Doctor insights on:
Mild Portal Hypertensive Gastropathy
It is what it is: I am going to assume you were found to have portal hypertension and that the endoscopic / clinical picture matches what we know of this uncommon entity. Anything from Budd-Chiari portal vein occlusion to central hyaline sclerosis to a variety of other liver problems causing portal hypertension may be the explanation. These do not affect bloodwork. Ask for 2nd opinion if you're not fully satisfied. ...Read more
Antral erosion with (mild) congestive gastropathy with gastric polyp with erosive duodinitis (polypectomy done) explanation, advice and diet please.
I have gastropathy secondary to bile fluid & mild melanosis coli with looping of sigmoid colon. My value bumps bile into stomach not bowel. Treatment?
Dumping: You would be best to find a surgeon or gastroenterologist who could help you with your problem. ...Read more
Same thing: Diabetic gastropathy is a more comprehensive term that encompasses all types of stomach motility problems seen in diabetics. They can be used interchangeably when talking to patients as treatment is the same ...Read more
I had done endoscope result was lax haitus with prolapsing gastropathy what can I do for this sir please tell?
Medications to treat the symptoms of such a finding (if you have symptoms) The endoscopic findings per se do NOT require treatment (which would be surgical)
Hope this helps
Dr Z ...Read more
Partly: Partly reversible sometimes it'll come and go ...Read more
Egd shows 4 yr old has "chemical gastropathy" no history of meds. Could celiac disease cause this?
MY ENDOSCOPY SAYS MODERATE GASTROPATHY WITH SCATTERED COFFEE GROUND IN THE STOMACH. WHAT DOES IT MEANS? I'm scared and worried. Thank yoh
Endoscopy findings: You likely had gastric (in your stomach) bleeding., The information you gave is incomplete and. "Gastropathy" is more like to be Gastritis. The question remains the "coffee grounds" mentioned does NOT specify the source. Coffee Grounds is the clinical term to describe evidence of blood in the gastric tract. Please get the COMPLETE report and ask Biopsy was done? If yes, then what found ...Read more
How long should someone with reactive gastropathy wait for their stomach to heal before giving up hope of a full recovery and resolution?
Reactive gastropathy: Hello! I don't think there is as specific answer to that question because it depends on what constellation of issues has caused it, and mainly the entities that caused the corrosion and damage. This is an issue you must discuss with your GI doc or your surgeon if you are post Bilroth II gastrectomy. They will know all the facts and will best advise you here. Thanks ...Read more
Just had an endoscopy, stating reactive gastropathy. Have had issues since gallbladder removal. Is this bile reflux? Have osteporosis, what do I take?
Had egd results chronic inactive gastritis with focal metaplasia in Antrum. React gastropathy. What could b causing this? No smoke, nsaids or h. Pylor
This is tricky to: Answer without all the information. Focal metaplasia is typically distinguished between environmental and autoimmune causes based on the pathology. Sometimes H. Pylori is diagnosed even with negative test results. Sounds like you need to get back in touch with your gastroenterologist to discuss. ...Read more
I have been diagnosed with GERD associated to hiatal hernia; chronic antral gastropathy and acute duodenopathy. I need help understanding all this.?
Will try...: In layman's term, gerd=heartburn, where acid from the stomach goes up into the esophagus, or food tube, and irritates the esophagus. Chronic antral gastropathy means that there is chronic irritation of the last 1/3 portion of the stomach. Active duodenopathy, means that you have current irritation of the first portion of your small intestine, just beyond the stomach. In short, ur in abd. Pain. ...Read more
I have grade A esophagitis, fundus body and Antrum of stomach show diffuse severe gastropathy. GE junction is at 40cm. When I will die? Is it serous?
