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   Don't have THE SURGERY unless you're desperate! (Acid Reflux board)

28th July 2005
Hey blasterboy


How are you? I am affraid I might have to give you some bad news. Amitriptyline is a tricyclic anti-depressant which is also anti-cholinergic. This pill works for pain too, because it changes the way nerve endings work. It interferes with the way the nerves should work normally. People with GERD should not take this drug, because what it does is that it has anti-cholinergic effects which will decrease the LES pressure. People who have GERD should stay away from certain medications, and tricyclic-antidepressants and anti-cholinergic drugs are two of these meds. Amitriptyline has strong anti-cholinergic effects. This is how I developed a loose LES which right now I have GERD. I broke up with my girlfriend after 6 years and had some anxiety. The stupid doctor mis-diagnosed me as having depression even though I told him I have anxiety and not depression (I am in the medical field myself, so I know a lot about pills and medical conditions). But he insisted that I take the anti-depressants and finally I gave up and did. After 2 months of usage the pills made my lower sphincter so weak that everytime I eat now, I have reflux (I have LPR). I stopped taking the pill when I developed reflux but it is too late. The loose LES is obviously won't go back to normal because what the pill did was it reduced the LES pressure which results in the tone of the sphincter being reduced since the sphincter is just like a muscle and if it doesn't get used it will get weak. You can search this on the internet and find out about it if you like. I took 50mg once a day (at bedtime) for 2 months and that is all it took for this pill to decrease the LES pressure. I never ever had any problems with reflux, I could eat whatever I wanted to and now, because of this mistake I am not sure what I am going to do. So research about this pill because you definitely wouldn't want to be back where you were before. Take care. Mike
2nd August 2005
Hi everyone

Interesting to see what Mike had to say. I too had a relationship break-up many years ago and was on Amitriptyline for a few months. Really bad stuff.
It was after this I developed an ulcer and I now believe a weakened LES. It is an irony that due to the anxiety/depression you let your general health deterioate e.g. diet, alcohol use etc and the drug prescibed to make you emotionally better further erodes the physical. The real effects of the reflux only came to light 12 months ago so LPR most certainly is the silent reflux.

Blasterboy, how does the fundo for LES differ than normal hiatal hernia repair as the success rate of the latter seems very good ?. I have read about people having further corrective surgery either because the wrap was too tight or too loose and of course some do need further surgery down the line to re-tighten the valve. What I have read is that this type of surgery is years down the line and they have enjoyed a reflux free lifestyle till that point. The success or otherwise of the fundo seems still to be properly evaluated but any reference I have seen shows a success rate of 90%.
Hope things improve but I would re-consider the Amitriptyline use.
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