Doctor insights on:
Dr. Gerald a.Mandell. Dear sir thanks for replying now with care please give prescription for my problem as conversed with u to stop shivering of fingers.
Impossible: You are asking for the impossible. The doctors of health tap are not able to provide treatment if any kind here. Treatment should come from your physician in person. ...Read more
Followup Dr Gerald. Mandell re 20% EF w/ 2nd HIDA. My sympt were nausea from progesterone??, rare LPR reflux? & intermit mild urq pain. 0 food assoc
Lots of factors but: ...there is no guarantee that any anti-reflux treatment or procedure will prevent progression to Barrett's or its dysplastic transformation. Happily, only a minority of GERD sufferers ever develop Barrett's, and only a very few of those progress to cancer. Certainly, don't smoke, and do heed your doctor's advice. ...Read more
Not very common: The risk of cancer is not very high. Most patients with this cancer in the us nowadays have gerd with barretts changes. However the chances of a patient with barretts getting cancer is about 0.5% per year- it is best to not ignore long term gerd and seek regular medical treatments and diet changes. ...Read more
Years: While gerd doesn't necessarily cause cancer per se, it can cause the cells in the esophagus to change to intestine type cells, which in the minority of cases can turn in to cancer over the course of years. If your gerd is bothersome, and present for more than a few years, consider seeing a gastroenterologist for a consultation. ...Read more
Chronic Inflammation: GERD, or gastroesophageal reflux disease leads to alkaline reflux that changes the barrier lining of the esophagus (the tube just before your stomach). Inflammation leads to changes called "Barrett's esophagus" - with time, this is thought to predispose risk of esophageal cancer by creating altered, abnormal, premalignant cells. ...Read more
Depends on treatment: Barrett's esophagus doesn't have to turn into cancer at all, technically. It's a precancerous condition, and as long as it's monitored and treated properly it could never actually become cancer and would therefore have no effect on your lifespan. BUT...it requires proper monitoring by EGD. ...Read more
Not likely: Year of acid injury to the esophagus because of gerd and cause changes to the cells that are pre-cancerous (barrett's esophagus) and eventually esophageal cancer. But if those changes are not present when gerd is diagnosed, and medicine is taken to stop gerd, those risky things should never occur. ...Read more
How long can GERD take to develop into barrett's esophagus? If it does and what are the chances also? Thanks in advance.
We don't know.: We don't know. We believe that it takes a long time since it is a disease of middle age men>women about 3:1. The gerd has to have been active over time. Gerd is a major risk factor for barrett's, but the incidence on adenocarinoma from barrett's is declining, perhaps related to improved drug therapy for gerd. ...Read more
GERD: Dietary changes can improve the symptoms of GERD. It is important to avoid any particular foods that give you problems, but common culprits are tomatoes, onions, citrus fruits, chocolate, caffeine, and alcohol. Tilting your bed on blocks often helps. You should avoid tobacco. Despite these measures, though, many people still require chronic medication to control GERD. Good luck. ...Read more
Years: These often start in childhood but we don't see the tumors until over 40, usually well beyond. Lpr = laryngeal-pharyngeal reflux, gerd = gastroesophageal reflux disease. This does not mean that these problems should not be addressed early. Especially, children need to stay trim and physically fit, reflux or not. Best wishes. ...Read more
I am 55 male with GERD - Had a neg endoscopy 9/2015 for Barrett's and Cancer. At what frequency for endoscopy going forward?
I do have GERD. Over the past week and 1/2 been eating lots of salads. 2 times a day. Can that change the smell of a bm? It smellls like sulfur.
Cabbage family: Plant material from the cabbage family, cruciferous vegetables, while good for you, can produce the symptoms you are experiencing. ...Read more
I m 24 I was diagnosed with GERD at 19, triggered by stress are there symptoms that I need to worry regarding any cancers, or am psyching myself out?
Yes, too much:
Cancer in young people is very rare unless there is a strong family history of it.
Take your medicines as prescribe by your dr (? Omeprazole) and add some antacids if you have breakthrough heartburn.
Cut back on intake of coffee, soda, spicy foods, energy drinks etc.
Enjoy life friend.
You need to unwind and slow down a bit.
Try slow deep breathing and smell the roses.
