Doctor insights on:
GERD defined: Gastroesophageal reflux disease (gerd) involves movement of stomach contents back into your esophagus. Gerd can be "silent" in a substantial # of patients, manifesting with ear/nose/throat & lung problems without heartburn. Heartburn is the common presentation of burning discomfort in your chest with exposure of the esophagus to stomach contents. See earlier healthtap answers for gerd prevention. ...Read more
Abnormal esophagus: "metaplasia" describes transformation of one tissue type to another. In the lower esophagus, which is lined by squamous epithelium, abnormal exposure to gastric acid juices from reflux can lead the epithelium to convert itself to the kind of glandular lining seen in the stomach. This can be a pre-cancerous change. ...Read more
Many Possibilities: If this is chronic and not a new problem may need to consider your diet such as things like coffee, smoking, spicy foods, and alcohol intake. Also there can be a chronic infection of the stomach that can cause this called h. Pylori which can be tested for by blood and stool tests. This is treatable with antibiotics. Also try otc meds like Zantac (ranitidine) and Prilosec with maalox. Try changing diet as well. ...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
Can gastric reflux cause delayed gastric emptying? Also can a dairy intolerance cause gastric reflux?
Causes of GERD: Gerd (movement of stomach contents into esophagus) can result from: 1) inappropriate relaxation of lower esophageal sphincter, gastroparesis (sluggish stomach emptying, partial gastric outlet obstruction), ineffective esophageal peristalsis, inadequate salivary production. Limit consumption of: caffeine & fizzy drinks, dietary fats, tomato products, chocolate, tobacco, alcohol, bedtime snacks. ...Read moreSee 1 more doctor answer
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
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
Neither: Carafate (sucralfate) tends to bind to sites oozing blood. Proton pump inhibitors partially block hcl acid secreting cells in upper 2/3 of stomach from making & secreting acid; look up the prescribing information. No evidence either have much affect on stomach emptying. Many meds prescribed by docs because available, even though low odds of being helpful - promotes illusions (to the foolish) of being helpful. ...Read more
Gastric reflux: Gastric reflux is a normal phenomena that almost everyone experiences. The problem is that with gastric contents comes acid. Acid can burn or hurt, cause spasm or asthma, cause dental rot or even ear pain! chronic acid reflux over the course of years and years can even lead to pre-cancerous changes. So once in a while is not a worry, but a chronic regular problem needs to be discussed with a dr. ...Read moreSee 1 more doctor answer
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
Gastric: Ulcers of the three you list are more likely to be malignant. ...Read more