Guest guest Posted September 15, 2011 Report Share Posted September 15, 2011 I had HM and fundo over a year ago and follow up with my surgeon every 6 months. So far I need NO PPI's because I do not experience any reflux. She has not asked for any further scopes either. Since the surgery I continue to do well, no problems at all. I think if I should have food sticking again, then I would want to be tested, otherwise probably wait at least 3 yrs for an upper GI to make sure all is well. If you are having trouble then do it, otherwise I can't see what for???  Julee So. Calif. From: ladawki143 <lauramccarty77@...> achalasia Sent: Thursday, September 15, 2011 11:00 AM Subject: Help!  I flew to Mayo Clinic in Minnesota back in May and was diagnosed with vigorous achalasia...had the HM and fundo in July there, too. Now, I'm back in MS trying to find a GI doctor competent in treating achalasia. Just got in with a doctor today to help with pain (spasm) management.... He starts talking about scoping me again next month to get duodenum and esophageal biopsies to look for celiac disease and see if I have any reflux damage after the surgery. The thing is...do I really need to be scoped again?? At Mayo Clinic, they told me I did NOT need to be on a PPI because what I have (achalasia) is the OPPOSITE of reflux because it makes it near impossible to have reflux. I'm just feeling like this may be unnecessary. The doctor here told me that he doesn't want me to get reflux-induced strictures on top of what I've already got going on. Did anyone else get scoped 3 or so months after surgery? I'm wondering if this guy knows what he's talking about. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 15, 2011 Report Share Posted September 15, 2011 I agree, you need to find another doctor that specializes in this. Not one trying to learn on you!! I travel 2 hours fir my dr and I think it's worth it!! Sent from my iPhone On Sep 15, 2011, at 2:00 PM, " ladawki143 " <lauramccarty77@...> wrote: > I flew to Mayo Clinic in Minnesota back in May and was diagnosed with vigorous achalasia...had the HM and fundo in July there, too. > > Now, I'm back in MS trying to find a GI doctor competent in treating achalasia. Just got in with a doctor today to help with pain (spasm) management.... > > He starts talking about scoping me again next month to get duodenum and esophageal biopsies to look for celiac disease and see if I have any reflux damage after the surgery. > > The thing is...do I really need to be scoped again?? At Mayo Clinic, they told me I did NOT need to be on a PPI because what I have (achalasia) is the OPPOSITE of reflux because it makes it near impossible to have reflux. I'm just feeling like this may be unnecessary. The doctor here told me that he doesn't want me to get reflux-induced strictures on top of what I've already got going on. > > Did anyone else get scoped 3 or so months after surgery? I'm wondering if this guy knows what he's talking about. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 15, 2011 Report Share Posted September 15, 2011 I also have the vigorous version of Achalasia. (It is totally different from the normal Achalasia).  I have been scoped and dilated after the myotomy. My last dilation was August 30, 2011. (I am now in Texas, I grew up in North Alabama and went to college at Mississippi University for Women).  The first specialist that I saw was a Dr. Lyerly in Birmingham, I understand he is still there;  He told me that if I ever had the surgery (myotomy) that I would have to deal with reflux and a lot of it. He was totally correct. However, this may be different from person to person. I do not think this doctor needs to be looking for other things, unless you have given him real reasons to look for celiac disease. Yes you need help with the spasms and the pain they cause is very real, I had a major episode this morning. I think I would look for another doctor before I would allow that doctor to do un-necessary exploration.  I am on numerous medications and had reactions to others finding things that would work for me. Stick to your guns on what you are after there is a doctor out there for you.  Good luck. Sharon Cline  From: shark13sr@... <shark13sr@...