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I Have Been Having Acidity In My Stomach Help Me I Am So Much Worried What To Do?
Question: I have been having acidity in my stomach from 4th of july.and in esophagus also i can feel the acid.now last dr did endoscopy and biopsy and report shows as endoscopy biopsy gastric antrum (a)mild reactive gastritis with mild chronic inflammation.(b)negative for helicobeter,atrophy,metaplasia and dysplasia. Endoscopic biopsy of gastro esophagal junction(a)squmaus mucosa with paychy mild irritation changes consistent with gerd(b)negative for eosinophilc esophagitis.(c)no glandular mucosa identified.pls tell me in detail abt report.is everything fine.these changes are temporary or permanent and will heal completely.how much will it take for healing.pls help me i am so much worried.no smolking and no alcohol never taken in whole life
Brief Answer:
As detailed below. Nothing serious, can be healed well.
Detailed Answer:
Hello,
Details of report:
Your stomach is showing mild reactive gastritis with mild chronic inflammation: Mild as you may know is the lowest form of any problems. Reactive means there is reaction to something and in case of stomach this is usually due to acid or bile or foods and its contents and even to the stress and anxiety.
This in turn causes inflammation that has been reported. The inflammation is also mild.
Negative means not present and you are fortunate that there is no helicobacter; atrophy, metaplasia and dysplasia that are characteristic of pre-cancerous changes. So lucky to have these negative.
Squamous mucosa with patchy mild irritation is again similar to changes as discussed above and have been reported as consistent with the clinical diagnosis of GERD. GERD means gastroesophageal reflux disease. The contents of stomach which are never allowed to pass up are allowed to go in esophagus; the acid and other things as discussed above then cause irritation of the lining of esophagus that is seen is the report also.
These are temporary changes.
Can heal completely.
Healing usually take three weeks to 3 months and fully depends upon avoidance of the instigating and enhancing factors, proper medications, change in lifestyle and most importantly avoidance of stress and/or anxiety.
Well, you are taking Protonix 40 that helps to reduce the acid production thereby helping in healing. Carafate helps in neutralization of acid and gives protective lining to the mucosa.
I would advise you the following in such a situation:
You may ask for an antacid with topical anesthetic like Mucaine gel or so. This helps to reduce the symptoms.
Motility regulator with tightening of the lower esophageal sphincter can he helped by medicines like Domperidone or Metoclopramide; needs prescription of your Doctor.
Change of lifestyle to avoid stress, anxiety - these are one of the most important factor in causation as well as enhancement of the symptoms and signs.
Soft bland diet.
Identify the factors, foods, beverages that instigate or enhance the problem and stop such things altogether helps tremendously.
The best thing about report is showing only mild changes as you might already be on treatment and there is no cancer or any other serious thing.
Hope I have answered your query and helps you.
Let me know if I can assist you further.
Take care.
Regards.
As detailed below. Nothing serious, can be healed well.
Detailed Answer:
Hello,
Details of report:
Your stomach is showing mild reactive gastritis with mild chronic inflammation: Mild as you may know is the lowest form of any problems. Reactive means there is reaction to something and in case of stomach this is usually due to acid or bile or foods and its contents and even to the stress and anxiety.
This in turn causes inflammation that has been reported. The inflammation is also mild.
Negative means not present and you are fortunate that there is no helicobacter; atrophy, metaplasia and dysplasia that are characteristic of pre-cancerous changes. So lucky to have these negative.
Squamous mucosa with patchy mild irritation is again similar to changes as discussed above and have been reported as consistent with the clinical diagnosis of GERD. GERD means gastroesophageal reflux disease. The contents of stomach which are never allowed to pass up are allowed to go in esophagus; the acid and other things as discussed above then cause irritation of the lining of esophagus that is seen is the report also.
These are temporary changes.
Can heal completely.
Healing usually take three weeks to 3 months and fully depends upon avoidance of the instigating and enhancing factors, proper medications, change in lifestyle and most importantly avoidance of stress and/or anxiety.
Well, you are taking Protonix 40 that helps to reduce the acid production thereby helping in healing. Carafate helps in neutralization of acid and gives protective lining to the mucosa.
I would advise you the following in such a situation:
You may ask for an antacid with topical anesthetic like Mucaine gel or so. This helps to reduce the symptoms.
Motility regulator with tightening of the lower esophageal sphincter can he helped by medicines like Domperidone or Metoclopramide; needs prescription of your Doctor.
Change of lifestyle to avoid stress, anxiety - these are one of the most important factor in causation as well as enhancement of the symptoms and signs.
Soft bland diet.
Identify the factors, foods, beverages that instigate or enhance the problem and stop such things altogether helps tremendously.
The best thing about report is showing only mild changes as you might already be on treatment and there is no cancer or any other serious thing.
Hope I have answered your query and helps you.
Let me know if I can assist you further.
Take care.
