Understanding Low-Grade Esophageal Variations: Diagnosis and Treatment Options
Low-grade esophageal dysplasia? Hello Doctor: Below is the endoscopy report from last month. The physician advised that my esophagus needs to be addressed promptly (endoscopic RFA). I have been trying to adjust my lifestyle for the past two years, but I have not been able to achi...
Dr. Lin Minghui Reply:
If the endoscopic biopsy shows Barrett's esophagus with dysplastic lesions, consideration may be given to applying endoscopic radiofrequency ablation (RFA) to treat the lesions. This is to prevent low-grade dysplasia from progressing to high-grade dysplasia and to prevent hi...[Read More] Understanding Low-Grade Esophageal Variations: Diagnosis and Treatment Options
Understanding the Timeline of GERD and Barrett's Esophagus Development
The timeline for the development of gastroesophageal reflux disease (GERD) and the formation of Barrett's esophagus? I started experiencing allergic rhinitis issues two to three years ago, occasionally feeling a sensation of a foreign body in my throat. I initially thought t...
Dr. Chen Shidian Reply:
Long-term symptoms of reflux combined with smoking and alcohol consumption are more likely to be associated with Barrett's esophagus. If there are concerns, an upper endoscopy can be performed for confirmation.[Read More] Understanding the Timeline of GERD and Barrett's Esophagus Development
Managing Post-Endoscopy Symptoms: Bloating and Acid Reflux Concerns
Recently, after examinations, I have been experiencing difficulty swallowing food and frequent burping? Hello, Doctor. I have been suffering from peptic ulcers and gastroesophageal reflux disease (GERD) for over 10 years, and I undergo treatment approximately every two to three y...
Dr. Cai Jinji Reply:
Hello Ms. Peggy: Generally, an endoscopy does not cause this. It is advisable to consult your physician regarding the circumstances during the examination. You may consider checking the pH levels in the esophagus and assessing for gastroesophageal reflux. Director Cai Jin-ji, Dep...[Read More] Managing Post-Endoscopy Symptoms: Bloating and Acid Reflux Concerns
Can Barrett's Esophagus Be Cured? Exploring Treatment Options and Surgery Necessity
Is it possible to completely cure Barrett's esophagus? Is surgery necessary? Hello Doctor: During my endoscopy for gastroesophageal reflux disease, I was diagnosed with Barrett's esophagus. The clinic physician mentioned that it is "non-dysplastic." Currently,...
Dr. Hu Guozheng Reply:
It is generally recommended to have follow-up appointments at least once a year, although this may vary depending on individual health conditions. It is advisable to seek follow-up and treatment at a gastroenterology clinic in a regional hospital or higher, and to discuss any que...[Read More] Can Barrett's Esophagus Be Cured? Exploring Treatment Options and Surgery Necessity
Understanding Barrett's Esophagus and Relaxed Lower Esophageal Sphincter
Lower esophageal sphincter relaxation with Barrett's esophagus? Hello Doctor: I went to the hospital for a check-up last September due to discomfort, and an endoscopy revealed that I have Barrett's esophagus without dysplasia. The doctor mentioned that my lower esophage...
Dr. Hu Guozheng Reply:
Each individual's condition is different. It is advisable to consult your attending physician for recommendations regarding medication and subsequent treatment options. Thank you.[Read More] Understanding Barrett's Esophagus and Relaxed Lower Esophageal Sphincter
Understanding Barrett's Esophagus: Treatment Options and Expert Guidance
Please advise on the active treatment options for Barrett's esophagus? Dear Dr. Chen, I am a 41-year-old male, 174 cm tall and weighing 90 kg. My past medical history includes peptic ulcer disease and irritable bowel syndrome. Currently, I have moderate fatty liver disease,...
Dr. Chen Shidian Reply:
It is recommended to start medication and follow up with an endoscopy in one year, and then consider endoscopic treatment if necessary. In Taiwan, this is not commonly practiced; patients must go to a medical center for a complete preoperative evaluation, and decisions will be ma...[Read More] Understanding Barrett's Esophagus: Treatment Options and Expert Guidance
Dietary Adjustments for Managing Barrett's Esophagus and Duodenal Strictures
Barrett's esophagus I have Barrett's esophagus and a narrow duodenum, making it difficult for food to pass down. I'm unsure how to adjust my diet.
