Medication or surgery?
I was diagnosed with GERD 5 years ago after gastroscopy showed oesophagitis, gastritis and a small hiatus hernia. I was commenced on PPI (Omeprazole 20mgs od) I modified my diet and lifestyle and managed to reduce it to 10mgs a day, also going for long periods without medication, only taking it for a while when symptoms returned.
In late 2005 I had to have chemotherapy and symptoms returned worse than ever and I was put on 40mgs a day for a month, that seemed to settle it down for a while but it steadily got worse and was recently put on 40mgs a day regularly due to heartburn, chest pain and vomiting over which I had no control, I have also had to take antacids as well
I have had a repeat gastroscopy today which showed oesophageal ulceration despite the 40 mgs of Omeprazole and was told to consider surgery otherwise I would have to continue on high doses of PPI (which are not completely solving the problem the problem on their own anyway, I stil have to take regular Gaviscon Advance as well)
I do not relish the idea of surgery but also am not keen on long term high doses of medication. Who knows what the long term effects of this could be
I do not know anyone who has had surgery for this problem, so am not fully aware of the pros and cons of this treatment versus long term medication
I hope you can offer some advice on this, I do not expect anyone to advise me on what to do, as I know this has got to be my decision but a little bit more information would help me