Doctor insights on:
Giant Hypertrophic Gastritis Menetriers
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
Hypertrophy is an increase in size of an organ or tissue, or a particular part of the body. Examples include muscle hypertrophy due to lifting weights, ventricular hypertrophy (enlargement of a ventricle of the heart) due to high blood pressure or other heart disorders, or prostatic hypertrophy (enlargement of ...Read more
Conjunctivitis: The first two can be related and the latter is a whole different ball game of more serious proportion. ...Read more
10cm ulcerative sigmoid bowel tumor found, disease also in s.4&5 liver plus other areas - what options pse? Aflibercept?Massive surgery, stent?
There is good chemot: There is good chemo available. It is often comined with targeted drugs like Avastin (bevacizumab) and erbitux(cetuximab)depnding on the kras mutation status of the tumor. The results of chemoa re quite good, so go for it. Aflibercept is not a particualry good drug...Certainly no better than avastin (bevacizumab). ...Read more
Chronic non-helicobactor, nsaid, drinker, h-pylori or bile gastritis for five years. Can foveolar hyperplasia lead to gastric cancer?
Does ostio arthritis, diverticulitis , connective tissue disease, hypothyroidism , early menopause, uterus polyp, asthma collectively mean anything ?
Yes different diseas: Different diseases can co-exist, I am not aware of a syndrome encompassing all those, a rheumatologist and an allergist/immunologist can definitely help, goodluck, . ...Read more
Depends: There are 2 approaches to complications from uc or crohn's disease - either open or laparoscopic surgery. The approach depends on the urgency, nature of what is to be done and skill of the surgeon. Many elective surgeries can be done laparoscopically, such as partial or subtotal colectomy, segmental resection. If it is an emergency, i.e. Toxic megacolon, obstruction, then open may be required. ...Read more
Idiopathic carotid dissection...No plaque, no disease, horner's. Coumadin/plavix. Fit/very lean 52 y.O. Man-what exercise is okay 2 years out?
Arteriopathy?: Coumadin (warfarin) is indicated for 6 mos. Plavix is not indicated. You should be screened for marfan's, ehlers-danlos type iv, bicuspid aortic valve. The incidence of recurrence is 1%/year for 10 years. If you send me a private request with your email address, i'll email you a review from the new england journal of medicine. Exercises that extend your neck should be avoided. O/w no specific prohibition. ...Read more
Multiple variably sized & shaped necrotizing epitheliod granulomas cuffed by dense lymphoplasmacytic inflamatory cells.PCR negative.pyrexia...-> TB?
Need more info: Where are these granulomas? PCR for what? If tissue was tested for TB and was negative by PCR, it not likely to be TB. From what you have provided a diagnosis of sarcoidosis should be considered, however the issue is too complicated to be addressed in this forum. Please discuss it with your doctor. ...Read more
Antrum biopsy showed mild chronic inactive gastritis with focal intestinal metaplasia with no helicobacter organism. Does that mean cancer?
No: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, the information you provided does not suggest any serious issue and certainly no cancer. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Get HPV vaccine. ...Read more
What is Squamous mucosa with reflux esophagitis (basal cell hyperplasia, intraepithelial eosinophils)? &Esophagitis found with linear furrowing?
My results from endoscopy: gastric body/fundic mucosa with rare small lymphoid aggregates in lamina propria. What does this mean? Do i have gastritis?
Not really: As a pathologist I often see small Lymphoid collections in the lamina propria of gastric biopsies without inflammation chronic is nonspecific and they occur throughout the gastrointestinal tract. Large lymphoid collections in the stomach biopsy can indicate a low-grade mucosal associated lymphoma however this is rare. ...Read more
Several small strokes & completely blocked carotid in 58 y/o male. High bp, heart disease, former smoker. How serious is this? Surg not an option.
Stroke: Alternative flow through other arteries to the brain are compensating for the completely blocked carotid artery. While there is no surgical option at this time, there are several medical treatments. First, reduce high blood pressure. Stop smoking, reduce cholesterol, exercise, avoid processed foods and sugars, and lose weight if you are obese. ...Read more
Small ulcer in terminal ileum, biopsy shows. in eosinophil focal mild active chronic ileitis. lymphoid hyperplasia, crohn ruled out. GI told allergy.
