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What Does " Presence Of Patulous In JE Junction" Indicate?
Question: I have suffered in GERD. I have undergone gall bladder surgery in January 2013 . Video endoscopy has revealed the presence of patulous in JE junction. Whether i will live with like this in hyperacidity. Presently, i have additional problem of Dyspepsia. How i will re-leave from all disorder. please suggest me.
Brief Answer:
Answer given below
Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.Ratnakar Kini and I am pleased to assist you.
Patulous GE junction can cause GERD. If you have symptoms of GERD, you need to take a course of PPI like omeprazole. In addition to that certain lifestyle/dietary changes are also important.
1. Weight reduction if obese
2. Avoid coffee, citrus fruits, tomatoes, fatty/spicy food
3. Avoid eating full stomach
4. Go to bed at least 2-3 hours after taking food.
But you should know patulous GE junction does not get corrected with medications.
I hope that answers your question.
Let me know if I can assist you further.
Regards,
Dr.Ratnakar Kini
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I have been taking PPI since last march, 2013. Now I have problem of Dispesia too. I have clanged mostly my life style as per you. But i heard long term use of PPI can cause side effect like osteoporosis. Now also after taking PPI i am not relieved from the burning sensation. What advice you can give me.
Brief Answer:
Answer given below
Detailed Answer:
Hi,
Long term PPI can cause osteoporosis and is a worrisome effect in elderly patients only.
If there is no relief with PPI and lifetsyle changes, then reevaluation with a 24 hours pH monitoring test should be done.
I hope that answers your question.
Let me know if I can assist you further.
Regards,
Dr.Ratnakar Kini
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir
Thank you for your reply. But you have not solved my problem. I am presently suffer in dyspepsia and continuous sound in the stomach after food. I think there is severely gas formation in which i am felling much more discomfort. What is your suggestion and medication of choice?
Brief Answer:
Answer given below
Detailed Answer:
Hi,
This is only an online consultation site where second opinion is sought.
We do not have the option of examining the individuals.
Prescription should be done only after examining the patient.
From the attached endoscopy report, I can make out you are doctor (Hope medical doctor).
So I will go ahead giving the prescription.
You can consider taking C.Nexpro -L once daily before breakfast.
I hope that answers your question.
Let me know if I can assist you further.
Regards,
Dr.R.K
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir
I am taking Rebaprazole-L since last March 2013. Now my physician has advised me to take CIBIS twice daily. But it does not help me. Please suggest me. What are the other option in these case. Whether any surgery is required to be cured permanently. I am waiting for your reply. have attached the clinical finding report as much as possible. Please have a look and advised me.
Brief Answer:
Answer given below
Detailed Answer:
Hi,
As per your endoscopy report, you have lax lower esophageal sphincter and it is confirmed with esophageal manometry. This can predispose to GERD.
If there is no relief with Rabeprozole-L and dietary/lifestyle modifications, then reevaluation should be done with 24 hours pH monitoring test which I have mentioned in one of my earlier posts.
If medical management does not provide relief, then surgery can be contemplated.
I hope that answers your question.
Let me know if I can assist you further.
Regards,
Dr.R.K
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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