EGD RESULTS..HMM?

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REDSAM
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Date Joined Feb 2007
Total Posts : 98
   Posted 2/23/2010 12:11 PM (GMT -6)   
Had my upper endoscopy yesterday afternoon.  Finally got a good nights sleep from the happy drugs.  I woke up three times and freaked the anesthesiologist out, she had to run for more happy drugs... But I REMEMBER NOTHING!!!  I am a red head, and sometimes red heads require more to be put out and kept out..  As I said I was not aware I woke up and the test was easy for me.
 
The good news, No Hiatal Hernia! 
Not so sure if there is bad news yet, but here is what it says: Multiple areas of ectopic gastric mucosa were found in the lower third of the esophagus.  He biopsied them.  ??? Not sure what these are, he said something about irritation?
 
Zline regular. (This ruled out hiatal hernia?)
 
Gastric mucosal abnormality characterized by erythema in the gastric fundus.  Biopsied??
 
Multiple gastric polyps.  Removed and Resected. He said normally benign and caused from the PPI use?  THAT I WAS NOT AWARE OF AS A SIDE EFFECT?
 
Normal Antrum and duodenum.
 
I have to follow up with him in three weeks for biopsy results and to see if I am better after a few weeks of double PPI use.  He also gave me a script for Reglan for nausea at bedtime.  Again, WHY this drug?  I had already told him I did not want to take that. nono
 
So I don't think I have an answer as to why my vocal cords are SO messed up.  I don't know if my esophagus is starting to show Barrets either??? Is that the irritation he outlined and took pictures of?
 
Lastly does this mean I still have GERD and will just have to live with it as my only option.  I don't know if all the polyps he took out were causing any of the increase in my symptoms.
 
Well today is my birthday, I still feel old.  So I will just have to be patient! Not the strong suit of an anxious person....
 
Thanks for all you wonderful people and your insights.  Does all this sound normal?  Hugs Sue
 
Sue-Hypothyroid, hysterectomy,  Abdominal Adhesion Pain, No female parts, no gallbladder, sinus Surgery. Please put a fork in me I have to be well done!


Marburg
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Date Joined Mar 2006
Total Posts : 493
   Posted 2/23/2010 12:59 PM (GMT -6)   
I'm not a doctor, but my own endoscopes had the same terms in them. In my case my doctor said I had chronic gastrititis of undetermined origin. The biopsies are to rule out cancer and infections such as H. Pylori. The polyps are gastric. My doctor said gastric polyps are nothing (they don't develop into anything and are just there). He said medicine can't say whether someone who has gastritis would develop the polyps if they aren't on the ppis or not. The ppis could be the cause of them or they may not.

I would ask your doctor about taking Reglan. If you google it you will find a lot of negative information about reglan. It is used to treat nausea from GERD/acid reflux by speeding up muscle contractions in the gastric area. Some of the side effects include tremors, uncontrolled muscle movement, rapid heartbeat, rapid breathing...the list goes on and on. Some of these side effects can become permanent.

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 2/23/2010 3:43 PM (GMT -6)   
http://www.hon.ch/OESO/free/Vol_6_Barrett_s_Esophagus/Articles/vol2/art048.html

Hi, I found the above article relating to your condition. I had trouble making heads or tails of it. Maybe you can figure it out.

Joy

REDSAM
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Date Joined Feb 2007
Total Posts : 98
   Posted 2/23/2010 8:36 PM (GMT -6)   
Thank you Marburg!  I recall from my drugged post procedure stupor, that he mentioned the polyps were really nothing. Your analysis supports what I was thinking too.  I figured one of the biopsies would have to rule out H Pylori, and obviously cancer.  I will have to check into the gastritis stuff, he did not mention that.  I always thought the two were the same.  I have more learning to do.  When I got the Reglan script I did some reading and read all the Black Box warnings.  YIKES!  I have enough on my plate, I don't need to add those possible side effects to it.  I have the worst luck, if it can go wrong, it does.  I guess when I was born, they were all out of Irish Luck, so I got red hair and empty luck pockets. tongue
 
Joy thank you for the link.  You are right, it is hard to pick out the important stuff.  Maybe I should have a couple more glasses of wine and then re-read it! smilewinkgrin  I could relate to the salmon patches in that article, I don't recall them being there the first time I was diagnosed.  So we will see what they are when the biopsy comes back.
 
Thanks again!!!!
Sue-Hypothyroid, hysterectomy,  Abdominal Adhesion Pain, No female parts, no gallbladder, sinus Surgery. Please put a fork in me I have to be well done!


stkitt
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Date Joined Apr 2007
Total Posts : 32602
   Posted 2/24/2010 10:17 AM (GMT -6)   
Sue,

Glad to hear you made it through your scope and procedure. Looks like you have heard from some of our wise members turn !

Hope your day is awesome !

Lots of hugs,

Kitt

Marburg
Regular Member


Date Joined Mar 2006
Total Posts : 493
   Posted 2/24/2010 12:44 PM (GMT -6)   
Keep us posted on what your doctor says at your follow up.