Ulcerative pancolitis x12yrs.Last 3 annual scopes no dysplasia.Asymptomatoc on 400mg 5asa tid. What are odds of dysplasia?
I have ulcer in esophagas, biopsy report says "hyperplastic stratified squamous epithelium with subepithelium showing moderate chronic inflammation"?
Need medication: Sounds like you have esophagitis, which is damage or inflammation to your esophagus from heartburn typically. You should be on a medication like prevacid or protonix (pantoprazole) to avoid more acid aggravating your esophagus. Avoid NSAIDS and do not eat late at night. Your doctor who did the scope should be bale to give you more information and tell you length of treatment. ...Read moreSee 1 more doctor answer
Endoscopy pathology report. Benign gastric antral mucosa with mild chronoc inactive gastitis focal intestinal metaplasia present? What does it mean?
No cancer: There are no serious issues with the tissue submitted to pathology. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Get HPV vaccine. ...Read more
Age 19 + idiopathic chronic pancreatitis & tablets are creon10000 & ursoidal from 30dys. mrcp shows "ABRUPT cut in head with duct dilated" suggest.
Complex solution: Not sure if this is truly idiopathic if on MRCP you have a distinct level of pancreatic obstruction with proximal dilation. See a GI specialist for ERCP with possible sphincterotomy or stent insertion. You may benefit from Whipple procedure if you improve with this and are not diabetic. This would be done by a general surgeon specializing in liver and pancreas surgery ...Read more
On my CT says: circumferential wall thickening large bowl. Inflammatory bowel disease, infectious colitis among others...What does this means?
Imaging studies: These provide information used to determine whether further investigative studies may be necessary based upon your clinical signs and symptoms and lab values. The results of your ct show an abnormality that your doctor may wish to pursue with a colonoscopy or other procedures of their choice. Hope this clears up uneventfully. ...Read moreSee 1 more doctor answer
Squamous papilloma & intestinal metaplasia with moderate degree of chronic gastritis. Please explain? Malignant? Curable? Chances of cancer?
I have a stomachache, used tums, (calcium carbonate) maalax, Prilosec do not work. Had a upper GI and it came back with hypertrophic gastritis. What is that? What to do?
Menetrier Disease: A condition marked by inflammation and ulcers (breaks on the skin or on the surface of an organ) of the mucosa (inner lining) of the stomach and by overgrowth of the cells that make up the mucosa. Symptoms include vomiting, diarrhea, and weight loss. Patients with giant hypertrophic gastritis may be at a higher risk of stomach cancer. Also called gastric mucosal hypertrophy and ménétrier disease. ...Read more
Odd: Does it persist throughout the entire day, does it come and go, does it improve or worsen with food are questions your doctors will ask you. Bottom line, it shouldn't persist for that long unless you are having increased acidity secondary to acid indigestion or possibly GERD. To see if acidity is the culprit, try to take an antacid like Zantac (ranitidine) 150mg, if that doesn't help follow up with your Doctor ...Read moreSee 1 more doctor answer
Needs evaluation: If you are having recurrence , or not responding to over the counter medication, then you need to see doctor for better evaluation.Of your gastritis.You should not continue to take otc med all the time, it is best to get evaluate to get med , or consult your diet as well as your stress .That may continue to give you problems. ...Read moreSee 2 more doctor answers
Gastritis: Gastritis is an inflammatory condition of the stomach lining. You should be checked for the presence of a bacteria called heliobacter pylori which would require treatment with medication for two weeks. You want to avoid aspirin, ibuprofen, alcohol, smoking, caffeine, acidic and carbonated beverages, mint, chocolate and any food that you notice that makes your stomach feel worse. ...Read moreSee 2 more doctor answers
Avoid acidity: During a gastritis flare, your stomach is producing too much acid. Using otc zantac, (ranitidine) etc can help but avoid foods that are acidic such as tomatos, onions, citrus (orange juice, lemons), spicy foods and caffeinated drinks since they are also very acidic. Eat smaller amounts, stay up right after eating, and try deeper green vegetables since they are more alkalanizing. ...Read more