Endoscopy results and a question

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girl_geek
Regular Member


Date Joined Oct 2009
Total Posts : 58
   Posted 11/18/2009 7:03 PM (GMT -6)   
I had my endoscopy yesterday, they found no evidence of a hiatal hernia or esophagal damage.  They did find some spots in my stomach (near where it connects to the esophagus) that my doctor was not exactly sure what they were so he took some biopsies.  His guess is some sort of infection -- I'll find out in my follow-up next week.  Perhaps I don't even have GERD but have an infection instead?
 
My question is, are HH's always visible in endoscopies?  Or can a sliding HH come and go?  I was so sure my chest pains were an HH since they got better when standing or straightening my body, worse when sitting or slouching, drastically improved when I started avoiding common GERD trigger foods (though sometimes I still got them for no apparent reason)...  I will ask the doctor at my follow-up, of course, but I was wondering if any of you knew :)
Medications: Nexium (GERD), Singulair (allergies), Tazorac (acne), Clindagel (acne)


stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 11/18/2009 8:19 PM (GMT -6)   
Hiatal hernias are diagnosed incidentally when an upper gastrointestinal x-ray or endoscopy for abdominal pain. On both the x-ray and endoscopy, the hiatal hernia appears as a separate "sac" lying between what is clearly the esophagus and what is clearly the stomach. This sac is delineated by the lower esophageal sphincter above and the diaphragm below. The hernia may only be visible during swallows, however.


Since sliding hiatal hernias rarely cause problems themselves but rather contribute to acid reflux, the treatment for patients with hiatal hernias is usually the same as for the associated GERD.



I will be waiting to hear the outcome of your biospy and wish you the best.



Kitt

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 11/19/2009 6:18 PM (GMT -6)   
Good luck on your results!

Joy

res0kkw
New Member


Date Joined Jul 2009
Total Posts : 12
   Posted 11/19/2009 8:07 PM (GMT -6)   
GL

Just be glad they didnt se one.



When i had mine done i was diagnosed with a HIATAL AND GASTRitus this was in july and lets just say im not doing much better.

rlopez75
Regular Member


Date Joined Jul 2009
Total Posts : 199
   Posted 11/22/2009 9:42 PM (GMT -6)   
Mine was a sliding hernia and though it did show up on the endoscopy, the manometry test results were all that was needed for my surgeon to schedule my surgery.

Good luck
rafael

girl_geek
Regular Member


Date Joined Oct 2009
Total Posts : 58
   Posted 11/26/2009 4:47 PM (GMT -6)   
Thanks everyone!

Turns out there was some miscommunication between my doctor, my mom, and my drugged-up post-EGD self and I do have a small HH. Still no visible esophagul damage. Biopsies showed "irritation" and a thinning in the mucus lining of the stomach, near the top of the stomach, but no growths or infections. The doctor doesn't know what's causing the irritation though, so he wants me to get another EGD in 2-3 mos to see if it's changed. The doctor said it looked like kinda like bleeding capillaries and mentioned something about finding "old blood," but specifically said it's not an ulcer and a month ago we found no signs of internal bleeding in my stool samples (ewwww...) Has anyone else had something similar?

I also have an esophagul manometry scheduled in about 2 weeks. The doctor explained what the test was and yuck, that does not sound fun at all! But I bet a lot of you have had it...

So for now I'm just sticking with the diet and Nexium and we'll see what the next tests show...
Medications: Nexium (GERD), Singulair (allergies), Tazorac (acne), Clindagel (acne)


april417
Regular Member


Date Joined Jul 2007
Total Posts : 204
   Posted 11/26/2009 5:06 PM (GMT -6)   

I have a HH and Barrett's Disease he put me on Prilosec OTC and the burping and burning stoped for about one month then came back doctors changed meds to Nexium, hoping this one will work..............Can't stand burping 24/7.

 


April
 
HOPE, FAITH AND LOVE
 
 
          Total Coletomy Feb. 07
            Total Hysterectomy Oct 08  
        
         Currently taking: Synthroid, Cymbalta 60mg, Lyrica & Prilosec OTC


couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 11/26/2009 5:17 PM (GMT -6)   
manometry..... I agree, EW!
Okay, here's the details:
1. no sedation allowed
2. empty stomach
3. They squirt lidocaine up both nostrils... nasty.
4. They give you a cup of water with a straw and tell you to drink. As you drink they insert a small tube with sensors on it into your nose. If you have a deviated septum like me, it will be slightly painful. :(
5. They slowly feed it down to your stomach. Be prepared to gag alot and feel like your going to throw up. You don't, but you feel like it.
6. They lay you back slightly and adjust the tube to the proper place. The gagging will lessen at this point.
7. They tape the tube down to your nose.
8. Then you have to do 10 perfect swallows of water the way the doctor wants you to do.

Warning: The more you fight the tube the longer the test takes. You have to go to your "happy place " during the test. After the test is done, they quickly pull out the tube and let you rest for a few minutes. My face was blood red when I was done and I was exhausted from the strain. But I was so relieved that it was over and done with.

Did he take pictures of the irritation? My surgeon found polyps due to long term usage of PPIs.


Joy
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