|
Home > Archive > Heartburn Support > April 2006 > zoton and other PPI's
You are viewing an archived Text-only version of the thread.
To view this thread in it's original format and/or if you want to reply to
this thread please [click here]
| Author |
zoton and other PPI's
|
|
| gm4jnw@gmail.com 2006-04-03, 6:12 pm |
| Am becoming more and more frustrated by diagnosis of my doctor.
I first started with chest pain and left side pain/discomfort running
down from the left side of my diaphram right down my left abdomen as
far almost as my hip. I also had a cough but NO burning pains either in
my stomach or abdomen (I have never had burning)
I was diagnose with a hiatus hernia and given PPI's and recently had
the original one changed to Zoton about a month ago (have been on these
over a year)
To be fair the cough has almost gone but the discomfort has never gone
away down my left side. I tell my doctor but he cant answer why I have
this discomfort.
I though I would post this in the hope that others may have had the
same - If I have to live with it I would just like to be told. I
believe the Zoton has helped to a point but am starting to wonder if
the doctor is focused on the hiatus hernia and is missing something -
or am I being paranoid?
| |
| Howard McCollister 2006-04-03, 6:12 pm |
|
<gm4jnw@gmail.com> wrote in message
news:1144097117.451616.251380@i39g2000cwa.googlegroups.com...
> Am becoming more and more frustrated by diagnosis of my doctor.
>
> I first started with chest pain and left side pain/discomfort running
> down from the left side of my diaphram right down my left abdomen as
> far almost as my hip. I also had a cough but NO burning pains either in
> my stomach or abdomen (I have never had burning)
>
> I was diagnose with a hiatus hernia and given PPI's and recently had
> the original one changed to Zoton about a month ago (have been on these
> over a year)
>
> To be fair the cough has almost gone but the discomfort has never gone
> away down my left side. I tell my doctor but he cant answer why I have
> this discomfort.
>
> I though I would post this in the hope that others may have had the
> same - If I have to live with it I would just like to be told. I
> believe the Zoton has helped to a point but am starting to wonder if
> the doctor is focused on the hiatus hernia and is missing something -
> or am I being paranoid?
>
What diagnostic tests have been done to lead your doctor to believe that you
have a "hiatus hernia"?
HMc
| |
| gm4jnw@gmail.com 2006-04-03, 6:12 pm |
| I had a CT scan and a gastro camera
| |
| Howard McCollister 2006-04-03, 6:12 pm |
|
<gm4jnw@gmail.com> wrote in message
news:1144099403.059172.182550@z34g2000cwc.googlegroups.com...
>I had a CT scan and a gastro camera
>
I don't know what a gastro camera is. Do you mean EGD (flexible endoscopy),
or Pillcam, where you swallow the little video capsule?
I'm not sure it matters anyway. The use of PPI's in the initial treatment of
(presumed) GERD is reasonable, but if those meds don't resolve the patient's
symptoms, it's time to move ahead with EGD (if not already done), ambulatory
pH testing, and esophageal manometry. If those tests are unrevealing, then
your doctor should be considering a colonoscopy.
HMc
| |
|
| gm4jnw@gmail.com wrote:
> I had a CT scan and a gastro camera
gm4...like Howard, I am curious about what your "gastro camera" was. Was it
done by a gastroenterologist, and was it an EGD, or the pill cam that Howard
mentioned, or was it something new :-) ...Pete
| |
| Howard McCollister 2006-04-04, 1:15 am |
|
"Pete" <pete@nospam.net> wrote in message
news:1233gi9qk8riv6c@corp.supernews.com...
> gm4jnw@gmail.com wrote:
>
> gm4...like Howard, I am curious about what your "gastro camera" was. Was
> it done by a gastroenterologist, and was it an EGD, or the pill cam that
> Howard mentioned, or was it something new :-) ...Pete
Mostl likely it was an EGD. PillcamESO is pretty new and almost all
insurance companies have labeled it investigational. It's used as a
screening tool for Barrett's esophagus and it has very little usefulness
otherwise. You MIGHT pick up a hiatus hernia on Pillcam ESO, but EGD is the
definitive test for that. We have the Pillcam system, both ESO and SB.
HMc
| |
|
| Howard McCollister wrote:
> "Pete" <pete@nospam.net> wrote in message
> news:1233gi9qk8riv6c@corp.supernews.com...
>
>
> Mostl likely it was an EGD. PillcamESO is pretty new and almost all
> insurance companies have labeled it investigational. It's used as a
> screening tool for Barrett's esophagus and it has very little
> usefulness otherwise. You MIGHT pick up a hiatus hernia on Pillcam
> ESO, but EGD is the definitive test for that. We have the Pillcam
> system, both ESO and SB.
