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Suggest Treatment For Heartburn And Acute Gastritis Problem

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Posted on Sat, 3 Jan 2015
Question: I have been facing heartburn & acute gastritis trouble. So as suggested by the doctor had an Ultrasound scan done which indicated gallbladder polyps.

Based on this report, I was referred to a specialist who asked me to get an Endoscopy & MRPC done.

Upper GI Endoscopy report:

Clinical diagnosis: GERD
Oesophagus: Normal Mucosa
Stomach: Mucosal hyperemia noted
Duodenum: D1 and D2 normal
Impression: Acute Gastritis

MRPC report:

Gall Bladder: Distended. Multiple small filling defects noted adherent to the gall bladder wall, largest measuring 4mm at the neck region - suggestive of gall bladder polyps (also correlated with sonography, found not to be on-dependent, adherent to the gall bladder wall). No evidence of calculi / focal mass lesion.

Impression:
Multiple Gall Bladder Polyps. No other significant abnormality.

Question(s): For gall bladder polyps the doctor has asked me to consider removal of the gall bladder (Cholecystectomy) as there is a risk of polyps turning malignant. Please suggest. Is there a link between gall bladder polyps & my condition of Acute gastritis? Also, why do GB polyps happen? Is there no way to remove them with medicines.
doctor
Answered by Dr. Dr Samir Patil (1 hour later)
Brief Answer:
Surgery needed for polyps

Detailed Answer:
Hello,
I have gone through the details you have provided.

There is no relation between your symptoms and the polyps.

Gall bladder polyps can develop malignancy hence I agree with your doctor that you need a cholecystectomy (removal of gall bladder).

Polyps can be caused by a combination of genetic and environmental factors.

There is no way the polyps can be removed without surgery.

For your gastritis I would advise you to continue pantoprazole.
Also avoid tobacco, alcohol, carbonated drinks, fried food, red meat, citrus fruits and mint/ chocolate flavors. I would also suggest limiting tea/ coffee to two or less cups per day


Hope this helps
Regards
Dr Samir Patil
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Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Answered by
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Dr. Dr Samir Patil

Gastroenterologist

Practicing since :1997

Answered : 551 Questions

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Suggest Treatment For Heartburn And Acute Gastritis Problem

Brief Answer: Surgery needed for polyps Detailed Answer: Hello, I have gone through the details you have provided. There is no relation between your symptoms and the polyps. Gall bladder polyps can develop malignancy hence I agree with your doctor that you need a cholecystectomy (removal of gall bladder). Polyps can be caused by a combination of genetic and environmental factors. There is no way the polyps can be removed without surgery. For your gastritis I would advise you to continue pantoprazole. Also avoid tobacco, alcohol, carbonated drinks, fried food, red meat, citrus fruits and mint/ chocolate flavors. I would also suggest limiting tea/ coffee to two or less cups per day Hope this helps Regards Dr Samir Patil