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Suggest Treatment For Barrett's Esophagus
Question: I have barretts esophagus, gerd and a hiatal hernia - experiencing constant pain with bouts of excrutiating pain every so often - had something similar years ago but not this severe and it didn't last this long (going on 7 weeks) so far I went to the ER and was worked up for cardiac which was negative, including a stress echo test - I was scheduled to go into detox from prescription pain medication when this all occurred that's on hold - saw my GI dr who said I'm already on strongest meds for this GI condition and try doubling meds for 2 weeks - he didn't examine me just talked - I've lost a lot of weight, can't sleep or eat without making pain worse and there has been no change since I doubled meds - today I broke down and sobbed - I'm a 40 year old man
I forgot to mention 2 new symptoms I'm experiencing today - burning tongue - even when I drink water it feels like it's on fire and it also seems like smells are stronger and extremely irritating - my sister in laws hair spray usually bothers me but today it felt like it was in my nose and down my throat as she sprayed her hair in the bathroom about 12 feet away from me
I forgot to mention 2 new symptoms I'm experiencing today - burning tongue - even when I drink water it feels like it's on fire and it also seems like smells are stronger and extremely irritating - my sister in laws hair spray usually bothers me but today it felt like it was in my nose and down my throat as she sprayed her hair in the bathroom about 12 feet away from me
Brief Answer:
All because of GERD & XXXXXXX
Detailed Answer:
Thank you for asking!
All your symptoms are because of the barrett's esophagus.The pain, the bad taste in mouth and weight loss and aversion to smells.And all this is happening due to a healthy esophageal epithelium is replaced with metaplastic columnar cells—the result, it is believed, of damage from prolonged exposure of the esophagus to the refluxate of gastroesophageal reflux disease (GERD). The inherent risk of progression from XXXXXXX esophagus to adenocarcinoma of the esophagus has been established.
Now the lasting longer indicates the Barrett's becoming long segment i.e involving more than 3 cm of esophagus.
Until and unless this barret and GERD gets treated the symptoms will prevail. Modify diet and lifestyle.
Avoid following foods.
Fried or fatty foods
Chocolate
Peppermint
Alcohol
Coffee
Carbonated beverages
Citrus fruits or juices
Tomato sauce
Ketchup
Mustard
Vinegar
Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs)
Rest follow same precautions as for GERD like
Losing weight (if overweight)
Avoiding alcohol, chocolate, citrus juice, and tomato-based products
Avoiding peppermint, coffee, and possibly the onion family
Eating small, frequent meals rather than large meals
Waiting 3 hours after a meal to lie down
Refraining from ingesting food (except liquids) within 3 hours of bedtime
Elevating the head of the bed 8 inches
Avoiding bending or stooping positions.
No your condition looks resilient and not responding to medication i believe it would be a right time to intervene surgically. It already is metaplastic and odds for malignancy are higher if the issues persisted.SO i suggest surveillance endoscopy every 3rd month and resection of the lower esophagus if need be. Consider different ablative techniques like Radiofrequency ablation, PDT,APC, MPEC , Laser ablations and cryoablations etc for the barrett's and also discuss the pros and cons of nissen's fundoplication with your doctor for GERD.
Lets hope for the best.COnsult a hepatobiliary surgeon or a gastroenterologist and discuss the options i mentioned with him.See what comes up best for you. Pain is just the symptom.We need to get to the root and that is GERD leading to barrett's.
I hope it helps.Don't forget to close the discussion please.
Regards
S Khan
All because of GERD & XXXXXXX
Detailed Answer:
Thank you for asking!
All your symptoms are because of the barrett's esophagus.The pain, the bad taste in mouth and weight loss and aversion to smells.And all this is happening due to a healthy esophageal epithelium is replaced with metaplastic columnar cells—the result, it is believed, of damage from prolonged exposure of the esophagus to the refluxate of gastroesophageal reflux disease (GERD). The inherent risk of progression from XXXXXXX esophagus to adenocarcinoma of the esophagus has been established.
Now the lasting longer indicates the Barrett's becoming long segment i.e involving more than 3 cm of esophagus.
Until and unless this barret and GERD gets treated the symptoms will prevail. Modify diet and lifestyle.
Avoid following foods.
Fried or fatty foods
Chocolate
Peppermint
Alcohol
Coffee
Carbonated beverages
Citrus fruits or juices
Tomato sauce
Ketchup
Mustard
Vinegar
Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs)
Rest follow same precautions as for GERD like
Losing weight (if overweight)
Avoiding alcohol, chocolate, citrus juice, and tomato-based products
Avoiding peppermint, coffee, and possibly the onion family
Eating small, frequent meals rather than large meals
Waiting 3 hours after a meal to lie down
Refraining from ingesting food (except liquids) within 3 hours of bedtime
Elevating the head of the bed 8 inches
Avoiding bending or stooping positions.
No your condition looks resilient and not responding to medication i believe it would be a right time to intervene surgically. It already is metaplastic and odds for malignancy are higher if the issues persisted.SO i suggest surveillance endoscopy every 3rd month and resection of the lower esophagus if need be. Consider different ablative techniques like Radiofrequency ablation, PDT,APC, MPEC , Laser ablations and cryoablations etc for the barrett's and also discuss the pros and cons of nissen's fundoplication with your doctor for GERD.
Lets hope for the best.COnsult a hepatobiliary surgeon or a gastroenterologist and discuss the options i mentioned with him.See what comes up best for you. Pain is just the symptom.We need to get to the root and that is GERD leading to barrett's.
I hope it helps.Don't forget to close the discussion please.
Regards
S Khan
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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