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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Barrett's Esophagus. Having Acid Reflux, Pain Below The Shoulder, Feeling Of Constriction In The Ribs. Not Responding To Omeprazole

I was diagnosed with Barrett s Esophagus three years ago, but since last Sunday I have had new symptoms: burning acid reflux , pain beneath my right shoulder blade, a feeling of constriction in my rib cage, and a need to burp. I had eaten a very spicy meal that night, but this is days later, and my daily dose of omeprazole is not helping. I have started taking Pepcid AC which seems to mitigate the symptoms although the directions say not to take it with any other acid reflux medication.
Wed, 22 Aug 2012
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Gastroenterologist,  's  Response
Hello, melindabiehl,
You tell us that you have been diagnosed with Barretts esophagus
about three yers ago. I am sure they did biopsies at that time to grade
the abnormality, like mild, moderate or severe grade. I am sure yours
was not severe. If you have been placed on regular PPI therapy with
clear instructions on how to take the medication , you should continue
to do so. I am also sure that you were instructed to have a repeat scpoe
and a biopsy at certain intervals depending on the grade of "Dysplasia"
that is a pre-cancerous change in the cells from the biopsy.
You can still have some symptoms from the acid reflux with dietary
intake even whwn you are on PPI therapy. Try to follow the diet more
closely. Taking a H-2 blocker like Pepcid in addition won't hurt if you do
that once or twice a week. Otherwise you will develop tolorence to it.
Hope this will be helpfull to you.
Wish you good health.
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Diagnosed With Barrett's Esophagus. Having Acid Reflux, Pain Below The Shoulder, Feeling Of Constriction In The Ribs. Not Responding To Omeprazole

Hello, melindabiehl, You tell us that you have been diagnosed with Barretts esophagus about three yers ago. I am sure they did biopsies at that time to grade the abnormality, like mild, moderate or severe grade. I am sure yours was not severe. If you have been placed on regular PPI therapy with clear instructions on how to take the medication , you should continue to do so. I am also sure that you were instructed to have a repeat scpoe and a biopsy at certain intervals depending on the grade of Dysplasia that is a pre-cancerous change in the cells from the biopsy. You can still have some symptoms from the acid reflux with dietary intake even whwn you are on PPI therapy. Try to follow the diet more closely. Taking a H-2 blocker like Pepcid in addition won t hurt if you do that once or twice a week. Otherwise you will develop tolorence to it. Hope this will be helpfull to you. Wish you good health.