Patient: Description of condition (onset, main symptoms, hospital visited, etc.): September 28, 2010, began to develop day to day spitting up water after meals, regurgitation, sternal pain, esophageal pain, throat pain and sometimes foreign body sensation, spitting up phlegm, sometimes stomach pain, sometimes back pain, burning sensation in the esophagus, throat obstruction. I have warm breath and hiccups, and sometimes I have diarrhea and constipation. I’ve had a drip, and I’ve taken Chinese and Western medicines, but they didn’t work. Can I get anesthesia for esophageal manometry and 24H ph monitoring? What about the fact that the surgery is usually recurring in a few years or that the surgery has failed? Hospital GERD Center: Hello, esophageal manometry and 24-hour PH monitoring can cause some discomfort, but in most cases patients are able to accept and tolerate it, and generally do not need anesthesia. If your diagnosis is clear and you also have a combined esophageal hiatal hernia, fundoplication may be considered for treatment. Most patients experience relief or disappearance of reflux-related symptoms after surgery. I wonder what you mean by failed surgery? The patient had a gastroscopy on June 1, with non-erodible reflux disease plus erosive gastritis, with the following symptoms: vomiting acid after meals, sometimes acid reflux, sometimes food reflux, sternal pain, esophageal pain, sometimes pain when eating, sore throat with phlegm, stomach and diarrhea, sometimes constipation. Patient: Hello doctor, I’ve seen people who have had surgery for a week and then feel the same as if they hadn’t had surgery. I have also seen some relapses after a few months of surgery, and others after a few years. I’ve seen some people relapse after a few months of surgery, and others relapse after a few years. Why do many people relapse after surgery. I look forward to your reply Hospital GERD Center: Hello, first of all, I understand your eagerness to seek treatment, but at the same time, I hope you can understand the nature of medicine. Medicine is a natural science, which determines that all diagnostic and therapeutic measures may be inadequate, imperfect or unsatisfactory in one way or another; moreover, each patient is an individual, and even for the same disease, there may be differences in one way or another. Therefore, although all health care professionals will do their best to make full use of the available diagnostic and treatment techniques to relieve the pain of each patient, sometimes the results are beyond human capabilities. For example: the simplest penicillin allergy can also cause anaphylaxis. Disease is the common enemy of mankind, doctors, nurses and patients are the closest comrades, let’s join hands and work together for our health! Good luck~ Patient: Thank you doctor, thank you for your explanation, that relapse so do thank you. Hospital GERD Center: Hello, if the diagnosis is clear and the treatment is correct, the possibility of recurrence of postoperative esophageal hiatus hernia is unlikely because the fundoplication has changed the local anatomy and physiology of the hiatus, and the local area has been tightly fixed. The recurrence you refer to may refer to the recurrence of symptoms such as regurgitation, chest pain, and foreign body sensation in the pharynx. We do encounter such cases in clinical practice, where the surgery is successful, but the symptoms still exist to varying degrees. Thanks for asking, good luck~