If you have symptoms of GERD, IBS, or other intestinal problems, see your doctor for a thorough exam. Depending on your symptoms, you will likely need evaluation and testing to determine your diagnosis and which treatment options are best for you. Esophageal manometry (to measure pressures in the esophagus) or pH monitoring (to see how much stomach acid is coming back into your esophagus). The preparation for this procedure is much like preparing for fundoplication. But, you should check with your doctor about the correct preparations for you.
Your surgeon will cut into your abdomen : one large cut for open surgery, or a few small ones for laparoscopic surgery. Then they’ll wrap all or part of the top part of your stomach around the lower part of your esophagus and sew it in place. This tightens the esophagus, which helps prevent stomach acid from backing up into it. After midnight the night before the operation, you should not eat or drink anything except medications that your surgeon has told you are permissible to take with a sip of water the morning of surgery.
Your surgeon will discuss these with you. They will also help you decide if the risks of laparoscopic anti-reflux surgery are less than non-operative management. Preoperative preparation includes blood work, medical evaluation, chest x-ray and an EKG depending on your age and medical condition. If you feel that sugar is affecting your acid reflux symptoms, you should consult with your doctor. They may ask you to keep a food diary. In the diary, you’ll note what you eat and whether you experience any symptoms after. This can help you and your doctor pinpoint whether your symptoms are caused by the sugar or other foods.
Patients are encouraged to engage in light activity while at home after surgery, and should avoid heavy lifting or strenuous activity for a short period of time which will be determined by your surgeon. Occasionally, patients may require a procedure to stretch the esophagus (endoscopic dilation) or rarely re-operation. site It’s time to see your doctor if you have acid reflux symptoms two or more times a week or if medications don’t bring lasting relief. Symptoms such as heartburn are the key to the diagnosis of acid reflux disease, especially if lifestyle changes, antacids, or acid-blocking medications help reduce these symptoms.
Different stimuli may trigger IBS symptoms in different people. For instance, in one person things like intestinal infection or medication may cause symptoms, while other people may react to certain foods or stress. Trigger foods for acid reflux include spicy foods, fatty foods, and fruits and vegetables high in acidity. Caffeinated beverages, such as coffee and tea, can also cause acid reflux. Esophyx is a new device that allows doctors to fix the problem that causes acid reflux and rebuild the valve between the stomach and the diaphragm by going through the esophagus.