Ended up in the ER last night with acid reflux / esophagitis symptoms. ER doc said he was very surprised my doctor had changed me from Losec (which was not working) to Nexium (which is also not working), since they are essentially the same drug. I’m also on Motilium. None of these drugs seems to help at all with my symptoms.
Spoke to my pharmacist today who said that my reflux seems to be stemming from a “functional” issue rather than a “lifestyle” issue (I’m not overweight, sleep with the head of the bed raised, eat very clean, never coffee, tea, alcohol, chocolate, tomatoes, etc.).
I’m in to see a specialist on Friday and I expect they’ll schedule an endoscopy.
What are the “functional” causes of acid reflux? I’m aware of hiatus hernia, but the pharmacist mentioned spasms? Are there any other potential causes?
If this is a hiatus hernia and the symptoms can’t be managed by lifestyle changes and medication, are there any treatment options outside of surgery?