> HMc
Thanks Howard...don't forget to check on the lap nissen surgeons in
Baltimore :-) ...Pete
| |
| gm4jnw@gmail.com 2006-04-04, 11:21 am |
| Yes it was an endoscopy
I'm in the UK and its called gastro camera here by some surgeons
thats when I got the diagnosis he said I had a "moderate" hiatus hernia
(whatever moderate is)
Its the pain/discomfort down the left side that worries me - I have
made another appointment with a different doctor to try and get him to
explain to me what it may be.
Getting to see a specialist in the UK is not that easy, you have to go
via your doctor (G.P) who then refers you and if your GP is not worried
you go no further.
| |
| gm4jnw@gmail.com 2006-04-04, 11:21 am |
| Just a follow up.
Seen my GP today and he says I have IBS (irritable bowel syndrome)
along with the hiatus hernia and have to take colofax for 1 month. He
has taken bloods to check for other things so I feel as though am
getting further.
| |
| Howard McCollister 2006-04-04, 11:21 am |
|
<gm4jnw@gmail.com> wrote in message
news:1144149937.855635.263020@v46g2000cwv.googlegroups.com...
> Just a follow up.
> Seen my GP today and he says I have IBS (irritable bowel syndrome)
> along with the hiatus hernia and have to take colofax for 1 month. He
> has taken bloods to check for other things so I feel as though am
> getting further.
>
Yes, that's why I suggested that a colonscopy might be part of the workup.
IBS can cause symptoms that can be similar to GERD symptoms. The reason for
the colonoscopy is that colon problems other than IBS should be ruled out if
your symptoms aren't due to GERD. IBS is benign, but other issues can be
causing similar symptoms, such as inflammatory bowel disease,
diverticulitis, even colon cancer.
HMc
| |
| Howard McCollister 2006-04-04, 11:21 am |
|
"Pete" <pete@nospam.net> wrote in message
news:12341utrqi16966@corp.supernews.com...
>
> Thanks Howard...don't forget to check on the lap nissen surgeons in
> Baltimore :-) ...Pete
I have two doctors for you to consider, Pete. I couldn't find much on GERD
surgeons at Johns Hopkins, but consider J. Scott Roth at UMMC, or Molly
Buzdon at Union Memorial. Both are well trained and knowledgeable in a wide
range of MIS operations. Both have good reputations as surgeons. I can't
vouch for their bedside manner, but rumor has it that Dr. Buzdon is very
nice, and you may be able to avoid the teaching-hospital runaround.
HMc'
| |
|
| Howard McCollister wrote:
> "Pete" <pete@nospam.net> wrote in message
> news:12341utrqi16966@corp.supernews.com...
>
>
>
> I have two doctors for you to consider, Pete. I couldn't find much on
> GERD surgeons at Johns Hopkins, but consider J. Scott Roth at UMMC,
> or Molly Buzdon at Union Memorial. Both are well trained and
> knowledgeable in a wide range of MIS operations. Both have good
> reputations as surgeons. I can't vouch for their bedside manner, but
> rumor has it that Dr. Buzdon is very nice, and you may be able to
> avoid the teaching-hospital runaround.
> HMc'
Thanks Howard...I assume they do lap nissens. Do you know them personally,
and that they are proficient at the lap nissens specifically (ie would you
let them do one on you :-) ...Pete
| |
|
| Howard McCollister wrote:
> <gm4jnw@gmail.com> wrote in message
> news:1144149937.855635.263020@v46g2000cwv.googlegroups.com...
>
> Yes, that's why I suggested that a colonscopy might be part of the
> workup. IBS can cause symptoms that can be similar to GERD symptoms.
> The reason for the colonoscopy is that colon problems other than IBS
> should be ruled out if your symptoms aren't due to GERD. IBS is
> benign, but other issues can be causing similar symptoms, such as
> inflammatory bowel disease, diverticulitis, even colon cancer.
>
> HMc
Howard...IBS is a relatively strange thing that I believe has an unknown
cause. How do you diagnose it other than by symptoms (which may include
cramps, both constipation and diarrhea alternating, or just one of the two).
Do you basically rule out IBD, cancer, etc by other tests and procedures,
and then label it IBS and do the anti spasmodics, and fiber stuff,
etc...Pete
| |
| Howard McCollister 2006-04-05, 1:15 am |
|
"Pete" <pete@nospam.net> wrote in message
news:1236b1jdt11uc67@corp.supernews.com...
>
> Howard...IBS is a relatively strange thing that I believe has an unknown
> cause. How do you diagnose it other than by symptoms (which may include
> cramps, both constipation and diarrhea alternating, or just one of the
> two). Do you basically rule out IBD, cancer, etc by other tests and
> procedures, and then label it IBS and do the anti spasmodics, and fiber
> stuff, etc...Pete
IBD is generally a diagnosis of exclusion - rule everything else out and
that's what you've got. There is little or no objective data that can be
obtained that rules it in or out.
