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Has anybody purchased/used the peptest?

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Posted 1/13/2015 11:20 AM (GMT 0)
Just wondering if it was worthwhile me purchasing the above "test". Would appreciate peoples opinions and do doctors take the results into account?

Many thanks
Posted 1/13/2015 3:40 PM (GMT 0)
Yes I have. Very good service and extremely fast answer. I didn't bring the result up with my doctor, but it served as yet another proof to myself that reflux was the cause of my symptoms. However I do not believe that the peptest should be used alone when diagnosting. It's still important to do all the usual tests like endoscopy, 24 hour ph monitoring and manometry.

Jakob.
Posted 1/13/2015 7:35 PM (GMT 0)
Thanks for your reply. Yeah I agree think all the other testing is important too. I'm currently waiting for impedance test which is the 4th diagnostic test I'll have had 3rd since fundo. Just basically want to try and get S much evidence as I can because in my experience GI consultants really aren't that convinced LPR exists. As my reflux tends to be weak acid they write my results off as normal. Ive had enough! Grrrr
Posted 1/13/2015 10:18 PM (GMT 0)
Then I definitely recomend you to take the Peptest. You get to spit in a cup three times, once in the morning before eating anything, and then two times later in the day after eating. In my case I had no trace of pepsin in my morning sample, but after eating I almost had the maximum amount possible. This also correlated with my symptoms, so I got my suspects confirmed. If I'm not mistaking you get a letter from a doctor explaining your results, which you then can give to you local doctor.

I decided to take the test for the same reasons as you: extremely low knowledge of LPR amongst doctors in my country. I've been troubled by bad hearthburn all my life and started having throat problem. I visited 5 different ENT and not one of them had even heard about silent reflux.

You also say that you're going to take the impedence. I think that is an excellent diagnostic tool when looking for LPR. I've not had it personally, but I just had the Nissen, and if my LPR symptoms doesn't resolve I'l have it. I think that test in combination with a Peptest is an excellent way of diagnosing LPR.
Posted 1/13/2015 10:37 PM (GMT 0)
Thanks again for your reply. I've gone ahead and ordered the test so we shall see. Am I right in assuming you are from the uk? It sounds very much like the experience I'm having. When I first started with all these symptoms I was told by a & e doc that I had COPD! I'm 37 never smoked. I asked at least 3 gp and one respiratory doctor if reflux could get into lungs and I was told "absolutely not!" I have had to battle and push and fight to be seen by docs even though I was eventually told my les pressure was only 6 and has only increased to 7 following nissen. Think I've just been very unlucky.

Anyway cheers for the info and hope you are feeling ok after your op. Fingers crossed it will sort your symptoms out and you'll be feeling great soon.
Posted 6/23/2015 11:26 AM (GMT 0)
Hi Trotters.

I just wanted to check on you, since you and I seem to be in a similar position.

Like you I had the Nissen and my LPR symptoms has not been improved at all. Since the beginning I've been worried it has been to lose and it looks like it is.

I remember you saying you had an impedance test, and was waiting for a Nissen redo. How is that going for you?

I'm getting really frustrated because none of the 20 doctors I've visited knows anything about LPR. It seems to be impossible to get an impedance test here and without a test to prove I'm still sick I will never get to do a redo.

Hope you are doing well

Jakob
Posted 6/23/2015 12:34 PM (GMT 0)
Hi Jakob

I finally have my date for my redo which will be in July. I'm under a different consultant who will be performing a full wrap this time. He seems to also think that the "Dor" wrap I had was far too loose it had come undone.

I totally understand your frustration with regards to getting doctors to see that LPR exists, even the consultant im under know still not convinced that my symptoms are due to LPR. It was a battle and I must admit I had to insist on the impedance test. He was reluctant to refer me to have the test performed as my ph and bravo was "nirmal" the impedance picked up that I was refluxing to my throat at night. I also was lucky in the the physiologist who performed the impedance was fighting my corner.
I'm sorry to hear you are still suffering like myskef . My advice is to fight for the impedance insist on having it performed if you can. It's so frustrating when we are living day in day out with this and professionals disregard our symptoms.
Do you have any more appointments scheduled? What's next for you? Please, please keep me up to date with how it's going.
Posted 6/24/2015 4:28 PM (GMT 0)
Thanks for your reply Trotters. I actually tried to message you privately, but I didn't find a way to do it. I'm glad to hear that you have finally got a date. If you are planning to come with updates after the surgery, I'm really looking forward to hear about your recovery experience. I really hope it will work this time.

As for myself, I was pushing for an impedance test but the doctors seemed very confused and I think they confused the impedance with a regular ph test. My main problem now is that I'm going away on sunday to study in another country (Portugal) for about 7 months, so I won't be able to do any testing until I get back. My plan now is to try to enjoy the sun and relax as much as possible. Hopefully this will reduce my stress and help my body to heal faster. When I come back I will push for an impedance and hopefully to do a redo of the Nissen. T

The only thing I will do when it comes to testing, is to have another Peptest while I'm on PPIs, low acid and fat diet and Gaviscon advance. This way I can compare the new results with my old ones to see if the medication and diet are working.
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