Endoscopy done yesturday

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guddan
Regular Member


Date Joined Jun 2012
Total Posts : 32
   Posted 7/7/2012 6:14 AM (GMT -6)   
After battleing heartburn, acid reflux ,burping and constipation for 6 months, I got the 1st endoscopy done yesturday. In these 6 months , I was on PPIs (Protonix and omaprozole) on and off by PCP and GI.
Patient discharge instructions says
1) Medium hiatal hernia
2) Erythema and congestion in the antrum compatible with non-erosive gastritis (biospy)
3) Salmon colored mucos in the lower third of the esophagus and gastroesophageal junction compatible with suspected Barrett's esophagitis (biopsy)
 
I need to follow biopsy results in 3-4 weeks time
 
I am more worried about the #3 that says Barrett's esophagitis. Can a person have this after only 6 months of heatburn and while on PPI for almost 3 months of it. GI doc (who was also endoscopist) said these is esophagitis , doesn't look like Barretts but need biopsy study to see cell structure.
 

hitThePost
Regular Member


Date Joined Dec 2011
Total Posts : 133
   Posted 7/7/2012 7:07 AM (GMT -6)   
Esophagitis, regardless of cause, can certainly look just like Barretts. Don't hit the panic button yet!

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 7/7/2012 7:14 AM (GMT -6)   
Hi guddan,
Welcome to the Healing Well GERD forum!  Sorry to hear you're struggling with GERD.  You're not alone, as I'm sure you know.  There are many here who have received a similar diagnosis, and I'm sure others will be by soon to welcome you and share their experiences.
 
My guess is that you had silent GERD long before you began getting the symptoms that led you to getting medical care.  It's common for people to have reflux issues without being aware of them.  Silent reflux is the culprit.  Often a person can feel only a fraction of the reflux he/she is having.
 
While a possible diagnosis of Barretts esophagus is certainly disconcerting, don't become too overly worried.  (They always biopsy for Barretts when they see inflammation.) Of course, treat the GERD and follow up regularly with your doctor, but don't stress over it.  Here's information that I found regarding the risk of cancer with Barretts:
 

What is the risk of esophageal cancer with Barrett's esophagus?

People with Barrett's esophagus have a low risk of developing a kind of cancer called esophageal adenocarcinoma. Less than 1 percent3 of people with Barrett's esophagus develop esophageal adenocarcinoma each year. Barrett's esophagus may be present for several years before cancer develops. Esophageal adenocarcinoma is frequently not detected until its later stages when treatments are not always effective.

(This came from an NIH site on the subject:

http://digestive.niddk.nih.gov/ddiseases/pubs/barretts/)

So you're already ahead of the game.  Many never get a diagnosis or treatment for their reflux and continue to treat it themselves with antacids and OTC medications.  That's the problem.  You're on the right track, and your esophageal inflammation will be watched and treated. 

Glad you've joined us!  You're definitely in the right place.

Best wishes,

Denise

 


Words of wisdom by Eckhart Tolle:
"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”

Post Edited (dencha) : 7/7/2012 7:18:38 AM (GMT-6)


guddan
Regular Member


Date Joined Jun 2012
Total Posts : 32
   Posted 7/7/2012 10:01 AM (GMT -6)   
Thanks hitthePost and Denise.
Mentioning the word Barretts in the report really made me panic. Since I took leave from office yestrurday and then Sat/Sun, whole day I was just thinking and thinking and getting worried.
In the picture, its not looking that bad after a while. There is a color change from light pink/whitish (esophagus) to salmon (dark pink/red) near LES because of esophagitis. But I m not sure, where esophagus ends and stomach starts specially with hiatal hernia. Hence the suspecision.
I will schedule a meeting with GI in 3 weeks time to discuss biospy and lots of question. Want these 3 weeks to pass quickly.
GI did say there is no surgery needed and control with Meds. Still taking 20mg omeprozole (morning) and occasional zantac 150 (evening). I hope its helping. Sometimes inflammation is difficult to predict if its gastritis or esophagitis. For hiatel hernia , planning to decrease weight/tummy (I am not too overweight though only a little)

She 1
Regular Member


Date Joined Jul 2012
Total Posts : 32
   Posted 7/7/2012 10:42 AM (GMT -6)   
Hi Gudden and welcome!
According to my surgeon ,who specializes in reflux,the main culprit is your HH..once it's fixed everything else will heal.I never had heartburn,just sore throat,asthma,&sinus problems cause the acid was coming all the way up!I was shocked when they told me i had GERD..i have damage to my esophagus cause it went on for awhile & i had no idea cause it was silent..good luck w/your biopsy :)
p.s. it also had started to erode my teeth around the gumline

guddan
Regular Member


Date Joined Jun 2012
Total Posts : 32
   Posted 7/7/2012 11:39 AM (GMT -6)   
How to fix HH.
My GI doc says keep taking PPI. He denied surgery.
Apart from decreasing tummy/weight, I don't know if there is a medication to fix HH.
I have heard Chiropractor/massages are helpful. Will try. Looking for a good one in Detroit region.
Any other solution to HH apart from PPI, surgery, Chiropractor, exercise ?

She 1
Regular Member


Date Joined Jul 2012
Total Posts : 32
   Posted 7/7/2012 12:11 PM (GMT -6)   
My GI dr had me on 2 PPI's 300 mg zantac per day plus I was on advair twice a day ,albuteral & inhaler for asthma for mos..my GI dr did scope & said all I had was gastritis & reflux.. I went to a well known surgeon who specialized in reflux surgery & he did scope & found my BIG HH.. I was totally misdiagnosed by GI dr!HH was causing me to be sooosick.. I had the hill procedure( partial wrap) & he repaired HH ,all laproscopic & I was home same day w/ 4 little marks on my belly.I'm day 10 post op & so far i feel better than i have in at least 10 mos..NO REFLUX NO ASTHMA ..OFF ALL MEDS :).With partial wrap it's more natural, not too tight & i can burp & should be able to vomit if i have to unlike w/the full nissen wrap..if you need 2cd opinion find dr that does the hill procedure & go for consult..hope this helps..you know some drs are big buddies w/pharmaceutical companies & they love throwing meds at you mad

Post Edited (She 1) : 7/7/2012 12:16:58 PM (GMT-6)


guddan
Regular Member


Date Joined Jun 2012
Total Posts : 32
   Posted 7/26/2012 6:31 PM (GMT -6)   
Got the endoscopy biopsy results today.
No Barrets and no h-pylori.
So end results is have small to medium hiatal hernia, esophagitis and gastritis , reflux and weak LES
Doc says protonix 20mg 2 times a day for 3 months.
Currently on omeprazole 20mg once a day. I have lost around 15 lbs in last 3 months from 167 to 152 lbs. I hope its helping. I have also started yoga (like pranayama kapalbhati)
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