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Doctor insights on: How Bad Does My Gerd Need To Get Before Surgery Becomes A Good Idea

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How bad does my GERD need to get before surgery becomes a good idea?

How bad does my GERD need to get before surgery becomes a good idea?

Very bad.: I advise my patients that the surgical treatment for gerd is not for the "casual refluxer". The surgery changes the way that your stomach processes food and is really only a "band-aid" procedure, in that it does not correct the physiologic abnormality that causes reflux. However, if your quality of life is significantly affected by gerd and meds do not control your symptoms, it is a good option. ...Read more

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Dr. David Earle
1,279 doctors shared insights

Gerd (Definition)

It is normal to have some gastroesophageal reflux (ger). It becomes a disease( gerd) when it causes organ damage (imflammation of the esophagus, or barrett's esophagus), it has a significant negative impact on your life, or requires dependence ...Read more


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Is it common for GERD to get worse after a nissen surgery before it gets better?

Is it common for GERD to get worse after a nissen surgery before it gets better?

Not usually: Classic gerd symptoms like heartburn usually improve immediately. However with the swelling some symptoms are made worse like trouble swallowing. This usually improves in a few weeks. ...Read more

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Is it a good idea to take medication for gerd?

Is it a good idea to take medication for gerd?

GERD/MEDICATIONS: Good idea to take meds if you have persistant gerd, along with lifestyle modifications.Like losing weight if overweight.Avoiding certain foods which cause gerd, not eating less than 3 hours before going to bed, avoid alcohol, do not drink too much coffee or tea and meds in the beginning.You can try to stop meds and see if it stops if not you need long term meds to prevent esophagitis/cancer. ...Read more

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I have GERD and am thinking about having surgery ... What happens if I don't ? I have been told that it is pretty bad ..

I have GERD and am thinking about having surgery ... What happens if I don't ? I have been told that it is pretty bad ..

Varies: Acid reflux that goes untreated can lead to many different problems. Some of these are minor, such as heartburn or discomfort. Some are worse, like strictures or ulcers. Long standing reflux can lead to barrett's esophagus or even esophageal cancer. Medical treatments really only mask the symptoms and don't reduce the amount of reflux. They also have side effects like osteoporosis. ...Read more

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Do people get GERD after gasteric sleeve surgery?

Do people get GERD after gasteric sleeve surgery?

It can happen: Laparoscopic sleeve gastrectomy has been reported to increase the risk of new onset gastroesophageal reflux disease (gerd) by altering the normal position of the sphincter at the gastroesophageal junction or in some cases, having the sleeve migrate into the chest. One survey found that 6.5% of the patients who had undergone lsg developed post-operative gerd. ...Read more

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I had bad refliux after GERD surgery, my surgeon did ct, he can see how is wrap after CT test?

I had bad refliux after GERD surgery, my surgeon did ct, he can see how is wrap after CT test?

Post surgery care: A ct scan of the chest and abdomen, with oral contrast, can show a lot about the wrap after surgery. However, additional tests, and time may be needed. Reflux and anti-reflux surgery often require ongoing evaluations. It is a complex problem. Stay on your medications, your diet and keep your follow up appointments. ...Read more

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I am diagnosed with barrett's esophagus with no dysplasia. Is it a good idea to stay on the prescribed ppis after i no longer have GERD symptoms?

I am diagnosed with barrett's esophagus with no dysplasia. Is it a good idea to stay on the prescribed ppis after i no longer have GERD symptoms?

Tough to know: Barrett's is thought to be caused by reflux disease, but its not known if it is the acid or non-acid component of the reflux, or how that reflux actually causes the change. Short segment barrett's however has a very low chance to get worse. I would use your own risk/benefit assessment, and discuss with your primary care. Hope this helps! ...Read more

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I have been diagnosed with barrett's esophagus with no dysplasia. Is it a good idea to continued with prescribed ppis even after GERD symptoms stop?

I have been diagnosed with barrett's esophagus with no dysplasia.  Is it a good idea to continued with prescribed ppis even after GERD symptoms stop?

Yes: While suppressing the acid component of the reflux is only part of it, if that tesuces injury to the eaophgus, it should help to not aggravate the barrett's. It is also a good idea to have properly performed surveillance endoscopy at regular intervals. ...Read more

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Any holistic folks out there have an opinion concerning cayenne pepper supplementation? Bad idea if one has GERD I am assuming?

Any holistic folks out there have an opinion concerning cayenne pepper supplementation?  Bad idea if one has GERD I am assuming?

Benefits for many: Cayenne pepper has many health benefits and many people have found it actually helps their gerd! it is considered esp. Good for the heart, can improve digestion, thins blood etc. However, it is in the nightshade family and some people actually feel worse from it as they can't metabolize the solanacea alkaloids. See http://bit.Ly/1ezcdod & http://bit.Ly/15gvxrl & http://bit.Ly/18lxarf. ...Read more