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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Painful Ulcer In Esophagus

i am suffering with pain in the lower part of the esophogus, i have undergone for endoscopy doctor said there is an ulcer(asophogities Grade A) and suggested to use medicines for two months i used, not much relief after that another doctor suggested me to use razo-d for one month and razo for another 2 months, with rantidine one tab at night time. i am using the medicines as prescribed. But, there is still some inconvenience, if i eat something feeling full and sometimes vomiting sesation. overall i am using the medicines since almost 3 months, but not much relief what i have to do? pls. advice
Mon, 21 Aug 2017
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  User's Response
Hi there,

It sounds like you have gastroesophageal reflux that is not responding to medical management. You may have a hiatal hernia that is causing your symptoms. A hiatal hernia is when the lower esophageal sphincter has herniated (is in the wrong place) and isn't effective in keeping the stomach acid from refluxing back up into the esophagus. This can be diagnosed by doing a special X-ray while drinking contrast called an upper GI. Other tests such as a endoscopy and manometry (measuring pressure in the esophagus), pH study (measuring the acidity of the esophagus) may also be helpful.

If you do have a hiatal hernia, surgery entails a reduction of the hiatal hernia and a Nissen fundoplication, which entails wrapping the stomach around itself in order to recreate the sphincter. This is effective in eliminating symptoms in the majority of patients, and is usually done laparoscopically (at least in the US).

I hope this is helpful. Feel free to contact me with any questions.
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Suggest Treatment For Painful Ulcer In Esophagus

Hi there, It sounds like you have gastroesophageal reflux that is not responding to medical management. You may have a hiatal hernia that is causing your symptoms. A hiatal hernia is when the lower esophageal sphincter has herniated (is in the wrong place) and isn t effective in keeping the stomach acid from refluxing back up into the esophagus. This can be diagnosed by doing a special X-ray while drinking contrast called an upper GI. Other tests such as a endoscopy and manometry (measuring pressure in the esophagus), pH study (measuring the acidity of the esophagus) may also be helpful. If you do have a hiatal hernia, surgery entails a reduction of the hiatal hernia and a Nissen fundoplication, which entails wrapping the stomach around itself in order to recreate the sphincter. This is effective in eliminating symptoms in the majority of patients, and is usually done laparoscopically (at least in the US). I hope this is helpful. Feel free to contact me with any questions.