Dr. Cai Anshun Reply:
Hello: The duodenum is too narrow; I'm not sure how the diagnosis was made. If there is a stricture, it may be necessary to address the narrowing issue first (surgery, etc.). Additionally, you can consume finely chopped foods, or if the narrowing is not severe, you can chew ...[Read More] Dietary Adjustments for Managing Barrett's Esophagus and Duodenal Strictures
Understanding Yellow and Black Stool: GERD and Potential Concerns
Stool that is yellow with black streaks and gastroesophageal reflux? Hello doctor, two months ago I underwent an upper gastrointestinal endoscopy which diagnosed me with gastroesophageal reflux disease and Barrett's esophagus, but I do not have Helicobacter pylori or any gas...
Dr. Chen Shidian Reply:
It is unlikely to be related to colorectal cancer; further observation is sufficient.[Read More] Understanding Yellow and Black Stool: GERD and Potential Concerns
Understanding Yellow Stool with Black Spots: GERD and Potential Concerns
Stool that is yellow with black streaks and gastroesophageal reflux disease (GERD)? Hello doctor, two months ago I underwent an endoscopy which diagnosed me with gastroesophageal reflux disease and Barrett's esophagus, but I do not have Helicobacter pylori or any gastric ulc...
Dr. Chen Shidian Reply:
It is unlikely to be related to colorectal cancer; further observation is sufficient.[Read More] Understanding Yellow Stool with Black Spots: GERD and Potential Concerns
Understanding Barrett's Esophagus: Diagnosis, Treatment, and Management Tips
Barrett's esophagus Hello, Doctor. Below is my esophagogastroduodenoscopy (EGD) pathology report. **Report of EGD** **Esophagus:** A shallow ulcer noted at the esophagogastric (EG) junction, s/p biopsy *1 for pathology. Mucosal break less than 5mm noted at the EG junction...
Dr. Lin Minghui Reply:
1. The esophageal mucosal biopsy from the upper gastrointestinal endoscopy shows intestinal metaplasia, which raises the suspicion of Barrett's esophagus. There is a certain degree of chronic inflammation present in the intestinal metaplasia. 2. Treatment for Barrett'...[Read More] Understanding Barrett's Esophagus: Diagnosis, Treatment, and Management Tips
Struggling to Sleep: Understanding Gastroesophageal Issues and Remedies
Recently, I've been feeling uncomfortable when lying down, making it difficult to fall asleep? Hello, doctor. About five months ago, I underwent an upper gastrointestinal endoscopy, and the doctor mentioned that I had a slightly loose gastroesophageal junction, gastroesophag...
Dr. Chen Shidian Reply:
It is recommended to discuss adjustments with the gastroenterologist.[Read More] Struggling to Sleep: Understanding Gastroesophageal Issues and Remedies
Understanding Barrett's Esophagus: Treatment Duration and Lifestyle Tips
Barrett's esophagus Hello Doctor, during my health check-up this year, I was diagnosed with Barrett's esophagus, esophagitis, chronic gastritis with intestinal metaplasia and erosion, and I do not have Helicobacter pylori. I am currently taking PANTOLOC 40MG. How long s...
Dr. Zhang Kebin Reply:
Hello Mr. Fang: You inquired about Barrett's esophagus? Barrett's esophagus is a precancerous condition that requires regular monitoring based on its length and degree of dysplasia. It cannot be completely eradicated. Regarding Barrett's esophagus, the European Soc...[Read More] Understanding Barrett's Esophagus: Treatment Duration and Lifestyle Tips
Do I Need Ongoing Treatment for Mild Acid Reflux? Understanding Risks and Management
Is it necessary to have regular check-ups for mild gastroesophageal reflux disease (GERD) until it is completely resolved? Hello Doctor, I am 23 years old and have undergone gastroscopy which indicated grade A mild reflux. Over the past ten years, I have had several check-ups wit...
Dr. Cai Anshun Reply:
Hello: 1. If there are no symptoms, medication is not necessary. It is sufficient to pay attention to dietary and lifestyle adjustments. Tea (black tea/green tea/milk tea), coffee, chocolate, sweets, spicy foods, fried foods, high-fat, and high-protein foods, as well as being und...[Read More] Do I Need Ongoing Treatment for Mild Acid Reflux? Understanding Risks and Management
Understanding Mild Barrett's Esophagus: Symptoms, Risks, and Treatment Options
Mild Barrett's esophagus? Hello Doctor, last month I had an endoscopy and received the pathology report. The doctor mentioned that there is very mild Barrett's esophagus with no cancer risk. Below is my pathology report, but I tried to look it up and it seems there is n...
