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Hi ,

 

What kind of a return journey are you talkng about? There is no way that you

should contemplate driving, but after a period of recovery, you will probably be

fine on public transport. Are you having to do this alone?

 

Love from Ann

From: Hulmes <christine.hulmes@...>

Subject: 's ogd & dilatation

achalasia

Date: Tuesday, 15 February, 2011, 12:18

 

Hello

I haven't posted in a while as i have had to concentrate on coping with very bad

reflux and yes a stricture in my ectomy join in the neck. I have been on Nexium

40mg morning and night but still i have the reflux. So my GP faxed my surgeon in

Liverpool with urgency as i am having big issues with swallowing again and i saw

my surgeon in Liverpool yesterday after getting an urgent letter to turn up for

clinic last week.

After describing that the only way i can get even soft food down is to hiccup or

jump up and down he immedietely mentioned that the acid that i am refluxing

could have scarred the ectomy join in my neck and could have caused a stricture

there. As i told him that i have about 10 reflux episodes a night when on

jejunostomy overnight feeds and about 8 episodes during the day, he imedietelly

said that i need a camera down to inspect the join and to check what the hold up

is at the bottom of the stomach tube as well as evaluate the damage done overall

by the acid.

So i am to have another dilatation and if i do not hear from them with a date

within 3 weeks i am to contact them urgently! After a break of 6 years without

needing a dilatation i am now back to having another. my only fear is that

living a big distance (big for me) from the hospital is it wise to have sedation

if i am to have the dilatation? Has anyone out there had a dilatation of the

stricture without sedation? I don't know if i can handle that so may have to

plump for the sedation and be kept in hospital overnight for recovery. Don't

know.

from the UK

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Hi Ann

My partner cannot get cover for work during the whole of March and the 1st week

in April to escort me to and from the endoscopy unit at The Royal in Liverpool,

i have already thought of that, there is nobody else that i can think of as i

cannot ask my elderly parents to escort me.  I can get hospital transport but

some of the drivers are unwilling to bring me home while under the influence of

sedation. I was with another patient in a hospital transport car yesterday to go

to Liverpool and back home and the return journey was pure hell, through no

fault of her own the other patient did not have an escort and had an endoscopy

with sedation and was very poorly on the return journey home. We had to stop 5-6

times to allow here to be ill if you know what i mean. After that i must admit

that i am a little bit worried about having sedation for the dilation and then

travelling home via hospital transport. Guess i'll just have to play it by ear

but i am definately not looking forward to it at all after yesterday with the

other patient. It is the pain with the dilatation while fully aware with no

sedation that i can barely take in. Would they do the dilatation without

sedation i ask myself?

from the UK

________________________________

From: Ann Higgs <lilac_blossom_lady@...>

achalasia

Sent: Tue, February 15, 2011 2:32:27 PM

Subject: Re: 's ogd & dilatation

 

Hi ,

 

What kind of a return journey are you talkng about? There is no way that you

should contemplate driving, but after a period of recovery, you will probably be

fine on public transport. Are you having to do this alone?

 

Love from Ann

From: Hulmes <christine.hulmes@...>

Subject: 's ogd & dilatation

achalasia

Date: Tuesday, 15 February, 2011, 12:18

 

Hello

I haven't posted in a while as i have had to concentrate on coping with very bad

reflux and yes a stricture in my ectomy join in the neck. I have been on Nexium

40mg morning and night but still i have the reflux. So my GP faxed my surgeon in

Liverpool with urgency as i am having big issues with swallowing again and i saw

my surgeon in Liverpool yesterday after getting an urgent letter to turn up for

clinic last week.

After describing that the only way i can get even soft food down is to hiccup or

jump up and down he immedietely mentioned that the acid that i am refluxing

could have scarred the ectomy join in my neck and could have caused a stricture

there. As i told him that i have about 10 reflux episodes a night when on

jejunostomy overnight feeds and about 8 episodes during the day, he imedietelly

said that i need a camera down to inspect the join and to check what the hold up

is at the bottom of the stomach tube as well as evaluate the damage done overall

by the acid.

