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Following a gastroscopy, I have been diagnosed with a 3cm sliding hiatus hernia and grade B erosive oesophagitis. My GP has prescribed 20mg Omeprazole, once daily.
Although I have had mild IBS for about 10 years, the gastroscopy was prompted by a feeling of congestion/lump at the bottom of my throat, which had persisted for a month. Unlike many people with hiatus hernia and GORD/GERD, I don't have any of the other acid reflux symptoms.
I am now just starting week 9 of taking Omeprazole, and have had no side effects whatsoever, and the feeling of a lump in the throat has almost gone. Due to an absence of other symptoms, it is difficult to know whether/when I can stop taking the PPIs. I discussed this with my GP, who admitted this was a bit of a conundrum. He suggested I continue taking the Omeprazole for another couple of months until (hopefully) I'm completely asymptomatic, and then wean myself off them. He expects the symptoms will then return.
Obviously, I want to ensure that the erosive oesophagitis has cleared up, and I want to prevent it coming back to reduce the risk of Barrett's. Conversely, since I'm under 50, and the hiatus hernia is not going to go away on its own, I don't want to be on Omeprazole or other PPIs for the rest of my life (although that seems a definite possibility). Regular gastroscopy procedures, apart from being slighlty unpleasant, are not something the NHS is prepared to sanction every few months just to see what's going on.
I was wondering if anyone else has a similar problem, and can offer any advice.
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