Doctor insights on:
Living With Gerd
Yes: Esophagitis is damage to the lining of the esophagus caused by stomach acid coming up past a failing valve at the top of the stomach, called gerd. Acid medicines can reduce the pain and much of the damage to the esophagus, but they do not stop the stomach fluid from coming up. Gerd is often associated with hiatal hernias and this can be repaired with anti-reflux surgery. ...Read more
BALANCE AND NO BOOZE: For reflux, avoid alcohol and tobacco, carbonation, and large meals. Don't lie down after meals for a couple hours. For the acute inflammation of diverticulitis, you should eat a lower residue diet, but once the inflammation has subsided, you may eat almost anything. I recommend avoiding peanuts and popcorn, and try to incorporate some fibre, as well.Keep hydrated. Good luck. ...Read more
Autoimmune Paleo: The best way to improve colitis is by stopping foods like grains, lentils, potatoes based items. Avoid nightshades (peppers, tomatoes, eggs) and milk protein since they also cause inflammation Healthy foods: fish, meats, vegetables, avocados, some saturated fat (butter, coconut oil), olive oil are very effective. Probonix probiotic, vitD3 10k IU/day. The Paleo Solution by R. Wolfe is a great book ...Read moreSee 1 more doctor answer
Shortness of breath with minimal exertion activities, not a problem when exercising. Suffer from migraines and GERD. Early 20's and otherwise healthy.
Graduated exertion: If shortness of breath is due to a pathologic process (aka "disease"), it progressively worsens with increasing severity of exercise. If I understand you, you become breathless early on but, when you exercise more, it gets better or at least doesn't interfere (?) - to me, that suggests a "warm-up" phenomenon. This is physiologic, not pathologic (aka "normal). Increasing fitness should alleviate it ...Read more
Can Plavix cause persistent heartburn in a person with stroke, heart atrack and GERD treated with Protonix (pantoprazole)?
I have GERD more than 12 years and managing with Nexium (esomeprazole) 40mg 1bd with domperidon and clonazepam 0.5mg in night. Can't live without them. Suggestions?
Reflux: Consider diet change, avoid soda drinks, caffeine, tea, chocolate, spicy food, tomatoes, citric drinks, or alcohol. Check with your physician to see if using h-2 blockers is an alternative damp tidings or ranitidine). Long term use of medium lowers magnesium and increases risk of osteoporosis. Ask your doctors if you had a biopsy for helicobacter pylori, if positive will need dual antibiotic tx. ...Read more
Diagnosed with GERD at 48 by upper GI series Minor symptoms most days with nexium (esomeprazole). What are my chances for Barrets or espophical cancer later in life?
OddsAbout6:1After10y: Barret's occurs in variable times after onset of GERD, but usually takes years. It is found in about 10-15% of people who are studied for GERD.People who have it are at a higher risk of cancer but it's still quite low (around .5%)These are just round numbers- and the time factor is unclear (from onset GERD to Barret's and from Barret's to cancer).Unless your GERD is really severe, I wouldn't worry ...Read more
16 year old male. 6'1 and 180 lbs. healthy lifestyle. With Bipolar and anxiety/panic disorder. Indigestion issues, likelihood of hiatal hernia?
Can regular use of alkaline water ph8 or higher be helpful in dealing with esophogitis and lapryngeal reflux symptoms.
Antral erosion with (mild) congestive gastropathy with gastric polyp with erosive duodinitis (polypectomy done) explanation, advice and diet please.
Can an agoraphobic hypochondriac with GAD, OCD, panic disorder, and social anxiety ever hope to live a normal life with marked reduction of symptoms?
Hope: The different diagnoses that you listed could easily be summarized as someone dealing with severe anxiety issues. There is always hope to have reduction in the symptoms of anxiety and to live a happier life. My suggestion to you would be to seek wise counseling and to work closely together with a psychiatrist or other mental health professional to find the right treatment regimen for you. It is very common for people who struggle with anxiety to feel hopeless about their future. ...Read more
Please help very anxious, will taking PPIs for hiatal hernia and gerd reduce the risk of developing Barrett's oesophagus?
Follow advice...: Many factors may contribute to the occurrence of Barrett's esophagus like GERD, smoking, regurgitation, etc., and PPIs may help ease GERD-related symptoms. So, it is logical to state PPIs may potentially decrease the risk of developing Barrettt's esophagus. But, how much may it help still remains unclear. Remember: Doc never cures anything, but help modify something to some degree with/without... ...Read more
Harvard medical school pamphlet lists hbp medication such as CCB as one of the causes for GERD and acid reflux. Any experience with your patients.?
Yes: Especially in high doses.Get a more detailed answer ›
No: Urinary issues not directly associated with gerd. ...Read more
75-year-old severe COPD with pfts in 20-25% range, newly diagnosed lung ca. Considering cyberknife. Your thoughts about complications from scarring.
Rarely a problem: Cyberknife radiosurgery was specifically developed for patients with early stage lung cancers who cannot have a surgery due heart, lung, or other medical problems. It is very rare for scarring or pneumonitis to affect breathing in any noticible way after this treatment. The risk should be only a few percent (about 2-3%). I have treated many who are nearly oxygen dependent without making so. ...Read more
Having issues with constipation, what's a good non- stimulant stool softener for a patient with gastritis and acid reflux.
Have pulmonary hypertension, pulmonary fibrosis, copd, with lupus,scleroderma,many complications. how long can you live with these lung issues?
MCTD: You mentioned you have scleroderma and SLE. You need to be seen by a lung doc if you have not seen one already. You conditions need a multi disciplinary approach with a rheumatologist/ pulmonary doc/ and a cardiologist. Most large teaching hospital have docs that have exp with such complex issues and may be your best bet. Best of luck. ...Read moreSee 1 more doctor answer