Thursday, January 20, 2011 elisabeth asks

Q: IF someone is suffering from long-term acid reflux, is surgery to repair the flap between stomach and esophogus a good possibility, rather than just trying to manage it?

My husband has had acid reflux for many, many years. He takes over-the-counter medicine daily (sometimes twice a day). He has been without health insurance for a long time, so he just tried to control it. He now has health insurance, but it won't cover things having to do with the pre-existing condition for a year. But we worry things are getting worse, and we worry about lesions and damage in his esophogus. Doctors don't often mention surgery as an option, but I don't know why. It seems like someday, it would be best to cure the condition rather than worrying about it all the time.
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Answers (1)
Jan Gambino, Health Guide
1/21/11 6:23am

Hello Elisabeth,

I am so glad your husband has insurance. Even though you have a waiting period, it is a step in the right direction.

Reflux is often a chronic condition that requires lifestyle changes as well as medical treatments. Losing weight if overweight, eating small, frequent meals and avoiding foods that trigger symptoms are often successful treatments. Sometimes elevating the head when reclined/sleeping is also helpful.

Medication is often needed to reduce symptoms and reduce/eliminate inflammation. I wonder if your husband could see the primary care doctor for advice on medication and treatments for now. Many reflux medications are available over the counter. Would it be possible for the doctor to recommend a medication and dosage?

In time, it may be a good idea to consult a gastroenterologist for further treatment. Your husband and the GI doctor can discuss the pros and cons of lifestyle changes/medication vs surgery.

Good luck,

Jan

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By elisabeth— Last Modified: 01/21/11, First Published: 01/20/11