So i am to have another dilatation and if i do not hear from them with a date

within 3 weeks i am to contact them urgently! After a break of 6 years without

needing a dilatation i am now back to having another. my only fear is that

living a big distance (big for me) from the hospital is it wise to have sedation

if i am to have the dilatation? Has anyone out there had a dilatation of the

stricture without sedation? I don't know if i can handle that so may have to

plump for the sedation and be kept in hospital overnight for recovery. Don't

know.

from the UK

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Hi ,

So sorry to read that your sufferings have not let up and there seems to be no

good answers.

Back in the 1980's I had half a dozen dilatations performed, none with any

anesthesia.  Certainly was not my choice to have had it done that way.  But,

apparently that was the way it was performed, and I was kept overnight for

observation.  The pain was brutal, but brief (about 90 seconds, with about 20

seconds at the peak - making the worse spasm I had ever had seem like a piece of

cake by comparison).

I don't think that one can draw a valid comparison for a dilatation that most of

us have to a dilatation for a person who has had an ectomy.

Maybe Isabella or could shed some light on this for you.

Wishing you the best.

________________________________

From: Hulmes <christine.hulmes@...>

achalasia

Sent: Tue, February 15, 2011 11:22:33 AM

Subject: Re: 's ogd & dilatation

 

Hi Ann

My partner cannot get cover for work during the whole of March and the 1st week

in April to escort me to and from the endoscopy unit at The Royal in Liverpool,

i have already thought of that, there is nobody else that i can think of as i

cannot ask my elderly parents to escort me.  I can get hospital transport but

some of the drivers are unwilling to bring me home while under the influence of

sedation. I was with another patient in a hospital transport car yesterday to go

to Liverpool and back home and the return journey was pure hell, through no

fault of her own the other patient did not have an escort and had an endoscopy

with sedation and was very poorly on the return journey home. We had to stop 5-6

times to allow here to be ill if you know what i mean. After that i must admit

that i am a little bit worried about having sedation for the dilation and then

travelling home via hospital transport. Guess i'll just have to play it by ear

but i am definately not looking forward to it at all after yesterday with the

other patient. It is the pain with the dilatation while fully aware with no

sedation that i can barely take in. Would they do the dilatation without

sedation i ask myself?

from the UK

________________________________

From: Ann Higgs <lilac_blossom_lady@...>

achalasia

Sent: Tue, February 15, 2011 2:32:27 PM

Subject: Re: 's ogd & dilatation

 

Hi ,

 

What kind of a return journey are you talkng about? There is no way that you

should contemplate driving, but after a period of recovery, you will probably be

fine on public transport. Are you having to do this alone?

 

Love from Ann

From: Hulmes <christine.hulmes@...>

Subject: 's ogd & dilatation

achalasia

Date: Tuesday, 15 February, 2011, 12:18

 

Hello

I haven't posted in a while as i have had to concentrate on coping with very bad

reflux and yes a stricture in my ectomy join in the neck. I have been on Nexium

40mg morning and night but still i have the reflux. So my GP faxed my surgeon in

Liverpool with urgency as i am having big issues with swallowing again and i saw

my surgeon in Liverpool yesterday after getting an urgent letter to turn up for

clinic last week.

After describing that the only way i can get even soft food down is to hiccup or

jump up and down he immedietely mentioned that the acid that i am refluxing

could have scarred the ectomy join in my neck and could have caused a stricture

there. As i told him that i have about 10 reflux episodes a night when on

jejunostomy overnight feeds and about 8 episodes during the day, he imedietelly

said that i need a camera down to inspect the join and to check what the hold up

is at the bottom of the stomach tube as well as evaluate the damage done overall

by the acid.

So i am to have another dilatation and if i do not hear from them with a date

within 3 weeks i am to contact them urgently! After a break of 6 years without

needing a dilatation i am now back to having another. my only fear is that

living a big distance (big for me) from the hospital is it wise to have sedation

if i am to have the dilatation? Has anyone out there had a dilatation of the

stricture without sedation? I don't know if i can handle that so may have to

plump for the sedation and be kept in hospital overnight for recovery. Don't

know.

from the UK

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Hi

Many thanks for your post. Very informative of you. I can catagiricaly say that

i am dreading this dilatation because i may have to have it without sedation if

i want to be discharged the same day to go home. I can only hope that if i have

sedation with the dilatation the medical staff keep me in overnight for

observation.

from the UK

________________________________

From: RICHARD FRIEDMAN <cynmark24@...>

achalasia

Sent: Tue, February 15, 2011 5:11:25 PM

Subject: Re: 's ogd & dilatation

 

Hi ,

So sorry to read that your sufferings have not let up and there seems to be no

good answers.

