I have severe acid reflux?

I have severe acid reflux and after years of conventional treatment that has failed. I have been booked in for a nerve block. I wanted to know what is the difference between a cephalic and splanchnic nerve block? Is there a difference? which is safer? I read in a journal that cephalic nerve block can lead to diarrhoea and there have been few reported deaths. It seems to be one of the risks involved?

Is this the case? Does the same risk exist with the splanchnic nerve block?


Medications: None

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Ahmed Fawzy
8:56 pm

Both can cause low blood pressure —>leading to death in rare cases and both cause diarrhoea , however I would go with splanchnic nerve Block as it is easier , success chances are higher and recovery speed and rate is higher than Retrocrural Celiac Plexus Block
Good Luck

12:13 am

Dr. Ahmad Fawzy, can you please let me know if the diarrhoea is a permanent effect or temporary. I ready it can be permanent but wasn’t sure which procedure it was i.e. both or just the celiac plexus? Thank you very much

Ayman Darrag
8:26 am

I agree with dr. Ahmed fawzi in going with the splanchnic nerve block ,and the diarrhea is not permanent ,in most cases it took days to subside and some cases did not suffer them at all.but it is expected to have loose stool after the procedure mostly.

Dr.Honey Arora
11:06 am

Side effects can occur with both the nerve blocks, however the side effects are temporary and resolve gradually..
However Splanchnic Nerve block is more preferable due to ease of administration and other benefits..

Hope this helps..

Dr.Honey Arora
11:06 am

You need not to worry as the symptoms are generally temporary and diarrhea will resolve gradually and is not a permanent symptom..


Ahmed Fawzy
11:11 am

There are 2 types of nerve Block, one of them is temporary (medical induced paralysis to the nerve) other is radio-frequency (heat) killing the nerve, permenantly
In your case I guess your doctor will choose permenant I guess

The procedure was designed mainly to reduce pain not stop acid reflux, in case of cancer or other visceral pain

Good Luck