Acid Reflux Reviews: Personal Stories of Living with GERD and Finding Relief
How do people cope with chronic acid reflux and GERD. What treatments and lifestyle changes have helped manage symptoms. Can surgery provide long-term relief from severe acid reflux. Learn from real patient experiences with GERD.
Understanding GERD Through Personal Stories
Gastroesophageal reflux disease (GERD) affects millions of people worldwide, causing symptoms like heartburn, regurgitation, and difficulty swallowing. While medical information is valuable, hearing from those who live with GERD daily provides unique insights into the condition. This article compiles personal stories from individuals dealing with acid reflux and GERD, offering a glimpse into their experiences, challenges, and paths to finding relief.
The Impact of GERD on Daily Life
GERD can significantly disrupt a person’s quality of life, affecting everything from sleep to diet. Many patients report similar experiences:
- Inability to enjoy certain foods
- Frequent nighttime reflux and sleep disturbances
- Constant need for antacids
- Voice changes and hoarseness
- Anxiety around eating and social situations
One patient, Karen, shared her 20-year struggle with GERD: “I experienced a lack of sleep, vomiting every night, and was unable to enjoy all foods. My symptoms also consisted of hoarseness. It didn’t matter what I ate, from plain toast to spicy food wings, it all ended up the same way. I always had to have antacids with me.”
The Journey to Diagnosis and Treatment
For many, the path to proper diagnosis and effective treatment is not always straightforward. Patients often describe years of trial and error before finding relief:
Misdiagnosis and Delayed Treatment
Some individuals report being misdiagnosed or having their symptoms dismissed, leading to delayed treatment. A 19-year-old patient named Bianca shared: “I am struggling with this problem since I was 14, so for about 5 years now. It took a long time to get a proper diagnosis and start treatment.”
Medication Trials
Prescription medications like proton pump inhibitors (PPIs) are often the first line of treatment for GERD. However, their effectiveness can vary:
- Some patients find significant relief with medication
- Others experience minimal improvement or side effects
- Long-term use of PPIs may raise concerns for some individuals
One patient reported: “I was diagnosed with GERD 20 years ago and was prescribed Prilosec, which didn’t help. I continued to experience all my symptoms all while taking up to 2 pills a day.”
Alternative and Lifestyle Approaches to Managing GERD
Many individuals with GERD explore alternative treatments and lifestyle changes to manage their symptoms:
Dietary Modifications
Adjusting one’s diet is often a crucial step in managing GERD. Common dietary changes include:
- Avoiding trigger foods like spicy, acidic, or fatty items
- Eating smaller, more frequent meals
- Limiting alcohol and caffeine intake
Natural Remedies
Some patients find relief through natural remedies. One individual suggested: “I have heartburn sometimes and I don’t take medicine because of side effects. I suggest people take celery juice and cucumber juice. You will get relief.”
While natural remedies may provide relief for some, it’s important to consult with a healthcare provider before trying new treatments.
Surgical Interventions for Severe GERD
For those with severe or persistent GERD, surgical options like laparoscopic Nissen fundoplication may be considered. Several patients shared their experiences with this procedure:
Success Stories
Karen, who struggled with GERD for 20 years, underwent surgery and reported significant improvements: “I had surgery 15 months ago and have since lost 50lbs. I no longer experience heartburn, vomiting, and can sleep through the night. Now I enjoy eating hot wings, pizza, orange juice… the list can go on!”
Considerations for Surgery
While surgery can be life-changing for some, it’s not without risks and considerations:
- Potential complications and side effects
- Recovery time and lifestyle adjustments
- Not all patients are suitable candidates for surgery
It’s crucial to discuss surgical options thoroughly with a qualified healthcare provider.
The Emotional Toll of Chronic GERD
Living with a chronic condition like GERD can have significant emotional and psychological impacts:
- Frustration with ongoing symptoms
- Anxiety about eating or social situations
- Depression related to lifestyle limitations
- Feeling misunderstood by others
One patient expressed: “GERD can disrupt your life in a major way! There are people that can help! You DO NOT need to live with it for 20 years like I did.”
Advice from GERD Patients to Others
Those who have found ways to manage their GERD often have valuable advice for others struggling with the condition:
- Be persistent in seeking proper diagnosis and treatment
- Don’t hesitate to get a second opinion
- Explore different treatment options, including lifestyle changes and alternative therapies
- Consider joining support groups or online communities for GERD patients
- Keep a symptom diary to identify triggers and track progress
One patient emphasized the importance of advocacy: “Make your doctor listen… get checked out! Oh and go see Dr. Gillian to have your issue fixed! He’s AWESOME!”