Back in the 1980's I had half a dozen dilatations performed, none with any

anesthesia.  Certainly was not my choice to have had it done that way.  But,

apparently that was the way it was performed, and I was kept overnight for

observation.  The pain was brutal, but brief (about 90 seconds, with about 20

seconds at the peak - making the worse spasm I had ever had seem like a piece of

cake by comparison).

I don't think that one can draw a valid comparison for a dilatation that most of

us have to a dilatation for a person who has had an ectomy.

Maybe Isabella or could shed some light on this for you.

Wishing you the best.

________________________________

From: Hulmes <christine.hulmes@...>

achalasia

Sent: Tue, February 15, 2011 11:22:33 AM

Subject: Re: 's ogd & dilatation

 

Hi Ann

My partner cannot get cover for work during the whole of March and the 1st week

in April to escort me to and from the endoscopy unit at The Royal in Liverpool,

i have already thought of that, there is nobody else that i can think of as i

cannot ask my elderly parents to escort me.  I can get hospital transport but

some of the drivers are unwilling to bring me home while under the influence of

sedation. I was with another patient in a hospital transport car yesterday to go

to Liverpool and back home and the return journey was pure hell, through no

fault of her own the other patient did not have an escort and had an endoscopy

with sedation and was very poorly on the return journey home. We had to stop 5-6

times to allow here to be ill if you know what i mean. After that i must admit

that i am a little bit worried about having sedation for the dilation and then

travelling home via hospital transport. Guess i'll just have to play it by ear

but i am definately not looking forward to it at all after yesterday with the

other patient. It is the pain with the dilatation while fully aware with no

sedation that i can barely take in. Would they do the dilatation without

sedation i ask myself?

from the UK

________________________________

From: Ann Higgs <lilac_blossom_lady@...>

achalasia

Sent: Tue, February 15, 2011 2:32:27 PM

Subject: Re: 's ogd & dilatation

 

Hi ,

 

What kind of a return journey are you talkng about? There is no way that you

should contemplate driving, but after a period of recovery, you will probably be

fine on public transport. Are you having to do this alone?

 

Love from Ann

From: Hulmes <christine.hulmes@...>

Subject: 's ogd & dilatation

achalasia

Date: Tuesday, 15 February, 2011, 12:18

 

Hello

I haven't posted in a while as i have had to concentrate on coping with very bad

reflux and yes a stricture in my ectomy join in the neck. I have been on Nexium

40mg morning and night but still i have the reflux. So my GP faxed my surgeon in

Liverpool with urgency as i am having big issues with swallowing again and i saw

my surgeon in Liverpool yesterday after getting an urgent letter to turn up for

clinic last week.

After describing that the only way i can get even soft food down is to hiccup or

jump up and down he immedietely mentioned that the acid that i am refluxing

could have scarred the ectomy join in my neck and could have caused a stricture

there. As i told him that i have about 10 reflux episodes a night when on

jejunostomy overnight feeds and about 8 episodes during the day, he imedietelly

said that i need a camera down to inspect the join and to check what the hold up

is at the bottom of the stomach tube as well as evaluate the damage done overall

by the acid.

So i am to have another dilatation and if i do not hear from them with a date

within 3 weeks i am to contact them urgently! After a break of 6 years without

needing a dilatation i am now back to having another. my only fear is that

living a big distance (big for me) from the hospital is it wise to have sedation

if i am to have the dilatation? Has anyone out there had a dilatation of the

stricture without sedation? I don't know if i can handle that so may have to

plump for the sedation and be kept in hospital overnight for recovery. Don't

know.

from the UK

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Hi

You may find that you can have the dilatation done either with or without

sedation have you tried to contact the hospital unit where it will be done?

If I were you and seeing that you are already saying you are worried about it I

would go for the sedation and have a stay overnight. I am sure that if your

consultant knew how worried you were he would allow you to stay overnight try

ringing his secretary and telling her how concerned you are about it and see if

she can help.

