GERD Coughing & Tickle in throat/SURGERY??

  : : I have been taking PrevacidPrevacid
Prevacid i.v.
Prevacid naprapac 375
Prevacid naprapac 500
Prevacid solutab for 3+ wks, and all of my symptoms have abated EXCEPT for the cough. It got better but has returned in the last couple of days, and it is driving me CRAZY!! I take this to mean that the aspirationBone marrow aspiration
Joint aspiration
Lung needle biopsy
Meconium aspiration syndrome
Skin lesion aspiration
Synovial fluid analysis
Aspiration
Thoracentesis is still taking place. Would surgery remedy this? How majorMajor tears
Major-gesic is the recuperation after LES surgery? Is it something to try to avoid at all costs, or is it a "relatively" minor surgery that I might choose to request? Please tell me what one should expect during the post-surgery period. Thanks.
  : Dear Kay,
  : I'm glad to hear that lansoprazoleLansoprazole
Lansoprazole-naproxen (PrevacidPrevacid
Prevacid i.v.
Prevacid naprapac 375
Prevacid naprapac 500
Prevacid solutab) has relieved most of your GERD related symptoms. The pulmonary symptoms of GERD usually take longer than three or four weeks to get better. You didn't mention the dose of  lansoprazoleLansoprazole
Lansoprazole-naproxen (Prevacid) that you are taking. Perhaps a higher dose for 3-6 months might help your cough. Furthermore, instituting strict dietary and lifestyle modifications called anti-reflux measures may prevent the need for surgery. Fundoplication is not a trivial operation and carries with it some risks. Nevertheless, today, the procedure can be done laparoscopically (without a large open incision) minimizing recovery time and if successful it effectively prevents reflux. Post-operatively some patients experience difficulty swallowing and bloating. Finally, prior to considering surgery, it must be established that your symptoms are secondary to GERD. Many gastroenterologists and surgeons will perform an extensive pre-operative evaluation including endoscopy, esophageal manometry and 24 hour ambulatory pH monitoring to confirm the diagnosis of gastroesophageal reflux disease. I hope you find this information helpful.
  : This response is being provided for general informational purposes only and should not be considered medical advice or consultation. Always check with your personal physician when you have a question pertaining to your health.
  : If you would like to be seen at our institution please call 1-800-653-6568, our Referring Physicians' Office and make an appointment to see Dr. Muszkat, one of our experts in Gastroenterology.
  : HFHSM.D.-ym
  : *Keywords: gastroesophageal reflux disease, lansoprazole (Prevacid), fundoplication, cough
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