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What does the endoscopy report indicate about my digestive problems? - Online Doctor Chats

Date : 14-May-2014
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
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User:Hi doctor
Doctor:How Can I help you?
User:I have gone through Upper GI Endoscopy, RUT,Colonoscopy, Biopsy tests. Below are the findings ----------------------------------------Endoscopy---------------------------------------------------------------- Indication :- Acid Peptic disease Oesophogus :- Lax lower EsophagealSphincter Stomach :- Antral Non Erosive Gastrities Rapid Urease Testfor HpyloriNegative Duoedenum-Cap :- Normal 2nd part :- Normal
User:ru able 2 see my endoscopy report?
Doctor:Looks like they have diagnosed you with GERD
Doctor:Gastro-Esophageal Reflux Disease
User:----------------------------------Colonoscopy Report---------------------------------------------------------- Indication:- Chronic Diarrhea Illeum :- Terminal Illeal Erosions- Biopsy taken to look for Infective/Inflamatory bowel disease Caecum :- Normal Ascending colon :- Normal Transvers colon :- Normal Descending colon :- Normal Sigmoid colon :- Normal Rectum :- Grade I Internoexternal Haemorrhoids with healed fissure in Ano -------------------------------- Biopsy Report------------------------------------------------------------------ Brief Clinical History :- ?Inflammatory bowel disease Specimen :- Ileal biopsy Macroscopic Description :- Received 4 grey white mucosal bits ranging in size from 0.2 to 0.3 cms. Entire tissue processed. Microscopic Description:- Illeal biopsy shows normal villi with crypts showing occasional foci of muchi depletion. The lamina propria is unremarkable.There are no granulomas. Diagnosis/Comments:- Illeal biopsy is within normal limits -
Doctor:The GI report shows a Lax Lower esophageal sphincter
Doctor:This new one shows that you have been struggling with constipation
Doctor:Now, what is bothering you about the reports?
User:1) Whenever i eat/drink anything even fruits/juice also
User:it like some problem in throat
Doctor:Yes, this is due to reflux
User:2) 2nd time motion twice in a week and frequently motion sense
Doctor:i understand
Doctor:There are lifestyle modifications you must try to get rid of the symptoms
User:ok can u plz suggets those modications
Doctor:Losing weight (if overweight)
Doctor:Avoiding alcohol, chocolate, citrus juice, and tomato-based products
User:am not overweight
User:Age 24 height:- 170 cms and weight 68
Doctor:also suggest avoiding peppermint, coffee, and possibly the onion family
Doctor:Avoiding large meals
Waiting 3 hours after a meal before lying down
Doctor:Elevating the head of the bed 8 inches
User:means should i use pillow of 8 inches?
Doctor:or stack two pillows
Doctor:whatever works best for you
Doctor:If these do not work, then you need to start on medication.
User:I used tablet Nexpro 40mg for 2 to 3 months but no use
Doctor:ok, there are others you can try
Doctor:like Razo-Easy Sachets
Doctor:You can take 1 if those in the morning and 1 in the evening.
User:ok so at first u suggest to start with life style modifications
Doctor:the lifestyle modifications are very important
User:Within how many days i can get rid of this if i follow the life style modifications correctly?
Doctor:it will take many many months.
User:1 year?
Doctor:In oarticular you need ti be careful about anything with caffiene in it
Doctor:like coffee, tea and Soft Drinks
User:can i take tea twice a day?
Doctor:its better than coffee twice a day
Doctor:but the less you take of any of those the better
User:k green tea with honey twice a day?
Doctor:all of those stimulants will make the Esophageal sphincter lax a shown in your report
User:Can i get rid of this if i take all the neccessary precautions after 1 year?
Doctor:i believe it will get better. but it is a permanent issue, the only way to make sure it never happens is to undergo surgery
User:ok how many days it will take 2 become normal if i go for surgerey?
Doctor:You would be kept in the hospital for a week, overall the healing would take 2-3 months
User:Upto what age i can go for surgery?
Doctor:Any age, as long as you are healthy for anesthesia it can be done at any age
User:Under what health condition a person becomes unhealthy for anesthesia?
Doctor:Heart Problems, lung problems, liver failure, kidney failure etc
Doctor:a 24 year old like you would most likely be fine for any surgery
Doctor:I am not saying that surgery is the best answer. The lifestyle modifications SHOULD work for you
User:ok @ first i will start life style modifications
Doctor:thats the spirit
Doctor:Do you have any more queries?
User:then some medicines if the problem still exists after 2 to 3 years surgey
User:is that suffice for the problem?
Doctor:that sounds like a good plan
User:ok last query
User:How often i can take non veg?
User:once in a week?
Doctor:I would say that it is best if you have anything like heavy oil food or nonveg food at least 4 hours before going to bed. That will minimize the discomfort from the GERD
User:What about dhal & sambar?
Doctor:Did you follow what I said? Can you summarize our discussion?
Doctor:oh dhal sambar and all are fine
User:yes doctor
User:@ first u suggested to change life tsyle
Doctor:just try and minimize the spicyness of the food you are eating, that should help
Doctor:Yes 1) Life style modifications as discusses
Doctor:2) Medications like Razo-Easy Sachets
Doctor:3) In the future, if thi si still bugging you.. surgery
User:Thats fine doctor am done with all my quries thanks alot for your time
User:i will note down the life style modifications and start 4m now
Doctor:Take Care
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