Let us know how you get on

Pippa

>

> From: Hulmes <christine.hulmes@...>

> Subject: 's ogd & dilatation

> achalasia

> Date: Tuesday, 15 February, 2011, 12:18

>

>  

>

> Hello

> I haven't posted in a while as i have had to concentrate on coping with very

bad

>

>

> reflux and yes a stricture in my ectomy join in the neck. I have been on

Nexium

> 40mg morning and night but still i have the reflux. So my GP faxed my surgeon

in

>

>

> Liverpool with urgency as i am having big issues with swallowing again and i

saw

>

>

> my surgeon in Liverpool yesterday after getting an urgent letter to turn up

for

> clinic last week.

>

> After describing that the only way i can get even soft food down is to hiccup

or

>

>

> jump up and down he immedietely mentioned that the acid that i am refluxing

> could have scarred the ectomy join in my neck and could have caused a

stricture

> there. As i told him that i have about 10 reflux episodes a night when on

> jejunostomy overnight feeds and about 8 episodes during the day, he

imedietelly

> said that i need a camera down to inspect the join and to check what the hold

up

>

>

> is at the bottom of the stomach tube as well as evaluate the damage done

overall

>

>

> by the acid.

>

> So i am to have another dilatation and if i do not hear from them with a date

> within 3 weeks i am to contact them urgently! After a break of 6 years without

> needing a dilatation i am now back to having another. my only fear is that

> living a big distance (big for me) from the hospital is it wise to have

sedation

>

>

> if i am to have the dilatation? Has anyone out there had a dilatation of the

> stricture without sedation? I don't know if i can handle that so may have to

> plump for the sedation and be kept in hospital overnight for recovery. Don't

> know.

> from the UK

>

>

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Hi Pippa

I think i may contact the surgeons secretary this morning for a chat about how

worried that i am with the dilatation and sedation especially after my

experience with another patient having sedation and endoscopy and being

discharged within 90 minutes of the procedure travelling home in the same car as

me. Will let the group know when i can.

from the UK

________________________________

From: manchesterpippa <manchesterpippa@...>

achalasia

Sent: Tue, February 15, 2011 8:56:12 PM

Subject: Re: 's ogd & dilatation

 

Hi

You may find that you can have the dilatation done either with or without

sedation have you tried to contact the hospital unit where it will be done?

If I were you and seeing that you are already saying you are worried about it I

would go for the sedation and have a stay overnight. I am sure that if your

consultant knew how worried you were he would allow you to stay overnight try

ringing his secretary and telling her how concerned you are about it and see if

she can help.

Let us know how you get on

Pippa

>

> From: Hulmes <christine.hulmes@...>

> Subject: 's ogd & dilatation

> achalasia

> Date: Tuesday, 15 February, 2011, 12:18

>

>  

>

> Hello

> I haven't posted in a while as i have had to concentrate on coping with very

>bad

>

>

>

> reflux and yes a stricture in my ectomy join in the neck. I have been on

Nexium

>

> 40mg morning and night but still i have the reflux. So my GP faxed my surgeon

>in

>

>

>

> Liverpool with urgency as i am having big issues with swallowing again and i

>saw

>

>

>

> my surgeon in Liverpool yesterday after getting an urgent letter to turn up

for

>

> clinic last week.

>

> After describing that the only way i can get even soft food down is to hiccup

>or

>

>

>

> jump up and down he immedietely mentioned that the acid that i am refluxing

> could have scarred the ectomy join in my neck and could have caused a

stricture

>

> there. As i told him that i have about 10 reflux episodes a night when on

> jejunostomy overnight feeds and about 8 episodes during the day, he

imedietelly

>

> said that i need a camera down to inspect the join and to check what the hold

>up

>

>

>

> is at the bottom of the stomach tube as well as evaluate the damage done

>overall

>

>

>

> by the acid.

>

> So i am to have another dilatation and if i do not hear from them with a date

> within 3 weeks i am to contact them urgently! After a break of 6 years without

> needing a dilatation i am now back to having another. my only fear is that

> living a big distance (big for me) from the hospital is it wise to have

>sedation

>

>

>

> if i am to have the dilatation? Has anyone out there had a dilatation of the

> stricture without sedation? I don't know if i can handle that so may have to

> plump for the sedation and be kept in hospital overnight for recovery. Don't

> know.

