GERD LA B and incompetent GE junction

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minnietoty
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Date Joined Dec 2010
Total Posts : 2829
   Posted 2/6/2014 1:37 PM (GMT -6)   
I'm a Crohnie though there is still no conclusive diagnosis. Yesterday, i had a CT enterocolonography and an upper and lower scopes. I have long standing GERD for 15 years. The results of the upper endoscopy showed I have GERD LA B, antral gastritis and duodenal diverticulum. My question is about GERD grade B. I read that they decided to follow universal guidelines and it was that the Los Angelos ones will be followed. Based on these guidelines, I fall into grade B as I have one or two mucosal breaks that are longer than 5mm. I'm on Nexium 40 mg double dose, famotidine 20 mg x 3, baclofen 10 mg x 3 and sometimes Gaviscon. As I'm a Crohnie, I'm very cautious w food. Is there anything to halt the progression of GERD? I read that this can't be cured and by time things become worse esp. that this is the first time, my GI says I have an incompetent GE junction.
GERD, gastroduodenitis, ileocolitis, chronic proctitis and persistent mouth ulcers and fissures
Current meds: Pentasa sachets 4g, Entocort 4.5 mg, Nexium 40 x2, Ensure, Calcium and magnesium supplements, Imuran 150mg, Zantac 300mg (not any more), Gaviscon 1x4
Pred 40 mg from Oct. 2010 till Jan.2012
Failed:Azathioprine, Methotrexate

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 2/6/2014 2:14 PM (GMT -6)   
Hi minnietoty,

It's never fun to get difficult results from testing. As far as I know, the Nexium 40mg twice a day, along with the other anti-GERD meds you're on, will go a long way toward healing your esophagus and stomach. If they can get the acid reduced, it will allow healing. Given time I expect they think things will improve for you.

GERD surgery is another option, depending on how severe your reflux is. I have found Carafate suspension to be helpful in healing my esophagus and stomach when needed. It coats and protects longer than something like Gavascon. You could ask your GI doc about it, and see what he/she has to say.

Good luck with getting things healed.
Best wishes,
Denise

GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"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.”
Eckhart Tolle

minnietoty
Veteran Member


Date Joined Dec 2010
Total Posts : 2829
   Posted 2/6/2014 2:56 PM (GMT -6)   
Denise, thank you very much. Grade b is not that severe and I don't think it requires surgeries at the time being. Will ask my GI about Carafate suspension next time.
Take care :)
GERD, gastroduodenitis, ileocolitis, chronic proctitis and persistent mouth ulcers and fissures
Current meds: Pentasa sachets 4g, Entocort 4.5 mg, Nexium 40 x2, Ensure, Calcium and magnesium supplements, Imuran 150mg, Zantac 300mg (not any more), Gaviscon 1x4
Pred 40 mg from Oct. 2010 till Jan.2012
Failed:Azathioprine, Methotrexate
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