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Gastroenterology  (Expert Forum)
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bile reflux, roux-en-y surgery
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
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MedHelp Member's Question

bile reflux, roux-en-y surgery

by Jim Murray, Mar 08, 2000 12:00AM
I suffer terribly from bile reflux.Antacids obviously are not an answer.Questran does help a little.Prepulcid is not a  good choice either (I have dumping).Losec doesn't do any good.One surgeon first said that a roux-en-y corrective  surgery would probably give me SOME relief, but he changed his mind when he found that my previous surgery was a Bilroth 1 and not a Bilroth 11(he did not explain to me the difference!!!)Can YOU tell me the difference between the two types of surgery and offer any suggestions for the relief of the reflux problems.At present all I have been able to do for my symptoms are watch my diet (high in carbs & protein) and elevate the head of my bed.
Doctor's Answer

by HFHSm.D.-Gastro-rf, Mar 23, 2000 12:00AM
Dear Jim,

When a portion of the stomach (antrectomy) is removed to treat ulcer disease, the stomach an dintestine myst be reattached.  A Bilroth II connects the stomach remanat to the small intestine, usually the jejunum.  IN some cases. the stomach can be reattached to the duodenum.  This form of attachment is called a Bilroth I.  The Bilroth I is not supposed to have much bile reflux, because th epylorus, the natural barrier limiting reflux from duodenum into stomach, is still present.  To confirm that there is substantial bile reflux, a nuclear medicine scan can be performed.  If there is substantial bile reflux then you made a Roux-en-Y surgery becaus emedical therapy is not that effective for bile reflux
Member Comments (23)

by steve, Mar 09, 2000 12:00AM
As a fellow reflux sufferer, I would recommend Prilosec, Prevacid is another drug that has similar impact, but I have always had better results with prilosec.  Also, elevate your bad 45-60 degrees at night, avoid eating late at night and stay away from Chocolate, as much as possible.



I hope you don't mind, I am using your thread to ask a question of my own below, hope th einfo is helpful.

by Another Question on this topic (Steve), Mar 09, 2000 12:00AM
I have reflux too, and have had a hacking, anooying cough for well over a year now.  I have tried Prilosec, which is effective for heartburn, but not the cough. I also used Gaviscon liquid for a while, but it didn't really do the trick.  In addition, I was diagnosed as having a minor case of asthma. I am now taking two inhalers (Pulmicort and Aerobid) for the asthma, and Prilosec and the ocassional antacid for the reflux, and still I have the cough.  I do notice that it  (The cough) gets much worse after meals...

by PISSED OFF!!!, Mar 10, 2000 12:00AM
Dear Forum Participant,



We are sorry this Forum has reached its limit of new questions for today. We have had to dramatically limit the number of questions we allow on a daily basis in each  forum due to  limitations of sponsorship funding. If your organization can sponsor this Forum please contact us.  



In the meantime please feel





THE ONLY ANSWERED QUESTIONS HERE ARE FOR PEOPLE WHO FART AND BURP ?????????? ANSWER THE SERIOUS LIFE THREATENING ONE DAMMIT!!



by Pat, Mar 10, 2000 12:00AM
Steve,

Reflux can cause the cough you have, I too have had this and the GI Dr. explained this to me.  It can also be the cause of the asthma you are having.  You should check with you GI doctor or go for another evaluation.

by virgo0823, Mar 12, 2000 12:00AM
To Jim M,



Have you been checked for eshopagus and or stomach inflammation? I was recently diagnosed with Stage II Barrett's Syndrome, GERD and also just had my gallbladder removed.  I drink moderately and smoke once a week but have been doing this over 20 years.  The doctor gave me a new drug called Acipex.  It is great with no known side affects.  I had been given Priolsec before and had stomach and headache problems worse then the stomach problems I had before.  You might ask the doc about this.  Drinking and smoking can cause irritation and  inflamation in these areas.   Good Luck

by Kate, Mar 18, 2000 12:00AM
What is Barrett's Syndrome and GERD exactly? I have had stomache problems for 11-12 years. I just recently had my gall bladder removed because of so many frequent problems with nausea and pain. I was finally hospitalized in Dec. 99 and was told my white blood cell count was at 15,000 (normal is 5,000); my spleen was enlarged, my liver was enlarged, my gall bladder was enlarged and a small ulcer was evident. They ran tests for 5 days and ruled out everything except for gall bladder disease. I didn't show any signs of stones, but I knew that fattier meals usually worsened the condition. My main symptoms over these years have been problems with major nausea and usually vomitting whenever I eat meals. The symptoms have been worsening with every year, but there has never been a real pattern to it. Earlier on it would kind of come and go - maybe bother me for six months and then the problems would disappear for another 4 months, and so on. It has now gotten to the point with nearly every meal, I feel sick.

I had my gall bladder removed 7 weeks ago and now I am experiencing problems of major heart burn and reflux. I also have problems with diahhrea more often than I've ever had. As well, the problems of feeling nauseated and vomitting when I eat are still there, although I must admit I don't have quite the pain I had before. Part of me feels like I just bring this on myself, but the other part of me knows there's got to be a reason why I have such difficulties eating and my stomache. I am 31 years old.

Any feedback?

by To Kate, Mar 18, 2000 12:00AM
Hi Kate,

Your symptoms sound a lot like Gastroparesis which is delayed emptying of the stomach. The test to diagnose this is a gastric emptying study, a painless and easy test. It's best to have this test done while you're having symptoms. You might find it helpful to read other posts in this forum from people with Gastroparesis, and maybe do some research on the web. You are not alone with these symptoms and your symptoms are not in your head, don't let anyone tell you otherwise! Symptoms can worsen over the years and also around your menstrual cycle. If this is what you have there's drugs that can control the symptoms. For the reflux and heartburn it sometimes helps to elevate the head of your bed. Good luck and God bless!  Cassandra

by Betty, Mar 23, 2000 12:00AM
I have a question.  I have had acid-reflux daily for the past nine months.  I was diagnoised with chronic