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 2/24/2010 3:16 PM (GMT -6)   
I've got the polyps from the PPIs, too.

Joy

REDSAM
Regular Member


Date Joined Feb 2007
Total Posts : 98
   Posted 2/24/2010 8:14 PM (GMT -6)   
Kitt Thanks for the Bday wishes.
 
Marburg, I will keep up with this when I have my follow up.  I had a nice day.
 
Joy, I have an interesting question.  Has anyone made a link to an increase in GERD symptoms due to an over abundance of polyps? I wonder if you have alot of them, do they begin to compromise the ability of the stomach to do it's job.  Something is different in the way I feel.  Like a light switch, not a gradual improvement because of the med increase.  The only change from Monday to Tuesday was the removal of the polyps.  My symptoms are not as intense.  Does this make sense?  All though the voice is still rough.  I can't put my finger on it, what else could have occured during the endoscopy that would be so noticiable in my symptoms.  Yesterday I was able to eat a very nice birthday dinner out, and I was not in misery last night.shocked I guess i will have to see, maybe it is just a fluke.  Perhaps the hydration from the IV, one or a combination of the meds I recieved during the procedure and after.  Very interesting, none the less.
 
I picked up some Beano so I am going to give that a go.  I am paying close attention to portion sizes, and trigger foods.  My portion sizes are reduced any way because I have been eating less for so long.  I listen to my tummy now, and when I get the first feeling of fullness, I stop. I'm going to do a journal so I can start tracking some things.  I think my bowels are slow again. Are there any herbal supplements that people find helpful getting the stomach to digest food better.  I guess it could be entirely possible there are some motility issues. 
 
Right now I am hidding in my room.  I just don't want to be around anyone right now.  So it is just me, no tv, no radio, just me and my laptop.  Trying to wind down from a busy day. redface   I'm learning more this go round then when I was diagnosed.  I have become a patient who participates in their care by gaining knowledge that perhaps the doctors don't have time to give you.  I learned a few years ago, you don't just have to sit there and whatever the doctor says is it.  I can ask better questions by trying to understand and learn about my disorders. 
 
Big Big Hugs... Sue
Sue-Hypothyroid, hysterectomy,  Abdominal Adhesion Pain, No female parts, no gallbladder, sinus Surgery. Please put a fork in me I have to be well done!


couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 2/25/2010 3:49 PM (GMT -6)   
You go, Girl!
Get some backbone with those doctors. ;)

It is curious about the polyps. Maybe you're just being more careful? They didn't biopsy my polyps that I know of. If they did they didn't tell me.

Joy

REDSAM
Regular Member


Date Joined Feb 2007
Total Posts : 98
   Posted 2/25/2010 7:52 PM (GMT -6)   
Awww gee thanks. I had to become a better patient because I blindly followed a doctor in a circle without knowing all the facts, surgery, after surgery, after surgery, only to end up worse off and with a permanent nerve damage.  And years later when I started to get printed copies of all surgical notes, so I could try to find out why I was having so much pain,  I was shocked to find out just how much stuff he was leaving out!!!! Had I known then what I know now, I would have realized that trying to remove abdominal adhesions after my hysterectomy, was actually causing more because he never told me about it adhesiolysis can recur, nor that I could have tried an adhesion barrier to try and stop them from forming! So after the first failed attempt, I should not have tried again!nono  Then he never mentioned anything about endometriosis, but it was all over my operative reports.  Needless to say when I still ended up with pain and refused more surgery, he reluctantly sent me to a university hospital for pain management consultation, and told me he would take over my treatment after they developed a plan... LIAR!  I came back from PM and had the medical management plan, medication only  because they advised no more surgery.. He dropped me like a hot potato because he didn't like the medications they put me on.  They brought me to a stable condition, and he wanted me to stop.  So I fired him and found a different PM closer to home, and he has been my saviour!
 
WOW, that felt good!  More venting.smilewinkgrin
 
I thought the whole polyp theory might be interesting.  They were not going to test mine either, he just mentioned there were alot of them, so that got me to thinking... I wondered if anyone ever had a lot of polyps, and then they were removed, and they felt a little better symptom wise because in some way their presence was preventing the stomach from functioning normally.
 
A hunting I will go!!  Sue
 
Sue-Hypothyroid, hysterectomy,  Abdominal Adhesion Pain, No female parts, no gallbladder, sinus Surgery. Please put a fork in me I have to be well done!


REDSAM
Regular Member


Date Joined Feb 2007
Total Posts : 98
   Posted 2/27/2010 4:27 PM (GMT -6)   
Well my relief might have been temporary.  Yesterday and today I have alot of pressure and acid reflux.  I am getting a little discouraged.  Oh, I did get a one sentence letter from the GI doc for the pathology on Monday's scope. "Pathology Unremarkable".  So YIPEE I don't have any cancers, but dang it I still don't have answers!  I have my followup in a couple of weeks.  I would take the unremarkable to mean no H-pylori nor Barretts.
 
