Hi and welcome to the GERD forum.
Reflux when you do not eat is your stomachs way of preparing to digest food it expects.....not eating is one way people think will help them lose weight, but will cause a vicious cycle of reflux....
Try eating 6 small meals to give that acid something to break down....and only avoid those foods you know will trigger a flare....
Surgery is always a last resort as it is not a cure....and is something to really weight with thought.....of possible outcomes....
Avoiding certain foods when you can feel you have excess acids may help....but as you know smoking is one vice that will continue to trigger your symptoms....
Change in weight, up or down can also trigger symptoms to flare....seasonal allergies....keeping a journal can help identify triggers and help you avoid those so you can enjoy foods typically avoided with this condition.
I have successfully been able to enjoy eating many of the foods on the list to avoid on occasion and do not feel I am missing out....I also do not need meds for my reflux except on rare occasions of a flare....or when my PND is acting up....
Your Dr may require you to take meds and see how your body responds...each Dr may be different in their approach to a surgery....but it seems the INS is the one that may mandate what treatments must be tried b4 surgery is authorized.....
Talk to your Dr about possible over production of histamines to see if that may be your issue...as it was mine and PPIs did not help, and knowing about the histamines I now also know that when my PND is acting up so will my reflux and why....so I increase my antihistamines and it helps.
The medical profession does seem to move at a snails pace so do get ready to wait and in the meantime look into keeping a journal and record everything, how many cigarettes, what you eat, when you eat etc....
I got the report from the radiologist last night and a call from my doc this morning saying she would like me to come in to discus the findings. The only thing I really understood from the report was that I do have a small hiatal hernia. I'll post the report and hopefully some one can maybe translate them for me.
1. There are 2 small filling defects of the lateral cervical esophagus
as above. These may represent small esophageal ****, but would be
slightly unusual location (lateral instead of anterior). Correlate with
possible blistering skin disorder, or possible Plummer-Vinson syndrome.
There are very small, and unlikely to be clinically significant.
Alternatively, and considered more likely, these may represent small
rests of ectopic gastric mucosa within the cervical esophagus. Size and
location would suggest failure of embryological conversion of columnar
epithelium (Mayo Clinic GI Imaging Review, 1st ed, p. 40) rather than
metaplasia. However, on some of the images, there does appear to be a
"feline esophagus," typically associated with chronic reflux.
2. Small hiatal hernia.
I'm not sure when I'll see my doc as she has no scheduled openings right now so I'm supposed to call at 7am each day to try and get a same day appointment.
Hi...I can not offer insights to the findings, but am confused as to why the Drs office just does not put you in a cancellation list...making you call every day is crazy....
Hope you get in soon and get answers so you are well on the road to recovery.
It is really dangerous to take so much calcium. It raises your blood calcium causing milk-alkali syndrome and hypercalcemia (see wikipedia). One of the symptoms of this is excess acid production - heartburn. Plus you risk heart attack or stroke.