> Subject: Re: Help! achalasia Date: Thursday, September 15, 2011, 5:45 PM  No. Where do you live in Miss? We see a doctor in Memphis that is great and even though it had been two years since surgery he said there was no need to scope. In a message dated 9/15/2011 1:00:07 P.M. Central Daylight Time, lauramccarty77@... writes: I flew to Mayo Clinic in Minnesota back in May and was diagnosed with vigorous achalasia...had the HM and fundo in July there, too. Now, I'm back in MS trying to find a GI doctor competent in treating achalasia. Just got in with a doctor today to help with pain (spasm) management.... He starts talking about scoping me again next month to get duodenum and esophageal biopsies to look for celiac disease and see if I have any reflux damage after the surgery. The thing is...do I really need to be scoped again?? At Mayo Clinic, they told me I did NOT need to be on a PPI because what I have (achalasia) is the OPPOSITE of reflux because it makes it near impossible to have reflux. I'm just feeling like this may be unnecessary. The doctor here told me that he doesn't want me to get reflux-induced strictures on top of what I've already got going on. Did anyone else get scoped 3 or so months after surgery? I'm wondering if this guy knows what he's talking about. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 16, 2011 Report Share Posted September 16, 2011 Sharon, I don't believe this is normal. I had the Heller Myotomy and the Fundoplication which consists of the doctor taking the top part of my stomach and wrapping it around the bottom part of my esophagus so I won't have reflux and regurgitation. I also had a lot of inflammation which my doctor had to clean up before they began surgery. The only time I had spasms was after the surgery and a week later. But now, I don't have any more spasms. I'm swallowing with no problem! I feel great! Inquire about this procedure. Hope this helps. Caroll > > > From: shark13sr@... shark13sr@... > Subject: Re: Help! > achalasia > Date: Thursday, September 15, 2011, 5:45 PM > > > Â > > > > No. Where do you live in Miss? We see a doctor in Memphis that is great > and even though it had been two years since surgery he said there was no > need to scope. > > > In a message dated 9/15/2011 1:00:07 P.M. Central Daylight Time, > lauramccarty77@... writes: > > I flew to Mayo Clinic in Minnesota back in May and was diagnosed with > vigorous achalasia...had the HM and fundo in July there, too. > > Now, I'm back in MS trying to find a GI doctor competent in treating > achalasia. Just got in with a doctor today to help with pain (spasm) > management.... > > He starts talking about scoping me again next month to get duodenum and > esophageal biopsies to look for celiac disease and see if I have any reflux > damage after the surgery. > > The thing is...do I really need to be scoped again?? At Mayo Clinic, they > told me I did NOT need to be on a PPI because what I have (achalasia) is > the OPPOSITE of reflux because it makes it near impossible to have reflux. > I'm just feeling like this may be unnecessary. The doctor here told me that > he doesn't want me to get reflux-induced strictures on top of what I've > already got going on. > > Did anyone else get scoped 3 or so months after surgery? I'm wondering if > this guy knows what he's talking about. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 16, 2011 Report Share Posted September 16, 2011 Hi- My surgeon did not put me on PPI's quite deliberately. And I do t think I have to get an endoscopy unless there is a problem. He was trained at UNC so probably aligned with their thinking. When I researched the PPI question, I got mixed reports. anyone else have PPI post myotomy research to share? On Sep 15, 2011, at 11:00 AM, " ladawki143 " <lauramccarty77@...> wrote: > The thing is...do I really need to be scoped again?? At Mayo Clinic, they told me I did NOT need to be on a PPI because what I have (achalasia) is the OPPOSITE of reflux because it makes it near impossible to ha Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 16, 2011 Report Share Posted September 16, 2011 Carol, What is " normal " for one person is not normal for the other person. We all know that what works for one person may not work for another and we are only here to offer advice as to what we know or have experienced. I have read many references where people in the group say that it is best to drink cold to end the spasm. For me it only increases the spasm to an excruciating level. The difference is, knowing which version of Achalasia you have, if you have the " vigorous version " , the spasms still happen with or without reflux. I have not had food return on me since my surgery in 1999; and I have been dealing with the disease since 1978. (A very long time and I know I am not the only person that has had it for that amount of time). For several years after the myotomy I did not have to have the scope nor dilation's either, but to no avail; Achalasia raises its ugly head again.  