Question

So I have a new family DR (my old one retired) I asked for a referral to a gastro due to heart burn. He suggested tecta! I had the fundoplication before so I'd rather not take medication it never worked in the past as I am resistant to ppi. Can anyone suggest the conversation I should have with my dr, I have a hard time with wording things correct.

I feel all my eating before bed(meds make me super hungry) and I sleep on a full stomach. I feel I may have broken my nissen somehow. My surgeon said no that he deals with fatter people then me. So I am trying to get another GI to give a second opinion and maybe send a scope down at-least to check if the surgery is tight enough still. I have vomited also in the past (so painful but I did) so just scared that what I am feeling is heartburn pain : My surgeon is set on I am just hypersensitive. I dono whats real anymore.

I get this constant burn by my lower ribs where the stomach is. But my surgon refuses to check because he checked in 2019.

Post Edited (SeanLa) : 1/1/2021 7:14:15 AM (GMT-7)

I stopped in emergency and he said no GI will touch me, that I still have contact with the surgeon and that is the best way to go. He also said that any new gi would try ppis and such again before going towards the big time surgery. I live in canada I do not have a insurance provider.

I don't know, I burn all the time but can't taste it (emergency said it was very hard to harm a fundo) but I feel they are wrong. I do have anxiety issues. I just know that I felt better a year ago before the mass eating.

I do get constant hiccups again just not sure what is real anymore. Or who to trust. The surgeon had said it was a sensitive esophagus and take ant acids

Ye I have health anxiety aswell. I just wish I didnt sleep eat so much in the past (would eat a cup of nuts with olive oil and then lay down.) Thats because my old meds caused massive cravings. A part of my just wonders if I could have stretched it from the food pressure. And yes I also dry heaved a ton of times once (nothing came out thought but darn it hurt) He doesnt want to give me a ph test and says the endoscope was fine 2 years ago so not to worry. Its wrong for me to not trust but I just keep thinking it's been stretched.

Thank you for talking to me, you are always a great help

can it be stretched from over eating or is that something I am just making up? Just looking for an opinion, my surgeon doesn't like to chat really.

Yes but I can't get a gi specialist without a referral. My new family dr just wants to prescribe meds like tecta. My surgeon is difficult, spoke to him last week (he did a endoscope in 2019) says I just have a hypersensitive esophogus. But that scope was before the mass eating.

I read on a site that overindulging can loosen and dilate things. Whatever that might mean.

Made an appointment with my surgeon, spoke to him in december and he said the testing was a wate of money. I hope to not offend him by booking a follow up so early. I just feel a 24h ph would be better at this then a endoscope. Any advice for this appointment? Maybe I should wait longer. I am afraid of him terminating me as a patient.

Post Edited (SeanLa) : 1/6/2021 9:53:03 AM (GMT-7)

Its harder then that to get a new one It took me 5 years to finally get a gastro to send me for a surgeon. Also gastros wont see you until you do ppi therapy first (again) since my first surgery. Messed up system. Emergency told me that. So just scared to loose the only surgeon I will most likely have. He is what you call my life line, without him I am screwed for many years Canada health care is odd.

Cant even get a second opinion, would take years of battling the medical system again.

All good, I do appreciate the time and help.I will just goto the surgeon and politely ask for a 24h ph test. And hope for him to keep me as his patient Just got to think if I want to go now (a month after he said no) or wait a few months. It's sore but not hell fire yet. In your thoughts would you wait a little longer before bothering your specialist?

that makes more sense. Waiting and trying other things first. I just get anxious, dont want to wait too long and dont want to go to early.
I want him to take me seriously and not think its all in my head kind of deal.

*I am sore constantly but no weird tastes. Thats what makes me wonder if it's heartburn that I am always feeling. Just a burning pain. Does all reflux do the weird taste?

I will sleep on it and decide tomorrow if I will rebook it until February. That feels like enough time or march. I just want him to take me seriously. As he has done alot of testing on me in the past with no bad results. Just I have put my wrap through hell, no babying just massive indulging. Finally my eating is under control so that's why I want to do the testing.

**I just have a theory that eating a few minutes before laying down and massive eating until I pop, could in theory stretch things. My surgeon said he has alot of obese patients (but that doesnt mean anything to me)

Post Edited (SeanLa) : 1/7/2021 8:46:34 AM (GMT-7)

SeanLa:

I think that sounds like a good plan. Please let us know how your appointment goes.

Sharon

I said this if anyone can have some input on if its too much.

***"Please don't get mad I just know something is going on. I want to get to the bottom of it. Please here me out, this will be a long speech but it defends my request.
A few weeks ago I went to Emergency for a second opinion or testing, they recommended that I ask my surgeon for a 24 hou PH Test. They said it would be more accurate then an endoscope in my situation due to the fact that all Endoscopes came out negative even before the surgery. I am begging you to give me the benefit of the doubt and refer me for a PH Test.
I sleep in a chair now, I am on light duty at work and am no longer active. My chest is always burning but when I get active it gets worse and food comes up at times. My throat is always sore, I am always breathless and I have post nasal drip again.I also keep burping and have to clear my throat. I taste sour always. Also feel a lump like feeling.
I am very familiar with the symptoms I am having. I will be more confident in the results of a 24hour ph test instead of an endoscope, please help me you are my only hope. I looked into private medical care and the best I found was a $4000 endoscope but no PH test. I tried ant acids (famotidine, ranitidine, tecta and gaviscon.) They did not work just gave me symptoms and gaviscon hurt me.
Please help me DR as I have exhausted all other means of getting help or testing, everything has gone to absolute crap since I vomited blood, I feel the wrap is loose and I will do what it takes to get a possible redo if I qualify. I am aware that a redo is not always successful, but anything is better then what I am feeling now. I feel my request for a 24hour ph test is a reasonable request. I hope that you understand.

***"

I talk to my dr/surgeon soon very nervous as he is a hard man to talk to, I hope he listens to me, I feel I wrote alot for him to hear out in a timely maner. I dont want him to push for an endoscope they never show anything, then I will be stuck in this medical circle again like before the surgery Thanks everyone for being there for me

Yay they agreed to do the testing, but the catch is I have to try using ppi therapy before the testing. Hate those meds but atleast they agreed

Any advice on some good ways to trigger the reflux? I know at work I trigger it by lifting constantly (but I don't think I should wear the ph test to work) Just trying to prep. I don't seem to trigger much reflux unless I am at work lifting. I really want this test to show the reflux I want a redo so badly. I am afraid that since I wont be at work that the ph study wont be as reactive.

What happens if you drink alcohol during the study?

Soooo0oo0o nervous to not get this surgery again I am terrified of PPIs (I just dont want to tail the test results as this is my drs last time every testing me. He is also doing an endoscope but not that x-ray test)

Post Edited (SeanLa) : 1/21/2021 2:54:20 AM (GMT-7)