Re: Re: non impact carbs--acid reflux

[Guest guest]

Steve, I know nothing about physiology either. But, everything you're saying

makes total sense. In laymen's lingo, the body's way of trying to normalize

may be for the cells to become acid-producers. I'm sure we produce some acid

or the food would come out the way it went in. But, if this metaplasia

happened, wouldn't it assist the food in breaking down for better absorbability?

And, if so, I would think the lab results would normalize, similar to pre-WLS,

or with the amount of vitamins and minerals we take, some numbers would even

shoot through the roof. I don't know, just pure speculation.

in NJ

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In a message dated 6/9/2003 8:41:46 AM Eastern Daylight Time, sng@...

writes:

>

> I think you are correct about acid reflux--if the acid cannot get up

> to the esophagus from the stomach, there can be no reflux. But,don't

> the cells in the pouch also produce acid which could get up into the

> esophagus? I do not know enough about the normal physiology of the

> pouch and its cell lining, but, even if the cells lining the pouch

> normally did not produce acid it would still be possible for the

> cells in the pouch to transform to acid-producers (orderly cell

> transformations like this are called " metaplasia, " and when they

> start to transform in a really disorganized way, " dysplasia " ). There

> is also a possibility that cells lining the esophagus could produce

> acid themselves by transforming from their normal type to an

> acid-producing type. This type of cell metaplasia is known as

> Barrett's esophagus.

>

> --Steve

[Guest guest]

Other than reflux, can the bile cause symptoms similar to heartburn? I have

been getting heartburn (no reflux), and I still have my gallbladder. This is

interesting because, I think, most of us automatically assume acid reflux,

never bile.

BTW, Jac, sending out prayers & good wishes for your Mom's & your upcoming

revisions.

in NJ

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In a message dated 6/9/2003 9:02:56 AM Eastern Daylight Time,

jholdaway@... writes:

> It could also be that what you are experiencing is not ACID reflux, but

> bile

> reflux. I've had it for a number of years, have lost all my teeth as a

> result, and am getting a revision soon. This is because of the type of

> surgery I had. I had a loop bypass (pre-RNY), and will be converted to a

> true RNY.HOWEVER, my surgeon tells me that is may not completely eliminate

> the problem. He's also doing an ultrasound on my gall bladder before hand,

> to see if it needs to come out too. Personally, I think it does. But, once

> again, that may not cure the problem. Bile is not produced solely in the

> gall bladder. My mother is having the same revision done on the 16th, for

> bile reflux, and she hasn't had her gall bladder since her WLS 20 years ago.

> If antacids, proton pump inhibitors, etc. aren't working, and you've been

> treated for h. pylori (bacteria that cause ulcers), then this might be what

> your problem is. These things don't work on bile.

>

> Jac

>

[Guest guest]

Docs like that are definite keepers...they're so hard to find, in my

experience. I had a similar experience with my PCP when I had an HMO, although

not

nearly as dangerous. Because I'm self-employed, I opted to pay a bit more

(well, a lot more) just to have a PPO...I must have choices, especially to be

able

to see specialists without referrals, as well as doctors in or out of network.

Unfortunately, not every has that option.

in NJ

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In a message dated 6/9/2003 10:30:34 AM Eastern Daylight Time,

jholdaway@... writes:

> , the symptoms are often EXACTLY the same. Mine are, but to the point

> of actual vomiting. And that is why my (now former) PCP kept prescribing

> medications for ACID, even though I knew it was bile (I could SEE it), and

told

> him so. I changed PCPs on Friday. I think we (both hubby and I changed) are

> going to really like him. We saw him for an introductory interview, and he's

> very easy to talk to and listens.

>

> Jac

>

[Guest guest]

You and me both........I developed 3 in my jeujunum(sp)...while on Rx

strength Zantac twice a day. P.

Re: Re: non impact carbs--acid reflux

> I understand the concept of why we're not supposed to have acid reflux

after

> our RNY surgeries, but for me, I still had some. I was on prescription

> strength Pepcid twice a day to treat, and have since develped an ulcer in

my

> pouch. So now I am on Prevacid 30 mg. a day and probably will be for

life.

> I guess I am an exception to the rule.

>

> Jeanne in WI

> Age 39 - Dr. T. Chua

> Open RNY - 5/21/02

> 314/210/199 or less

> djgraves@...

>

>

> Homepage: http://groups.yahoo.com/group/Graduate-OSSG

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