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Doctor insights on: Barrats Oesophagus

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Does Barrett's oesophagus always cause oesophageal cancer?

Does Barrett's oesophagus always cause oesophageal cancer?

No: Barrett's esophagus is one of the complications of GERD. It is characterized by the replacement of the normal stratified squamous epithelium lining of the esophagus by simple columnar epithelium with goblet cells About 10% of people with chronic symptoms of GERD develop Barrett's esophagus.Patients with Barrett's esophagus do have an increase the risk of developing esophageal adenocarcinoma but the complication is rare with less than 1% of patients developing this particular cancer ...Read more

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31 year old with GERD- chances of Barrett's, esophageal cancer or stomach cancer?

31 year old with GERD- chances of Barrett's, esophageal cancer or stomach cancer?

Treat the GERD: If the GERD is treated properly with antacids, there is very little risk of developing Barretts. There is very remote if any chance of developing Gastric Cancer. So youc an relax and take your PPIs as needed to keep the heart burn under full control. You may ahve to take PPIS for a long time. But you can get the Cancer fear out of your mind. You may need Upper endoscopy every 10 years to look fo ...Read more

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Can acid reflux cause esophageal cancer without ever having barretts esophagus?

Can acid reflux cause esophageal cancer without ever having barretts esophagus?

Yes and no: Acid reflux is not clearly a cause of esophageal cancer. But there is an association of reflux (acid and non-acid) to barrett's esophagus/adenocarcinoma of the esophagus. There are other types of esophageal cancers, which may or may not be related to reflux. ...Read more

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Can acid reflux cause esophageal cancer without the patient ever having barretts esophagus?

Can acid reflux cause esophageal cancer without the patient ever having barretts esophagus?

Possible but unusual: Most likely lower esophageal adenocarcinoma is caused by gerd, which changes the lining of the lower esophagus into that of the stomach (barrett's) which is a precursor for adenocarcinoma. However, one could have squamous cell type without gerd. Best to review with your gastroenterologist. ...Read more

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Stomach acid and larynpharyngeal cancer?

Stomach acid and larynpharyngeal cancer?

NOT ASSOCIATED: Laryngo-pharyngeal cancers are usually seen in longtime smokers who present to their physician with hoarseness and sometimes 'sore throat'. Stomach acid from reflux (gerd) can cause similiar symtoms so a referral to an ENT (ear-nose-throat) doctor can be made. An ENT will take a camera (laryngoscope) to look all the way down to vocal cords. Cancer looks like a 'mass', gerd causes irritation. ...Read more

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Is barrett's esophagus always something malignant?

Is barrett's esophagus always something malignant?

No: The vast majority are benign. It's good to check occasionally for little cancers that can develop. ...Read more

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What percent of Barrett's esophagus patients have hiatial hernia?

Unclear: Exact numbers depend upon which study is used. However, a meta-analysis of studies done in 2013 did show a strong relationship between hiatal hernia and Barrett's esophagus, with the association being most strong in patients who had longer segments of Barrett's esophagus. This is likely due to more exposure of the esophagus to gastric contents in the presence of a hiatal hernia. ...Read more

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What is barrett's esophagus?

What is barrett's esophagus?

Precancerous entity: Barrett's esophagus occurs when metaplastic columnar epithelium (that predisposes to cancer development) replaces the normal tissue of the esophagus. ...Read more

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Can barretts esophagus lead to cancer of esophagus?

Can barretts esophagus lead to cancer of esophagus?

Yes if untreated: If untreated barrett's ulcer of of esophagus , will tranforms to cancer , as already there is mucosal change ( sqamous metaplasia ) , there is high incidence of malignency and need close observation. ...Read more

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Does barrett's esophagus lead to cancer of the esophagus?

Does barrett's esophagus lead to cancer of the esophagus?

It can: Barrett's esophagus increases the risk for developing adenocarcinoma of the esophagus. Patients with barrett's esophagus should be in an endoscopic surveillance program. ...Read more

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Stomach gurgling, liquid moving, someone's abrupt sound, esophagus tingling, saliva in throat mouth, feelings of digestion. Drank water, inside ok?