Dr. Chen Shidian Reply:
The biopsy location in the English report is near the pylorus of the stomach, not the esophagus. With proper medication and dietary management, very few individuals require surgery.[Read More] Understanding Mild Barrett's Esophagus: Symptoms, Risks, and Treatment Options
Managing Barrett's Esophagus: Long-term PPI Use and Kidney Health Concerns
Could you please clarify your question regarding medication issues related to Barrett's esophagus? Hello, doctor. I was diagnosed with mild Barrett's esophagus after undergoing an endoscopy. My attending physician advised me to take medication for control and to have an...
Dr. Cai Anshun Reply:
Hello: Research reports indicate that long-term use of proton pump inhibitors (PPIs) may lead to chronic kidney disease. Most of these studies are retrospective in nature, and currently, there are no double-blind studies, so the level of evidence is not strong. Furthermore, the p...[Read More] Managing Barrett's Esophagus: Long-term PPI Use and Kidney Health Concerns
Understanding Barrett's Esophagus: Treatment Options and Prognosis
Barrett's esophagus Hello, doctor. I recently had an endoscopy and was diagnosed with Barrett's esophagus due to long-term gastroesophageal reflux disease (GERD). I would like to ask: 1. Does Barrett's esophagus require treatment? (Aside from medication) 2. Can Bar...
Dr. Yang Zhichao Reply:
Dear Mr. Sean, Hello. Barrett's esophagus may be related to long-term gastric acid irritation, and it is necessary to examine the differentiation of the esophageal mucosa. If there is low or high-grade dysplasia, treatment is recommended. I suggest discussing this with you...[Read More] Understanding Barrett's Esophagus: Treatment Options and Prognosis
Long-Term Use of PPIs: Risks and Side Effects After Barrett's Esophagus Diagnosis
Taking De-Xi Gastrointestinal Medicine for nearly a year, could there be side effects? I had an endoscopy at the end of April and was diagnosed with Barrett's esophagus, but it is less than 1 cm. For the first three months, I took 60 mg of Pantoprazole, and later switched to...
Dr. Chen Qifeng Reply:
Products made from corn and glutinous rice often pose issues with digestion or increase gastric acid secretion. The side effects of proton pump inhibitors (PPIs) do not necessarily occur in every patient, and a one-year treatment duration is essential for severe gastroesophageal ...[Read More] Long-Term Use of PPIs: Risks and Side Effects After Barrett's Esophagus Diagnosis
Managing GERD Symptoms: Can Medication Alone Solve Your Discomfort?
Can gastroesophageal reflux disease (GERD) symptoms such as chest pain be resolved solely with the use of medications like Gaviscon? Hello, Doctor. I have been experiencing a burning sensation in my chest since April. Initially, I thought it was a thoracic issue, so I underwent a...
Dr. Chen Shidian Reply:
Hello, Miss. It is advisable to discuss any medication issues with your attending physician. There should be no major concerns, so please rest assured. You only need to make long-term adjustments to your diet and medication. Changhua Hospital cares about your health. Chen Shidian...[Read More] Managing GERD Symptoms: Can Medication Alone Solve Your Discomfort?
Managing Acid Reflux and Barrett's Esophagus: Natural Remedies and Concerns
Dyspepsia and gastroesophageal reflux disease (GERD) Hello Doctor: Last year, I had an endoscopy that revealed gastroesophageal reflux disease (GERD) and gastritis. A biopsy of the esophageal mucosa showed Barrett's esophagus, but this year’s examination showed no Barrett&#x...
Dr. Chen Qifeng Reply:
1. Juice or ginger tea may exacerbate gastroesophageal reflux. 2. The treatment of gastroesophageal reflux requires a combination of medication along with dietary and lifestyle adjustments for optimal results.[Read More] Managing Acid Reflux and Barrett's Esophagus: Natural Remedies and Concerns
Managing GERD and Delayed Gastric Emptying: Risks and Treatment Options
Gastroesophageal reflux and delayed gastric emptying? Hello Doctor, three years ago I had an upper endoscopy that revealed superficial gastritis and superficial gastric ulcers. I took Nexium intermittently for a while. This year, my endoscopy showed Barrett's esophagus, gast...
Dr. Cai Anshun Reply:
Hello: Pay attention to changes in dietary habits, including diet and weight. Reducing the intake of high-fat and high-protein foods can decrease gastric emptying time, and enzymes may not necessarily be helpful. Reducing gastroesophageal reflux can lower the risk of Barrett'...[Read More] Managing GERD and Delayed Gastric Emptying: Risks and Treatment Options