Now it is about once a year, it is not done just to take a look and see what is going on; it is to dilate so I can eat. We learn to read the signs that our body is sending us and know when it needs to be dilated.  Scar tissue can build where you had the surgery and can cause problems if you are prone to scar tissue. So far I do not have that, but have been suggested to have nutcracker or corkscrew esophagus (my doctor caught a picture of a spasm while dilating), which is a whole different ballgame to add on top of the Achalasia and with spasms also.  When I have been scoped it was to dilate and it was needed; I have pictures taken during each procedure.  I have also been diagnosed with eosinophilic gastroenteritis and gastricparasis (a mild case).  The eosinophilic is under control and the calcium channel blocker for the corkscrew. If this young lady is having pain as she is describing, then she needs to have it checked, but not with a doctor does wants to do all the things she is talking about.  I sympathize with her as I know what she is going through. There are also medications that can help relax the spasms and control the pain.  She may need to go back to Mayo. I just thought since she was in MS and I was somewhat familiar with the area that I could give her the name of a doctor fairly close to her; the same as the other person did for Memphis which depending on the area she lives in may or may not be close to her. But she needs help. Because the pain and spasms are not normal if you have the normal version of Achalasia, but if it is vigorous version I know what she is going through.  No offense taken and No offense meant.  Sharon Cline    From: Caroll <carollb12112005@...> Subject: Re: Help! achalasia Date: Friday, September 16, 2011, 3:54 PM  Sharon, I don't believe this is normal. I had the Heller Myotomy and the Fundoplication which consists of the doctor taking the top part of my stomach and wrapping it around the bottom part of my esophagus so I won't have reflux and regurgitation. I also had a lot of inflammation which my doctor had to clean up before they began surgery. The only time I had spasms was after the surgery and a week later. But now, I don't have any more spasms. I'm swallowing with no problem! I feel great! Inquire about this procedure. Hope this helps. Caroll > > > From: shark13sr@... shark13sr@... > Subject: Re: Help! > achalasia > Date: Thursday, September 15, 2011, 5:45 PM > > > Â > > > > No. Where do you live in Miss? We see a doctor in Memphis that is great > and even though it had been two years since surgery he said there was no > need to scope. > > > In a message dated 9/15/2011 1:00:07 P.M. Central Daylight Time, > lauramccarty77@... writes: > > I flew to Mayo Clinic in Minnesota back in May and was diagnosed with > vigorous achalasia...had the HM and fundo in July there, too. > > Now, I'm back in MS trying to find a GI doctor competent in treating > achalasia. Just got in with a doctor today to help with pain (spasm) > management.... > > He starts talking about scoping me again next month to get duodenum and > esophageal biopsies to look for celiac disease and see if I have any reflux > damage after the surgery. > > The thing is...do I really need to be scoped again?? At Mayo Clinic, they > told me I did NOT need to be on a PPI because what I have (achalasia) is > the OPPOSITE of reflux because it makes it near impossible to have reflux. > I'm just feeling like this may be unnecessary. The doctor here told me that > he doesn't want me to get reflux-induced strictures on top of what I've > already got going on. > > Did anyone else get scoped 3 or so months after surgery? I'm wondering if > this guy knows what he's talking about. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 18, 2011 Report Share Posted September 18, 2011 Interesting to read your posts on dilations. I had a 20mm dilation 7 months after my HM w/Dor when I was regurging when I bent over, even several hours after eating. I thought then everything must have closed up if my dilation was so small and have not had one since Nov 2010. I eat small meals and chew, chew, chew. It is a challenge every day to have the pain minimal. Would be wonderful to eat normal and no pain for just one day!