Doctor insights on:
Barrett's????: Barrett's esophagitis is a condition where chronic acid reflux from the stomach has irritated the esophagus to the point where there is an increased risk of cancer forming at the site of irritation. People with barrett's require regular (yearly or more frequent) monitoring with an egd (esophogastroduodenoscopy) by a gastroenterologist. ...Read moreSee 1 more doctor answer
An EGD is a diagnostic and therapeutic modality wherein a GI doctor puts a fiber optic scope down the throat of the patient, who is gently anesthetized, to,directly examine the esophagus, stomach and the beginning of the small intestines and to take biopsies of potentially abnormal findings or treat areas ...Read more
My mother is being dry heaving and nauseated for three months , all tests negative including egd, and other test, don't understand what is going on?
Lots of reasons...: There are many possibilities that don't necessarily involve the stomach (which is what the egd checked). Has she been tested for gallbladder and pancreatic disease, intermittent intestinal pseudo-obstruction, female problems or even pregnancy, brain and neurologic issues, is she under stress or have untreated anxiety/depression? Please address these potential problems with her doctor. ...Read more
Have had normal colonoscopy/egd/blood/fecal test/ ultrasound/cat scan.Gastro still wants to do smallbowel series. should I? I feel it's unnecessary.
Seems reasonable...: You don't say what problem or symptoms you have. But with the extensive work-up so far, it sounds like something serious, like gastrointestinal bleeding or Crohn's disease. If so, or if bleeding was severe, it is crucial to confirm the diagnosis and small bowel series seems reasonable. It's an easy test, a lot less invasive than tests already done. Discuss further with the gastroenterologist. ...Read more
Normal egd, ecg, stress test, no anxiety. But can't get rid of constant chest pressure, lightheaded from pressure. Doc does not know. Now what?
Doc should advise: Well, if what you're saying is that your doctor has ruled out some of the more likely causes of your symptoms and they can't find any abnormalities then, you will either simply have to wait to see how this evolves down the road or your doctor should make an appropriate referral to another specialist if he cannot find anything of an organic nature. ...Read more
Nausea,fatigue,mild abdominal pain,fever for months.symptoms worsen before period. had colonoscopy/egd, blood & fecal test all clear. what to do next?
Check gallbladder: You should have your primary care provider order an ultrasound of your gallbladder to check for stones or signs of inflammation. If that is normal, you should have a HIDA nuclear scan to check for biliary dyskinesia. If either test is positive, you would likely benefit from a laparoscopic cholecystectomy. ...Read more
1month ago test showed barretts was present. Just had a egd done and it showed none, what happen? Is this possible? What do I need to ask the dr?
Barretts esophagus: What treatment did u receive following DX of barretts? Antacid? Acid blocker like zantac or prilosec? If treated with proton pump inhibitor like Prilosec or prevacid, med may have helped heal condition. If no treatment was given, then possible one of 2 diagnoses incorrect. Ask doc to compare tests. ...Read more
Is Crohn's disease hard to diagnose? Colonoscopy EGD are norm beside minor inflamed cecum and ileum. Dr wants to do capsule test. So many tests!
Some times it can be: Most crohns affect the terminal ileum as well as the cecum. However as crohns can affect any part of the gi tract, a capsule endoscopy is helpful to find other lesions. My preference is to do a ct or MRI enterography, especially in an untreated crohns patient who I suspect may have tight areas (strictures). Hope this helps! ...Read more
Egd with pathology report, upper GI series or h. pylori test. are these two different tests. can you tell me about it?
Yes: Egd or upper endoscopy consists of direct visualization of the upper gi tract through passing a scope down to your upper part of duodenum. The test may include biopsy based on findings or clinical suspicion. Upper Gi series consists of x-rays taken after you swallow a barium based paste. H pylori can be tested in blood, stool, or stomach biopsy. ...Read more