Regards.
Above answer was peer-reviewed by :
Dr. Remy Koshy
Dear dr,thanks a lot for the reply.i am so much relieved.i want to tell you 1 thing i had c section on 5 feb 2018 with son.in my whole pregnancy i was on aspirin 75 mg bcoz of earlier preterm labour and so many medicine.after c section i was pn ibuprofen for 1 month as painkiller.after i was fine again i took advil in 1st week of july for pain.my entire pregnancy was very stressful bcoz of continous acid reflux and many other problems.otherwise never in my whole life i never had this problem.still today i am not comfortable At all.these symptoms always bothers me as most of the time i am having heartburn after taking medicine also.i am trying my best to get rid of this problem.in future also i will come back to my original body.this problem is for life time.in future sometimes can i eat outside or can take spicy food.why i am not getting relief afrer taking medicine for than a nontg.pls help me.thanks abd regards
Brief Answer:
As detailed.
Detailed Answer:
Thanks for your feedback.
Pregnancy and medications that you mentioned are the cause and enhanced by other factors.
Outside food and spicy food may most probably enhance the problems hence not to be tried at least till the present problem is over and you become non-symptomatic for one and half months.
The factors that continue to have the symptoms are mentioned above and solution is also mentioned. Please discuss with your Doctor to get an appropriate additional treatment and you may become alright earlier.
I hope that your Doctors have not mentioned anything like hiatus hernia or so, hence no worry. You may get relief earlier.
Take care.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Please give feedback also.
As detailed.
Detailed Answer:
Thanks for your feedback.
Pregnancy and medications that you mentioned are the cause and enhanced by other factors.
Outside food and spicy food may most probably enhance the problems hence not to be tried at least till the present problem is over and you become non-symptomatic for one and half months.
The factors that continue to have the symptoms are mentioned above and solution is also mentioned. Please discuss with your Doctor to get an appropriate additional treatment and you may become alright earlier.
I hope that your Doctors have not mentioned anything like hiatus hernia or so, hence no worry. You may get relief earlier.
Take care.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Please give feedback also.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Dr,thanks for the reply.can you please tell me soyamilk,almond milk or plain low fat milk.which milk will be beneftial for this problem.green tea and orobiotic yogurt will also be fine or not.did thses proton pump inhibitiors will have any side effect for long term use?i have joined jazzcerxise its kind of exercise will make it worse or not?whenever after the treatment i will be completely fine healed from inside will this problem arise again or not or this is life long problem.i will always be alert with my diet.or i will be fine in the long term.i am in so much anxiety bcoz i am very uncomfortable all the time.what fruits are best for me.pls reply me i am waiting.thanks again.regards
I am waiting for the reply dr
Brief Answer:
Avoid the instigating and enhancing factors, foods, fluids.
Detailed Answer:
Hi.
The basic of management, what to eat and drink, the exercises or any activity depends on individual tolerance as someone with same symptoms can tolerate a particular thing but increases the symptoms in another patient with similar symptoms.
Hence all the things you mentioned above need to be evaluated by you by past and present experience.
Avoid all the things that instigate or enhance the symptoms and continue the ones that suit you the most.
If there is no hiatus hernia, if you can avoid all the instigating factors the present problem is curable.
No stress, no anxiety is very important.
Small frequent meals of soft and bland diet helps.
Do not sleep immediately after food/dinner.
Walk around.
once healed, the problem may recur only if the instigating factors are present.
I hope this answer helps you further.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Avoid the instigating and enhancing factors, foods, fluids.
Detailed Answer:
Hi.
The basic of management, what to eat and drink, the exercises or any activity depends on individual tolerance as someone with same symptoms can tolerate a particular thing but increases the symptoms in another patient with similar symptoms.
Hence all the things you mentioned above need to be evaluated by you by past and present experience.
Avoid all the things that instigate or enhance the symptoms and continue the ones that suit you the most.
If there is no hiatus hernia, if you can avoid all the instigating factors the present problem is curable.
No stress, no anxiety is very important.
Small frequent meals of soft and bland diet helps.
Do not sleep immediately after food/dinner.
Walk around.
once healed, the problem may recur only if the instigating factors are present.
I hope this answer helps you further.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Dr,thanks for reply.i need yo know one thing that i an taking protonix for 1 month and carafate 10 ml thrice a day for tha last 1 week.but sometimes i feel fine but sometimes start feeling burning sensation in my gastriesophagal junction and stonach especially after meal and still i am taking medicine.pls tell me how long i have to take the medicine.why i am having burning sensation on taking medicine.i have changed my life style diet everything.its not a life long problem
Brief Answer:
As detailed below.
Detailed Answer:
I can understand that you are not yet symptoms free.
Hence as advised above:
I would advise you the following in such a situation:
You may ask for an antacid with topical anesthetic like Mucaine gel or so. This helps to reduce the symptoms.
