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Doctor insights on: Is It Common For Gerd To Get Worse After A Nissen Surgery Before It Gets Better

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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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Dr. David Earle
1,342 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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It possible to have worse GERD after GERD surgery, this wrap is safe for long time use?

It possible to have worse GERD after GERD surgery, this wrap is safe for long time use?

Yes and yes: There are various procedures for gerd, the most common being a nissen fundoplication, where part of the stomach (fundus) is wrapped fully around the lower esophagus. Long term it is usually fine, but could slip or become unwrapped. There could also be reflux through an intact wrap. There should have been a battery of tests before operation, and these can be repeated to see what's wrong if anything. ...Read more

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With PAM disease, is it possible to feel better after any initial symptoms before it gets worse?

Rare disease!: Here's a lot of info on PAM: http://www.rightdiagnosis.com/p/primary_amebic_meningoencephalitis/intro.htm Read as much as you can and probably you'll discover that you do not have it. In any case, do pursue an examination that will help you know the actual Dx and appropriate Tx so that you can feel better and avoid spreading whatever it might be. I hope it goes well! ...Read more

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I have severe spasms with dyspnea after gallbladder Removed.About 1 a month after eating. Is this common and will it stop or get worse?

I have severe spasms with dyspnea after gallbladder Removed.About 1 a month after eating. Is this common and will it stop or get worse?

Should get better: There are a number of tests, ultrasound, mrcp that you could have to rule out an abscess or retained gallstone in your bile ducts. If these are clear an ERCP may help. See your surgeon. It is still early, it may be the clip on your bile duct or inflamation. ...Read more

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Why did I get bile reflux after cholecystectomy and it is sucralfate the only med that can help? Does it get better with time?

Why did I get bile reflux after cholecystectomy and it is sucralfate the only med that can help? Does it get better with time?

Cause is thought: to be loss of bile storage capacity in gallbladder. Sometimes bile binding agents such as cholestyramine can help if sucralfate is not effective. And yes it usually does improve over time as your body adjusts to the absence of your gallbladder. ...Read more

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Is it possible for a toothache to get even worse after taking antibiotics?

Is it possible for a toothache to get even worse after taking antibiotics?

Yes!: Either repeated taking antibiotics and failing to get treatment, creating more immune bacteria or prescribing an ineffective antibiotic or taking the medicine without immediate followup could all be reasons why a toothache might be worse with antibiotic therapy. Don't delay, see your dentist ASAP! ...Read more

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When you have a mild acute pancreits attack is it healed after treatment? Can it return if again? It's not clear after if your pancreas is back as bef

When you have a mild acute pancreits attack is it healed after treatment? Can it return if again? It's not clear after if your pancreas is back as bef

Pancreatitis : It all depend on the severity of pancreatitis and the etiology . Fur instance if you have gallstone related pancreatitis you might need to have your bile duct cleared by ERCP and/or cholecystectomy . Therefore the need to see a pancreas expert. ...Read more

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Is having to wait six days until you can get surgery for a fractured jaw likely okay? This is a lot longer than I thought it would take.

Is having to wait six days until you can get surgery for a fractured jaw likely okay?  This is a lot longer than I thought it would take.

Swelling: surgeon may be waiting for swelling to go down. If you have question about timing ask the Oral and Maxillofacial Surgeon for the reason for this time schedule in your particular case. ...Read more

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3rd week on bupropion sr 300mg. Depression is getting much worse. Is it typical for the medication to make things get worse before it gets better?

3rd week on bupropion sr 300mg. Depression is getting much worse. Is it typical for the medication to make things get worse before it gets better?

Talk with prescriber: There are many reasons why depression can get worse at the start of therapy. This sort of question really is best addressed one on one with the prescriber. I am concerned that more support is indicated particularly now that you state the depression is even worse than when treatment was started! effective care is out there but one has to be assertive..Hard when one is depressed. ...Read more

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If I take a Zantac (ranitidine) before a vaginal biopsy will it make the procedure less painful?

