complication to fundoplication 10 years after surgery

I had fundoplication surgery about 10 years ago. It was largely a success with the major issues. I did however over a period years need Prilosec once daily. Two months ago, I ate something that did not agree with me that led to a rough episode of vomiting. Since that episode, I have had pain in my esophagus, bloating, inability to eat larger meals, acid taste in my mouth. I am still taking Prilosec once daily (I have side effects if I take it twice daily) and 300ml of Zantac once daily as well. I had an upper GI and the wrap appears to still be in place, but I am suffering with pain (not burning), bloating and overall discomfort. My doctor wants to check on how my stomach is emptying, but I am convinced that this was a direct result of the vomiting as this dramatic change in my condition occured within 12 hours of the vomiting. I have also noticed that if I do any sucking (on a straw, lollipop etc) that it seems to trigger this condition for the worse. I like my doctor, but he seems to be a a bit of a lose as to what exactly is going on.

From a laymen's perspective, it feels as if my stomach is trying to press up through into my esophagus. Any advice would would be greatly appreciated.

[Ratnakar Kini, MD]

Hi Chris,
I would suggest you to undergo the following tests -

1. 24 hours pH monitoring - to find if there is any reflux
2. Esophageal manometry ( usually done along with ph Monitoring) - To assess the status of the lower esophageal sphincter
3. Gastric emptying scans - To see whether a delayed emptying is causing all these.

Till then you can continue with Prilosec and  follow some the life style changes needed to control GERD.
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The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.

- Ratnakar Kini M.D.