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What causes oesophagitis? - Online Doctor Chats

Date : 25-Jun-2014
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
User:Hello Doctor
Please proceed with your query
User:Yesterday i called healthcare magic and as per Doctors advise i have done my upper GI endoscopy
User:and i have been diognised with lax XXXXXXX oesophagitis
User:what exactly is this and am i need to take any medication for this
User:i have the report with me now
Doctor:Before we discuss this, I see you have posted the same query on Ask A Specialist.
User:yes Doctor
User:i need a suggetion for this
User:i posted Report as well
Doctor:May I know if we can discuss the issues here and ignore that question?
User:sure its better
Doctor:If yes, do you see an option to upload reports here besides the chat page?
User:if we discuss here
User:let me upload
User:but if i click on upload report
User:this chaitng page will go off
User:yes i uploaded
User:i hope you are able to see the report now
Doctor:Give me a minute.
Doctor:I got your report, let me review it.
User:ok sure
Doctor:Is this the final impression?
User:they have given this report today
User:since 2 month i m facing diffiulty in swallowing
User:and liitle pain in chest in between
Doctor:I see a photocopy of the report which mentions espophagus has lax XXXXXXX and osophagitis. The rest of the area - stomach and duodenum looks normal.
User:and very down they have given as lax XXXXXXX oesophagitis
User:while scanning i think its not came
Doctor:I hope you understand what Lax XXXXXXX mean. If yes, may I know what other symptoms besides swallowing and little chest pain do you have?
User:realy say i do not know what is Lax XXXXXXX
User:can you please explain
Doctor:I'll help you understand.
Doctor:May I know what other symptoms you have.
User:main symptoms are : Low pain in etween chest (lower paer)
User:Difficulty in swallwing
User:and apart from that some time i feel some liquid is coming to my mouth and a salty taste in mouth
User:these all symptoms i face
Doctor:When you say difficulty, do you mean you are unable to swallow / things end up on wind pipe and you cough out or there is some discomfort deep down in the chest?
User:yes i feel there is discomfort deep down in chest
User:if i drink water i feel food will go down
Doctor:May I know your current weight and height?
User:i m 5.3h
Doctor:Let me explain to you.
Doctor:Food pipe or the esophagus is the tube that connects the throat and stomach. There are two muscles present on either end of this tube.
Doctor:These muscles contract and open up involuntarily as per the needs of the body.
Doctor:Of these two set of muscles the one in the lower end is referred to as lower end splincter (LES).
Doctor:This sphincter has an important fundtion to keep the contents of stomach from getting out.
Doctor:As described, in your case, this XXXXXXX is weak and is unable to fully with hold the stomach contents from getting back into the food pipe.
Doctor:Now as stomach has acids, this acid, undigested food particles and other digestive juices can get into food pipe as and when you eat, when you are lying flat and during other occasions
Doctor:leading to irritation.
Doctor:This irritation (esphagitis) is what causes the pain and the discomfort while you swallow.
Doctor:As you sleep, the same laxity causes stomach acids and digestive juice to come into your mouth too.
Doctor:Are you following?
User:yes sir
User:i am following
User:i am able to understand now
User:is the any medication required for this
User:for my condition
User:any medication required
Doctor:This is unfortunately is a structural dysfunction which cannot be corrected without surgery. However we don't need to opt for surgery for all cases.
Doctor:We can treat you with medicines and life style changes.
Doctor:I shall list a few conservative treatments to you.
User:ok sure
User:is it curable?
Doctor:It is curable through surgical means. However as I said not every one needs surgery.
Doctor:The list of conservative treatments are:
Doctor:1. Diet modification - avoid spicy food. Restrict coffee and tea. Smoking and alcohol if any should be avoided.
Doctor:2. Instead of regular three times a day meal
Doctor:break it into 6 times small quantity meal.
Doctor:I mean make your breakfast into two halfs; similarly lunch and dinner.
User:ok i got it
Doctor:Set times for each of those 6 meals based on your preferrance.
Doctor:3. At any point, avoid eating to the brink.
Doctor:4. Never get into bed/sleep immediately after your food. Your bed time should be atleast an hour or two after dinner.
Doctor:5. Lift the head end of the cot a few inches above the ground. You can place some wooden blocks.
Doctor:Sleeping in this semireclined posture will keep the acid contents down through gravity.
Doctor:6. There are few medicines known as prokinetics. These contract the XXXXXXX and proper the stomach contents down into the intestines.