What meaning? Nonoxyntic gastric mucosa with focal intestinal metaplasia without epithelial dysphasia & features suggestive of reactive of gastropathy
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, there is no cancer in the biopsy and there are no other lesions to be concerned about either.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat 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. ...Read more
20 y/o male with abdominal bloating, malaise after eating, fatigue, chills, loss of appetite. Endoscopy shows reactive gastropathy. No alchohol usage.
Failure to thrive: It sounds like you need a thorough evaluation to get to the root of the problem. If you've seen a doctor and yet still do not have an answer to your health issues, it may be time for a second opinion. An ID doctor may be a good specialist to contact. Hope you feel better. ...Read more
Age 58, non-alcoholic. Have liver cirrhosis due to Portal Hypertensive. Still have 40% liver working. It can be stable always or what is life expectancy?
Take care ofyourself: If you already have portal hypertension as a complication of your liver disease, you probably have had cirrhosis for awhile. There is no "40% working" - best markers are those of synthetic function. Get the underlying cause treated if possible (? HCV), stay as healthy as you can. But no, unlikely to remain 'stable always'. ...Read more
What is the antiarrythmic drug of choice for paroxysmal Afib started before 1yr in 72yr male hypertensive with mild left ventricular hyper trophy?
A-fib drugs: There are options for treating atrial fibrillation. 1) Use beta blockers &/or calcium blockers to control the heart rate, but this does not prevent a-fib episodes. 2) Anti-arrhythmic drugs vary in effectiveness and side effects: amiodarone, sotalol, flecainide, and dofetilide are used. 3) An ablation procedure is another strategy. Get a consult on HealthTap to look at your particular case! ...Read more
Safe and Helpful!:
In a research study nearly 90% of those with hypertension had large reductions in blood pressure after a 10 day medically-supervised fast. See http://www. Ncbi. Nlm. Nih. Gov/pubmed/11416824
it would be best to do this under the supervision of a doctor with knowledge about how to safely fast. While a water fast was used in the study, I believe a juice fast is safer. ...Read more
You care for your health as you want to understand your diet and exercise for hypertension.
Diet low in salt and fat can be helpful
diet with about 1500 calories/day can also be helpful.
Cardio vascular exercises will decrease LDL which can result in decrease of blood pressure.
Please see your physician for lab test of lipids and chemistry, medication, and useful exercises. And a nutritionist. ...Read more
More than numbers: In keeping with theme of treating patients, not just numbers, we don't have a typical cutoff at which we make a diagnosis of hypertensive emergency. Rather we look for associated (potential) evidence of end-organ damage. Someone who walks into an office for regular check up w/o complaint might be managed as outpt whereas someone complaining of headache, etc might have more aggressive treatment. ...Read more
Too many variables: There are nearly 100 choices now for blood pressure medications. Your question is not how doctors work. The medications they recommend depend on other conditions, other medications, other complicating factors. It is usually a individualized recommendation. One size does not fit all when it comes to medication choices. ...Read more
Acute hypertension: The short answer is no. Acute severe hypertension may lead to a stroke, but usually does not. If there is an underlying vascular malformation or aneurysm, there may be a hemorrhage, but these are not common. Chronic untreated hypertension produces changes that increase the risk of stroke, so treating it to keep systolic pressures at or under 130 is advisable. Work with your family doctor. ...Read more
It may have minimal: Effect in lowering blood pressure but is good in lowering blood sugar.Lowering salt intake, exercise and attaining ideal body weight are the main keys in maintaining normal bp. Http://www. Horizondairy. Com/products/milk/lowfat-chocolate-milk-box/? gclid=cm2h07mlxrccfwxzqgodpzuahq. ...Read more
I am not sure why you are on a calcium channel blocker, but ace inhibitors are first line in diabetes with hypertension.
Metabolic syndrome is a problem of obesity, high bp, high blood lipids and poor sugar control. The best approach to this is to eliminate refined foods from the diet. Eat a quart of vegetables daily. Omega 3 oils, magnesium, Alpha lipoic acid and aerobics are very helpful. ...Read more