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 18, 2011 Report Share Posted September 18, 2011 Wow,I was just trying to help. Sorry, you're having challenges with your Achalasia. I think any version of Achalasia is a pain. To not be able to eat your food is very frustrating, especially, when you're starving like me. Take Care. > > > > > > From: shark13sr@ shark13sr@ > > Subject: Re: Help! > > achalasia > > Date: Thursday, September 15, 2011, 5:45 PM > > > > > > Â > > > > > > > > No. Where do you live in Miss? We see a doctor in Memphis that is > great > > and even though it had been two years since surgery he said there was > no > > need to scope. > > > > > > In a message dated 9/15/2011 1:00:07 P.M. Central Daylight Time, > > lauramccarty77@ writes: > > > > I flew to Mayo Clinic in Minnesota back in May and was diagnosed with > > vigorous achalasia...had the HM and fundo in July there, too. > > > > Now, I'm back in MS trying to find a GI doctor competent in treating > > achalasia. Just got in with a doctor today to help with pain (spasm) > > management.... > > > > He starts talking about scoping me again next month to get duodenum > and > > esophageal biopsies to look for celiac disease and see if I have any > reflux > > damage after the surgery. > > > > The thing is...do I really need to be scoped again?? At Mayo Clinic, > they > > told me I did NOT need to be on a PPI because what I have (achalasia) > is > > the OPPOSITE of reflux because it makes it near impossible to have > reflux. > > I'm just feeling like this may be unnecessary. The doctor here told me > that > > he doesn't want me to get reflux-induced strictures on top of what > I've > > already got going on. > > > > Did anyone else get scoped 3 or so months after surgery? I'm wondering > if > > this guy knows what he's talking about. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 14, 2011 Report Share Posted November 14, 2011 I have no idea how a GP can increase anybody's levothyroxine by 10mcgs or why you would get nausea, vomiting, dizziness, stomach bloating and all that pain such an increase. I think these symptoms could be the cause of something else, probably adrenal fatigue, or low levels of iron, ferritin, B12, D3, magnesium, folate, copper and zinc. You need to get these tested and post the results on the forum together with the reference range. Do you have mercury poisoning caused through amalgam fillings, or systemic candidiasis? The NHS levothyroxine is in tablets starting at 25mcgs, and this is the teeniest dose, so how does he get the 10mcgs dosage? If you are taking an oral solution, how is this measured, and why are you taking a solution and not the tablet form. What else is in the oral solution? Better still, what is the brand name? Luv - Sheila Recently my GP increased the levothyroxine dosage by 10mcg, I felt ill and made my symptoms worse - nausea, vomiting, dizziness, stomach bloating. I have pain in my upper back as well as lower pain, mostly in the left side. Feeling whooshing in the legs are getting worse and keeps me awake. especially at night. Could be related to levothyroxine medication (I'm on oral solution)? Do I have an allergy to this medication?? Do I might have low adrenal reserve? Cause of hypothyroidism is unknown but I will find out from the endo. My temps are between 36.2 and 37.1 and my BP are in the normal ranges. I'm due to see the endocrinologist next month (he is one of them on Sheila's list) and need to ask him some questions re. changing the medication to a natural dessicated thyroid (aware that this is not available in this country). Any tips? Will appreciate your help. ,_._,___ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 19, 2011 Report Share Posted November 19, 2011 Hi Recently my GP increased the levothyroxine dosage by 10mcg, I felt ill and made my symptoms worse - nausea, vomiting, dizziness, stomach bloating. I have pain in my upper back as well as lower pain, mostly in the left side. Feeling whooshing in the legs are getting worse and keeps me awake. especially at night. Could be related to levothyroxine medication (I'm on oral solution)? Do I have an allergy to this medication?? Do I might have low adrenal reserve? Cause of hypothyroidism is unknown but I will find out from the endo. My temps are between 36.2 and 37.1 and my BP are in the normal ranges. I'm due to see the endocrinologist next month (he is one of them on Sheila's list) and need to ask him some questions re. changing the medication to a natural dessicated thyroid (aware that this is not available in this country). Any tips? Will appreciate your