Doctor insights on:
Depends on cause: Common cause is infection with bacteria, h. Pylori, which can also cause acute gastritis, ulcers, and is a factor in stomach cancer and lymphoma. Can be rx'd with antibiotics and anti-ulcer meds. Chronic gastritis can be autoimmune in nature, associated with vitamin B12 deficiency sometimes. Different disease process; not "cured", managed. ...Read more
Maybe : Chronic gastritis is a pathological diagnosis. It requires a biopsy. It's not a clinical diagnosis meaning based on symptoms alone. Chronic gastritis could be active or inactive. Active can be treated with acid supression if related to acid. It could be h. Pylori and need 2 -3 antibiotics and a ppi. Or it could be due to NSAIDs. Which require stopping nsaids(aspirin, Advil etc). ...Read more
Anti reflux Rx: Be is a complication of chronic reflux; may be painless. Cells in lower esophagus look like intestinal cells, would be ok if they weren't esoph. Cells; less resistant to chemical onslaught. Pre-cancerous. 1% of barrett's pts. May develop adeno (gland) ca of esoph. Rx with aggressive med rx, ppi twice a day, and follow up endoscopy to check for "dysplasia"-more cancer-like; can remove by scope. ...Read moreSee 2 more doctor answers
Maybe (not) . . .: Everyone now agrees that h pylori is responsible for peptic ulcer disease, including gastric & duodenal ulcers. However, it's not clear that h pylori is responsible for gerd & esophagitis. However, esophagitis is associated w/pud so if we find h pylori, then we tend to treat if you/re symptomatic. The trick in medicine is paying attention to cause & effect studies vs observational ones. It's tough. ...Read more
No: It is not dangerous now, but is left untreated could become dangerous. Follow up on recommendations from your gastroenterologist. Youll be ok. Hope this helps! ...Read more
Couple ways: With lifestyle modification (try a web search for simple tips) also with prescription medication as well as over the counter meds. You may wish to try an over the counter medication and if no improvement see your dr for further evaluation and treatment. ...Read more
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
Prob not effectively: When appendix-a small sac off the intestine-becomes infected, the opening may be plugged. Then infection fighting cells, & waste products, accumulate. If this goes on for a long time (chronic) scar tissue can also encapsulate the diseased appendix. All this leads to an non-draining pocket of infection & an inadequate blood supply to transport antibiotics to the site to work. ...Read more
8 weeks of Nexium&Protonix40mg for severe esophagitis & eritemous pangastritis.Now erosive antral gastritis, no esophagitis. Causes & treatment?
Possible Causes: Sounds like you have had a series of endoscopic studies and likely biopsy studies to rule out infection with H. Pylori, Barrett Disease, and Eosinophilic Gastritis. Consider serum Gastrin level, parietal cell antibodies and B12 level. No antiarthritic meds incl. aspirin. No Tums because of acid rebound(looks likes acid is being suppressed) Take Nexium (esomeprazole) in early morn Consider Nexium (esomeprazole)+Carafate+Pepcid ...Read moreSee 2 more doctor answers
All the swallow problems, finally an edoscopy. Dr says esophagitis seen, corrugated esophagus esophageal mucosa c/w eosinophilic esophagitis.
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