Hi Ladies,
Thank you all for such kind supporting words in a time filled with worry and stress.
Here is an update on Lexi’s appointment, so she is confirmed to have the intestinal/stomach lining growing up her oesophagus but the biopsies taken have so thankfully came back negative in containing intestinal cells which leads to Barretts Oesophagus so Dr Hammond (gastro) says she needs to be monitored closely for future changes & have regular endoscopies so by close monitoring you’d think 6mth or annual but no he said every 3-5yrs!! We were confused saying but you said close monitoring & he said for Barretts changes this is close monitoring as its a very slow progressing change in cells so she is currently like stage 1 out of like 4-5 stages which she may or may not reach, dont know how common this growing in the oesophagus is for TOFs but i understand they are at higher risk of developing it.
Then there was the lump in stomach which biopsies were taken & again are negative of anything & he’ll watch that with the endoscopies.
The results from manometry confirm she has severe swallowing issues but we know thats common in TOFs & they just learn to deal with it as she has to, she just needs to chew her food properly & drink with eating which now at her age she already manages herself!!
Now the 24hr PH impeadance he only roughly had the results but said he got the info he needed & concluded she has severe reflux which we knew from 2 previous standard PH studies, i asked how many episodes this time & he wouldnt say as he said its not important as we know its severe (but i was interested in knowing a number anyway) he just said pretty much most of the time shes refluxing inside but whats more important is the mg of nexium she is on is doing its job blocking the acid really well pretty much 99% of the time.
So where to from here well she can have another fundo operation to do a loose wrap in a 180 or 240 version but will it work they dont know, so we have decided no wrap for now as her meds are blocking her acid so her damage risk in oesophagus is reduced & she can swallow better without wrap in place, so in a nut shell she just has to learn to live, accept & deal with her reflux & see how she goes over the next 12mths.
Now when i explained this to her she said ‘but i dont like having my blunk blunk’ (her term for describing the reflux going up and down) & i said well your just going to have to make friends with it & so she says to her throat ‘ok blunk blunk we have to be friends & im sorry’ fricken hilarious from the mouths of babes i love the little sayings she comes up with!!!
So for the first time since she was born 4 and a half years ago we have no hospital appts/tests/reviews & it feels strange its great but just strange like ive left home without saying goodbye…......but over the next 12mths if we have any concerns before her next annual appointment with gastro then we are just to phone either Dr Hammond (gastro) or Dr Khurana (surgeon) to get her seen to otherwise thats it we just carry on as we are & finally move forward!!
xxx