The Role of Medical Professionals in GERD Management
While personal stories provide valuable insights, it’s crucial to remember the importance of professional medical care in managing GERD:
Importance of Proper Diagnosis
Accurate diagnosis is essential for effective treatment. This may involve:
- Endoscopy to examine the esophagus and stomach
- pH monitoring to measure acid levels
- Esophageal manometry to assess muscle function
Collaborative Care Approach
Managing GERD often requires a team approach, involving:
- Gastroenterologists for specialized digestive care
- Primary care physicians for overall health management
- Nutritionists for dietary guidance
- Surgeons for cases requiring surgical intervention
Patients should work closely with their healthcare providers to develop a comprehensive treatment plan tailored to their individual needs.
Emerging Treatments and Research in GERD Management
As medical science advances, new treatments and approaches to managing GERD are being developed:
Minimally Invasive Procedures
Innovative procedures like the LINX device implantation or transoral incisionless fundoplication (TIF) offer alternatives to traditional surgery for some patients.
Personalized Medicine Approaches
Researchers are exploring ways to tailor GERD treatments based on individual patient characteristics, including genetic factors and specific symptom profiles.
Gut Microbiome Research
Studies are investigating the role of the gut microbiome in GERD, potentially leading to new probiotic or microbiome-based therapies.
While these emerging treatments show promise, it’s important to discuss any new options with a qualified healthcare provider to determine their suitability for individual cases.
The Importance of Ongoing GERD Management
Managing GERD is often a long-term process that requires ongoing attention and care:
Regular Check-ups
Routine follow-ups with healthcare providers are crucial for:
- Monitoring symptom progression or improvement
- Adjusting treatment plans as needed
- Screening for potential complications like Barrett’s esophagus
Lifestyle Maintenance
Sustaining lifestyle changes that help manage GERD symptoms is essential for long-term relief. This may include:
- Maintaining a healthy weight
- Continuing to avoid trigger foods
- Practicing stress-reduction techniques
- Elevating the head of the bed for nighttime reflux
Medication Management
For those on long-term medication:
- Regular review of medication efficacy and dosage
- Monitoring for potential side effects
- Exploring options for reducing medication dependency when appropriate
By staying proactive in their GERD management, patients can often achieve better long-term outcomes and improved quality of life.
The Role of Support Systems in GERD Management
Living with a chronic condition like GERD can be challenging, and having a strong support system can make a significant difference:
Family and Friends
Support from loved ones can be invaluable:
- Understanding and accommodating dietary restrictions
- Providing emotional support during difficult times
- Assisting with lifestyle modifications
Support Groups
Joining GERD support groups, either in-person or online, can offer:
- A sense of community with others who understand the challenges
- Exchange of coping strategies and practical tips
- Emotional support and validation
Mental Health Support
For those struggling with the emotional impact of GERD:
- Counseling or therapy can help manage stress and anxiety
- Mindfulness and relaxation techniques may alleviate symptoms
- Addressing mental health can improve overall quality of life
Building a robust support network can enhance a patient’s ability to manage GERD effectively and maintain a positive outlook.
GERD in Special Populations
While GERD affects people of all ages and backgrounds, certain groups may face unique challenges:
GERD in Children
Pediatric GERD can present differently from adult cases:
- Symptoms may include frequent spitting up, coughing, or failure to thrive
- Treatment approaches often focus on dietary modifications and positioning
- Long-term management is crucial to prevent complications
GERD in Pregnancy
Many pregnant women experience GERD symptoms:
- Hormonal changes and physical pressure contribute to increased reflux
- Treatment options may be limited due to pregnancy safety concerns
- Symptoms often resolve after delivery, but may persist for some
GERD in the Elderly
Older adults may face additional challenges with GERD:
- Increased risk of complications due to longer exposure to stomach acid
- Potential interactions with medications for other health conditions
- Difficulty implementing certain lifestyle changes
Understanding these unique considerations can help healthcare providers tailor treatment approaches for different patient populations.