HMc
| |
| Howard McCollister 2006-04-05, 1:15 am |
|
"Pete" <pete@nospam.net> wrote in message
news:12369fbndup2333@corp.supernews.com...
> Thanks Howard...I assume they do lap nissens. Do you know them
> personally, and that they are proficient at the lap nissens specifically
> (ie would you let them do one on you :-) ...Pete
I don 't know them personally. I've heard of Dr. Buzdon, and I think she'd
be where I would start if I lived there and were interested in exploring a
Nissen.
FYI, the guru of GERD, probably in the world, is Dr. Don Castell. I believe
he's at the university of South Carolina. He's a gastroenterologist, very
well known, and very highly regarded by surgeons AND gastroenterologists. I
don't know if that trip is in your travel radius, but you couldn't do any
better as a place to start afresh in your quest for GERD relief. Look at
http://tinyurl.com/fwq9q
HMc
| |
|
| Howard McCollister wrote:
> "Pete" <pete@nospam.net> wrote in message
> news:12369fbndup2333@corp.supernews.com...
>
>
> I don 't know them personally. I've heard of Dr. Buzdon, and I think
> she'd be where I would start if I lived there and were interested in
> exploring a Nissen.
>
> FYI, the guru of GERD, probably in the world, is Dr. Don Castell. I
> believe he's at the university of South Carolina. He's a
> gastroenterologist, very well known, and very highly regarded by
> surgeons AND gastroenterologists. I don't know if that trip is in
> your travel radius, but you couldn't do any better as a place to
> start afresh in your quest for GERD relief. Look at
> http://tinyurl.com/fwq9q
> HMc
Thanks Howard...Baltimore is far enough, remember I don't have anyone to
help me...Pete
| |
| Derek F 2006-04-09, 1:13 am |
|
<gm4jnw@gmail.com> wrote in message
news:1144142533.569031.109080@v46g2000cwv.googlegroups.com...
> Yes it was an endoscopy
> I'm in the UK and its called gastro camera here by some surgeons
> thats when I got the diagnosis he said I had a "moderate" hiatus hernia
> (whatever moderate is)
> Its the pain/discomfort down the left side that worries me - I have
> made another appointment with a different doctor to try and get him to
> explain to me what it may be.
> Getting to see a specialist in the UK is not that easy, you have to go
> via your doctor (G.P) who then refers you and if your GP is not worried
> you go no further.
>
And if you live in my part of the UK the waiting time to see a Gastro
specialist is 26 weeks for NHS patients.
Derek.
| |
|
| Derek F wrote:
> <gm4jnw@gmail.com> wrote in message
> news:1144142533.569031.109080@v46g2000cwv.googlegroups.com...
> And if you live in my part of the UK the waiting time to see a Gastro
> specialist is 26 weeks for NHS patients.
> Derek.
Ouch!!! I guess you have to treat yourself the best way you can :-) :-)
| |
| Vanny 2006-04-09, 11:14 am |
| My commiserations.
I am so pleased that I left the UK to move to Germany 10 years ago. A major
reason to stay is the healthcare system, although it is also taking a
battering. I can get an unhurried appointment with my gastro. within two
weeks. If I need to speak to him urgently, for example, when I had
intestinal closure last November he rings back within a couple of hours.
All the best,
Vanny
"Derek F" <lordpilrig@NOXbtinternet.com> schrieb im Newsbeitrag
news:y9adnUlS_rt31qXZnZ2dnUVZ8qudnZ2d@bt.com...
<gm4jnw@gmail.com> wrote in message
news:1144142533.569031.109080@v46g2000cwv.googlegroups.com...
> Yes it was an endoscopy
> I'm in the UK and its called gastro camera here by some surgeons
> thats when I got the diagnosis he said I had a "moderate" hiatus hernia
> (whatever moderate is)
> Its the pain/discomfort down the left side that worries me - I have
> made another appointment with a different doctor to try and get him to
> explain to me what it may be.
> Getting to see a specialist in the UK is not that easy, you have to go
> via your doctor (G.P) who then refers you and if your GP is not worried
> you go no further.
>
And if you live in my part of the UK the waiting time to see a Gastro
specialist is 26 weeks for NHS patients.
Derek.
| |
| Derek F 2006-04-10, 6:15 pm |
|
"Pete" <pete@nospam.net> wrote in message
news:123godhgjdba94b@corp.supernews.com...
> Derek F wrote:
>
> Ouch!!! I guess you have to treat yourself the best way you can :-) :-)
>
My neighbour with a shoulder problem has been quoted 40 weeks to see a
physiotherapist. When I needed one a few years ago the wait was only 16
weeks :-)
Derek.
|
| |
|
|