> from the UK

>

>

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Hi Pippa

Have just phoned my surgeons secretary only to be told that she is off until

next Monday! The other secretary that i spoke to isn't familiar with my case so

cannot anser my quiery. Will phone the endoscopy unit instead and if i get no

joy there i will phone the surgeons secretary next Monday when she returns. This

delay will plague my mind now until i know any different as i know that

dilatation can be very painfull that i know from past experience and that was

with sedation.

from the UK

________________________________

From: manchesterpippa <manchesterpippa@...>

achalasia

Sent: Tue, February 15, 2011 8:56:12 PM

Subject: Re: 's ogd & dilatation

 

Hi

You may find that you can have the dilatation done either with or without

sedation have you tried to contact the hospital unit where it will be done?

If I were you and seeing that you are already saying you are worried about it I

would go for the sedation and have a stay overnight. I am sure that if your

consultant knew how worried you were he would allow you to stay overnight try

ringing his secretary and telling her how concerned you are about it and see if

she can help.

Let us know how you get on

Pippa

>

> From: Hulmes <christine.hulmes@...>

> Subject: 's ogd & dilatation

> achalasia

> Date: Tuesday, 15 February, 2011, 12:18

>

>  

>

> Hello

> I haven't posted in a while as i have had to concentrate on coping with very

>bad

>

>

>

> reflux and yes a stricture in my ectomy join in the neck. I have been on

Nexium

>

> 40mg morning and night but still i have the reflux. So my GP faxed my surgeon

>in

>

>

>

> Liverpool with urgency as i am having big issues with swallowing again and i

>saw

>

>

>

> my surgeon in Liverpool yesterday after getting an urgent letter to turn up

for

>

> clinic last week.

>

> After describing that the only way i can get even soft food down is to hiccup

>or

>

>

>

> jump up and down he immedietely mentioned that the acid that i am refluxing

> could have scarred the ectomy join in my neck and could have caused a

stricture

>

> there. As i told him that i have about 10 reflux episodes a night when on

> jejunostomy overnight feeds and about 8 episodes during the day, he

imedietelly

>

> said that i need a camera down to inspect the join and to check what the hold

>up

>

>

>

> is at the bottom of the stomach tube as well as evaluate the damage done

>overall

>

>

>

> by the acid.

>

> So i am to have another dilatation and if i do not hear from them with a date

> within 3 weeks i am to contact them urgently! After a break of 6 years without

> needing a dilatation i am now back to having another. my only fear is that

> living a big distance (big for me) from the hospital is it wise to have

>sedation

>

>

>

> if i am to have the dilatation? Has anyone out there had a dilatation of the

> stricture without sedation? I don't know if i can handle that so may have to

> plump for the sedation and be kept in hospital overnight for recovery. Don't

> know.

> from the UK

>

>

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wrote:

> ... the other patient did not have an escort and had an endoscopy

> with sedation and was very poorly on the return journey home. We had to stop

5-6

> times to allow here to be ill if you know what i mean. ...

If this is the concern there are some things to consider.

Has sedation, or pain medications, made you sick in the past? Do you

have a problem with motion sickness? If your answers are no then you

don't have as much risk as if they had been yes. There is a shot that

can be given with sedation to reduce nausea and motion sickness.

notan

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I had the same problem with my surgeon at Kettering the secretary only seamed to

work a few days each week.

I'm sure that you will get some answers Monday one option is to have your

appointment early in the morning say the first or second appointment of the

morning which will give you the rest of the day to get over the sedation.

Although its still not really wise to drive yourself it really will depend on

what sedation and how much they have to give you some can be out of your system

quicker that others. Going on my past history thought I have always been told

that I had to have someone with me for the following 24 hours after the

procedure and no driving plus a list of other things that I wasn't suppose to

do.

Pippa

> >

> > From: Hulmes <christine.hulmes@>

> > Subject: 's ogd & dilatation

> > achalasia

> > Date: Tuesday, 15 February, 2011, 12:18

> >

> >  

> >

> > Hello

> > I haven't posted in a while as i have had to concentrate on coping with very

> >bad

> >

> >

> >

> > reflux and yes a stricture in my ectomy join in the neck. I have been on

Nexium

> >

> > 40mg morning and night but still i have the reflux. So my GP faxed my

surgeon

> >in

> >

> >

> >

> > Liverpool with urgency as i am having big issues with swallowing again and i

> >saw

> >

> >

> >

> > my surgeon in Liverpool yesterday after getting an urgent letter to turn up

for

> >

> > clinic last week.

