Doctor insights on:
Esophagus Bleeding Alcoholism
It can: It can. You can bleed from varices: dilated blood vessels in the esophagus. People with cirrhosis can also bleed from the usual causes, such as gastritis and ulcers, especially if they're drinking. It's generally recommended that people with cirrhosis get an upper endoscopy to find out whether they have varices, since there are things that can be done to prevent them from bleeding. ...Read more
Bleeding varices BAD: There is a mortality rate of 30-50% with the first episode of upper GI bleeding from esophageal varices. Two thirds of these patients die within 1 year. Most patients with varices have cirrhosis, 40% dying from associated medical problems. About a quarter to a third of cirrhosis patients bleed at least once from varices. Many therapeutic and preventative options exist--get to a GI doctor asap. ...Read moreSee 2 more doctor answers
Not known yet: Marijuana does affect the intestinal tract, which includes the esophagus, stomach, and intestines. It is uncertain if marijuana worsens gastroesophageal reflux (the cause of heartburn and barrett's esophagus changes), improves ge reflux, or has no effect on reflux. Those who like marijuana say that marijuana improves reflux symptoms, but there is not good research evidence to back up their claims. ...Read moreSee 2 more doctor answers
Does Carafate (sucralfate) help heal ulcer from non-infectious ulcer (i.E. Prior pancreatitis damage) in stomach/upper intestine for non-alcohol drinker. ?
Possible but unusual: Most likely lower esophageal adenocarcinoma is caused by gerd, which changes the lining of the lower esophagus into that of the stomach (barrett's) which is a precursor for adenocarcinoma. However, one could have squamous cell type without gerd. Best to review with your gastroenterologist. ...Read moreSee 1 more doctor answer
Yes: Yes. Until the pain starts.Get a more detailed answer ›
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
Yes and no: Acid reflux is not clearly a cause of esophageal cancer. But there is an association of reflux (acid and non-acid) to barrett's esophagus/adenocarcinoma of the esophagus. There are other types of esophageal cancers, which may or may not be related to reflux. ...Read moreSee 1 more doctor answer
Yes, unfortunately.: Although there are many causes for gastric (stomach) ulcers, severe acid production and reflux is one of them. (Also, severe acid reflux can cause a bleeding esophagus, or food tube, which can be fatal). Any internal bleeding can cause death, because often the bleeding is masked. If you have acid reflux, talk to a doctor about treatment options (meds, surgery) & get checked right away. Good luck! ...Read more
Risk of acid reflux is barets esophgus but when acid is stopd then risk of bile into esophgus carries risk of cancer.This means risk with & w/o PPI?
Can barretts metaplasia (no dysplasia) progress directly to adenocarcinoma of esophegus within 4 months of egd scopy?
Unlikely: Does your question signal that it did happen? Even if biopsies are negative for dysplasia, biopsies are just that, biopsies of a larger lesion. Biopsies always have the chance of having sampling error...Meaning the most severe part of the lesion was not sampled. The risk of sampling error would go up with a larger lesion than was minimally, and not systematically, biopsied. ...Read more
Location: Both arise in the same disease processes, probably depending on minor details of the patient's anatomy. Increase in portal venous pressure in the liver causes dilation of normally very small venous channels to relieve the pressure difference between the portal and systemic veins. These vessels are very thin-walled and easily bleed, which can be catastrophic. ...Read moreSee 1 more doctor answer
No: Esophageal varices are swollen blood vessels in the esophagus that are sometimes caused by chronic alcoholic drinking. Not all alcoholics have it, and not everyone who has it is an alcoholic. It is caused by increased pressure in the vessels from a sick liver and elevated blood pressure. ...Read moreSee 1 more doctor answer