The Economic Impact of GERD
Beyond its physical and emotional toll, GERD can have significant financial implications:
Direct Medical Costs
GERD-related expenses may include:
- Prescription medications
- Diagnostic tests and procedures
- Doctor’s visits and specialist consultations
- Surgical interventions for severe cases
Indirect Costs
The economic impact of GERD extends beyond medical expenses:
- Lost productivity and missed workdays
- Dietary modifications and special food requirements
- Over-the-counter remedies and supplements
Insurance Considerations
Navigating insurance coverage for GERD treatment can be challenging:
- Some treatments may not be fully covered by insurance plans
- Prior authorizations may be required for certain medications or procedures
- Out-of-pocket costs can be substantial for some patients
Understanding the potential economic impact of GERD can help patients and healthcare providers make informed decisions about treatment options and long-term management strategies.
The Future of GERD Management
As research continues and technology advances, the future of GERD management looks promising:
Precision Medicine
Advancements in genetic testing and biomarker identification may lead to more personalized treatment approaches:
- Tailoring medications based on individual genetic profiles
- Predicting which patients are most likely to benefit from specific interventions
- Developing targeted therapies for different GERD subtypes
Technological Innovations
New technologies are being developed to improve GERD diagnosis and treatment:
- Advanced imaging techniques for more accurate diagnosis
- Smart devices for continuous pH monitoring
- Robotic-assisted surgical procedures for improved precision
Holistic Approaches
There’s growing interest in integrating complementary therapies into GERD management:
- Mind-body techniques like hypnotherapy or acupuncture
- Personalized nutrition plans based on individual tolerances
- Exploring the connection between gut health and GERD
As these advancements continue, patients with GERD can look forward to potentially more effective and personalized treatment options in the future.
Personal Stories – About GERD
Share your experience of living with a digestive disorder – it can be therapeutic for you as well as others who suffer.
Whether you or a family member has a disorder, we invite you to view more stories or share your own.
I am 28 years old and I have been living with IBS for over 10 years. It has not been easy and finding a good
Read More »
Hello guys, my name is Bianca and i’m 19 years old atm, i am struggling with this problem since i was 14 so for about
Read More »
I began to to excess acid in m stomach about twelve years ago with just occasional acid reflux. The symptoms went away while I continues
Read More »
I am not one to typically do this but this has been a major trial for me and I was able to overcome it so
Read More »
I have heartburn sometimes and I don’t take medicine because of side effects. I suggest people take celery juice and cucumber juice. You will get
Read More »
I was strolling on the internet one night. Looking for home remedies for GERD & gastritis. I have suffered from acid reflux as a child.
Read More »
About five or six years ago, I developed a small tickle in my throat. I thought it was from jogging daily in a city with
Read More »
TL;DRGERD sufferer for nearly 3 years. Been on Famotidine daily, now Omeprazole. Had an Upper Endoscopy that showed mild gastritis without H.Pylori, Ulcers, or Barrett’s
Read More »
I’ve never been diagnosed with GERD, but I suspect I may have it. My main symptoms are nausea, painful swallowing, cough and regurgitation. My mom
Read More »
When I was 14, in June, I had severe pain in my pelvic area and thought I was dying. I couldn’t stop sobbing and my
Read More »
International Foundation for Gastrointestinal Disorders
This information is in no way intended to replace the guidance of your doctor.
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Our Reviews – Virginia Heartburn and Hernia Institute
Laparoscopic Nissen Fundoplication
“I suffered from GERD for 20 years. I experienced a lack of sleep, vomiting every night, and was unable to enjoy all foods. My symptoms also consisted of hoarseness. It didn’t matter what I ate, from plain toast to spicy food wings, it all ended up the same way. I always had to have antacids with me.
I was diagnosed with GERD 20 years ago and was prescribed Prilosec, which didn’t help. I continued to experience all my symptoms all while taking up to 2 pills a day. I was on medicine for 3 years prior to having surgery.
I learned about the surgical options from Dr. Gillian. He showed me what my problem was and how it could be fixed. I choose to pursue treatment with hopes for a better life.
I had surgery 15 months ago and have since lost 50lbs. I no longer experience heartburn, vomiting, and can sleep through the night. Now I enjoy eating hot wings, pizza, orange juice… the list can go on! I am very satisfied with my surgery!
GERD can disrupt your life in a major way! There are people that can help! You DO NOT need to live with it for 20 years like I did. Make your doctor listen… get checked out! Oh and go see Dr. Gillian to have your issue fixed! He’s AWESOME!”
-Karen
Laparoscopic Nissen Fundoplication
“I lived with heartburn for about 20 years with increasing severe symptoms. It impacted my ability to enjoy my favorite foods and get a good, uninterrupted sleep. I also experienced weight gain as I ‘fed the burn.’ My symptoms consisted of burning in my esophagus, pain in my chest, and general discomfort. I enjoy spicy foods, and my esophagus would become inflamed and restricted. Heartburn was a constant undesirable companion. Falling asleep or lying on my back was troublesome and would lead to reflux. I always had a water bottle nearby to relieve the burning in my esophagus and chest.
