Is there anyone here dealing with Bile Reflux?

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T
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Post by T »

Well I just called my GI office and I may have to go back to the city for my scheduled CT scan because they probably did not do the procedure
he wanted (more detailed)I have never had any luck with ER DR'S

Terry
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Post by tex »

:roll:

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Well long story short it took 45 min for the Barium prep 2 scans then they shot the dye into my veins one more scan and finally over.
My GI office called me the next day with results of Gastroparesis I am taking Metoclopram 10 MG 4X for 30 days and have app with my GI
next month long term treatment I don't know since this drug is for short term 12 weeks max and she did warn me of the nasty side effects
and to call them right away should I get any.

Terry
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Post by tex »

Terry,

As far as I am aware, there are 2 common causes of gastroparesis (including gastgroparesis associated with diabetes):

1: magnesium deficiency — this can prevent the pyloric sphincter from functioning normally to release the chyme (stomach contents) because magnesium deficiency causes smooth muscle tissue to clinch or spasm, so the sphincter would be unable to relax enough to function properly.

2. pancreatic insufficiency — this can happen if the pancreas is unable to produce enough bicarbonate to neutralize the acidity of the chyme, so the enteric nervous system is programed to prevent the pyloric sphincter from opening normally to release the chyme. If the chyme were released without adequate buffering, the excess acidity would damage/burn/digest the delicate mucosal lining of the duodenum.

Good luck with the treatment.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by T »

So far the treatment with Metoclopram is working but I missed A pill this week before supper and I bloated again and was miserable.
Since this med is for short term only ( 12 weeks max) I am wondering what my GI has in plan long term.I am only on this med for 30 days.

Tex

I reread your last post because something was still clicking in my memory so I rechecked my report from my EGD (duodenum)
It stated chronic peptic duodenitis (I think the general surgeon stopped looking when the dx was bile reflux and never wondered why)
My GI never rec'd this pathology report before my app but they did send for it.

Terry
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Post by tex »

Terry wrote:It stated chronic peptic duodenitis
I'm guessing that pancreatic inflammation was never considered. Right?

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by T »

Correct
I see my GI on the 14th then I will know more of the CT scan results they may not go into any detail on the phone.
I cannot access my report through this clinic yet.

Terry
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Tex

Well tomorrow I will see my GI
My legs itch from my ankles to my hips and I know there is A good reason why.
I rechecked my office visits with my PCP to see when this all started and bingo there it was back in about April I was adding foods back into my diet (spices, foods with some fat but not to much)that's when my health and weight slowly started to go down hill.
EGD revealed bile reflux and now CT scan revealed Gastroparesis but would this be from the bile backing up into my stomach or A partial blockage but here we go again A 55 mile trip back to the city.

Terry
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Post by tex »

Best of luck with the appointment.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by T »

My appointment went well my GI was not rushed and took time to talk to me.
Only two issues Gastroesophageal reflux without esophagitis and Gastroparesis three months on Metoclopram and one month or so to wean off
slowly he told me that some times the body will reset its self with this med but not always so hopefully I have good luck.
Back to my legs itching it must be because of A new allergy our dog sleeps in bed with us.

:roll:

Terry
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Post by tex »

Terry,

Metoclopramide will speed up stomach emptying, but it has a side effect that you should be aware of. Hopefully your doctor warned you of this risk, because it's a somewhat common side effect. Be cautious about taking it too long:

Metoclopramide Drugs Get 'Black Box' Warning

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by T »

Tex

Yes I was warned when they called me on my CT scan results and the first prescription had no refills.
When I had my app Tues my GI asked me if I was even getting the slightest bit of side effects.
If I have even the slightest side effect I have to call them right away I will be on it for three months (the maximum recommended )and taper off for one month.My GI has had good luck with this drug and I am tired of having gut issues I told my DW to watch me for the side effects.
They recommend taking it four times A day but with my schedule I take it three times A day.

Terry
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Post by tex »

I believe it has a good performance rate, as long as side effects don't develop.

Good luck with the treatment.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by T »

Well the Metoclopram worked for A while and that was it but no solid BM'S still D.
:sad:
I sent my GI A message last week and so I start weaning off it today that's all I got from his reply I guess I treat myself again.
I will start increasing my Mag today since that could be one of the problems.

http://www.medicinenet.com/gastroparesi ... troparesis


Terry
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