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Detecting GERD and H pylori infection - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: GERD
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2561 Questions
User :   I had a barium meal xray that was fine, i've had no weight loss, blood work is all good, dr is now sending me for a endiscopy?
Doctor :   Hi
User :   hi
Doctor :   This is Dr. Doctor :   why u had barium meal xray
User :   I guess my question is that if there was stomach cancer would it have shown up in the barium exray...or at least an abnormality would have shown?
Doctor :   You are right
User :   because i was having burning in my stomach, i also had a breath test that was positive for an ulcer, which i had treated...the breath test was repeated and it came back negative
User :   i have not lost any weight. all the blood work is good, but i still have some burining/pain in the abdomen...and the dr said with my family history of stomac cancer we need to do an endiscopy...
Doctor :   These are all non invasive tests
Doctor :   baruium meal x ray will show if there is gross ulcer
Doctor :   Breathing tests will be positive if u have H pylori infection
Doctor :   You said you have finished a course of antibitics, so you do not need to worry about H pylori test
User :   Yes I know that, it was positive but we treated it and now it came back negative does this mean the ulcer is gone? or just the bacteria
Doctor :   You also said you have weight loss ,there is no chance it is cancer
User :   I have NO weight loss
Doctor :   However what is your symptoms ???
Doctor :   have you got bettrer after antireflux medicines and antibitics
User :   I have some burning and mild pain in the abdomen
Doctor :   Have you finished the full course of antibiotics
User :   Yes
User :   a couple of monts ago
User :   I still have some burning and mild pain in the tummy..
User :   it seems to get better if i pass gass
User :   but comes and goes
Doctor :   here the major problem is u r not getting better inspite of being on medicines
User :   yes
Doctor :   We r treating just empirically
Doctor :   Thinking it is GERD and H pylori infection
Doctor :   Still Barium meal will not see abnormal areas
User :   will the endiscopy be able to tell this
Doctor :   How old are you
User :   49
Doctor :   Yes
User :   i drink very little and do not smoke at all
Doctor :   In endoscopy , doctor see with eyes and take biopsy of abnormal areas if there any
User :   but did you say there is no chance it is cancer
Doctor :   I recommend you for it because u r still having symptoms
Doctor :   The cancer is low in suspicion
User :   ok...
User :   thank you for your help
Doctor :   But HERD can cause abnormal areas which are to be bipsied
User :   i'll wait for my call for the endiscopy
Doctor :   *GERD
Doctor :   That is called barrets esophagus
User :   ok...that makes sense.
User :   thank you
Doctor :   But mean wgie Take prilosec or pepsid
User :   ok...i will ..
User :   thank you again
Doctor :   Thank you for consulting
Doctor :   Bye
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