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@kanaazpereira

Hi @nightngale1998,

I found this interesting article about discontinuing PPIs, that you may wish to read: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3995199/

I'd really like to invite @kozlo52 @peck1944 @darlia @fourof5zs to this discussion, as they've shared some valuable insights about hiatal hernia and GERD in other discussions.

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Replies to "Hi @nightngale1998, I found this interesting article about discontinuing PPIs, that you may wish to read:..."

i really didn't find any other info in this article that i didn't know already. My problem is that i havebeen experiencing "heartburn sensation", even though bravo 48 hr testing has indicated no acid reflux since the fundoplication of nov. 2016. I have been diagnosed with "hyper sensitive esophagus". it's the feeling of heartburn but is the esophagus being disturbed. I also still experience gagging type syndrome.
i plan to have another endoscopy on7/12/18, by my gastroenterologist. i can not tolerate another 48 hour bravo because of severe arthritis in the c3-c7 region of my neck and stenosis in my back L4-L5. I was supposed to get epidermals for the back and neck on 6/28/18 but my "heartburn" was so bad that i could't due to the possibilty of being intibated sfter c3-c4 cortisone injection to act as a nerve block. C3 controls your breathing thus the potential for intibation. Antacids do not work on my heartburn. I am on zoloft 100 mg and up to 4 atavan (1mg) per day to control tyhe "perceived heartburn". By the time i take the 3rd atavan i am sleeping in my recliner by 6pm. The possibity exists that the bile that was found in my stomach after gallbladder removal might be disturbing the stomach, becuase my symptoms feel like bile reflux ( throat burn, mouth burn, sour taste). it does not matter what i eat or drink. Water seems to make thing worse. Ensure does help better. This may explain why my weight has gone up 15 lbs sice 11/2016....Anyone else have this after fundoplicatio followed by gallbladder. I personally did better before the fundo being on 60 mg of prevacid and 4000mg od sulcrafate. I regret ever having the fundoplication. I would like to have an esophagael impedence to see if the bile is the culprit. If it is then a ROUN-Y procedure may be needed which will put a bypass from the stomach to a lower part of the intestine to keep bile out of the stomach. If bile is not the culprit then it may back to reversal of the fundoplication. I can't take the gagging and "burn" continuosly.....kozlo52

@kanaazpereira I realize this is a very late response, but for anyone currently reading through this message board, it should be said that the article the moderator posted is a Q&A with a physician who is a speaker for AstraZeneca, the distributors of the leading PPI, Priolsec. I found his comments re: "rebound acid" to be completely downplayed and neglectful in mentioning any of the studies that reveal strong evidence that this is, in fact, a "significant clinical issue" for patient's experiencing it.

@kanaazpereira: you should be completely transparent in the information that you are posting, particularly as moderator of this forum.