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Endoscopy And Dilatation Done For Reflux Oesophagitis With Lower Esophageal Stricture. Not Cured. Any Advice?

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Posted on Tue, 26 Feb 2013
Question: my father is 70 yrs old, suffering from Reflux Oesophagitis with lower oesophagial stricture. done Endoscopy and dilatation but still not recover.
Pls. advise proper health.
XXXXXXX
doctor
Answered by Dr. Mayank Bhargava (31 minutes later)
Hi XXXXXXX
Welcome to XXXXXXX forum.

Let me know the associated symptoms along with reflux esophagitis.
Does your father have abdominal bloating/ acidic belching/ excessive flatulence/ nausea or vomiting?

Reflux esophagitis along with peptic stricture may be treated partially by endoscopic dilatation.
Apart from dilatation, you can go for stent placement in lower esophagus which also covers lower esophageal sphincter.
By placing stent, permanent cure for food impaction or obstruction can be treated.
But possibility of reflux of acid is also decreased so treatment of excessive acid production is also required.
Treatment of rexcessive acid production is also mandatory for complete recovery.
Reflux esophagitis may be a part of chronic gastritis, fundal gastritis, nodular gastritis, follicular gastritis and gastric & duodenal ulcer, adenocarcinoma of stomach and GERD (all these disease are diagnosed by endoscopy).
Helicobacter pylori bacteria is responsible for peptic ulcer treatment and eradication is essential for complete relief.

You should consult with your treating doctor/ XXXXXXX medicine specialist/ gastroenterologist and should go forcomplete hemogram, thyroid profile and blood sugar, urea breath test for H. Pylori bacteria.
If urea breath test is found to be positive then you must have to take treatment against Helicobacter pylori bacteria.

Meanwhile, he should take proton pump inhibitors along with prokinetics (which increase gastrointestinal motility).

Kindly follow these dietary restrictions:
1) Avoid tomatoes, citrus fruits, onion, garlic, oily and spicy food (particularly at night times), tea and coffee.
2) Avoid putting dough and boiled potatoes in refrigerator.
3) take less amount of legumes.
4) Only take 200 ml of milk; thats in the morning hours.
5) Keep difference of 3 hours between meals and sleep.
6) Take soft diet along with yogurt.
7) He should take frequent small amount meals.

Hope that helps.
Let me know if I can address any more concerns.
Take care,
Dr. Mayank Bhargava
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Mayank Bhargava

Internal Medicine Specialist

Practicing since :2003

Answered : 1658 Questions

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Endoscopy And Dilatation Done For Reflux Oesophagitis With Lower Esophageal Stricture. Not Cured. Any Advice?

Hi XXXXXXX
Welcome to XXXXXXX forum.

Let me know the associated symptoms along with reflux esophagitis.
Does your father have abdominal bloating/ acidic belching/ excessive flatulence/ nausea or vomiting?

Reflux esophagitis along with peptic stricture may be treated partially by endoscopic dilatation.
Apart from dilatation, you can go for stent placement in lower esophagus which also covers lower esophageal sphincter.
By placing stent, permanent cure for food impaction or obstruction can be treated.
But possibility of reflux of acid is also decreased so treatment of excessive acid production is also required.
Treatment of rexcessive acid production is also mandatory for complete recovery.
Reflux esophagitis may be a part of chronic gastritis, fundal gastritis, nodular gastritis, follicular gastritis and gastric & duodenal ulcer, adenocarcinoma of stomach and GERD (all these disease are diagnosed by endoscopy).
Helicobacter pylori bacteria is responsible for peptic ulcer treatment and eradication is essential for complete relief.

You should consult with your treating doctor/ XXXXXXX medicine specialist/ gastroenterologist and should go forcomplete hemogram, thyroid profile and blood sugar, urea breath test for H. Pylori bacteria.
If urea breath test is found to be positive then you must have to take treatment against Helicobacter pylori bacteria.

Meanwhile, he should take proton pump inhibitors along with prokinetics (which increase gastrointestinal motility).

Kindly follow these dietary restrictions:
1) Avoid tomatoes, citrus fruits, onion, garlic, oily and spicy food (particularly at night times), tea and coffee.
2) Avoid putting dough and boiled potatoes in refrigerator.
3) take less amount of legumes.
4) Only take 200 ml of milk; thats in the morning hours.
5) Keep difference of 3 hours between meals and sleep.
6) Take soft diet along with yogurt.
7) He should take frequent small amount meals.

Hope that helps.
Let me know if I can address any more concerns.
Take care,
Dr. Mayank Bhargava