Stomach gurgling,  liquid moving, someone's abrupt sound, esophagus tingling, saliva in throat mouth, feelings of digestion.  Drank water, inside ok?

Reflux likely: Sounds to me like reflux. Take some malanta or maalox initially and see if it resolves. The symptoms should improve. You can also try tums (calcium carbonate). Ideally you should try to stay away from foods that cause reflux like coffee, chocolate, acidic foods, tomatoes etc.. Also, try not to eat a lot before bed. Give yourself 3 hrs to let the food settle before bed. Good luck! ...Read more

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All the swallow problems, finally an edoscopy. Dr says esophagitis seen, corrugated esophagus esophageal mucosa c/w eosinophilic esophagitis. Help?

All the swallow problems, finally an edoscopy. Dr says esophagitis seen,  corrugated esophagus esophageal mucosa c/w eosinophilic esophagitis. 
Help?

Allergist/GI: See an allergist or a GI doc who is comfortable managing eosinophilic esophagitis (EoE). Often, patients with this condition are managed by both specialties. EoE is often managed with multiple therapies, including food elimination diets, proton pump inhibitors, and swallowed steroids depending on severity and symptoms. Please see doc as this is a chronic, sometimes severe, condition. ...Read more

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Is there a connection between barrett's esophagus and esophageal cancer?

Is there a connection between barrett's esophagus and esophageal cancer?

Yes: A few percent of barrett's folks develop adenocarcinomas at the site, usually after years. Since there are millions of folks with barrett's, a biopsy is often used to determine who needs close follow-up and/or aggressive treatment / resurfacing. ...Read more

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Endoscopy in Asia with Gastric Mucosa Biopsy result Gastritis mild, inactive Complete intestinal metaplasia without dysplasia No H.pylori ,meaning pls?

Endoscopy in Asia with Gastric Mucosa Biopsy result Gastritis mild, inactive
Complete intestinal metaplasia without dysplasia No H.pylori ,meaning pls?

Gastroenterologist: Mild inflammatory changes of the stomach lining was found, but intestinal metaplasia means that some of the stomach lining has morphed into a potentially premalignant pattern. Absence of dysplasia is favorable. Because of metaplasia I feel you should be carefully followed by a gastroenterologist who will monitor your situation with periodic endoscopic examinations. You don't need treatment for HP ...Read more

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Has anyone done surgery for GERD (gastro esophageal reflux disease)?

Common: It is a fairly common laparoscopic surgery performed by surgeons with expertise in this type of surgery. Names of surgery may be laparoscopic nissen fundoplication. ...Read more

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26 years old--upper endoscopy report said "slight gastric erosion' in stomach. What could cause that? Alcohol? Coffee?

26 years old--upper endoscopy report said "slight gastric erosion' in stomach. What could cause that? Alcohol? Coffee?

Common: These is a very common finding on most endoscopies and iate often not due to anything specific and not a source of concern. If you have acid symptoms then you should take acid suppressants, otherwise no intervention is needed. Ulcer or bleeding on the hand requires treatment.. ...Read more

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Is anyone familiar with esophagitis and GERD gastroeosophageal reflux disease?

Is anyone familiar with esophagitis and GERD gastroeosophageal reflux disease?

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

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58yo F diagnosed Barrats Mucosa/Oesophagus via gastroscopy in 2010 How often should gastroscopy be repeated? Assuming NHS will just do minimum req'd

58yo F diagnosed Barrats Mucosa/Oesophagus via gastroscopy in 2010 How often should gastroscopy be repeated? Assuming NHS will just do minimum req'd

Barrett's esophagus: Check out http://www.mayoclinic.org/diseases-conditions/barretts-esophagus/basics/treatment/con-20027054 as a starting point. Frequency of endoscopy depends upon what's found at most recent check up. If no changes found, then perhaps 1-3yrs but if even low grade changes found, then repeat in 6mo-1yr. Assuming you're in UK b/c you asked about NHS, check out https://www.nice.org.uk/guidance/cg106 ...Read more

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What to do if tablet get stuck in oesophagus?

