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POEM Surgery for Achalasia

Digestive Health | Last Active: Apr 15, 2023 | Replies (105)

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@candidough47

I had Poem 4 months ago for Achalasia 3. I’m eating but still cautious. Recently I seem to have to belch and am hoping that isn’t a sign of the procedure not working. Anyone with post poem results etc.

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Replies to "I had Poem 4 months ago for Achalasia 3. I’m eating but still cautious. Recently I..."

Belching is like a pressure-release valve…it could turn into quiet burping after a few more months. I couldn’t belch/burp for two years before POEM. I developed diverticulum and need a revision. If symptoms don’t improve, or return in a different manner after a few more months, something could be up.

I believe I had a POEM for an esophageal stricture.

And I have 'severe' GERD.

And I belch. Loud and often. EVERYTHING that goes down results in a displacement, usually of air.

Liquids are the worst.

It will be like this the rest of my days.

What I finally got out of the gastro-guy was that in the process of fixing the narrowing of my eso, and the hiatal hernia, the valve between my esophagus and stomach was rendered useless. That valve got the 'incoming' signal and would open to accept new food, and the seal again. Only rarely would it need to open for exhausting air.

Now there is free flow BOTH WAYS. The passage is ALWAYS WIDE OPEN to ANYTHING GOING DOWN, OR COMING BACK UP.

By prescription, I take double the usual omeprazole, and carry Gaviscon© with me EVERYWHERE.

I don't eat. I have a can of Progresso© soup a day and a soft boiled egg most days. Neither have I a tooth in my head. A long story for a different thread and group.

My sitting posture (upright as I can stand) and lying position (on my right side) also make a big differences in what is going on in my gut.

My sitting posture (upright as I can stand) and lying position (on my right side) also make a big differences in what is going on in my gut.

I've dropped from 165 to 135 in the three years this has been going on. The fall was rapid - over only a few months. The POEM was nearing a year ago. Just prior to my procedure there was a snafu with my Cymbalta script that left me un-high and VERY dry for FOUR WEEKS, and I nearly ended up in an ER. Or a morgue. I spent an hour on the PHONE with an WONDER ER nurse who was able to get me calmed down.

I still drink coffee. I know I ought not, but it is my sole 'vice' anymore, now that I am in the state's Medical Marijuana program.

I hope something here is of value.
(=^..^=)
KK