Gastroscopy - the definitive diagnosis?

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New Member

Date Joined Mar 2013
Total Posts : 1
   Posted 3/30/2013 11:11 AM (GMT -6)   
Hello, I'm new to the site (from the UK) but have been reading a lot of the discussions with interest for a few weeks now.

My story:
Mid-January this year some lower abdominal pain which I at first thought might be the beginning of a kidney stone episode (had one before) but wasn't severe pain just 'nagging'. I was in regular consultation with my GP who was very thorough. X-ray (nothing), blood tests (slightly raised marker for inflammation, no H Pylori) a gastroscopy and after that an ultrasound to check for the cause of inflammation.

The gastroscopy showed up mild oseophagitis and gastritis. I was already on Omeprazole (Prilosec) but had 5 days off it before the exam - and to be honest I was fine during that period, don't recall any heartburn episodes. I've been told by my GP to take it until everything dies down, and I take 2 x 20mg every day. I have virtually eliminated all typical triggers and with the medication I still get episodes which are disheartening to say the least. I think the oseophagus is healing but do get moments of heartburn pain.

I suppose my questions are these:
Is reflux oseophagitis always cause by acid?
Is the only definitive way to know the acid levels of the stomach by having a PH test.
Can lower stomach acid caused by PPS ever mean the LES is actually more likely to open? (Wondering why I felt OK when asked to stop taking them for 5 days!)

The ultrasound showed a very slightly fatty liver (can PPIs do that?) and a small gallbladder polyp. I didn't drink much, am not obese and ate reasonably healthily.

I know everybody is different and appreciate that comments are just informed opinions but any thoughts are greatly received and appreciated.

Veteran Member

Date Joined Jun 2011
Total Posts : 795
   Posted 3/31/2013 7:03 AM (GMT -6)   
There exist varying answers to your questions. Some researchers believe it is bile, not acid, that damages the esophagus. They feel that PPI's only make us more comfortable by reducing the burning sensation from the acid. These people state that bile is a normal part of the stomach environment, while others seem to believe that bile is not usually in your stomach.

Once the LES is stretched, some say it will never close properly. Strengthening your diaphragm can help, here is the exercise:

Diaphragm exercise is a conscious technique of
breathing using the diaphragm, rather than using
the lungs and the chest, to create each breath. This
means expanding the abdomen to inhale and then
contracting the abdomen without exhaling. Do this
abdomen exercise 5 - 10 times, then exhale.
Repeat this process 10 times. It may help to place
your hands on your abdomen to maintain the focus
on the expansion and contraction of your stomach.
This exercise can be done sitting, standing, or lying
down. However, caution should be taken initially
since excessive and deep breathing can induce
hyperventilation. Hyperventilation may occur, so if
you feel lightheaded at any time, stop the exercise
and attempt it again the next day.

Triggers are quite individual. Many people have triggers that are not on the list from the doctors. Many trigger foods are perfectly safe for most of us to eat. You should keep a food diary to identify your personal triggers.

The quantity of food you eat is far more important than what you eat. If you eat too much, the LES will continue to stretch, and your problem will get worse.
The Fast Tract diet helped me get off meds, I only take a couple of TUMS daily.  There is a thread here on Fast Tract which contains more details.
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