Doctor insights on:
Severe Gerd After Gastric Sleeve
Excess burping, occasional chest pain, no heartburn. Gastroscopy show 1cm sliding hiatial hernia. Is Laryngopharyngeal reflux likely ? Or GERD ?
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
3 months post op. Nissen/laprascopic, robotic, hiatal hernia repair. Recently experiencing painful, debilitating gas& diarrhea. Is this normal?
Not from the surgery: It is very unlikely that these current symptoms are related to your surgery. By far the most common cause of diarrhea is viral infection (enteritis, or gastroenteritis if it involves nausea/vomiting). With any diarrhea, weight loss, dehydration (feeling like you're going to pass out when standing), or fever lasting > 1 day would be cause for concern. Otherwise these things tend to resolve. ...Read more
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
See yourMD: You need a work up..I have gastric bypass patients in our practice ..Of those with pain we have sent to GI for work up...Most of the time they find a cause..Do not delay ! ...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
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
Bypass & Nissen : Doing a bypass after having a nissen is very difficult and considered revisional surgery. Lots of scar tissue from the nissen and your wrap must be undone. Risks of complications like a leak are much higher. Doesn't mean you shouldn't have a bypass. I have done many of these. You just need to go to an experienced surgeon that does revisional bypass surgery. ...Read more
Gastric bypass 2008, peptic ulcer since 2009, quit smoking seven weeks ago, pain is much worse and more often than before. Protonix (pantoprazole) and carafate?
Need close follow-up: When symptoms like pain get worse, the questions include: is the disease spreading, is the medication no longer working, is there a new problem, etc.? An ulcer 3 years ago should have healed. Is there a problem with recurrent gastritis or repeat ulcers? Is there stomach cancer, or is there a gallstone problem? A G.I. Specialist can recheck to figure things out. Another endoscopy may be needed. ...Read moreSee 1 more doctor answer
Can upper endoscopy aggravate heartburn? Got scoped 5 days ago (no sedation, mild gastritis and esophagitis, one biopsy).Having severe heartburn now.
Diagnosed w/mild antral gastritis & mild GERD waiting 4 h pylori results-take Prilosec bid & carafate-still experience burning, tight stomach, reflux?
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?
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 ...Read moreSee 1 more doctor answer
Can gastric reflux cause delayed gastric emptying? Also can a dairy intolerance cause gastric reflux?
After a nissen fundoplication takedown, should the normal esophagal motility priorto.Surgery return?
What could cause gastritis, duodenitis, & esophagitis? Have had nissen & lap chole for acalculous cholecystitis.
H. pylori: The most common cause of gastritis and duodenitis is a bacterium called helicobacter pylori. When large amounts of the bacteria invade your stomach or small intestine, inflammation can occur. Curing helicobacter pylori (h. Pylori) infection may provoke reflux esophagitis. ...Read moreSee 1 more doctor answer
Weird upper stomach feeling 6weeks post laparoscopic gallbladder surgery & ercp pancreatitis. 3 months post Csection. Uncomfortable. No pain. NORMAL?
Possibly: Residual symptoms of pancreatitis can include some fullness and discomfort, depending on severity and cause. During the period of recovery, abstinence from alcohol, limiting fatty food intake, may limit the stress on the pancreas. Your doctor should check pancreatic enzymes to make sure they are normalizing. If there are any concerns, additional blood testing and further imaging may be necessary ...Read more
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