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Doctor insights on: Does Gerd Cause Permanent Damage To Esophagus

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Son had upper GI and dr said he had barrets esophogus but biopsy was negative. He has gerd, takes nexium (esomeprazole). Why discrepancy? F/u needed future?

Son had upper GI and dr said he had barrets esophogus   but biopsy was negative. He has gerd, takes nexium (esomeprazole).  Why discrepancy?  F/u needed future?

Can follow: Barrett's isn't always distinguishable from erosions from stomach acid or non-barrett gastric metaplasia. Definitions of barrett's vary from country to country. Or the biopsy forceps may miss and take a piece of normal mucosa. Ask whether junior needs to be 'scoped again. ...Read more

Dr. David Earle
1,279 doctors shared insights

Gerd (Definition)

It is normal to have some gastroesophageal reflux (ger). It becomes a disease( gerd) when it causes organ damage (imflammation of the esophagus, or barrett's esophagus), it has a significant negative impact on your life, or requires dependence ...Read more


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Does GERD cause permanent damage to esophagus?

Does GERD cause permanent damage to esophagus?

Sometimes: In most cases no. Occasionally a condition called barretts esophagus can occur and this can ultimately lead to cancer. This occurrs in an unpredictable fashion but is most commonly seen in middle aged caucasion males. ...Read more

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How long of not treting GERD can it cause harm to my esophagus?

How long of not treting GERD can it cause harm to my esophagus?

No short answer: It depends on how long and well you treated it before you stopped. If you put 2 bricks under each side of the head of your bed it will let gravity help keep the acid out of the esophagus. Also carafate (sucralfate) (sulcrafate) liquid in the evening or 3 times a day may help more cheaply. Zantac helps some people. If you're having heartburn you're causing damage. Some people have damage without heartburn. ...Read more

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I think my cough is from GERD because it happens more often when I eat. What causes me to cough? Is my esophagus sensitive from the acid?

I think my cough is from GERD because it happens more often when I eat. What causes me to cough? Is my esophagus sensitive from the acid?

Reflux causing cough: Coughing occurs because the gastric contents are refluxed back up the esophagus and spill onto the larynx (voice box) which because irritated and tries to protect your airway by forcefully expelling the irritant out of the lung. One of the functions of the larynx is to protect the airway and it does it by stimulating the cough reflex when there has been an aspiration. ...Read more

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Of the 2 GERD sub categories. Nerd & Erosive.... Is one more likely to cause Barret's Esophagus than the other? Does NERD progress to erosive? thx

Erosive does: NERD can be defined as “a condition with reflux symptoms in the absence of mucosal lesions or breaks, detected by conventional endoscopy and without prior effective acid suppressive therapy." So no, NERD should not lead to Barret's. Only a small percentage of people with erosive will develop Barret's. But the diagnosis of NERD vs erosive is dependent on endoscopist (so may hv inconsistencies) ...Read more

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How long does take for untreated GERD to cause barrets esophagus ?

Chemical burn: Reflux, chemically burns the lining mucosa of the esophagus.......which is not acid resistant. Recurrent and prolonged process changes this epithelium to abnormal.....Barret's ...Read more

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Can the damage of the esophagus caused by stomach acid from GERD be healed?

Can the damage of the esophagus caused by stomach acid from GERD be healed?

Yes: Yes, many medications can heal acid reflux. The strongest medications fall under the class of proton pump inhibitors. They block stomach acid production and can heal erosive esophagitis almost 90 percent of the time at 8 weeks. ...Read more

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Could reflux/LPR/GERD etc. cause water to feel cold running down the esophagus? I have had reflux symptoms. I have now noticed this with the water.

Could reflux/LPR/GERD etc. cause water to feel cold running down the esophagus? I have had reflux symptoms. I have now noticed this with the water.

Possibly: Reflux can make the tissues more sensitive to cold or hot, although the sensation of cold could be due to other factors, or could just simply be normal. ...Read more

Esophagus (Definition)

This is the muscular structure built like a tube that connects your throat to the stomach though which food ...Read more