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";s:4:"text";s:5024:"Approximately 40% of people on PPI heartburn medications continue to have symptoms while using the drug.

She was diagnosed with acid reflux and hiatal hernia 10 years ago after she had an endoscopy to determine the cause of her painful aching and burning sensations. There are other choices – good ones that she should consider.The surgical options attack the actual cause of the problem – the dysfunction of the lower esophageal sphincter (LES). As is the case with Nissen procedures, the skill set of the surgeon is an important factor in successful outcomes. If you do, we would be happy to assist you to find a RefluxMD’s vision is to help adults with acid reflux disease to live healthier and happier lives. This is a minimally invasive technique and is typically completed in about 30 minutes. See our How excess weight is destroying your lower esophageal sphincter (and driving your GERD symptoms)Learning that managing gastroesophageal reflux is a lifelong processAcid reflux friendly recipe: Gingersnap beef stew with red cabbageWhy can’t we get GERD symptoms and treatments right?The four things your doctor will never tell you about reflux disease However, if these steps do not resolve your symptoms, you should consider surgical alternatives. This content is provided for informational purposes only and should not be used as a replacement for direct medical advice from your healthcare provider. That is basically all that continues to be said on the subject even though that is sound advice for any drug – even without all the issues associated with PPIs! Thank you for your question, and I am sorry for your 20 years of struggles to manage this disease. In the only 10-year study on Stretta available, only 23% remained off PPIs at 10 years. We recommend our article, There are other options for treating acid reflux disease and some have excellent and proven results. If your physician does not have an accurate understanding of these options (and we believe many do not), then you should ask for a referral to someone who can provide an accurate and honest overview of all options.

Dr. Tom DeMeester discussed several of these in his Huffington Post article, Clearly, PPIs have many risks to consider, and unless they are absolutely necessary, they should only be used for a short term or intermittently.First, if you decide to stop using PPIs on a daily basis, be sure to discuss your decision with your doctor and include your specialist as you design a We hope that you will design and adopt a comprehensive plan to find relief and good health. Also, according to several surgeons, patient selection is an important variable as well.As discussed, there are alternatives to long-term PPI use to GERD.

We do this by providing high quality disease, treatment, and weight loss information on our website and in our books, and we connect those suffering from this chronic condition with GERD experts for diagnosis and treatment.Please note, RefluxMD does not provide medical advice. PPIs are of great concern to her and that is very reasonable considering our present knowledge of these drugs. I am 36 and have been on PPIs for 14 years, but had the diagnosis 20 years ago. This procedure restores the function of the LES by wrapping a portion of the upper stomach loosely around the lower esophagus. This operation stops the reflux in approximately 80-85% of patients, returning the pH test to normal.This procedure eliminates the need for PPIs in most patients with the most well-performed studies showing approximately 90% of surgical patients do not require those medications.
For Susan, the best non-medical procedure seems to be the laparoscopic Nissen fundoplication since she describes a hiatal hernia. A regular diet and full activity are immediately resumed and the reflux is stopped approximately 70% of the time without the typical side effects associated with a Nissen procedure, except that a small number of recipients have difficulty swallowing.Patient studies have shown that 85% have eliminated PPIs after 3-5 years and 94% would recommend the procedure to a friend. Susan’s Story Ten years of PPI use for acid reflux. Only 2% had swallowing difficulty, which was corrected with a simple non-surgical dilation (gentle stretching of the esophagus.) A “soft food” diet is typically suggested initially with gradual resumption to a normal diet taking 6-12 weeks. If it does, objective diagnosis of reflux is confirmed and a long-term therapeutic strategy can be developed for Susan. We do this by providing high quality disease, treatment, and weight loss information on our website and in our books, and we connect those suffering from this chronic condition with GERD experts for diagnosis and treatment.Please note, RefluxMD does not provide medical advice. Many recipients report an improved “quality of life” although there is a concern that the elimination of reflux is not predictable and PPIs may be required long-term for some.
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