What to do if tablet get stuck in oesophagus?

Go to ER: if it doesn't pass by taking lots of liquids, it would need to be taken out by endoscopy. A pill stuck in the esophagus can cause inflammation. It is best to deal with it earlier than later. ...Read more

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Oesophagus grade 2 what does this mean please?

Well...: I'm guessing you mean grade ii esophagitis which is a measure of how much damage acid reflux is doing to your esophagus. See if that makes sense with your situation. ...Read more

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What do doctors do for a torn oesophagus?

What do doctors do for a torn oesophagus?

Mallory-Weiss tear?: A mallory-weiss esophageal tear may develop after vigorous retching. Brisk red bleeding however should not be ignored or dismissed. Old blood may look like coffee-grounds, and be dark-colored. Oozing, small volume bleeds may be diluted by other stomach contents and may look like streaks, clots, or pink-tinged material. Any of these descriptions deserve evaluation--bleeding is never "normal.". ...Read more

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Discomfort and a feeling of pressure in my oesophagus ?

Discomfort and a feeling of pressure in my oesophagus ?

See doctor: How do you know the discomfort is in the esophagus?Are you having trouble swallowing?It is best to see a doctor and get evaluated.Best wishes. ...Read more

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Oesophagus grade 2 seen with endoscopy. What does this mean plz?

GERD Report card: If you want to think of how well your esophagus is doing in class...Think of the old a, b, c, d, and f grading scale. Throw the f's out and what you have is a b on your test. It's a little bumpy in there and if you are not on the right meds it could get way worse. I'm sure your GI doc has recommended you be on some meds that control acid production in your stomach. Take them like clockwork! ...Read more

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La grade c oesophagus one or more breaks continuous between tops of 2 or more mucosal folds less then 75% circumference?

La grade c oesophagus one or more breaks continuous between tops of 2 or more mucosal folds less then 75% circumference?

See below : You are describing los angeles grade c reflux esophagitis which is moderately severe but not the worst. This is based on what the endoscopist sees. Even more important are the results of a pathologist's examination of biopsy specimens. We would like to see no barrett esophageal metaplasia in the specimens and especially no dysplasia. ...Read more

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What do I do about severe pain in my oesophagus and reflux?

What do I do about severe pain in my oesophagus and reflux?

See gastroenterology: Your reflux may be causing irritation of your esophagus. Chronic acid erosion of the distal esophagus can be dangerous. Get seen by a GI doctor. ...Read more

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Which tests can be carried out in the diagnosis of cancer of the oesophagus?

Which tests can be carried out in the diagnosis of cancer of the oesophagus?

EGD: The best test would be an upper GI endoscopy with biopsy of suspicious areas. An upper GI swallow (barium) would evaluate any degree of stricture as a preliminary exam. Also, ct of the chest would help evaluate nodal involvement. Finally, a pet scan could help evaluate for distal metastatic disease. Good luck. ...Read more

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Iv just been told I hav Barretts oesophagus wot is this? How hav I got it? & is it treatable?

Iv just been told I hav Barretts oesophagus wot is this? How hav I got it? & is it treatable?

Acid Reflux: Barret's esophagus is a change in the lower part of the esophagus that occurs due to chronic exposure from stomach acid. The esophageal tissue changes to resemble stomach tissue. The change can rarely progress to esophageal cancer, it can be treated with medications and must be monitored by periodic endoscopy. Avoid use of medications which can increase reflux (NSAIDS). ...Read more

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Scared of oesophagus cancer help how can I prevent it?

Scared of oesophagus cancer help how can I prevent it?

LIFESTYLE: Your best bet is not to smoke, at all. Don't drink to excess. Keep your weight in a good range, to limit reflux. If you're having more than just infrequent heartburn, see your doctor. Otherwise, don't worry to much about it, and be happy. Good luck. ...Read more

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Does Barrett's oesophagus always cause oesophageal cancer?

