Hi all, Diagnosed with limited cutaneous systemic sclerosis and secondary Raynauds in 2017 with worsening GI issues and potential Kidney problems. I recently had 24 hour PH and Manometry test to check for oesophageal motility issues and to see the severity of the reflux I’m having. Despite 2 years of a combination of omeprozole/Esomprozole and ranitidine for symptoms the tests revealed I have ineffective motility at least half the time and despite what I thought to have been a good day in terms of reflux during the test it shows I have excessive acid reflux having 73 episodes in 24 hours. My question is given that I’m already taking meds to help, what other treatments are available? Anyone here needed surgery? Very concerned it’s going to get worse.
Any help would be appreciated