I was diagnosed with reflux 10 years ago. My doctor prescribed me Prilosec, then Nexium, and Nexium became a steady prescription. Initially the medicine did help, but over time it became less effective and of shorter duration despite higher doses. All of my symptoms continued.
I found out about the Laparoscopic Nissen Fundoplication procedure while doing web research. Dr. Gillian described it as a wrapping of the lower esophageal sphincter and stomach tissue to provide a seal that prevents acid and bile flow to my esophagus. The failure of response to medication caused me to pursue treatment.
I had surgery 3 years ago and have experienced a general improvement in my quality of life. I am now enjoying ALL things that I had to sacrifice. I am absolutely satisfied with my decision to have surgery. Recovery was quick and there are no residual effects besides general improvement.
Patients should be aware that the dietary restrictions during recovery should be strictly adhered to…”
-James E.
LINX Patient
“I had acid reflux for 20 years. I was limited to foods, ate early, took medication, and had to sleep propped up in bed. Acid would enter my mouth in the middle of the night waking me up. I had to limit the foods I ate (i.e. peanut butter). I couldn’t eat any rich foods, and no acidic foods (i.e. tomatoes, an orange juice). I suffered from loss of sleep, had to eat early and limit what I could eat.
I was diagnosed 20 years ago and was prescribed Prevacid; which I took 2/day. The treatment did help at first, but I still had episodes on occasion. It took me 20 years until I decided to get help.
I attended a seminar Dr. Gillian held and saw an article in the newspaper. He [Dr. Gillian] explained surgery to me and it motivated me to get surgery done. I am now one year post op from having the Laparoscopic LINX done and my reflux is totally cured and I am able to eat anything when I want- especially orange juice in the A.M.! Am I satisfied with my results? Heck yes!
It will totally cure you- DO IT!!”
-William
LINX Patient
“I’d suffered from acid reflux for 20 years. I couldn’t eat much at a time, couldn’t eat spicy foods, or sleep on my back. I experienced nausea, and reflux of both food and liquids. Heartburn caused burning in my throat as well. It affected the way I ate too. I was unable to eat spicy foods and could only eat just a few bites during a meal. Acid reflux affected my life and was debilitating the last few years. I was sick to my stomach, experienced hoarseness and lack of sleep. The major impact it caused was on my diet.
I was diagnosed with acid reflux 20 years ago. My doctor prescribed me Nexium and Protonix, but it only relieved my symptoms for a few years then became ineffective. I started to experience reflux, heartburn, and hoarseness again.
My ENT physician referred me to Dr. Gillian. My condition was explained through drawings and he [Dr. Gillian] explained both possible procedures. When the medications became ineffective I decided to pursue surgery.
It’s now been 4 months since surgery and I have no more heartburn or reflux. I am able to eat spicy food once again! I am very satisfied with my surgery outcome.
Do not suffer. Have the necessary testing done, and if the testing shows you have reflux, have the surgery. I opted for the LINX procedure because it had less side effects.”
-Cheryl
LINX Patient
“I had heartburn for 15 years. At first, medicine controlled my reflux, but it got worse and worse and I would feel sick after eating, and drinking water. My reflux made exercising and sleeping very difficult. I was worried about cancer; my dad died from esophageal cancer). I had to sleep propped up with pillows. I experienced nausea, burning in my chest, belching, fluttering heart, and burning in my stomach. When I ate a bite of chocolate, I would be in pain. Coffee, red wine, and fried foods were bad, even when eaten in moderation. When I developed bile reflux, I had to take medicine four times a day which interfered with my scheduled meals. I was constantly worried about developing Barrett’s Esophagus and cancer and felt unwell all the time.
I was first diagnosed in 2002 and was prescribed Zantac to be taken every two weeks. It did help for a few years but my reflux got worse and then I was prescribed pantoprazole in 2009 after my endoscopy showed esophagitis and a hiatal hernia. After being on pantoprazole for five years, I decided to see someone.
