esophageal cancer?

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theacidrefluxman
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   Posted 10/12/2009 1:14 PM (GMT -6)   
does anyone know how long one could experience GERD before having to worry about cancer, if they are experiencing it daily from a bad LES valve?

For example, if all the doctors and medicine vanished from the planet, and you had to put up with your symptoms, how long before you would have to start thinking "cancer is going to be a problem soon?"
 
Hope the question isnt too odd. I know it depends on each individual and their situation, but am curious about a general guideline.
 
My only experience has been a friend who lived on antacids for 15 or 20 years before seeing a Dr. and finding out he had barretts...seems like a long time to develop to me.

theacidrefluxman
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Date Joined Oct 2009
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   Posted 10/12/2009 1:44 PM (GMT -6)   
thanks for the response. what is HGD/LGD/nodysplasia?

theacidrefluxman
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   Posted 10/12/2009 1:45 PM (GMT -6)   
im asking because i am trying to figure out if at age 26 it is worth it to go off Nexium if the pain is daily but sparse and I can live with it. I dont want to die of results of doing so, i.e. cancer, but i dont want to be on nexium long-term either. and the surgery has been ruled out for the time being.

theacidrefluxman
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Date Joined Oct 2009
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   Posted 10/12/2009 3:27 PM (GMT -6)   
my one fear has always been the supposed cancer link, and the ppis havent been around for enough time to know about something that takes decades to develop. this is why i want the surgery even though i can manage myself well with ppi's...i dont want to manage myself well with ppis for another 40 years...

stkitt
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Date Joined Apr 2007
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   Posted 10/12/2009 4:50 PM (GMT -6)   
Hello and I am sorry you are having a difficult time in trying to gather information and decide what you should do.  IMHO it would be wise for you to seek out several opinions from physicians you trust and who are familiar with All aspects of your disease process. 
 
It is always wise to gather your information acting as you own advocate and then make an informed decision.  You may not be a candiadte for the surgery at this time, I do not know this as I cannot remember all you have posted. idea
 
The members here support and care about you but please to remember we are not professionals here in the forum but peers.  We can share our experiences, and support yours, we can answer questions to the best of our ability but you must decide what is best for you.
 
We do care about you so stick with us and keep on talking as we want to help you get through this difficult time.
 
Gentle Hugs
 
Kitt
 

Kitt,
Moderator: Osteoarthritis, GERD/Heartburn  &
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Alcie
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Date Joined Oct 2009
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   Posted 10/12/2009 7:10 PM (GMT -6)   
Dear acidrefluxman -
I would worry about the cause of the reflux and keeping the acid under control before worrying about cancer.  It takes acid damage to the esophagus a long time before anything happens.  I've had controled (mostly non-acid) reflux for over 25 years and don't have damage.
 
You need to ask why you are refluxing.  Do you just have a bad LES valve, a bad hiatal hernia, or maybe you have something like a food allergy that triggers the reflux.  Your doctor can look at the first two on endoscopy or barium swallow.  You can keep a food journal to find out the last one.
 
I just ate some yogurt and am now refluxing like mad.  It was fine until I ate the 3rd cup.  Then I hit my tolerance for sulfites from the strawberry flavoring.  I know better too!  But at least it's not acid because of Nexium.  Uncomfortable, but not causing burn. 
Alcie
 
 


theacidrefluxman
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Date Joined Oct 2009
Total Posts : 739
   Posted 10/13/2009 8:50 PM (GMT -6)   
thanks Alcie,

I am not sure if it is the LES valve that isnt working because I havent had the barium swallow done. I have a small hiatal hernia but nothing more.

If I go off PPI´s I have constant reflux throughout the day regardless of what I eat, and regardless of what position I am in. It just comes and goes throughout the day, every 15 minutes or half hour. It makes me think if I went off PPI´s I would get cancer after only a few years, because the acid wash is so constant, my esophagus never gets a break if I am not on PPIs.

I really want the surgery but since Nexium keeps my symptoms more or less down and my esophagus in healthy shape, the surgeon doesnt want to do it on my at the present time.
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