gastroscopy show 1cm sliding hiatial hernia. Is Laryngopharyngeal reflux likely ? Or GERD ?
Neither: Carafate (sucralfate) tends to bind to sites oozing blood. Proton pump inhibitors partially block hcl acid secreting cells in upper 2/3 of stomach from making & secreting acid; look up the prescribing information. No evidence either have much affect on stomach emptying. Many meds prescribed by docs because available, even though low odds of being helpful - promotes illusions (to the foolish) of being helpful. ...Read more
Erosive esophagitis : How long it takes for erosions in the esophagus to heal depends on how large they were to begin with. It can take that long, but they often heal more quickly. People often need to stay on Nexium (esomeprazole) even after erosions are healed, to prevent the GERD that caused the erosions in the first place. Many people need long-term maintenance medications. Good luck. ...Read more
Different principles: Bariatric procedures can be divided into 3 principle effects, causing malabsorption of nutrients, by restricting stomach size or a combination of both. Gastric band and balloon are restrictive, while gastric bypass is considered to be a combination of restrictive (small stomach pouch) and malabsorptive (bypassing portions of the digestive tract that absorb calories and nutrients). ...Read more
When treating acid reflex what is the difference between Nissen fundoplication and gastic bypass? Can Nissen fundoplication also help you lose weight?
Acid reflux is defined as the presence of acidic gastric contents in the esophagus causing irritation. It's cause is blamed on the a lax gastroesophageal shpincter that permits usch regurgitation. Vesicoureteral reflux is regurgitation (backing up) of urine in the bladder into the ureter ...Read more
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