Godbless you! ...Read more
My father is on pentazol for GERD. He eats wisely and walks still GERD troubles. Any other medicine which he can change to which can control GERD better?
Hida-ej/fr very low, gb surg said no removal b/c symp not typical-gerd vary in intensity. Diet changed, prevacid (lansoprazole) 2xd not helping. So, what do I do now?
How low was your EF?:
How low was the gallbladder ejection fraction?
Was the study done with cck (kinevac) or a fatty meal? Was the ef calculated after 60 minutes or erlier? ...Read more
Dr doesn't want me to take GERD meds til confirmed. Apt not for1 month, dangerous to wait that long or that pre-cancer thing takes longer to develop?
No Problem: Waiting a month is not going to make a lost of difference; barrett's esophagus (precancerous condition of esophagus caused by gerd) takes decades to develop and usually occurs in sixth decade of life; if you are symptomatic and suffering, buy some otc Prilosec or some similar medication;. ...Read more
Diagnosed with small Hiatal Hernia. No GERD at all. What are the chances it grows and gives me GERD in future. 23yo 145lbs. It hapnd frm Hevy lifting?
Yes It can develop.: Heavy lifting doesn't always have too much to do with hiatal hernia as opposed to a groin hernia. A small hiatal hernia can certainly get bigger. The GERD or the reflux can be prevented or minimized by paying attention to your lifestyle in avoiding the late or the large meals and also in using an extra pillow when needed. Watch your weight. ...Read more
How likely is it that I could get GERD from asthma? I've lived with asthma for many years. A lot of people I meet with asthma also have gerd. I tend to like spicy foods, so I hope there is not a high chance of developing GERD myself? .
Unlikely: Though many children may have symptoms of reflux with episodes of vomiting, it usually is only of concern if there is associated respiratory problems or poor weight gain. The symptoms are monitored to see if they improve once advancement of diet to more solid food occurs. If significant symptoms, including respiratory complaints, evaluation would include a contrast study to exclude hiatal hernia. ...Read more
I've read that obesity is a risk factor for gerd, so if your and underweight teen would you be at a lesser risk or more at risk or no change?
Obesity and GERD: With obesity, increased abdominal girth increases intra abdominal pressure, which then exceeds the pressure in the chest cavity and promotes the backwards flow of stomach contents into the esophagus, i.e. Gerd. While obesity is a risk factor for GERD and those losing weight would experience less GERD, lighter people can experience GERD as well. ...Read more
Have had chronic non-hpylori gastritis and pharmaceuticle treated GERD and LPR since '09. What are the chances I could have carcinoma after 5yrs?
I am experiencing heartburn (gerd) and I was wondering if I got H. Plyori. How does one get this bacteria and what are the chances of me getting it?
For the GERD heartburn, one can take OTC Omeprazole 20 mg /d or Zantac with a diet that avoids acid foods/drinks. Often H Pylori can be inherited or acquired. A simple blood test can be done to rule this in.
Triple therapy (Helico kit) can be given over 3 weeks if positive. From your regular pedi MD. ...Read more
2yrs post gastric sleeve and having increased GERD. Ompeprozole and Nexium (esomeprazole) ineffective. Been to Dr. Twice. Diet changes made with no relief. Advise?
You have had the works for this problem
The only thing I might recommend in your area is tertiary consult at Cleveland Clinic. They can suggest a course of treatment after review of your case. This is world class care and may come up with something effective.
Best wishes. ...Read more
No: This medication is used to treat symptoms, but it does not prevent cancer development. If the symptoms are removed, but you don't treat the underlying cause if the problem, you may not prevent the disease from progressing. In general, however, Prilosec is an excellent medication for reflux symptoms. ...Read more
Needs monitoring.: We know that GERD can lead to Barrett's esophagus, which is a precancerous change in the inner lining of the esophagus. If left unchecked, this precancerous change will eventually become cancer. This is why those with GERD/LPR need EGD every two to three years, with eradication of Barrett's esophagus when it's found. ...Read more
Yes but...: Chronic gerd can indeed lead to esophageal cancer.Chronic reflux causes chronic irritation to the inner lining of the lower esophagus. Over time, this causes cells to change into a different form, called barrett's esophagus, which can then further transform to dysplasia and, eventually, cancer. Gerd should be treated with medication and lifestyle, and screening endoscopies. See your doctor. Good luck. ...Read more