User:so what medicine i can take now
Doctor:* I mean metaclopramide and domstal
Doctor:are two such medicines.
Doctor:These drugs also come in combinations with proton pump inhibitors like pantop D
Doctor:you can ask for those medicines the next time you visit your doctor.
User:is this curable?
Doctor:7. Along with these measures, you should maintain ideal body weight.
Doctor:Now as far correcting/curing it is concerned.
Doctor:there are few exercises that are reported to be helpful.
Doctor:Strengthening the neck by lifting it up in the lying down and hold it is known to contract XXXXXXX and strengthen it.
Doctor:Lastly as I said in a few patients surgery is the only remedy.
User:oh ok
User:but, normally i dont take spicy food, no alcohol, no smoking nothing
User:and my weight is also i hope not fatty...
User:i am not sure how i get this?
Doctor:The surgeon will operate to create a new lower end of esophagus which can keep the stomach contents down thereby relieving the problem.
Doctor:The cause why it happens is not known.
User:but if we do surgery this problem will cure?
Doctor:We see such laxity once in awhile during endoscopy.
User:in my case i hope surgery is not required
User:only daily diet is enough i hope. But for the long run
Doctor:If you ask me to make a promise, I surely can't but yes, there are more than 90% chance to relieve this problem.
User:for the long run is this impact
Doctor:What the surgeon does is not correct the laxity, but make an alternate lower end which will keep the contents down. In other words, doctor creates another area with XXXXXXX functions which is more effective.
User:oh ok
User:because currently i am taking anti depressive tablet
User:i just depressed with work and with some personal matter
User:so now i am with a treatment
User:in between is it safe to take these medicines for this
Doctor:There are some impacts, however as I mentioned earlier it is not impossible to keep the condition and impact down.
Doctor:There are patients who are able to do it with changes in life style.
Doctor:You need not be worried.\
Doctor:You can visit a gastroenterologist or a gastro surgeon and discuss about all these options.
User:oh ok Doctor
Doctor:Did you follow what I said?
Doctor:Do you have any more queries?
User:no Doctor
User:But one question
User:What is the name of the surgery if i wnat to opt for future
Doctor:As a physician, I am unaware of the right surgery name at this point. But as I remember the procedure is like fundoplication.
User:no prob Doctor
User:Really thanx for the suggetion and advise
Doctor:The process involves creating another sphincter lower down the currently existing XXXXXXX
Doctor:Do you have any more questions?
User:Thank you very much for the information you provided and for the advise.
Doctor:If all your questions are answered, I shall ignore these two question no my dashboard.
User:ok sure
Doctor:the questions you posted few minutes earlier.
User:you can ignore those
Doctor:Thanks for visiting me here. Bye for now.
Doctor:Hi, I am Dr. XXXXXXX Bhardwaj.
Please proceed with your query
User:I am sorry to ask i hope you are a specialist
User:I already had a chat with MBBS Doctor
User:i just want to have a chat with Gasto specialist
Doctor:Hi. I am a Neuro Critical Care Specialist
Doctor:Unfortunately we don't have a Gastroeneterologist available on chat.
Doctor:You could always post a specialist query from your corporate portal if you like.
User:yes Doctor
User:I have been diognised with lax XXXXXXX oesophagitis
User:for the long run if it creating impact on my health
User:is this creating problem in in the long run
Doctor:i see
Doctor:I assume that you know your medical options for treatment?
Doctor:That is Proton Pump Inhibitors and dietary changes.. etc
User:one is medicine
Doctor:and i assume you have been tested for H. Pyolri?
User:and proper diet
User:and finally surgery
User:but my question is for the long run is this creating a problem.
Doctor:Surgery is certainly an option
User:oh ok
Doctor:but, you are sure that you have been checked for H. Pylori BEFORE you opt for surgery
User:i am not sure what is H Pylori
User:Yesterday only Doctor from Health care magic told me to do endoscopy
User:so i did it and got the report today morning
Doctor:H. Pylori is a bacterial infection of the stomach that causes hyperacidity and symptoms of Gastroesophageal Reflux
User:normally what you suggest?
User:your openion
Doctor:I suggest you get to your doctor and get tested for that first
User:ok Doctor
Doctor:it's a H. Pylori Antibody test
User:what exact test it is
Doctor:and if it is positive.. 3 weeks of antibiotics are all that are required
Doctor:no surgery or anything
User:oh ok
User:thats a good thing
User:let me consult Doctor over here
User:Thank yolu very much for the explanation Doctor
Doctor:no problem
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