No: Zantac is a medication for reduction of stomach acid similar to Pepcid ac and tagament. I am guess you mean xanax (alprazolam). Xanax (alprazolam) will sedate you some and make you more relaxed, but it really isn't a pain medication. Luckily most cervical biopsies are tolerated without any pain medication. ...Read more

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Is it normal for hypertr. Scar during it's maturation phase to get worse before it gets better?I read it may get worse during 6-12 months, then improve

Is it normal for hypertr. Scar during it's maturation phase to get worse before it gets better?I read it may get worse during 6-12 months, then improve

Possible: All scars get thicker before they mature. Normal ranges from 6 weeks to six months of building, and most are soft (mature) by 12-24 months. ...Read more

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Is it better to get a breast lift at the same time as having implants removed and not replaced or is it better to remove then wait a few months first?

Is it better to get a breast lift at the same time as having implants removed and not replaced or is it better to remove then wait a few months first?

Breast Lift Surgery: Each patient differs with the exact procedure that may work best for their circumstance. Some patients can proceed with both surgeries at the same time, others are advised to do the procedures in stages. A physical examination will be very important in determining what needs to be performed. I have attached a link to my website that discusses the procedures in detail. I hope this helps. ...Read more

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Is it possible for you to lay on your stomach after gulbladder surgery?

Is it possible for you to lay on your stomach after gulbladder surgery?

Yes: The incisions are a little painful for the first few days but you have no particular restrictions about lying on your stomach. ...Read more

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Does acutane make your skin worst before is gets better ? Tried everything for acne this is my last hope. Skin is a lot worst after 1 month use :.(

Does acutane make your skin worst before is gets better ? Tried everything for acne this is my last hope. Skin is a lot worst after 1 month use :.(

Accutane: Accutane is a great drug but needs to be monitored carefully when administered. Whether the benefits outweigh the risks must be evaluated in each patients individual circumstance.It can make acne flare in the first few months of use. ...Read more

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What can be reason for reoccuring gastritis?It gets better with Nexium (esomeprazole) but returns back again . Can it eventually result in severe complications?

What can be reason for reoccuring gastritis?It gets better with Nexium (esomeprazole) but returns back again . Can 
 it eventually result in severe complications?

H pylori: h pylori infection can cause a gastritis that may improve with antacids but won't completely go away unless you also use a combination of antibiotics. Ask your doctor to check a stool test for the H pylori bacteria. ...Read more

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Is it supposed to get worst before it gets better while on Accutane for acne treatment? If yes why is it?

Is it supposed to get worst before it gets better while on Accutane for acne treatment? If yes why is it?

Acne: With most acne meds, you will get a little worse before it gets better. Along with the pimples on the surface of your skin, there are others developing deeper in your pores. The meds may bring those forward, so you will initially see more pimples, then as they resolve, you will see fewer of them. ...Read more

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Is it possible to have adhesion develop 1 week after gallbladder removal. If so what is the next approach?

Is it possible to have adhesion develop 1 week after gallbladder removal. If so what is the next approach?

Not possible: If it is Laparoscopic procedure I doubt. Even with open procedure it is too early to have adhesions and too early to have symptoms, usually may take few months to couple of years, ...Read more

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When is it okay to not have surgery for a hernia?

When is it okay to not have surgery for a hernia?

Small, asymptomatic: If a hernia is very small and not causing any symtoms, it can be safely watched (depending upon the location and type of hernia). The decision to operate is always balanced by the age and health of the patient. ...Read more

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Dr. Dan Lister
179 doctors shared insights

Fundoplication (Definition)

A fundoplication is wrapping the top of the stomach (fundus) around and attaching it to itself. It can be a partial wrap (toupet fundoplication) or a complete wrap (nissen fundoplication). It is usually used to ...Read more


Dr. Charles Cattano
1,491 doctors shared insights

Heartburn (Definition)

A painful burning sensation in the esophagus, just below or behind the breastbone. The pain often rises in your chest and may radiate to ...Read more