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Question about PPI's. Please answer, thank you.

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GERD & Acid Reflux
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Posted 12/10/2013 12:28 PM (GMT 0)
When I tried a PPI recently, I was still excessively burping and had bad indigestion. The only thing I noticed was that when I burped, what came up wasn't acidic. Is this what a PPI is supposed to do? Is it just supposed to remove the acid element of it and leave me with bad indigestion and excessive burping minus the acid?
Posted 12/10/2013 12:39 PM (GMT 0)
Hi worrywort87

Ppi's are only for stopping the prodution of acid in the stomach but they do not stop reflux.

Have you had any tests as to why you've got indigestion or excessive burping.

My problems started in April with excessive burping and it turned out I had a hiatus hernia.

Maria
Posted 12/10/2013 1:13 PM (GMT 0)
I actually do have a hiatal hernia. Could that be what causes the excessive burping?

Also does GERD cause indigestion? I feel like I constantly have an unending upset stomach no matter what I eat or what I don't eat. Lately I've also had:
1) stomach ache
2) stomach pain in a specific area every once in a while
3) loss of appetite
4) getting full quicker than normal
5) chest tightness/shortness of breath sensation
6) heart palpitations
7) heartburn/acid reflux
8) nausea
9) throat clearing/phlegm in throat
10) excessive burping
11) constipation
12) urgency to defecate

I've been told I have a hiatal hernia and GERD. I suspect I have IBS but the doctors have not diagnosed me with it.
Posted 12/11/2013 3:27 AM (GMT 0)
If you have a hiatus hernia, it may be causing many or all of your symptoms. My advice would be to get the hernia fixed. I put off surgery on mine and I'm really sorry I did not get it fixed earlier. Doctors can fix physical abnormalities like hiatus hernias well theses days. The point of surgery for me was that I was unable to travel due to stomach pain after 8 years of PPis. Turns out I had magnesium, calcium and B12 deficiency along with gastritis which was caused by the long term use of the PPIs.

Find a surgeon that does only Nissens and talk with him or her. He should do all the tests and tell you if the Nissen will work for you.

Gunner
Posted 12/11/2013 4:01 AM (GMT 0)
I am far, far, far too scared for surgery. Could you give me a little more first-hand information based on your experience with this surgery? I have never heard of it. What do they do? How was it?
Posted 12/11/2013 6:54 AM (GMT 0)
Hi Worrywort87

Did you have tests to determine a hernia ? You would need an endoscopy or barium swallow to see the hernia.

To determine acid reflux then you would need to have a 24 hour impedance test and a Manometry test.

You would need these tests before you had surgery. If then all of this tests proved a hernia and acid reflux then you could have surgery.

The surgery for a hernia repair is to make the hiatus (the hole ) in
the diaphragm smaller so that the stomach can no longer push through it. They do this with stitches.

They then wrap part of the stomach around the oesophagus to stop it pushing through the diaphragm and to make a new sphincter this procedure is called fundoplication.

The surgery is quite common and it takes about 4 hours.

I had this surgery 4 weeks ago. Mine was key hole surgery which is how it is usually done these days although some can be open surgery but this is much rarer. I got over the actual operation quite quickly but it's the internal healing that takes the time to get over.

Hope this as explained everything to you.

You say that you have been told that you have a hernia and gerd. Does that mean that you haven't had tests but it's what the doctor suspects?

Maria
Posted 12/11/2013 8:57 AM (GMT 0)
The following are the results from a barium swallow test I had back in 2004:

"FINDINGS: Very limited examination as patient would not drink barium, was taking small sips. No obstruction was noted.

There is evidence of a hiatal hernia with evidence of reflux.

The upper esophagus was not very well-visualized.


1. Limited examination of the upper esophagus region in the cervical area due to patient not taking enough barium during examination and was taking sips. The distal esophagus showed no obstruction.

2. Hiatal hernia was noted with evidence of reflux.

3. If clinically indicated for cervical esophagus, further evaluation should be obtained with endoscopy as this is a limited examination of the upper esophagus."
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