I read about the Laparoscopic Nissen Fundoplication surgery and didn’t want to have that specific one done. I looked up alternatives and found out about the LINX procedure. I self-referred myself to Dr. Gillian and he explained the LINX as fixing a “plumbing problem” instead of trying to cover up my symptoms with prescribed medicines. My deteriorating quality of life and the death of my father to esophageal cancer motivated me to get help. Seven months post-op from surgery I’m feeling great. I can sleep flat at night, don’t feel nauseated, and I’m exercising more! I’m enjoying doing yoga, jogging, red wine, and sleeping! I am absolutely satisfied with my surgery!”
-Erica
“I had reflux for over 10 years. My acid reflux was tremendous and bothered me at night when sleeping. I would suffer from heartburn and gurgling in my chest. Tomato based foods and peppers were out of my diet and I had to eat before 6 pm so I that I wouldn’t have problems when sleeping. I was also unable to exercise.
I was on antacids and Prilosec for over 10 years and experienced little to no relief. When I saw Dr. Gillian in his office he spoke to me about different procedure that were available that could help with my reflux and even made drawings for me as to how the procedure would be done. I had surgery in February 2013 and now I can eat anything I want and have no more reflux! I can enjoy eating normal again. The major plus for after surgery was that now I can eat my spicy foods. I am most definitely satisfied with my surgery results.”
-James M.
Laparoscopic NIssen Fundoplication
“Eighteen months after surgery, I’m experiencing no heartburn related symptoms.”
“I suffered from heartburn, chest pain, and occasional stomach aches for 34 years. The symptoms were bothersome, but I suffered through them.”
“The medicine helped for a couple of years but I was still unable to eat spicy foods and sleep without chest pain.”
“Dr. Gillian discussed surgery with me with drawings and pamphlets. Once I had the procedure I was able to sleep without chest pain, and had no heartburn related symptoms.”
-Cynthia
“I suffered with reflux for 3 years. I had a hard time swallowing, breathing, and had post nasal drip consistently. The cold temperature outdoors made my symptoms worse and cardio exercises was challenging. I also would have difficulty sleeping, cough consistently, clearing of my throat, shortness of breath, and had asthma like symptoms. Enjoying spicy foods and alcohol was out the picture!
It took three years until I was properly diagnose with GERD. Over the counter meds were just band aids with no real relief. My symptoms either disappeared almost automatically or were reduced significantly.
After seeing Dr. Gillian on a news report on NBC4 made me come into the office for a consultation. He [Dr. Gillian] described the LINX procedure as a metal rubber band, similar to a candy necklace, which sits on top of the stomach around the esophagus allowing food down and not up. After hearing about this procedure I knew I wanted my problem fixed.
Following surgery my asthma like symptoms were gone and I was able to breathe again! I am happy with my results following surgery.
Don’t put off getting yourself checked out. Dr. Gillian has be a savior of sorts since getting this done.”
-Adrian
“For 9 years I suffered from reflux and at one point it got so bad that I couldn’t work. My reflux affected my sleep so greatly as if I had sleep apnea- I would wake up continuously at night. I suffered
-Jill
How to live with gastroesophageal reflux disease?
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- How to live with gastroesophageal reflux disease?
Interviews with doctors
Arabova R.D.
Gastroenterology
Gastroesophageal reflux disease (GERD) is a common chronic disease in which the contents of the stomach or duodenum enter the esophagus, causing damage to the lining cells. This disease leaves a certain imprint on the life of a person who suffers from it, because in order to effectively stop the exacerbations of the disease, you need to follow certain rules of nutrition, behavior, undergo regular examinations and therapeutic measures. Robiya Damirovna Arabova, a practicing gastroenterologist at the Kaliningrad medical center Class Clinic, spoke about how to live with GERD.
Tell me, what difficulties do people with GERD have?
Normally, the human esophagus is separated from the stomach by circular muscles (sphincter), which prevent stomach contents from entering the esophagus during digestion. In GERD, this muscle does not perform its function properly, the sphincter is open or not fully closed. Accordingly, the aggressive contents of the stomach or duodenum with hydrochloric acid, food, etc. enter the esophagus, where the environment is completely different, and have a striking effect on its mucosa. This is manifested by constant heartburn, a burning sensation, belching, pain behind the sternum may appear. Pain can radiate (give) to the jaw, under the shoulder blade, and pain attacks can also be accompanied by nausea and vomiting. All these symptoms usually occur after eating or at night.
This disease is caused by such causes as stress, nervous regulation disorders, dietary disturbances, abundant food, abuse of spicy and hot food, heredity, excess weight, pregnancy. Single reflux of stomach contents into the esophagus can also occur normally. For example, when a person ate a lot, when drinking alcohol, smoking, after and during a meal. If symptoms such as heartburn, belching are observed sporadically and rarely, most likely, we are not talking about a disease. If these signs occur frequently and constantly (2 or more times a week), you should immediately contact a specialist. One of the exact methods of confirming this disease is FEGDS (gastroscopy).