help. Issy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 19, 2011 Report Share Posted November 19, 2011 Hi SheilaLet me clear and I will tell you my story so here it is:I have been diagnosed hypothyroidism in 2009 through the blood test and have taken the Levothyroxine 50mcg medication in tablet form. For the few first months, I have lost some weight (approx 3 stones) and felt energetic. Prior to this I have no symptoms to show hypothyroidism. A few months later, I had another blood test and it showed still undertreated so the doctor decided to increase the dosage to 100mcg Levothyroxine in tablet form. A few weeks later I felt very ill, with flu type symptoms and back/hip pain. In the early months of 2010 my body felt shaking internally and also felt there was some sort of whooshing around the body. Also I developed nausea and anxiety for no reason. On my next hospital clinic, I told them I was having this and they decided to reduce the dosage to 75mcg. I felt much better, and I had little hypothyroidism symptoms throughout the summer. By Autumn I had another routine blood test and my thyroid function test showed undertreated and oh no, they decided to increase the dosage back to 100mcg. I felt ill and my hypothyroidism symptoms got worse – more fatigue, less energy and stamina, more muscle/joint pains, headaches, bloating stomach, heavy menstruation, intolerance to cold and many more. I had a lot of nausea after taking the medication each morning. in April 2011 My GP and the hospital endocrinologist agreed to change the tablet medication to an oral solution medication also named Levothyroxine (the brand - Evotrox) because the tablet wasn't absorbed properly. Recently my blood test still showed undertreated and my GP decided to increase the dosage to 110mcg in liquid form (increased by 10mcg). In the past 2 weeks I felt ill - worse than before.Yes I have amalgan fillings and I'm due to see the dentist on Monday to repair the broken tooth. Have asked her about this and she will look into this so will find out on Monday and I have Dr P's book - will show her.Ok will ask the GP and endo re. adrenal fatigue, candida, lack of vitamins and minerals.IssyPS. Great news about Dr Skinner and thanks for your great help.>> I have no idea how a GP can increase anybody's levothyroxine by 10mcgs or> why you would get nausea, vomiting, dizziness, stomach bloating and all that> pain such an increase. I think these symptoms could be the cause of> something else, probably adrenal fatigue, or low levels of iron, ferritin,> B12, D3, magnesium, folate, copper and zinc. You need to get these tested> and post the results on the forum together with the reference range. Do you> have mercury poisoning caused through amalgam fillings, or systemic> candidiasis Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 8, 2011 Report Share Posted December 8, 2011 If you were talking about 2010 copy (3rd Ed)...it's not available yet. All available sources are for 2nd Ed (2004) From: miral_hasan <miral_hasan@...> Sent: Wednesday, 7 December 2011, 21:58 Subject: Re: help! > > can any one please tell me site from where i can download clinical problems in solving dentistry (third edition) for free > thanks >Thanks a lot but unfortunately link removed,any other source? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 8, 2011 Report Share Posted December 8, 2011 I am so confused about the blue book,had anyone passed the exams with the 2002 edition...the publisher site OUP has only the 2003 print but not sure whether it is really diff from 2002 or not.Please help.Thanks everyone . Sent from my iPad Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 8, 2011 Report Share Posted December 8, 2011 Hi.. I have the august 2002 edition, 2010 reprint. I passed my exam in april. Its the only edition that has been published to date. The oup site has the first few pages of the 2003 book and they are the same as the ones in mine. The ISBN on my book is also the same as the one on the 2003 book. Besides if the 2002 book is being reprinted till 2010, then its highly unlikely that the two books are different. Hope this helps... Regards smriti > > I am so confused about the blue book,had anyone passed the exams with the 2002 edition...the publisher site OUP has only the 2003 print but not sure whether it is really diff from 2002 or not.Please help.Thanks everyone . > > Sent from my iPad > Quote Link to comment Share on other sites More sharing options...
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