Doctor insights on:
Barrett S Esophagus Hiatal Hernia
Weight loss, elevate: Keeping the intra-abdominal pressures low is the key to keeping food/acid from refluxing into your esophagus. If you keep your head about 30 degrees (using cinder blocks under the bed posts is an inexpensive way to do this) of the parallel, most reflux is prevented. Weight loss also reduces abdominal pressure and keeps the food where it should be. Good luck! ...Read moreSee 1 more doctor answer
A hernia is a hole in the abdominal wall thru which the inner lining protrudes thru, creating a sac. Organs from within the abdominal cavity, such as the intestine, can protrude thru the hole and get stuck in the sac. Many hernias develop during fetal life and become evident in childhood or as an adult. Some develop following a prior abdominal operation. The cornerstone ...Read more
Surgery not needed: In every one , if can be treated successfully with medical treatment , it is a premalignant condition , need close follow up is needed with frequent biopsies. . If you are unhappy with your doctor's decision take a second opinion to keep your mind at ease. ...Read moreSee 1 more doctor answer
Is barretts esophagus considered an inflamatory condition? Would having barrets with no displasia make CRP level high?
Probably not: This pathologist believes that people pay way too much attention to crp. It's often up for no reason, and of course it's a marker for atherosclerosis along with dozens of others. Neither sensitive nor specific for anything, it's not worth troubling yourself over. ...Read moreSee 1 more doctor answer
Normal variation: The z-line, where the esophagus lining connects to the stomach lining varies quite a bit from person to person. Not everyone has a straight circle -- that's why it's called the "z"-line, because an irregular border is normal. Some things that can make it more abnormal could be reflux of bile or acid into the esophagus, poor esophageal squeezing, or just a normal variation. Good health! ...Read moreSee 1 more doctor answer
Motility disorder: It could be a motility disorder such as distal (formerly diffuse) esophageal spasm or a nutcracker esophagus. High resolution Manometry is the test to find out. A small tube is placed into the esophagus and you swallow water 10 times. It measures the valve pressures and the coordination and strength of the muscle contractions. Hope this helps! ...Read moreSee 1 more doctor answer
I've been diagnosed with a Hiatal Hernia and Nutcracker Esophagus. How do I determine which is causing my symptoms?
Probably nutcracker : IF your symptom is chest pain, its probably the nutcracker. IF you have heartburn and/or regurgitation, its probably the lower esophageal sphincter. IF the her is is large (paraesophageal), the symptoms would be chest pressure and difficulty eating. There is much more info on this, and I hope this helps clarify a couple things or guide your own research. ...Read more
Are you more prone to having esophagus polyps after having one with severe GERD and common hiatal hernia?
Not true polyp: esophageal polyps are called pseudopolyp, mean not real polyp, caused by the inflammation driven by the reflux, there are not a true polyp that can turn to cancer and they diseapear with treatment so try to take care of your reflux, follow the diet, no late meal ,or snack, sleep with head elevated, take medication as Rx, avoid caffeine and spicy food, and eat multiple small meal,avoid tight cloth. ...Read more
8mm module in lower esophagus found from a endoscopy. I also have a hiatal hernia.. Do I have cancer? I'm 23 and relatively try to be healthy.
Probably not: Especially at your age, most often these are little benign tumors, but it's your physician's job to decide. Esophageal cancers usually look nasty and a physician will be suspicious. Ask whether a biopsy was obtained. If so, chances are it will come back benign from the lab. If your physician didn't think it was worth biopsying, it's almost certainly benign. ...Read more
I have a hiatal hernia that flared real bad burning pain between shoulders and feels like my esophagus is on fire vomiting yesterday is this normal?
No: It sounds like your hiatal hernia is contributing to severe reflux disease (gerd) that requires treatment. You need to at least have medical treatment with a prevacid-type pill, and possibly surgery to correct the hernia (laparoscopic nissen fundoplication). If the severe pain occurred after prolonged vomiting you may have torn your esophagus - go to the er immediately! ...Read moreSee 1 more doctor answer
Of the esophagus due to acid reflux damage. The esophagus has different lining than the stomach. When it is exposed to too much acid, it changes to a lining that likes acid better i.e. Barrett's esophagus. It looks different from the regular esophagus on biopsy but can only be proven with a biopsy. A premalignant condition but chance of changing over to ...Read more
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