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MayOK
Regular Member


Date Joined May 2010
Total Posts : 111
   Posted 6/2/2010 8:17 AM (GMT -6)   
Hello all,
 
I have been hanging out on the Crohn's board, b/c there was some suspicion I had that which appears to be unfounded (barring EGD biopsy results).  Anyway, during my EGD yesterday, he saw evidence of Grade A Esophagitis, for which I have no symptoms.  He prescribed some Omeprazole, but I am wary of taking it.  If I have no symptoms how would I know it's working?  My husband, who was with me and was much more coherent than I was when my GI was talking to me after the procedure, said he prescribed it in the event that I should need it.  I'll call the doc to clarify, as at this point I barely recall talking to him.  Gotta love propofol! tongue
Anyway, so is this likely to get worse if untreated?  I know when researching Crohn's an underlying "theme" was that untreated chronic inflammation is not a good thing, whether you're symptomatic or not.  I know y'all aren't doctors, but I am curious as to your experiences with this dx.  Is it progressive? 
 
Thanks!
May

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 6/2/2010 8:53 AM (GMT -6)   
Hello May,


Esophagitis is inflammation that damages tissues of the esophagus, the muscular tube that delivers food from your mouth to your stomach.



Treatments for esophagitis depend on the underlying cause and the severity of tissue damage. If left untreated, esophagitis may change the structure and function of the esophagus.



Asymptomatic esophagitis is not rare in gastroesophageal reflux disease. I would call your physician and discuss the medication with him..........does he want you to start the medication now? It seems to me like that would be the reason he gave you the RX.



Take care,



Kitt

MayOK
Regular Member


Date Joined May 2010
Total Posts : 111
   Posted 6/2/2010 11:15 AM (GMT -6)   
That's kindof what I thought b/c he gave me 12 refills and all - like it should be a regular thing. I'm gonna call him this afternoon. Thanks!!

speden
Regular Member


Date Joined Oct 2009
Total Posts : 166
   Posted 6/2/2010 12:03 PM (GMT -6)   
I would be reluctant to start on a PPI medication if you have no symptoms from the Esophagitis. Unless you have a lot of erosions present I think your first step would be lifestyle changes such as a GERD diet, not eating near bedtime, etc. Once you start on PPI medications, it is hard to stop since you will encounter a long rebound reaction which can cause your reflux to worsen.

My GI doctor has the same annoying approach where he will talk to me right after the endoscopy, knowing full well that I'm still under the effects of the anesthetic, and will not be able to remember much of anything he said. I wish these doctors would send a follow up letter detailing the results.

MayOK
Regular Member


Date Joined May 2010
Total Posts : 111
   Posted 6/2/2010 12:53 PM (GMT -6)   
Yeah, I had read some disconcerting things about those medicines and was approaching it with some trepidation. I have a call in to the nurse and am waiting on her to call me back.

My husband was sitting right there and he said the instructions were to take them if I got worse, but I just wanted to be sure. I think I fell back asleep after the doc talked to me. LOL. Yeah, that doesn't seem to be the best approach, does it? Especially when my follow up is in 6 weeks!!

Lifestyle changes...like avoiding certain foods, etc? I'll have to look some stuff up on that. Thanks!

MayOK
Regular Member


Date Joined May 2010
Total Posts : 111
   Posted 6/2/2010 4:44 PM (GMT -6)   
So the nurse called me back and told me that I'm supposed to take the omeprazole daily. My husband swears this is NOT what my doc said in the room. I don't know what to do now...although I should mention that this nurse has given me erroneous information before (told me my duodenum was my esophagus twice?!??!). So I don't know if she looked at the report and assumed or if she actually spoke with my doctor. And apparently it's impossible to actually speak to him as I've tried before. Grrrr...oh well, I'll just wait until my follow up and actually talk to him. What's another 6 weeks?

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 12212
   Posted 6/2/2010 4:51 PM (GMT -6)   
It won't hurt you to take the medicine for the six weeks. Your withdrawl if needed will be very little that time span.

I took PPIs for ten years. I didn't start suffering side effects until the last year of doing it and that was joint pains. I was able to withdraw within three weeks and it wasn't too bad.

Joy

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 6/2/2010 5:35 PM (GMT -6)   
I agree with Joy on this one. If you have silent GERD how will you know if your getting worse? The Endoscopy report was Esophagitis. I would choose to take the med. However the final decision is yours. I wish you good luck.


Kindly,



Kitt

MayOK
Regular Member


Date Joined May 2010
Total Posts : 111
   Posted 6/3/2010 9:28 AM (GMT -6)   
Yeah, and in the instructions part of my discharge/report thing, it says "40 mg Omeprazole daily." I think my husband just misunderstood. ;)
Thanks for the replies.
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