> >

> > After describing that the only way i can get even soft food down is to

hiccup

> >or

> >

> >

> >

> > jump up and down he immedietely mentioned that the acid that i am refluxing

> > could have scarred the ectomy join in my neck and could have caused a

stricture

> >

> > there. As i told him that i have about 10 reflux episodes a night when on

> > jejunostomy overnight feeds and about 8 episodes during the day, he

imedietelly

> >

> > said that i need a camera down to inspect the join and to check what the

hold

> >up

> >

> >

> >

> > is at the bottom of the stomach tube as well as evaluate the damage done

> >overall

> >

> >

> >

> > by the acid.

> >

> > So i am to have another dilatation and if i do not hear from them with a

date

> > within 3 weeks i am to contact them urgently! After a break of 6 years

without

>

> > needing a dilatation i am now back to having another. my only fear is that

> > living a big distance (big for me) from the hospital is it wise to have

> >sedation

> >

> >

> >

> > if i am to have the dilatation? Has anyone out there had a dilatation of the

> > stricture without sedation? I don't know if i can handle that so may have to

> > plump for the sedation and be kept in hospital overnight for recovery. Don't

> > know.

> > from the UK

> >

> >

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Hi Pippa

Yes, the hospital does say that you have to have an escort if you have sedation

for the procedure but on my previous dilations in the past at the Liverpool

Heart & Chest hospital i was admitted as an inpatient for the dilatation.

Another thing as well i do not drive. And another thing, i have problems with

Midazolam the sedative that they use and their only other option is Pethadine a

strong painkiller. As i have said i shall have to speak with the secretary next

Monday to claify things a little.

from the UK

________________________________

From: manchesterpippa <manchesterpippa@...>

achalasia

Sent: Wed, February 16, 2011 8:18:04 PM

Subject: Re: 's ogd & dilatation

 

I had the same problem with my surgeon at Kettering the secretary only seamed to

work a few days each week.

I'm sure that you will get some answers Monday one option is to have your

appointment early in the morning say the first or second appointment of the

morning which will give you the rest of the day to get over the sedation.

Although its still not really wise to drive yourself it really will depend on

what sedation and how much they have to give you some can be out of your system

quicker that others. Going on my past history thought I have always been told

that I had to have someone with me for the following 24 hours after the

procedure and no driving plus a list of other things that I wasn't suppose to

do.

Pippa

> >

> > From: Hulmes <christine.hulmes@>

> > Subject: 's ogd & dilatation

> > achalasia

> > Date: Tuesday, 15 February, 2011, 12:18

> >

> >  

> >

> > Hello

> > I haven't posted in a while as i have had to concentrate on coping with very

> >bad

> >

> >

> >

> > reflux and yes a stricture in my ectomy join in the neck. I have been on

>Nexium

>

> >

> > 40mg morning and night but still i have the reflux. So my GP faxed my

surgeon

>

> >in

> >

> >

> >

> > Liverpool with urgency as i am having big issues with swallowing again and i

> >saw

> >

> >

> >

> > my surgeon in Liverpool yesterday after getting an urgent letter to turn up

>for

>

> >

> > clinic last week.

> >

> > After describing that the only way i can get even soft food down is to

hiccup

>

> >or

> >

> >

> >

> > jump up and down he immedietely mentioned that the acid that i am refluxing

> > could have scarred the ectomy join in my neck and could have caused a

>stricture

>

> >

> > there. As i told him that i have about 10 reflux episodes a night when on

> > jejunostomy overnight feeds and about 8 episodes during the day, he

>imedietelly

>

> >

> > said that i need a camera down to inspect the join and to check what the

hold

>

> >up

> >

> >

> >

> > is at the bottom of the stomach tube as well as evaluate the damage done

> >overall

> >

> >

> >

> > by the acid.

> >

> > So i am to have another dilatation and if i do not hear from them with a

date

>

> > within 3 weeks i am to contact them urgently! After a break of 6 years

>without

>

>

> > needing a dilatation i am now back to having another. my only fear is that

> > living a big distance (big for me) from the hospital is it wise to have

> >sedation

> >

> >

> >

> > if i am to have the dilatation? Has anyone out there had a dilatation of the

> > stricture without sedation? I don't know if i can handle that so may have to

> > plump for the sedation and be kept in hospital overnight for recovery. Don't

> > know.

> > from the UK

> >

> >

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