Reflux query

Tod1

Hello,
I have scleroderma and rheumatoid arthritis. I have reflux issues with a hiatus hernia. I watch my diet carefully and use Gaviscon advance. But I recently spotted a device for sale called an Iqoro (www.iqoro.com) which is a neuromuscular exercise device that claims to be able to fix reflux problems without the need to take medication. It is currently being trialled by a few departments in the NHS and has been looked at by NICE. I was wondering if it might work for arthritis patients with digestive issues. Do you know anything about it?
Many thanks for your help.

[Deleted User]

Hi Tod1 and welcome to the forum.
A member of the Helpline Team will be along shortly to help with your request.

best wishes,

Ann

helpline_team

Hi
I'm sorry to learn of the digestive issues you are experiencing. I have asked our Health Information Team to look into this for you. This is their response:
- The IQoro is a neuromuscular training device used for improving symptoms related to hiatus hernia by strengthening the oesophagus and diaphragm. It is initially used daily for 3 to 6 months, with follow up maintenance use dependent upon individual need. 
- It aims to improve long term strength of haitus without long-term medication or surgery.
- Its intended as an alternative to long-term proton pump inhibitor. But expert reviewer questioned whether it should be used as an adjunct to PPI.
- Three non-comparative studies (ie., no placebo group) show that IQoro could improve symptoms related to hiatus hernia when used for 6 to 8 months in people with long-term hiatus hernia. Sample sizes were small, no long-term follow-up i.e., lack of evidence for its effectiveness.
NICE has developed a briefing paper, which includes information on the clinical and technical evidence and specialist commentator comments.
You can find it here: https://www.nice.org.uk/advice/mib176
Best wishes
Mags Helpline Advisor