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27 June 2000
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19 January 2009
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This site is not meant to replace your Doctor's advice. The advice on this site is from other wls patients and may not be relevent in your case or even harmful.

 

   

 

 

 

 

 

 

 

 

 

 

 

Reflux/Heatburn/Indigestion
Scarring

• Reflux/Heartburn Indigestion


Some people experience this at various stages of their post band life.

Reflux is a symptom of a pressure distribution problem associated with the Lap-Band,apparantly the band increases the pressure in the stomach and, when the pressure below is greater than the pressure of the esophageal sphincter, the fluid can flow up.

There are a few methods used that work for various people.

Raising the head of the bed about 6 inches by putting the legs of the bed on blocks. Or you can stuff a pillow between the mattress and box springs. Or you could sleep on 3 or 4 pillows.

Don't eat right before bed. Try and finish 4-5 hours before you lie down. Rinsing the stomach with water before you sleep works in some cases and aggregates others.

Take some anti-reflux medication before bedtime. Pepcid AC - you can take 2 (even though it says 1 on the box). Or you can take Zantac 150 mg. up to four times a day (even though it says twice). Your Doctor can prescribe Zantac 300 mg which works out cheaper and take this twice a day.

Or try your favorite liquid antacid: maalox, mylanta, gaviscon, peptobismol. These are not recommended long term though.

To avoid reflux you need to watch/avoid the following; estrogen (take it in the morning), peppermint (avoid), coffee (avoid). Don't wear anything with an elastic waistband to bed.

Remember to see your Surgeon as there can be a wide range of explanations depending on your circumstances. If this still continues he can prescribe stronger medication (prilosec/omeprazole) for example. If it persists you are going to have to have an adjustment.

• Scarring

After the operation there are a number of scars (5 or 6), most of these are small except for one which will be about 4-5 cms long. The smaller scars blend in rather quickly but the larger scar takes longer. In the cases where it is raised and red there are some products that can help.

There are two types of scars where these products can help.

Keloid scars which are red and raised. This is from the build up of collagen in the area.

Hypertropic scarring which is also red and raised but without the buildup of collagen.

One product that is being trialled by a few of the members at the moment is Cica-Care Gel Sheet (Smith and Nephew) for about $65 from your chemist.

There is an alternative product that offers a choice of the gel pad or a silicon cream. The price is similar for the pad (but the pad is twice the size and the cream is half the price. More details will be posted here soon on this product.

The results of this are not known yet but it may be worth a try. There are a few tests underway at the moment.

Day 1


Top shot of 9 month old keloid scar

Profile showing raised profile of the keloid scar

Day 7


Flattening out and starting to fade

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