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What does this endoscopy result indicate? - Online Doctor Chats

Date : 02-May-2014
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1775 Questions
User:Hi Doctor
Please proceed with your query
User:I have been having stomach problem. I have undergone endoscopy. Endoscopy results are as follow. ESOPHAGUS : very lax XXXXXXX STOMACH : Erosions seen in antrum Final Impression : LAX XXXXXXX , EROSIVE ANTRAL GASTRITIS
User:I had taken Claribid 500, RABIUM-DSR, Novamox-500 and sucrafil o for one week. but there was no improvement
Doctor:looks like you have symptoms of reflux
Doctor:ok, so you are being treated for H pylori?
Doctor:it takes several weeks for the treatment to work
User:The doctor suggested to continue RABIUM-DSR and sucrafil get for one month, asked me to comeback after one month
User:I am taking these two medicines for almost for two weeks, but still no improvement
User:I feel lot of pinning sensation in my stomach
User:appetite is very bad, dont feel hugry.
Doctor:ok. That is the effect of the Claribid. Antibiotics will interfere with appetite
Doctor:Stick to the treatments. They will help in time. Your endoscopy shows the reason why you are suffering. It just takes time
User:i have stopped claribid 2 weeks ago
Doctor:ohh, ok, well then you need to go back to your doctor and increase the doses of the rabium
Doctor:or it can be switched to a medication like Pantoprazole. That is another acid blocker
User:Do i need to go for H pylori tests?
Doctor:While you are at it. Try and sleep such that your head and back are raised on a pillow or two. That will minimize the reflux
Doctor:The antibiotics that you were on are FOR H. Pylori. I would expect that your doctor tested for it first. Right?
User:there were no tests conducted for H pylori..
Doctor:hmmm, thats odd
Doctor:well, now the problem is, is that you have been treated and the tests may come back as negative
Doctor:so i don't think it is worth testing now
User:What shall i do now?
Doctor:instead you need to do whatever you can to help with the lower esophageal sphincter to tighten up and prevent reflux
User:Any suggestion doctor now? Shall i continue with current medication? or need to change?
Doctor:the only other thing i can think of that may help in this situation is a medication called Lioresal, it will help acid move down through the stomach rather than regurgitate
Doctor:so ask you gastro over the phone if that will help. The other medications you can take are prokinetic medications like Neopride. But they are very rarely used
Doctor:Finally, there are surgical options which will tighten up the Sphincter
User:is it Sphincter is very loose?
Doctor:yes it is
Doctor:the sphincter is loose, that is why you are having trouble
User:what are the problems/complications if Sphincter is loose? how serious is it?
Doctor:so lioresol, neopride or surgery are the options
Doctor:acid will regurgitate into the esophagus and cause the symptoms you are having
User:is it serious?
Doctor:it's pretty common
Doctor:but it can get serious if untreated
Doctor:dont worry
User:I always feel lot of burning sensation near chest. is this due to same problem?
Doctor:The burning is also known as "heart burn"
Doctor:That is also due to the spincter issue
Doctor:so as i said, your chest burning sensation is textbook case of esophageal reflux
Doctor:I think you should try the medications first though
Doctor:Lioresal and neopride
Doctor:Surgery is definitive, but it is always uncomfortable to go through all that
User:Can I discuss with my gastro about Lioresal and neopride ?
Doctor:The risks of surgery are that of infection, but not much more than that
User:what is surgery called as ?
Doctor:Sure, please discuss! I need them to prescribe the meds anyway as i cannot from here
Doctor: XXXXXXX tightening
Doctor:thats the surgery
User:are Lioresal and neopride helps in tightening LES?
Doctor:yes they do
Doctor:Most of the time the meds will work, not to worry
Doctor:Anything I can help you with?
User:Thanks Doctor. Thanks for your valuable suggestions
Doctor:Always happy to help
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