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Barretts esophagus with hiatal hernia & GERD

I have severe GERD, Barretts Esophagaus and Hiatal Hernia. I have been on medication for my reflux which does help with reducing the acid but i regurgitate after every meal and still have some reflux problems.I have minor difficulty swallowing at times. Should i ask to have surgery for my condition?
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63984 tn?1385437939
I agree with Smiles, you really should get the tests she recommends.  I'd google 'dysphagia', you might find you fit in that niche.  Without the tests mentioned, it's just guesswork to find a solution, in my opinion.

By vomiting after every meal, it would raise a huge red flag to me.  You can't be getting the nutrients you need, and if you are vomiting from the stomach, the acids will certainly affect your Barrett's, but also your vocal chords and also will eventually affect your teeth, you will lose the enamel.  From what you have reported, I'd talk with your doctor about more tests and get very aggressive about your condition.  Stomach acids are very, very strong.  When I had a condition that allowed stomach acid back into my esophagus, in a short time my vocal chords were burned out and my teeth turned black because of the stomach acid.  I had surgery to repair the problem (Nissen Fundoplication) and had my teeth coated at great expense, but I still struggle to be understood when I speak.  
If the problem isn't from stomach acid, it is still a dangerous condition as food stuck in the esophagus is just that, and can be a life-threatening obstruction.

Keep us informed.
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Avatar universal
Thank you so much for your quick response. I was also wondering if you could tell me if the following symptoms are due to my condition: Pain in the center of my chest after i do a lot of overhead lifting, trouble swallowing( feel like i have a lump at the base of my throat), i regurgitate after i eat(every single time),some foods are worst than others, occasional nausea, if i get really nauseated i will try and make myself vomit sometimes that's the only way i get relief, but lately i have noticed that when i'm bent over i can't, as soon as i stand straight up i begin to regurgitate..
Thanks again
Helpful - 0
329165 tn?1515471990
When you are experiencing symptoms while on maximal treatment and you have changed your diet and lifestyle, are not obese and do not smoke, you may just benefit from the Nissen Fundoplication Surgery.

You need to get yourself referred to a Surgeon, that is wellknown to your GI Specialist, and take all your reports, histology and Scopes with you.  But before they can decide on Surgery, you will have to get Manomatric study done to measure your LES function and make sure you have good peristalsis.  24hr Impedance study that also measures PH and non-acid reflux may also be necessary, but that is more diagnostic and skip that one if you can - it is really uncomfortable.

Even after Nissen surgery you will have to stay on Barrets suveillance program and you can also talk to the Surgeon on treatment for that at a later stage.

Hope you get your referral soon and let me know how you are doing.

All the best,
Helpful - 0
Avatar universal
Endoscopy on 12/21/2011, no on Manomatric study & PH study.
Helpful - 0
329165 tn?1515471990
Hi there,

I can try and help you if you give me more information.  When was your last Endoscopy?  have you had Manomatric study, 24hr PH Study/Impedance study done yet?

These are all the tests that needs to be done to determine if you are a surgical candidate.
Helpful - 0
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