Esophagitis and Gastritis: Concerns After Endoscopy

Regarding endoscopic diagnosis of esophagitis and gastritis?

Hello Doctor:
1.
I had an upper endoscopy done 1 year and 3 months ago, which diagnosed me with stage II gastroesophageal reflux disease (GERD) and gastritis.
I have been on medication for treatment, but my symptoms have been fluctuating and persistently present.
I would like to ask if it is possible for the condition to progress to cancer within this year and a half, considering I have been gaining weight.
2.
I experience sharp pain on the side of my stomach every morning when I wake up, to the point where I don't want to get up.
Certain movements also trigger the pain, and I feel discomfort when exhaling.
Could this be caused by gastritis?

Chen, 30~39 year old female. Ask Date: 2015/10/15

Dr. Yang Zhichao reply Gastroenterology and Hepatology

Dear Mr.
Chen, gastroesophageal reflux disease (GERD) is not curable, but it can be managed with medication and lifestyle changes to reduce the frequency and severity of episodes.
The occurrence of cancer is unpredictable and can only be detected through examinations, so if you have concerns, please consult a physician for evaluation.
Gastritis pain typically does not change with breathing or movement, unless it is a severe case of gastritis or another gastrointestinal condition, so please have a doctor assess your situation.
Changhua Hospital cares about your health.

Reply Date: 2015/10/15

More Info

Understanding esophagitis and gastritis, especially after undergoing endoscopy, can be quite concerning for patients. Based on your history and the symptoms you are experiencing, let’s break down your concerns.

1. Risk of Cancer Development: You mentioned that you had an endoscopy a year and three months ago, which diagnosed you with reflux esophagitis and gastritis. It’s understandable to worry about the potential progression to cancer, especially with a history of chronic inflammation. While chronic gastroesophageal reflux disease (GERD) can increase the risk of esophageal adenocarcinoma, the actual risk is influenced by several factors, including the severity of the reflux, the presence of Barrett's esophagus (a condition where the esophageal lining changes due to chronic acid exposure), and lifestyle factors such as obesity, smoking, and diet.
If you have been experiencing ongoing symptoms despite treatment, it is crucial to follow up with your gastroenterologist. They may recommend another endoscopy to assess any changes in your esophagus or stomach lining. Regular monitoring is essential, especially if you have risk factors for esophageal cancer.
2. Symptoms of Pain and Discomfort: The stabbing pain you describe on the side of your stomach upon waking and during certain movements could indeed be related to gastritis or esophagitis. Gastritis, which is inflammation of the stomach lining, can cause a variety of symptoms, including pain, nausea, and discomfort, particularly after eating or when the stomach is empty.
The pain you feel could also be due to increased gastric acid production, which can irritate the stomach lining, especially if you have not eaten for a while. Additionally, if you are experiencing pain during breathing or certain movements, it could suggest that the inflammation is affecting nearby structures or that there is a muscular component to your pain.

Recommendations:
- Medication: It seems you have been on medication for your condition. Proton pump inhibitors (PPIs) like Nexium are commonly prescribed to reduce stomach acid and help heal the esophagus and stomach lining. If you are still experiencing symptoms, it may be worth discussing with your doctor the possibility of adjusting your medication or exploring additional treatments, such as H2 blockers or antacids.

- Lifestyle Modifications: Weight management is crucial, as obesity can exacerbate GERD symptoms. Dietary changes, such as avoiding spicy foods, caffeine, and alcohol, can also help reduce symptoms. Eating smaller, more frequent meals rather than large meals can minimize discomfort.

- Follow-Up: Given your ongoing symptoms and history, it is advisable to have a follow-up appointment with your gastroenterologist. They may suggest further diagnostic tests, including imaging studies or another endoscopy, to evaluate your condition more thoroughly.

In summary, while the risk of cancer exists with chronic esophagitis and gastritis, regular monitoring and appropriate management can significantly mitigate this risk. Your symptoms warrant further evaluation to ensure that you receive the most effective treatment and to rule out any serious complications. Please consult your healthcare provider for personalized advice and treatment options tailored to your specific situation.

Similar Q&A

Understanding Post-Endoscopy Symptoms: When to Seek Further Gastrointestinal Care

I previously underwent an upper gastrointestinal endoscopy due to Helicobacter pylori, and the doctor indicated that there were no signs of gastric ulcers, but there was some gastritis. I was prescribed proton pump inhibitors, but after taking them for a month and then stopping, ...

Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Generally speaking, gastroscopy is a safe procedure with few complications. Symptoms such as nausea, vomiting, and abdominal bloating should not be related to the gastroscopy. As for whether these symptoms are associated with gallstones, further differential diagnosis shou...

Managing Chronic Gastritis and Reflux: Symptoms and Solutions

After undergoing an upper gastrointestinal endoscopy, chronic gastritis, Helicobacter pylori infection, and gastroesophageal reflux disease (GERD) were diagnosed. Two days ago, I completed a triple therapy regimen. While taking the medication, I experienced symptoms such as bloat...

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It may be a side effect of the medication, as some can cause diarrhea or increased bowel motility, leading to a feeling of nausea. Changhua Hospital cares about your health. Dr. Tsai An-shun.

Understanding Post-Endoscopy Diarrhea: Causes and Concerns

Last week on March 5th, I underwent an upper gastrointestinal endoscopy and a colonoscopy. The day before, on March 4th, I drank a bowel preparation solution, which I believe was called Nifuratel. After the procedures, I returned home and have been experiencing diarrhea, which is...

Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: 1. Some individuals may experience a slower recovery after bowel cleansing due to intestinal irritation. It is advisable to maintain a light diet, low in oil and dairy, which should help restore normal function. 2. If it is a specimen, a complete report may be provided aft...

Understanding Throat Pain After Gastroscopy: Causes and Concerns

This afternoon, after undergoing an upper gastrointestinal endoscopy at Chang Gung Memorial Hospital in Taoyuan, I initially thought the throat anesthesia hadn't worn off yet. However, now that it's evening and 12 hours have passed, swallowing saliva, drinking water, an...

Dr. Lin Minghui reply Gastroenterology and Hepatology
Esophagogastroduodenoscopy (EGD) is an invasive procedure that can cause anxiety, nausea, vomiting, and gastroesophageal reflux, which may lead to mucosal injury at the sites of esophageal and gastrointestinal narrowing. Common symptoms of esophageal injury include chest pain, an...