Questions in the Gastroenterology and Liver Diseases Forum have been answered by Dr. Kevin Pho who is board certified in Internal Medicine and by doctors from Henry Ford Health System.

Question Title: Post Nissen Fundoplication

Forum: The Gastroenterology and Liver Diseases Forum
Topic: Digestive

I had a Nissen fundoplication and a hiatal hernia repair about
6 months ago. All went well. About 2.5 months ago I started having
what seemed to be occasional reflux. After the symptoms began to
get worse ( heartburn, reflux, difficulty swallowing) and more
frequent I had an esophogram and an upper GI which showed a small
hiatal hernia. I then had a gastric empting study which I was told
did not show any reflux. Right now I am only taking tums. Do you
have a clue to what is going on? I see the Dr. again in a few weeks.

__
dear Marty,
gastric emptying tests assess the rate at which material leaves the stomach. It is not a good test for esophageal reflux. To assess reflux you should have a 24 hr pH probe study. While you await the appointment with the physician, you should try symptomatic treatment with over-the-counter H2 receptor antagonists e.g, Pepcid AC.

This information is presented for educational purposes only. Always consult your personal physician for specific medical questions.

HFHSM.D.-rf
*keywords: esophageal reflux, fundoplication
0.2

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Question Title: Post Nissen Fundoplication

Forum: The Gastroenterology and Liver Diseases Forum Topic: Digestive

Forum: The Gastroenterology and Liver Diseases Forum
Topic: Digestive