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Hello,i suffer from a abdominal bloating after each meal,early satiety, acid reflux, weight loss and 24/7 throat pain since 2012, when I had a surgery for my GERD nissen fundoplication. Gastric emptying test was T1/2 was 140min. I am looking for a solution to my debilitating health condition. I would be grateful for any information about a good specialist or the clinic in United Kingdom, where i would be diagnosed for my condition, maybe suitable candidate for G-poem.

how to treat tnx

1-2 CM hiatal hernia's still cause VERY painful symptoms, the fact that you stated it shouldn't even be considered a hiatal hernia is dismissive to people who are suffering with symptoms.

Very useful. Was always confused about labelling it as HH OR not.

Incredibly helpful! Thanks

Awesome Video Dr Webster...After having Very difficult ERCp... Its good to understand what the problems could have been....I had a 10mm stone stuck in my CBD which by Luck came out after all 3 stents inserted all fell out into my bowel...It was very painful and I never want to see that amout of Bhile ever again....Disgusting Stuff ! But I now have a better undestanding of Stones than I ever had thanks to you . Fish and Chips anyone ?? (joking of course)

After having a Very Difficult ERcP.....3 days later all 3! stents fell out into my stomach giving me Acute pain....Numerous Xrays and Ctc scans found them in my bowel...And nature had to take its course...Fortunately and by Luck the 10mm stone that was stuck in my CBD...got dislodged and it too came out naturally.! As soon as my Liiver F Tests appeared normal I was sent home after 8 days in Hospital with a review with the surgeon in 4 weeks....MRCP will advise whether there are any more stones and whether we need to do ERcp again !! And GBladder removal....I was extremely unlucky.....But do question if ERCP was so difficult (Due to the amount of Bhile and infection) why was the procedure not aborted...and done another day...

there are NO 'clinical benefits' to any PPI

Are you kidding? How much are you getting from Big Phama?

i always feel difficulty when crossing the sigmoid always loop formation

😢😢😢

I can only speak regarding my own experience. I am a very long-term PPI user (over 20 years!) Because of this fact my physician recently ran a complete analysis of my nutrient levels, did a bone density scan, basically everything he could do to see if there was any evidence of negative effects of my PPI use. Everything came out within normal limits. I do take a quality multivitamin including D3/magnesium/potassium, etc. All results perfectly normal. I am so relieved because now I have been diagnosed with Barrett’s Esophagus so I will remain on PPI’s indefinitely 😉

My test came back positive for Gastritis

I have astrophic gastritis with intestinal metaplasia what does this mean.

Great imaging skills ! Q: The gastric mucus is only ~1mm thick, so how can an 'atrophy' of it lead to those large folds? But if the smooth muscle layer is involved in the atrophy, then it makes sense.

Crisp images lead to accurate diagnosis, superb skills !

Thanks for sharing your case , but it seems you made the procedure more difficult by using long TTG knife and doing incomplete mucosal incision from the start

This is multifocal atopic gastritis

Good lecture, worth the watch. Thanks.

Thanks alot Waiting for a comprehensive detailed videos about dealing with and understanding electrosurgical unit proper use Thanks in advance ❤

Sir autoimmune gastritis blood test

How do you remove pieces of stones after lithotripsy?

Good news to everyone that I'm no longer suffering from gastritis 😊. All thanks to God and my sincere gratitude to Dr unugboje. I say to everyone suffering from this condition that the best way to treat gastritis is to use natural herbal medicine Dr Unugboje who I met here on UA-cam healed me completely from my gastritis #drunugboje

May I ask what those bleeding spots are?

Danke

Could I ask, is there any treatment for this condition? Thank you.

Thank you

It's informative to see how your mind works. Thank you for your presentation on the Side Effects Denial Syndrome. I'm not going to discuss the vested interests which lead to your rationalisations unless specifically asked to.

I have been on Pantoprazole for 15 years and stopped it last year, and I am really surprised how this "Doctor" just blows off the side effects. I had a constant b12 deficiency and D3. Now at 59 diagnosed with Ostropenia as a result of the PPi preventing the absorption of these vitamins. This doctor is so typical of how doctors think. Go on to Medscape and read the side effects.

