Doctor insights on:
Gerd Causing Pancreas Enhancement
What could cause excessive bile production, resulting in gastritis/duodenitis? Egd revealed the former. Gastric empty study normal.
Stick with your doc: You are already well down the road to discovering your problem. Sounds like there might be some bile reflux. Controversial topic. Relationship between symptoms and bile reflux is not clear. It is not likely excess bile production that produces gastritis and it is not likely the sole cause of your symptoms. You need a good doc who can explain the details and meaning of your findings. ...Read more
Abdominal organ. It is digestive organ: it secretes enzymes into the small bowel which break down food and help its absorption. It is also an endocrine organ: it produces hormones involved in sugar control and control of digestion. Insulin is one of these hormones. Diabetics either lack Insulin (type 1 diabetes) or have inadequate ...Read more
Could protein pump inhibitors cause gallbladder problem (no stones, but CK Hida Scan 25%)? Might gallbladder condition improve if I stop taking PPI?
PPI: PPI's reduce the acid in your stomach. By reducing the acid in the stomach you reduce some of the digestive functions of protein breakdown and release of pancreatic enzymes. Changing these digestive functions can affect the gallbladder. However, this may not be the only thing contributing to the gall bladder dysfunction. ...Read moreSee 2 more doctor answers
Inflamed gallbladder. Hida scan shows 29%. No gallstones. Symptoms are not severe, minor back pain, nausea, elevated pancreas levels (301), acid reflux. Any other option besides surgery? If so, what?
Can gallbladder hypokinesis cause breastbone to be extremely sore with gas entrapment?Can omeprazole cause delayed gastric emptying?Gas trap solution?
Not usually but can: Biliary dyskinesia usually causes pain under the rib age on right side although pain in upper abdomen, lower chest or back is possible. It is atypical for it to cause extreme soreness in breastbone, sounds more like gastroparesis or GERD related symptoms. A thorough evaluation by a gastroenterologist or general surgeon and further work up is necessary. ...Read moreSee 1 more doctor answer
Can mild acalculous gb wall thickening with fatty liver be managed by proton pump inhibitor medicines?
I have chronic excess throat clearing,excess burping,no heartburn. Gastroscopy showed sliding hiatus hernia, is Laryngopharyngeal reflux likely ?
LPR : Laryngopharygeal reflux is when a small amount of acid comes up into the throat and irritates it. It is a common cause of dry tickle cough, chronic sore throat, lump in the the throat , post nasal drip, phlegm in the throat, and throat clearing. Many studies show it responds best to proton pump inhibitor rx. It is possible you may have this. See an ENT for evaluation. ...Read more
Could serious h pylori infection untreated for 5 years cause systemic issues in digestion, brain, pancreas, bladder, kidney, adrenal, eyes +allergies?
Gallbladder post 1year bravo test negative for acid reflux, but upper gi showed esphogitis reflux and some erosion, what is causing if no acid reflux ?
Non-acid reflux: Could be non-acid reflux. Also, no test is perfect, and the bravo study could be incorrect. Its also important to use the bravo data to correlate symptoms to acid reflux episodes. There is also a 24 hour pH-impedance study that can detect reflux that is not acid. Ask your GI doctor about these. Hope this helps! ...Read more
What inhibits gastric contractions: secretion, somatostatin or distention of duodenal stretch receptors?
Why are you asking?: Its either because you're in school for something in which case you should have the resources to answer your question OR it's because you're doing way too much research/thinking about a situation that you don't really understand. You can't teach yourself to become a gastroenterologist. ...Read more
GB like symptoms.US-distal dilation of CBD 7.7mm.MRCP-mild prominence of pancreatic duct.Dense adhesions between GB & abdominal wall. Pls. interprete?
Need context...: ...for which your test was ordered. Also, your question is ideally & confidentially answered in the Concierge forum of HealthTap--would suggest you consider that route to your query. ...Read more
Necrotiz pancreat led to chronic pancreas 5 yrs. EUS shows markedly atrophic pancreas. taking pancreaze 10500 units x 12/day w/food. Extreme fatigue!
Talk to your doctor!: You have a complicated health history and should be following closely with a GI physician. Talk to them! Your symptoms can't be properly evaluated in an anonymous question format and you owe it to yourself to be completely open with your physicians about how you are feeling and your concerns. They can't evaluate an issue that you don't share with them. ...Read more
Serious phlegm in back of throat gagging me, on proton pump inhibitor for GERD no better, could thyroid be causing problems?
Frequent acid reflux-like symptoms (e.G., belching). Endoscopy 1 ago revealed no ulcer or bacteria. Medications largely ineffective. What to do?
Talk to your doctor: Talk to your doctor, you may need some adjustment in your medication. If you're taking a ppi (e.g. Omeprazole), make sure you take it 30 minutes before a meal. Avoid eating spicy and fried food, avoid alcohol and caffeine. Elevate the head of the bed by 6 inches. Don't lie down right after eating. Lose weight if you're overweight/obese. Stop smoking. Hope these help. ...Read moreSee 1 more doctor answer
What causes mild inflammation and gastric foveolar metaplasia in duodenum. On biopsy. No h pylori ? No medications.
Secretions: Foveolar hyperplasia and metaplasia is a response of one epithelium to injury or as a reactive pattern. This is most often seen in the stomach. However, if there is irritation (chemical by secretions from the pancreas or liver) or inflammation (gallstones, alcohol, etc), you can get metaplasia in the duodenum. In general, helicobacter pylori don't grow in the duodenal ph. ...Read more
GERD with Esophagitis
Erythematous mucosa in :
1. lower 3rd esophagus
3. duodenum 1 (mild)
wht does all this mean?
anything serious? worried!
Typical for GERD: It is what this didn't show that is most reassuring. There is no evidence of ulcers or precancerous lesions. It just verifies that reflux has caused typical irritation to the tissues in the area. Proper lifestyle changes and meds should improve it if they are followed as prescribed. ...Read more
Besides acid reflux, are there side effects of stopping prilosec? Specifically related to bowel changes?
Definitely: Will cause increase in acid production. So will get more reflux symptoms than you used to have. This is called a rebound effect after stopping the med. I would titrate it down slowly. To avoid too much of an issue. It will regulate over time. May cause some GI upset mild loose stools but no long term effects ...Read more
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
Without proper secretion of cholecystokinin, your gallbladder won't contract. What causes low cholecystokinin secretion? Alkaline stomach ph?
Excess burping, occasional chest pain, no heartburn. Gastroscopy show 1cm sliding hiatial hernia. Is Laryngopharyngeal reflux likely ? Or GERD ?
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