No: Barrett's esophagus is one of the complications of GERD. It is characterized by the replacement of the normal stratified squamous epithelium lining of the esophagus by simple columnar epithelium with goblet cells About 10% of people with chronic symptoms of GERD develop Barrett's esophagus.Patients with Barrett's esophagus do have an increase the risk of developing esophageal adenocarcinoma but the complication is rare with less than 1% of patients developing this particular cancer ...Read more

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I have no peristalsis in my oesophagus. Can I take fossamax for osteoporosis?

I have no peristalsis in my oesophagus.  Can I take fossamax for osteoporosis?

Peristalsis/fosamax: Fosamax (alendronate) is given with a full glass water ,while standing not lying down, with instruction not to lay down for 30 minutes due to its potentional for ulceration. There are other products (Reclast, Forteo,Prolia, HRT) on the market for osteoporosis that can be given as injections or are alternative products and may be a better choice in an individual with no peristalsis. Discuss with you doctor ...Read more

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I am suffering from GERD as well as oesophagus candisis what medicines should be taken for both the disease?

I am suffering from GERD as well as oesophagus candisis what medicines should be taken for both the disease?

First..: How was this diagnosed? At your age, unless you have a disease that has compromised your inmune system you should not have candidiasis in your esopahgus ...Read more

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My cousin just had her baby this morning and he was born with oesophagus defects and NO anus! What causes this? will he be retarded?

My cousin just had her baby this morning and he was born with oesophagus defects and NO anus! What causes this? will he be retarded?

Anal atresia: is often associated with a number of defects of the esophagus. This problem occurs between 4 and 8 weeks of pregnancy likely as a combination of genetic and environmental factors. There are many other possible associated conditions with this. Please review the link below for much more information. http://ghr.nlm.nih.gov/condition/esophageal-atresia-tracheoesophageal-fistula ...Read more

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Can permanent damage to oesophagus be caused by anaesthesia while undergoing surgery for pituitary using eea . Think i may have acidity since then.

Can permanent damage to oesophagus be caused by anaesthesia while undergoing  surgery for pituitary using eea . Think i may have acidity since then.

Esophagus trauma: There are several adverse effects associated with general anesthesia, however, your acidity sounds like it's an independent problem. Have you had a fluctuation in weight after your pituitary surgery. This is common and is a more likely source of your acidity. Try not to recline or lay down for at least 2hrs after eating or drinking. Avoid spicy, caffeine, citrus, tomato. ...Read more

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Hi doctor . There is this hollowness in my oesophagus only the upper part. after not eating for a long time like work i dont feel like eating at once?

Hi doctor . There is this hollowness in my oesophagus only the upper part. after not eating for a long time like work i dont feel like eating at once?

Difficult: to say from what you have described. I would suggest you see a ENT surgeon or a gastroenterologist for a more thorough history and exam. If based on your history there is any concern about the anatomy of your esophagus the next step would likely be a barium swallow where you will be asked to drink a contrast agent while x-rays are taken. ...Read more

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Diagnosed with Barrett’s Oesophagus a 2 years ago & most was removed by biopsies been feelin sick 4 2 mths checked it's non of meds I take wot cud itb?

Diagnosed with Barrett’s Oesophagus a 2 years ago & most was removed by biopsies been feelin sick 4 2 mths checked it's non of meds I take wot cud itb?

Nonspecific: Your symptom is nondiagnostic and more details about your symptoms are needed. Your physician will take a thorough history of your symptoms,perform a physical examination and order any appropriate tests in order to make a diagnosis. ...Read more

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I am diabetic on pills. Weight is about 92 kgs and height is 5 feet and 9 inches. Have chronic acidity problem due to long oesophagus. Any solutions?

I am diabetic on pills. Weight is about 92 kgs and height is 5 feet and 9 inches.  Have chronic acidity problem due to long oesophagus. Any solutions?

GERD: Your bmi indicates you are too heavy and losing weight would help you get rid of the gerd (gastroesophageal reflux disease). Acid suppressive therapy with medications like Prilosec are very effective at neutralizing the acid and relieving the symptoms. Good luck! ...Read more