Doctor insights on:
Duodenal Stent Diet
refers to all the physical matter humans (like all living creatures) must take in on a recurring basis; only partially for energy. Like all life on planet humans are open systems which keep tearing down their structure & require intake of atoms/molecules from which to rebuild their structure. Intestinal lining cells replaced ~every 3 days. CaPO4 in bones ~every 6 years, ...Read more
What Works: Lots of various foods choices long promoted but little scientific evidence any really work. The larger issues are internal controls of micro-erosions, presence/resistance to heliobacter pylori bacteria (can be hard to eradicate ; can recur), ingestion of nsaids ; other irritants, internal controls of local blood flow, emotions, etc. ...Read more
Does Carafate (sucralfate) help heal ulcer from non-infectious ulcer (i.E. Prior pancreatitis damage) in stomach/upper intestine for non-alcohol drinker. ?
2 egd in 2 mos.and bx grade c erosive esophagitis and 3 New gastric ulcers. on carafate (sucralfate) ppis and h2 blockers. Bx this time requiring more tests?
Break-thru ulcers...: ...despite appropriate acid suppression (as described) warrants consideration for cause. Further testing is warranted. ...Read more
Antral erosion with (mild) congestive gastropathy with gastric polyp with erosive duodinitis (polypectomy done) explanation, advice and diet please.
Can only Plavix be taken after coronary stenting? I have erosive gastritis,take Protonix (pantoprazole) 40mg and a DES in LAD post heart att. Need 3 more DES or BMS.
There may be options: Plavix (clopidogrel) is a platelet inhibiting drug. The purpose of the medication is prevention of future myocardial infarction and death following acute coronary syndromes and prevention of stent thrombosis. There are other medications besides Plavix (clopidogrel) that are platelet inhibitors ...Read more
Chronic pancreatitis, 5 yr. Healthy food (salad, beans) painful. Juicing okay? Focus on wght loss & good A1c (5.7). No alch, no gallst, ERCP cause
Juicing ok, but...: Juicing was a mainstay of nutrition for me when I was recovering from pancreatitis. Anytime my pancreas flares is, I return to it. Unfortunately, there's not a lot that can be done with pancreatitis other than resting the organ. Be sure to get protein also through small amount of lowfat foods such as beans or tofu or a whey protein drink or shake. ...Read moreSee 1 more doctor answer
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
Different principles: Bariatric procedures can be divided into 3 principle effects, causing malabsorption of nutrients, by restricting stomach size or a combination of both. Gastric band and balloon are restrictive, while gastric bypass is considered to be a combination of restrictive (small stomach pouch) and malabsorptive (bypassing portions of the digestive tract that absorb calories and nutrients). ...Read more
3ERCPs (stenosis after) in 3yrs for SOD. Follow diet & take enzymes but frequent pancreatitis attacks persist. 4th ERCP on hold. Typical outlook?
female 58 yrs Small aneurism in ascending aorta and arch; also PFO; high LDL & chol- can't take statins. Willl diet & exercise be enough?
Depends on LDL level: AHA/ACC guidelines =treat based on an assessment of lifetime risk of developing heart disease. Typically, before statins are started, a sincere attempt at lifestyle changes, including avoiding saturated fats& exercising (atleast walking even 10,000 steps/day) ought to be undertaken. Recheck fasting lipids 6 months later. No egg yolks, no shellfish; eat salmon, almond/walnut (Incr. HDL) ...Read more
A stroke/heart attack patient with chronic erosive gastritis.One DES.Taking Plavix (clopidogrel). 3 more stents and asprin to be added in the future. Suggestions?
Work with an integra: tive medicine doctor to get the lifestyle and mind/body/spirit connection going to prepare for better health. Many things wrong here that need to be corrected now that could help the success of future procedures. 3 more stents is a lot, and indicates the level of need for prevention and treatment to ensure longevity. Looking globally and each organ system is important! ...Read more
Subsequent to cholescystectomy severe pains described as bile reflux after endoscopy. Questran (cholestyramine) prescribed?
Cholecystectomy: Your post says you have diagnosis and also prescription. So what is your question? ...Read more
Diagnosised w/mild antral gastritis & mild GERD waiting 4 h pylori results-take Prilosec bid & carafate-can not eating enough cause break thru reflux?
What could cause gastritis, duodenitis, & esophagitis? Have had nissen & lap chole for acalculous cholecystitis.
H. pylori: The most common cause of gastritis and duodenitis is a bacterium called helicobacter pylori. When large amounts of the bacteria invade your stomach or small intestine, inflammation can occur. Curing helicobacter pylori (h. Pylori) infection may provoke reflux esophagitis. ...Read moreSee 1 more doctor answer
Sludge on us, high chol., high ldl, hida 40%, back and abdominal pain, green stool. Is gallbladder surgery an option if hida is 40%?
Depends: Most times surgery is considered if the gallbladder function is less than 30%-35%. It would be quite possible that having gallbladder surgery, for you, may offer no benefit ; could make your symptoms worse with more food intolerance, indigestion, diarrhea, etc. Be very cautious in considering surgery that could have no benefit for you. ...Read moreSee 1 more doctor answer