Great Prof

No mention of Vitamin B12 deficiency here.

I am 63 years old. After having ERCP twice pigtail stent was inserted replaced by SEMS after six months.

This was a very good demonstration. Many thanks for taking the time to show this!

Is this only applied on stones in the duct or also on stones inside the gallbladder?

We use double pigtail regularly for hilar strictures and do not see the problem you mentioned. We use 8.5 Fr. though; could this be the reason?

Is it ok to suck onto the mucosa when straightning the loop?

Nobody warned me about osteoporosis. I have been eating PPI's for 6 years and now I have low bone density. It's not osteoporosis yet, but close to it. I never trust doctors again. I should have read about it more, but all the medicine has huge lists of possible side effects, I didn't know this was one to be taken seriously, well now I learnt. At least I stopped using it before the situation got even worse, but I wish I would have never started it. So stupid of me to trust doctors.

Hello Doctor, I have intestinal paralysis. I visited more than one doctor and did not find a solution. I lost a lot of weight. I always feel full and heavy and vomited every meal

Volume to LOW

I've suffered for 10yrs+ a myraid of digestive ailments. My quality of life is terrible because of it. Everywhere online you read about how bad PPIs are and i've never taken them for more than a week or two because of it. They never really got rid of my symptoms either. Despite that I am going ot introduce them because of your video because this burning right now is too much! Fed up with this constant mucus in my mouth and bad breath on top of shortness of breath.

Very useful tips indeed. Thanks again

Thank you for spreading your wisdom.

Instead of this blind following and sole dependency on 'data' and 'studies'...a major problem with Western medicine and secular science in general...How about instead understand attributes and causality. PPIs dramatically cuts down stomach acid. Now understand that stomach acid is an important part of the digestive and immune system, so its absence will certainly cause problems... Acid is used to absorb nutrients...protein, fats, vitamins and minerals...and the hindrance or depletion of those causes all sorts of problems with tissues, processes, organs and function. A PPI will seemingly solve or reduce one problem/symptom but then create several others. H2 blockers being less dramatic in acid reduction are probably a better option in many cases as they can be altered more in dosage...but become less effective the more you depend on them, then you have to have more etc...And when stomach acid is stopped, when that stopping agent is removed...then the body starts producing more acid than normal and that then returns the symptoms. I had really bad internal pains stomach and also in back and below shoulders at back and I was put on PPI for a month and it removed the symptoms but I started feeling ill in other ways, and when the PPI stopped all those internal pains returned worse than ever. So it didn't cure anything. And before ranitidine was removed from the global market I got a load and used that instead...but I had problems for 18months...and it was only by stopping all pharmaceuticals and eating when I was in pain, and maybe other issues...my problems went away...but now after about 18mnths of being free, my problems have returned and have been in pain for weeks...and maybe that was because I stupidly started having too much coffee or maybe the cause was something else. But regardless, I intend to try and use PPIs and H2 blockers as little as possible in dealing with it, and PPI is always the last option, the nuclear option which stops the symptoms in an effective way but solves nothing. PPIs are also expensive, as compared to previous ranitidine which could be bought for £1 for 12 75mg tablets. And in UK we have not had an alternative H2 blocker made available over the counter. A lot of people are sick with a lot of conditions and we find a lot of these people are on long term PPI use without being aware of all their side effects and consequences, even though the Pharma manufacturer literature reveals a lot of these symptoms and side effects.

Been taking 40 mg pantoprazole every day for the past few years. If I don’t take it I literally throw up stomach acid non stop. The only things I’ve noticed since taking it is weight loss. I literally can’t gain any weight no matter what I eat. If I don’t take it I notice just a few hours later and the throwing up starts.

ｐｒｏｍｏｓｍ 🤭

Can you help me diagnosing it

Dr Khiria ua-cam.com/users/shortsk7YrQKT1JIM?feature=share herbal medicine cure my colorectal cancer….

I have been using at least 40mg ppi.s daily for 20 years I am still alive they are probably keeping me alive because I have Barretts and hiatal hernia. 63 years old

Excellent, informative video. What do you consider long-term use? how many weeks? Thank you