I am a very active tennis playing 73 year old with a moderate-sized hiatal hernia and relatively weak swollowing for related reasons. I have had the problem for 30+ years and with lots of antacids I have coped with it. Within the last five years the problem with reflux has increased and two years ago I had a difficulty swollowing. The Gastroenterologist dialated a stricture which relieved the problem. He also prescribed Nexium which relieved the acid problem but not the reflux. Last year I had a serious lung abscess which I attribute to the nighttime reflux spilling over into my respiratory tract. It took months of powerful antibiotics to heal. I have recently had the barium Xrays (during which the Radiologist could see the barium refluxing), Endopscopic exam, Esophagael Manometry and other tests. All of the Air Force Doctors recommend surgical repair and fundiplication. Surgery is scheduled for next month but I am now hesitant. As I said, I take Nexium which does a great job of reducing the acid. However, I still have reflux within minutes to an hour after I eat. My esophagus is constantly full but it is not very acidic. I have done all of the usual precautions--elevated bed, wedge pillow, moderate sized meals, etc. I frequently must intentionally regurgitate the contents of the esophagus prior to going to bed or at other times during the day when it becomes uncomfortably full...Sometimes I regurgitate multiple times in an evening if there is more reflux. I know that I am still digesting enough food to maintain my weight and I know that I can survive and live out my remaining years with the problem but I am tired of it. Would you do the surgery???View Thread
I appreciate everybody's input and hope to receive more. However, as described in my original post, I don't really have the debilitating acid reflux that most of the discussions on the internet report. Most of my problem is the frequent refluxing of partially digested food into my esophagus. I don't have the breathing difficulties, hoarseness, coughing, etc. that most people have and Nexium controls the acid. I suspect that much of the food that refluxes is being retained in the upper part of the stomach that is above the diaphragm and only gets into the lower part by gravity flow......that may be "whacky" but that could account for the lack of acid. That is why I am having misgivings.View Thread
She is right.... Like many of you, I have been reading most of the related literature and posts on the web. There are two types of hiatal hernias....sliding and fixed.....the fixed type is the most dangerous because the blood supply can be cut off and the part of the stomach above the diaphram can "die". (maybe "explode") I don't know which type I have but it seems to always be there above the diaphram.
I had a second Manometry this past Wednesday but this time they had all the hospital gastro clinic staff there. There were four Gastroenterologist, several interns and three techs. They did the second test because they didn't like the first one. They think they got false readings because when the catheter reached the curve of the hernia, it turned and doubled back on itself. That distorted the depth that the sensors measured. I won't get the analysis until sometime next week.View Thread