Doctor insights on:
Alternative Treatments For Bleeding Esophageal Varices
Multiple: Varices can be treated with medications like beta blockers to reduce venous pressures, direct ligation of the veins, systemic shunts to reduce blood flow and pressure in the liver and portal vein system. The ultimate treatment in select cases is a liver transplant. Need to work with a hematologist and GI specialist and at times a GI surgeon. ...Read more
Multiple: When deciding a treatment plan one aways must weigh the risks of (rate of occurance) and the impact of an complication vs the potential benefits of the treatment. Surgical complications are many. A partial list includes: anastomotic leak, vocal cord nerve injury, pneumonia, lymphatic leak, blood clots (DVT) and even death to name a few. But is surgery is possible it provide the best chance of cure. ...Read moreSee 2 more doctor answers
Many: It depends on the type of esophageal cancer and the stage. Cisplatin plus 5-fu is a common regimen, and it is sometimes given with radiation. Other types of chemo being studied include taxol, gemciteabine, irinotecan, and xeloda (capecitabine). A good website for cancer information is www.Cancer.Gov, the national cancer institute website. Good luck! ...Read moreSee 2 more doctor answers
None: Surgery is the only method of achieving cure for gallbladder cancer. When not discovered incidentally during routine gallbladder surgery, gallbladder cancer usually presents in advanced stages. Therefore even with surgery, chances of total cure are low. Chemotherapy and radiation therapy, though used, have not proven to be very successful in treating this disease. ...Read moreSee 1 more doctor answer
It depends : Gi bleeds can be located in several different places. They can also be of varied intensity from a trace to severe. All of that factors into the plan. Usually a scope can find the site of the bleed. The speed will determine the treatment after site is known. Treatment could be surgical, endoscopic, laser, or medications. ...Read moreSee 1 more doctor answer
Small esophageal varices mild esophagitis at gej portal hypertension..If surgery cannot b done what is the treatment?
Portal hypertension: This is most commonly due to cirrhosis of the liver and must be dealt with by a hepatologist, gastroenterologist or general surgeon familiar with the area of practice. Knowing the etiology of this would also be helpful. The esohagitis at the gej may be due to reflux. ...Read more
Are there alternative treatment options for biliary dyskinesia & chronic cholecystitis? (Symptomatic for 3 mos w/diet changes & pain is progressing.)
Antacids, but...: The most recent reviews i've seen indicate that there's no clearly effective treatment for barrett's itself, though the most cost-effective ways to manage the reflux that often causes it are antacids / anti-acid medicines and propping up the head of your bed on cinder blocks. Barrett's is common and your physician knows whether & how to follow you for pre-cancer, for which you get added treatment. ...Read moreSee 1 more doctor answer
What are the best treatment options for silent reflux (Laryngopharyngeal Reflux) other than acid reducing drugs or surgery?
Some alternatives: There are a variety of things including dietary changes, biofeedback, accupuncture, otc emetrol, vit b6 which may help. I usually suggest a brat diet (bread, rice, applesauce, tea and toast) and ask patients to remain sitting up for 30-60 minutes after a meal and eat 6-8 small snack like meals a day because of reflux. Keeping a food diary and noting what you keep down helps too. ...Read moreSee 1 more doctor answer
Are there any alternative drug treatments to Plavix (clopidogrel) for stroke from both Carotid Artery50%Blockages which don't cause adverse effects of GI Bleeding?
Not really: All medications used after an ischemic stroke (cholesterol plaque rupture causing an interruption in blood flow) are treated with blood thinners. Some people are more sensitive to certain ones, so if you've had a GI bleed while on Plavix (clopidogrel), (clopidogrel) then talk to your neurologist. Plavix (clopidogrel) is usually the best, but start with aspirin 182 mg daily. If you still have strokes, then Aggrenox is the next step up. ...Read more
Antral erosion with (mild) congestive gastropathy with gastric polyp with erosive duodinitis (polypectomy done) explanation, advice and diet please.
Conservative: Radiation for cancer, especially before selective therapy to the tumor minimizing injury was introduced, produced severe side effects at times. Gamma knife and Cyberknife have reduced the complications of radiation burns and radiation dermatitis These are treated with topical steroids and emollient creams. Skin washing with a mild, unscented soap can also be employed. ...Read more
See vein specialist: Leg ulcers are often caused by chronic venous insufficiency which is a problem that causes to much pressure to be in the veins near the skin. A venous specialist can diagnose and treat this condition. Our cure rate with venous ulcers is 97%. ...Read moreSee 2 more doctor answers
None: If the polyp is 1 cm or larger, the gall bladder should be removed. If it is smaller than 1 cm and you do not have symptoms suggestive of gb disease, then it can be followed with us studies. If you have typical symptoms of biliary colic, then removal of the gb is the only effective treatment. ...Read moreSee 1 more doctor answer
Yes. : Barrett's esophagus is a condition that arises due to chronic acid reflux or gerd. It increases the likelihood of developing esophageal cancer. There is a procedure called halo which can cure barrett's without major surgery. The more important step is to get his reflux fixed by either a tif (transoral incisionless fundoplication) or a laparoscopic nissen fundoplication. ...Read moreSee 1 more doctor answer
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