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Achalasia Cardia Treatment
This is a disease that destroys the nerves coordinating esophageal muscle contraction. The normal ability to push food into the stomach is lost, and the valve entering the stomach becomes tight and stiff, allowing food to collect in the esophagus and empty by gravity alone. Solids generally worse than liquids. Onset is gradual. Weight loss & malnutrition common. Treatment ...Read more
Surgery for GERD: In 2008, a british study conducted by grant compared surgery vs medical therapy in patients with gerd. The investigators reported that by 12 months, 38% of those who had surgery were taking reflux medication, compared with 90% of those on medical management. Long-term results of antireflux surgery have shown that, at 10 years, 90% of patients are symptom-free and only a minority still take meds. ...Read moreSee 1 more doctor answer
Many Possibilities: If this is chronic and not a new problem may need to consider your diet such as things like coffee, smoking, spicy foods, and alcohol intake. Also there can be a chronic infection of the stomach that can cause this called h. Pylori which can be tested for by blood and stool tests. This is treatable with antibiotics. Also try otc meds like Zantac (ranitidine) and Prilosec with maalox. Try changing diet as well. ...Read moreSee 1 more doctor answer
Protonpump inhibitor: For mild reflux h2 blockers such ranitidine or zantac works and for worse cases proton pump inhibitors such Omeprazole or prilosec. Avoid caffeine and eating at least 2 hours before bedtime. Being overweight may worsen the case as well as stress. ...Read moreSee 1 more doctor answer
Depends: What is the cause of the strictures? If it is from adhesions, the scar tissue is removed. If it is from something unusual like carcinoid tumor, then bowel resection. If from crohn's disease, then sometimes bowel resection or stricturoplasty. Stricture of colon from diverticulitis would need colon resection. Etc. ...Read more
Yes: Esophagitis is damage to the lining of the esophagus caused by stomach acid coming up past a failing valve at the top of the stomach, called gerd. Acid medicines can reduce the pain and much of the damage to the esophagus, but they do not stop the stomach fluid from coming up. Gerd is often associated with hiatal hernias and this can be repaired with anti-reflux surgery. ...Read more
Several treatments. : Several treatments are available for gerd. The first is lifestyle modifications. These include raising the head of your bed, avoid eating late, losing weight, and avoiding reflu inducing foods. The second is meds, including h2 blockers (zantac, pepcid) and ppis (nexium, prilosec, dexilant). The third is surgery. These include nissen fundoplication, tif (transoral fundoplication) and linx. ...Read moreSee 1 more doctor answer
Achalasia: This is a disease where the nerves of the esophagus no longer function to coordinate the muscles to push down food, or send a signal to the lower valve of the esophagus at the entrance to the stomach to open an let the food in. Cause usually unknown. Most effective and most invasive treatment is surgically cutting the muscle of the valve, that can be done laparoscopically or endoscopically (poem). ...Read moreSee 2 more doctor answers
Anti reflux Rx: Be is a complication of chronic reflux; may be painless. Cells in lower esophagus look like intestinal cells, would be ok if they weren't esoph. Cells; less resistant to chemical onslaught. Pre-cancerous. 1% of barrett's pts. May develop adeno (gland) ca of esoph. Rx with aggressive med rx, ppi twice a day, and follow up endoscopy to check for "dysplasia"-more cancer-like; can remove by scope. ...Read moreSee 2 more doctor answers
Is gastric muscosal prolapse serious problem? Report shows gastric muscosal prolapse in o-g junction at 38cms. How to treat?
Crohns disease, gastroesophageal reflux disease, barrett's esophagus, esophagitis. 2010 had a fundoplication. Why isn't it working anymore?
Gastric body-type mucosa with mild chronic, non-specific gastritis with intestinal metaplasia, negative forhelicobacter pylori.Have 5cm hitas hernia, ulc?
Might be Barrett's: Intestinal metaplasia typically refers to changes in the esophageal mucosa, and is associated with a disease called "barrett's esophagus." this is a precancerous condition, and you need to be followed by either a general surgeon who does endoscopy, or a gastroenterologist. ...Read more
Antral erosion with (mild) congestive gastropathy with gastric polyp with erosive duodinitis (polypectomy done) explanation, advice and diet please.
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