Motility regulator with tightening of the lower esophageal sphincter can he helped by medicines like Domperidone or Metoclopramide; needs prescription of your Doctor.
Change of lifestyle to avoid stress, anxiety - these are one of the most important factor in causation as well as enhancement of the symptoms and signs.
Soft bland diet.
Identify the factors, foods, beverages that instigate or enhance the problem and stop such things altogether helps tremendously.
You may have to take the medications till you get symptom free.
You may need review Upper GI Endoscopy, esophageal motility study, Barium swallow, Esophageal manometry to know further. This is decided by your Gastroenterologist hence needs to be discussed with him/her.
It is not possible to predict as this is a multi-factorial problem.
Follow all the rules to get better and I am sure you will be symptom-free soon.
Take care.
I hope this answer helps you further.
As detailed below.
Detailed Answer:
I can understand that you are not yet symptoms free.
Hence as advised above:
I would advise you the following in such a situation:
You may ask for an antacid with topical anesthetic like Mucaine gel or so. This helps to reduce the symptoms.
Motility regulator with tightening of the lower esophageal sphincter can he helped by medicines like Domperidone or Metoclopramide; needs prescription of your Doctor.
Change of lifestyle to avoid stress, anxiety - these are one of the most important factor in causation as well as enhancement of the symptoms and signs.
Soft bland diet.
Identify the factors, foods, beverages that instigate or enhance the problem and stop such things altogether helps tremendously.
You may have to take the medications till you get symptom free.
You may need review Upper GI Endoscopy, esophageal motility study, Barium swallow, Esophageal manometry to know further. This is decided by your Gastroenterologist hence needs to be discussed with him/her.
It is not possible to predict as this is a multi-factorial problem.
Follow all the rules to get better and I am sure you will be symptom-free soon.
Take care.
I hope this answer helps you further.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Is there any medicine for removing the inflammation of stomach
Brief Answer:
No specific medication as of I know off.
Detailed Answer:
The medications that you are taking help by reducing and neutralizing acid thereby reducing inflammation of stomach.
There are no specific medications to reduce the inflammation of stomach that I know of at the moment.
No specific medication as of I know off.
Detailed Answer:
The medications that you are taking help by reducing and neutralizing acid thereby reducing inflammation of stomach.
There are no specific medications to reduce the inflammation of stomach that I know of at the moment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi, I have provided some attachments. Please review them.
Brief Answer:
As already mentioned and discussed above.
Detailed Answer:
Reviewed the reports.
It shows the interpretation already mentioned well by you.
There is no cancer.
Mild gastritis with inflammation.
GERD.
As already mentioned and discussed above.
Detailed Answer:
Reviewed the reports.
It shows the interpretation already mentioned well by you.
There is no cancer.
Mild gastritis with inflammation.
GERD.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Dr,o have send you my full detail biopsy report.pls go through it and let me know the reflux changes at gastro esophagal junction are permanent or temporary.will they heal completely with medication and life style changes and come back to their original lining and mild patchy irritant changes consistent with gerd will disappear completely with in few weeks or month.have you seen like mine type of cases which recover up completely after treatment and never had any problem in future with all the precautions.pls tell me.sorry for repeatedly asking you my query as i am in so much stress and tension with this problem.pls help me again.thanks and regards
Brief Answer:
As detailed below.
Detailed Answer:
I can understand the stress and anxiety that you are going through.
To reiterate, your problem is multi-factorial yet curable.
Biopsy report gave the diagnosis of that period when biopsy was performed. And the best part is there is no cancer and the changes are mild indicating a chance to recover fully.
Yes, I have seen many many patients recovering fully. I have seen the patients of gastric perforation (rupture through) getting cured on review endoscopy. Perforation means ulcer eroding through all the layers causing the gastric contents to go into peritoneal cavity.
Yours is a mild case .
And as mentioned above if the stress and anxiety are present, the recovery will be late and there can be recurrence of the problems.
So keep away from stress and anxiety.
I hope this answer helps you further.
Are you in any job with lots of stress?
Any other factors ?
Take care and you will be fine.
As detailed below.
Detailed Answer:
I can understand the stress and anxiety that you are going through.
To reiterate, your problem is multi-factorial yet curable.
Biopsy report gave the diagnosis of that period when biopsy was performed. And the best part is there is no cancer and the changes are mild indicating a chance to recover fully.
Yes, I have seen many many patients recovering fully. I have seen the patients of gastric perforation (rupture through) getting cured on review endoscopy. Perforation means ulcer eroding through all the layers causing the gastric contents to go into peritoneal cavity.
Yours is a mild case .
And as mentioned above if the stress and anxiety are present, the recovery will be late and there can be recurrence of the problems.
So keep away from stress and anxiety.
I hope this answer helps you further.
Are you in any job with lots of stress?
Any other factors ?
Take care and you will be fine.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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