Bowel issues have returned, so back to the Miralax and softners.  Geesh.
 
Right now glued to the TV as we have family vacattioning in Hawaii and they have been moved to higher ground due to the tsumami from the Chile earthquake.
 
Hugs, Sue
Sue-Hypothyroid, hysterectomy,  Abdominal Adhesion Pain, No female parts, no gallbladder, sinus Surgery. Please put a fork in me I have to be well done!


couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 2/27/2010 6:35 PM (GMT -6)   
Yippee! That's good new about no cancer. :)

Yeah, I've got issues, too. I notice I get gassy when I'm constipated. Such fun. :<

Joy

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5004
   Posted 2/28/2010 6:15 PM (GMT -6)   
REDSAM
Path unremarkable? Doesn't make sense. Stomach cells don't belong in the esophagus.

Be really careful with the Reglan!!! I took it and got facial and other muscle tics. Even one dose can cause permanent damage.
Zofran is safer for nausea. But watch that too, because when combined with many pain meds it can cause seratonin syndrome, which can be fatal.
Alcie
 
 


REDSAM
Regular Member


Date Joined Feb 2007
Total Posts : 98
   Posted 3/1/2010 9:06 PM (GMT -6)   
Thank you Alice.  I know what you mean.  Pathology Unremarkable, in my book a fancy diagnosis for Abnormally fine, or still don't know why, and finally back to the drawing board.tongue  
 
So the dr saw stuff that doesn't belong where he saw it, but the lab says normal... Geesh no wonder we go crazy....
As for the Reglan, I have no intention of taking it.  I already take Phenergan for nausea, and it works just fine!
Frustrating.
 
Thank you for the support.
 
Sue-Hypothyroid, hysterectomy,  Abdominal Adhesion Pain, No female parts, no gallbladder, sinus Surgery. Please put a fork in me I have to be well done!


gerdedout
Regular Member


Date Joined Feb 2010
Total Posts : 39
   Posted 3/3/2010 9:10 PM (GMT -6)   
redsam, My endo didn't show a hiatal hernia either.  It turns out I have a sliding hiatal hernia which supposedly showed up in a ct scan of abdomen.  Tomorrow I',m having a barium swallow, which I'm sure if I have hernia it will show up then.  From what I understand a sliding hiatal hernia, which is the most common hiatal hernia can't be seen unless you swallow.  When you swallow a portion of your stomach protrudes in the esophagus.  Maybe you could if you haven't already request a barium swallow.

REDSAM
Regular Member


Date Joined Feb 2007
Total Posts : 98
   Posted 3/6/2010 7:36 PM (GMT -6)   
I have my followup next Thusday!  I have alot of questions for sure.  Maybe you are right, I need may need to ask for some more tests.  One other stupid weird thing is I get frequent hiccups while I am eating, as i swallow.  Very frustrating because I never know when they will strike, and sometimes I panic because I start choking.  I almost describe them as backward burps.  It freaks out my kids because a high pitch squeel occurs a sound like you make when you are startled.  Could this be a weak LES?   I think I am getting depressed.cry With feeling like doo doo, I am exhausted.  Just got a promotion in January, but I am not getting the luxury of waiting until my duties are distributed in the department before working my new job.  I have been working 60 hour work weeks.  Which is extremely hard when you don't feel well.  Then I panic about that because if something is found and it requires major fixing... That will stink being out.  So far my old supervisor who is picking up my tasks, is the one delaying my forward move. She doesn't want to think about my stuff, until she gets her stuff moved off.  I was ORDERED by the CEO to move forward immediately.  So because my sp is dragging her feet, I have to do my old stuff too.  Grrrrr.  My direct boss now has some regrets about her ability to do what I was doing because she does not have the same dedication that I do, nor does she have motivation to learn.  We'll see how this plays out. 
 
 A couple of times I missed taking my morning Zegrid because I have been so tired (GO FIGURE), and boy did I pay.  My voice is still gravel.  People at work look at me like "Better keep my distance because she's getting sick".
 
Is it normal to have these other tests if the EGD didn't find much?  Because if I hear that bs statement "It must be in your head, take anti-depressents", You might be hearing about me on the evening news. tongue   Geesh.
 
Hugs to all
Sue-Hypothyroid, hysterectomy,  Abdominal Adhesion Pain, No female parts, no gallbladder, sinus Surgery. Please put a fork in me I have to be well done!


couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 3/6/2010 8:48 PM (GMT -6)   
I know what you mean about being saddled with double duty. This year I was promoted to lead teacher and my co-worker is a terrible procrastinator. We have to plan our lessons together and turn them in by Friday, but she waits to the last minute to do plans with me. She drives me insane with it because I like to prepare early for the next week. She doesn't like to follow the county map on when we teach things. She wants to teach them whenever she wants to. I'm getting pressured to follow the map from the principal and I have to relay it to her. She shrugs it off and does her own thing.

Well, that's life. :<

All they saw with my EGD was some irritation. They found more with the barium swallow and Bravo.

Joy
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