RE: Re: non impact carbs--acid reflux

[Guest guest]

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

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Re: non impact carbs--acid reflux

,

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

At 12:26 PM +0000 6/8/03, watnext2001 wrote:

>but you shouldn't be having acid

>reflux...heartburn can happen, but acid shouldn't be backing up into

>your esophagus unless there's an opening from the old stomach into

>the pouch. Anyone else know a reason this could happen, other than a

>SLD or fistula? Maybe I'm missing something (sure wouldn't be the

>first time:))

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[Guest guest]

, 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

Life is not a spectator sport

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XXX Farm Paint Horses

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Re: Re: non impact carbs--acid reflux

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

****************************

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]

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@...