One of the most serious complications of GERD is Barrett’s syndrome or Barrett’s esophagus – a serious disease that occurs as a result of long-term regular exposure to acidic gastric juice on the esophagus. As a result, a change in the cells of the mucous membrane of the esophagus develops, which is a precancerous condition. Erosions of the esophagus may also occur, which scar, causing narrowing of the lumen of the esophagus over time (scarring stricture of the esophagus). GERD can be accompanied by anemia due to constant trauma and erosion of the esophageal mucosa.
What are the rules to prevent exacerbations of GERD?
The choice of specific measures depends on the degree of damage to the esophagus.
In any of the forms of the disease, it is necessary to take antacids (drugs that protect the mucous membrane from the aggressive effects of hydrochloric acid), drugs that neutralize the action of acid, as well as prokinetics – drugs that help restore the normal functioning of the sphincter.
Proper nutrition is an important element:
Elimination of cold, hot and spicy foods from the diet.
Carbonated drinks are strictly prohibited.
Refuse coarse food, foods must be thoroughly chewed or specially processed (food must be finely chopped, mashed, porridge).
Restriction of all fatty foods and fast foods (all high-fat foods relax the sphincter and contribute to the development of the disease).
Exclusion of canned food, smoked and fried fish, legumes, sour vegetables and fruits, citrus fruits (the latter increase the secretion of hydrochloric acid in the stomach)
Limiting the amount of sweets and chocolate, coffee is also prohibited during the period of exacerbation.
Restriction of consumption of tomato products.
What diet do you recommend for patients with GERD?
It is important for a person with this disease to remember that he should eat little and often. Every 2-3 hours, in small portions. The key point is that there should be little food in the stomach, which will prevent excess hydrochloric acid, which means it will alleviate the condition and prevent damage to the mucous membrane. After eating, you can not take a horizontal position (lie down). The last meal for a person with GERD should end at 7 p.m.:00-20:00 (2-3 hours before bedtime). Increase the proportion of vegetable proteins, complex carbohydrates (rice, bread, pasta) in the diet.
What in the lifestyle can provoke exacerbations of GERD, what habits should be abandoned?
It is necessary to completely give up alcohol and smoking, get rid of excess weight. Avoid the use of peppermint essential oils, which can be found in chewing gum, toothpaste and a number of other hygiene and cosmetic products, as they relax the esophageal sphincter. It is also necessary to abandon any activities in which you have to bend over often and for a long time.
It is especially dangerous to do something or work in an inclined position after eating. It is worth refusing to wear tight waist belts and, if possible, exclude any pressure on the abdominal cavity. With GERD, weight lifting and power sports are contraindicated, in which the load on the abdominal muscles increases (bodybuilding, weightlifting, martial arts are especially dangerous). And one more important point – during sleep, the head of the bed should be in an elevated position (15-20 cm).
Make an appointment with Robiya Damirovna Arabova on the website or by phone (4012) 33-44-55.
Make an appointment
how stomach surgery helped me cope with suffocation
This text was written by a reader in the Community. Carefully edited and formatted according to editorial standards.
Ilya Orlov
underwent surgery for GERD
Author’s profile
As a child, I sometimes felt a sour taste in my mouth, and from the age of 14, heartburn began to bother me.
The problem occurs after I overeat or eat something sour, like citrus. Then I didn’t attach any importance to it. I thought that everyone experiences heartburn from time to time – at least many in my family suffered from it.
By the age of 16, unpleasant sensations became more frequent, and at 18 I first turned to a gastroenterologist. I had a gastroscopy – they examined the esophagus and stomach with a special tube and diagnosed “gastroesophageal reflux disease with esophagitis”.
What is gastroesophageal reflux disease? In its lower part there is an annular muscle – the esophageal sphincter, which relaxes when swallowing, and the food bolus passes into the stomach. The sphincter then contracts to prevent food from escaping back. But sometimes the sphincter contracts weakly and the acidic contents of the stomach are thrown up, and the person feels heartburn. This is called acid reflux.
Everyone has acid reflux, for example after overeating or drinking alcohol. But normally this rarely happens. If discomfort bothers you regularly, doctors suspect GERD – gastroesophageal reflux disease.
