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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Abdominal And Chest Pain. Endoscopy Shows Erosive Gastritis, Normal Stress Tests. Advice?

Hi, I had abdominal and chest pain. Had an abdominal cat scan with contrast and did not show erosive gastritis. I had an endiscope and I have been diagnosed with erosive gastritis. Waiting for the biopsy report. Very worried. Why didn't the cat scan show erosive gastritis and what is associated with this diagnoses. I was also admitted into the hospital to rule out a heart attack. Had stress test, echocardiagram and carotid artery test. All tests were normal.
Tue, 23 Jul 2013
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General Surgeon,  's  Response
Hi ! It is good that all tests related to your heart were normal. Erosive gastritis m gives rise to esophageal spasm which may mimic a cardiac problem.
CT scan is not the ideal investigation to show erosive gastritis. It can be diagnosed with the help of your history, followed by the endoscopy. You can go for a proton pump inhibitor, a prokinetic agent, and an antacid after consulting your doctor, and at the same time you should go more for bland diet, fresh vegetable and fruits, and avoid fast fried food from outside.
Biopsy is a routine procedure whenever an endoscopy is done to exclude many other pathological processes associated with chronic esophasitis. So you do not have to worry about it till the report is ready. Wishing you an early recovery.
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Suffering From Abdominal And Chest Pain. Endoscopy Shows Erosive Gastritis, Normal Stress Tests. Advice?

Hi ! It is good that all tests related to your heart were normal. Erosive gastritis m gives rise to esophageal spasm which may mimic a cardiac problem. CT scan is not the ideal investigation to show erosive gastritis. It can be diagnosed with the help of your history, followed by the endoscopy. You can go for a proton pump inhibitor, a prokinetic agent, and an antacid after consulting your doctor, and at the same time you should go more for bland diet, fresh vegetable and fruits, and avoid fast fried food from outside. Biopsy is a routine procedure whenever an endoscopy is done to exclude many other pathological processes associated with chronic esophasitis. So you do not have to worry about it till the report is ready. Wishing you an early recovery.