Doctor insights on:
Gerd Esophageal Spasms
Refractory GERD , esophageal spasms, chest pain, triggered by anti-platelet tx.Now off prescription but symptoms remain despite ppi and h2. Drs out of ideas. Severe?
Victoza-Gerd: QCastillo~NO it does not CAUSE GERD but is advised not to use it if you have severe GERD. Read below. No esophageal symptoms do not show on ECG thanks http://www.victoza.com/considering/side-effects/?campaign=000731443&utm_source=google&utm_medium=cpc&utm_term=victoza%20side%20effects&utm_campaign=Victoza%20Brand&utm_content=Side%20Effects%20%28Exact%29_|mkwid|scRwDcfnJ_dc|pcrid|44667131614|pkw|victoza%20side%20effects|pmt|e|&gclid=CKfE34ech8kCFU-RfgodE9YLkg ...Read more
Esophageal spasms: Gastroesophageal reflux causes spasm of the esophagus because of the inflammation of the esophagus. The pain is usually worsened when swallowing a bolus of solids such as meat. First, you need to be on a acid blocker such as nexium (esomeprazole). Elevate the head of the bed, avoid, alcohol, coffee tea fatty foods peppermint or licorice. Don't eat late. You may need a secondary med such as sucralfate. ...Read more
Acidity+cell changes: Your esophagus is not designed to handle acidic secretions. In gerd, the cells in the esophagus are frequently exposed to acidity and become damaged. Over time, the tissue adapts by changing its cells into ones similar to cells in the stomach. This called metaplasia. Because these kinds of cells are abnormal in the esophagus, people with barrett's are at greater risk for esophageal cancer. ...Read moreSee 1 more doctor answer
Unknown/years likely: Barrett's esophagus is a response to chronic reflux. Esoph cells start to look like stomach or intestinal cells. Problem is there still in the esophagus. They don't resist acid etc, as well, can predispose to esoph ca (10000x nl, but only 1% barrett's cases). Problem is sometimes pts with barrett's don't have heartburn. Chronic and/or frequent, and/or severe sx, see your doc; consider scope. ...Read moreSee 1 more doctor answer
PH testing: Ph testing can check your esophagus for exposure to substances regurgitated from the stomach-- for acid (such as bravo ph capsule implanted on your esophagus) as well as non-acid reflux (ph impedance testing). The test correlates your symptoms in real-time with what comes up into your esophagus & throat. Ph testing also has utility in assessing the efficacy of acid-blocker drugs. ...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 moreSee 1 more doctor answer
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