GERD heartburn can occur at any time, but is more common after meals or when lying down. Some people do not suffer from heartburn, but complain of severe pain in the chest, which may be mistaken for pain in the heart. Sometimes a person is bothered by sour belching, nausea, pain in the upper abdomen, hoarseness in the morning, difficulty swallowing.
In some people, the acidic contents of the stomach move up the esophagus and are thrown even further into the larynx and pharynx, which leads to their inflammation. This condition is called LPR – laryngopharyngeal reflux, extraesophageal, “silent” or atypical reflux. The reason for LPR is a weak contraction of not only the lower, but also the upper, located next to the pharynx, esophageal sphincter.
In GERD, acidic gastric juice is thrown from the stomach into the esophagus, and in some it rises higher and enters the larynx and pharynx In GERD, acidic gastric juice is thrown from the stomach into the esophagus, and in some it rises higher and enters the larynx and pharynx
Formally, laryngopharyngeal reflux is classified as a manifestation of GERD, but in the medical literature this pathology is often considered separately. Most people with LPR do not have heartburn or sour regurgitation. They complain of a burning sensation, lump in the throat, constant hoarseness, cough, mucous discharge from the nose and throat.
Diagnosis is usually made by a gastroenterologist based on symptoms. But if the symptoms of the disease are atypical or the doctor suspects complications, he may prescribe a gastroscopy and other additional examinations. For example, if LPR is suspected, a barium x-ray is done to make sure there are no problems with swallowing.
As a treatment, it is recommended to adjust the lifestyle: exclude foods that cause heartburn, do not eat at night, sleep with the head up, do not smoke, reduce weight to normal. If this does not help, additional medications are prescribed: antacids, h3-histamine receptor blockers, proton pump inhibitors.
If medications and diet are not working, your doctor may suggest surgery to strengthen your lower esophageal sphincter. To do this, the Nissen fundoplication is most often performed: the upper part of the stomach is wrapped around the lower part of the esophagus – so that as a result a cuff is formed that prevents acid from being thrown from the stomach into the esophagus.
Fundoplication is done in patients with GERD who are not responding to drug therapy. Source: mayoclinic.org Fundoplication is performed in patients with GERD who are not helped by drug therapy. Source: mayoclinic.org
More than 90% of patients are satisfied with the results of the operation. But some complain about the emergence of new problems: difficulty swallowing, discomfort in the upper abdomen, diarrhea, weight loss. Approximately 8% of those operated on have GERD symptoms that do not go away or reappear over time. In such cases, a second operation is performed or a new drug therapy is tried.
How I got worse
The doctor prescribed a treatment: first Omez, it reduces the production of acid in the stomach, then other drugs with a similar effect – they are called proton pump inhibitors. In addition to taking pills, he recommended eating in small portions, but more often and avoiding foods that provoke heartburn: coffee, rye bread, fatty meat.
I did not follow the dietary recommendations: I ate a couple of times a day, sometimes overeating. The consequences were not long in coming, after 20 years I had new unpleasant symptoms: itching, feeling of a lump in my throat and occasional cough.
/list/gastroenterologia/
15 important questions for gastroenterologist Alexey Golovenko
At first it didn’t bother me much, but I changed the way I eat. Heartburn stopped tormenting, but problems with the throat did not go away. The cough became constant over time, the voice was hoarse, it was painful and hard to speak. The disease was utterly exhausting: I withdrew into myself, practically stopped communicating with people, was constantly in a bad mood and could not work normally.
Go to the doctor
We do not make recommendations in this article. Please consult with your doctor before deciding on treatment. The responsibility for your health rests solely with you.
My treatment
Medical therapy
To find out what was wrong with me, I visited about 20 doctors. I went to private and public clinics. I usually started with a therapist, who sent me to Laura. Lor said that the cause of the problems is that the acidic contents of the stomach are thrown into the esophagus, and from there it rises higher – into the throat, due to which the larynx, pharynx and vocal cords become inflamed. He prescribed various sprays and rinses and sent me to a gastroenterologist for further treatment. The gastroenterologist again prescribed antacids, proton pump inhibitors, and drugs that speed up the movement of food through the stomach.
In each new clinic, the chain of doctors was repeated. I had fluorography, gastroscopy, X-rays with barium, and some other studies. They found achalasia of the cardia, that is, insufficient relaxation of the lower esophagus, and a hernia of the esophageal part of the diaphragm – when the upper part of the stomach protrudes into the esophagus.
