3 doctors weighed in:
What best meds for severe grade4 reflux disease.Dr has tried pantorazole, nexium, (esomeprazole) ranitindine. Will be having nissen eventually. ?
3 doctors weighed in

Dr. Peter Kurzweil
Internal Medicine
2 doctors agree
In brief: Needs further eval.
What is nissen? If you have not responded to all those meds, something more complex is going on than just reflux.
There are new strength drugs, such as dexilant, (dexlansoprazole) but most important is finding what else going on. Barretts's esophagus? Zollinger-ellison syndrome, super high acidity state, huge hiatal hernia. Maybe it's not even the GI tract is the problem. Maybe heart, gall bladder, pancreas...

In brief: Needs further eval.
What is nissen? If you have not responded to all those meds, something more complex is going on than just reflux.
There are new strength drugs, such as dexilant, (dexlansoprazole) but most important is finding what else going on. Barretts's esophagus? Zollinger-ellison syndrome, super high acidity state, huge hiatal hernia. Maybe it's not even the GI tract is the problem. Maybe heart, gall bladder, pancreas...
Dr. Peter Kurzweil
Dr. Peter Kurzweil
Thank
Dr. Steven Saunders
Internal Medicine
In brief: Nissen Fundoplicatio
Surgery to minimize reflux.

In brief: Nissen Fundoplicatio
Surgery to minimize reflux.
Dr. Steven Saunders
Dr. Steven Saunders
Thank
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