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Doctors explained that these conditions were the cause of gastroesophageal reflux, but they offered only medication. They said that there were no indications for surgery: the hernia is small and does not interfere with life. Perhaps, during the diagnostics, they found something else, but I don’t remember exactly.
Once I once again visited a gastroenterologist, and he said that he no longer knew how to help me, and sent me to a psychiatrist. He prescribed antidepressants. I took them for just a few days, then quit: I didn’t understand how they could cure cough and hoarseness.
As a result, over these two years, I spent about 200,000 rubles only on medicines. It is difficult to say how much consultations and examinations cost.
My treatment
Operation
When I was 24, I stopped going to doctors and began to study the problem on my own. I found in English-language sources that my condition is described as laryngopharyngeal, or in other words “silent” reflux.
It is called laryngopharyngeal because the acid, rising through the esophagus, enters the larynx and pharynx – in Latin they sound like larynx and pharynx, respectively. And “quiet” – because such patients most often do not experience heartburn, they are more worried about coughing and discomfort in the throat. In fact, it was about this state that I had previously heard from lores, only without complex terms.
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All the medical treatments that are offered to patients with “silent” reflux, by that time I had already tried. There was only one thing left – an operation called the Nissen fundoplication.
The idea of going under the surgeon’s knife because of a cough seemed absurd.
At first I did not want to be operated on, but everything changed after literally a few months later I began to suffer from asthma attacks. There was a feeling that my throat was being squeezed from the inside, I was really suffocating. Then I realized that there was no other way out, and turned to the surgeon.
There are few experienced doctors in my region, so I went to the nearest large city — Kazan. There I signed up for a paid consultation at the Interregional Diagnostic Center. At the reception, he told his story, showed the conclusions of previous doctors. The surgeon said that in 20 years of practice he was faced with this for the first time and it seems like an operation is not indicated in my case, but still he can convene a council to discuss this issue.
As a result, the specialists decided that the operation would be performed, but they could not give any guarantees: there is a risk that there will be no effect from it, so the final decision remains with me. I decided that I had no choice and agreed to be operated on.
Preparation for surgery. Before the operation, I did a fluorography, an ECG, and passed several blood tests. He went to the hospital three days before her, and all this time it was impossible to eat, they were only allowed to drink water. The most difficult thing was to mentally prepare for the operation: I found myself alone in a foreign city, there was no one to support me. But I tried not to lose heart and believed in a good outcome.
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Operation. On the day of the operation, my legs were bandaged with elastic bandages, put on a gurney and taken to the operating room. There, a catheter was installed in a vein, a drip was connected to it, and I fell asleep. Slept for several hours. During this time, the surgeon made several miniature incisions on the abdomen, through which he got to the stomach and esophagus, did everything that was needed, and put in stitches.
The sutures were treated with brilliant green after the operation
After the operation. I woke up in intensive care. Physically, I felt fine, nothing hurt anywhere, only weakness was felt. It was annoying that the environment around was noisy, so I couldn’t sleep. The nurses put droppers with some solutions, and six hours later they were transferred to a regular ward.
For the first day, I couldn’t eat at all, then they kept me on a soft diet: they gave me mostly puree soups and jelly. At first it was difficult, it seemed that the food was stuck somewhere in the esophagus. But the doctor said that this is a good sign: it means that the lower part of the esophagus has strengthened and reflux will no longer bother. Gradually, the esophagus “developed”, the food passed easier and easier each time.
The weakness persisted for another week after the operation, it was difficult to walk, and I moved along the corridor holding on to the handrails on the wall. And when I got stronger, the stitches were removed and I was discharged home.
After the operation, I was advised to follow a diet: to exclude salty, spicy and fried foods from the diet and a bunch of specific foods. Everything else had to be eaten often and in small portions. In addition to the diet, the surgeon prescribed medications: Motilac, which speeds up the movement of food through the stomach, and Nexium, which reduces acid production.
Before I was discharged, I had to pay for treatment – 70,000 R for the operation itself and 4,000 R for each day of hospital stay. But a miracle happened: a hospital employee asked me to sign some documents and said that the state would pay for the treatment. As a result, the money remained with me.
How I feel now
After the operation, I lost ten kilograms due to a strict diet. For some time, the cough, the feeling of a lump in the throat and hoarseness still persisted. After I was discharged, I consulted with the surgeon about this, he recommended walking for ten minutes after eating. It helped, the symptoms began to pass, every month I felt better.
The surgeon warned that over time the lower part of the esophagus might weaken again, in which case the operation would have to be repeated. But I try not to think about it.
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