I Am Sufferring From Acid Reflux Will I Be Completely Cured With Diet And Medicine.is Something Concering And At Gastro Esophagal Junction Will Also Come Back To Normal Condition?

Posted on Sun, 26 Mar 2023

Question: Hi,i am sufferring from acid reflux more than a month.i am also protonix 40 mg daily along with carafate 3 times a day.last week upper endoscopy also done.biopsy report is also there.report says that endoscopic biopsy gastric antrum-1)mild reactive gastritis with mild chronic inflammation. (a)negative for helicobacter.atrophy,metaplasia,dysplasia. (2)endoscopic biopsy gastro esophagal junction.(a)squmous mucosa with patchy mild irritation changes consistent with gerd.(b)negative for eosinophilic esophagitis.(c)no glandular mucosa identified.please tell me abt the reports.how much time will it take to heal completely from this condition.will i be completely cured with diet and medicine.is something concering and at gastro esophagal junction will also come back to normal condition

Answered by Dr. Anders Mark Christensen (1 hour later)

Brief Answer:
It seems perfectly benign

Detailed Answer:
Hi,

Thank you for the very elaborate history. In short, the pathology report says mild inflammation from various locations in your stomach and esophagus. With diet (no smoked or spicy food), protonix, abstinence from tobacco and alcohol, I would presume that it takes some weeks to a few months to completely heal. The changes at the gastroesophageal junction will likely change back to normal just as it will at the other locations. If the pathology report says Barrett's esophagus anywhere, it could be relevant to re-do the gastroscopy in a years' time.

Hope this helps.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Anders Mark Christensen (4 hours later)

There is no baretts espphagus anywherein the report.i am in depression because of this.this starts with my pregnancy bery bad acid reflux.i had c section 6 months.no drinking no smoking never in my whole life.only just speciy food,
I was on aspirin 75 mg for whole of my pregnancy as earler was preterm labour and inuprofen after surgery for long.i was fine after that.but why these changes takes place.for how long i have to take the medicine.

Follow up: Dr. Anders Mark Christensen (14 minutes later)

These changes are temporary and not permanent.plz tell me.these are not as bad as i am thinking or these are bad changes.i will come back to my normAl life after treatment or will i have to follow the diet for whole life like no dpicy food etc

Answered by Dr. Anders Mark Christensen (1 hour later)

Brief Answer:
The changes will go away

Detailed Answer:
Hi again,

You should not worry. It is not serious at all, the most likely cause of the inflammation is ibuprofen and possibly also the aspirin. I recommend you do not take ibuprofen or other NSAIDs again. Continue to stay away from spicy food and take the Protonix; the changes are temporary and will likely subside within a few weeks. After a few months, you can go back to eating spicy foods, as long as it does not upset your stomach or cause any pain.

Hope this helps.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Anders Mark Christensen (10 hours later)

Hi,can you please tell is there any permanent cure for this problem.it can happen again in future.i will try my best to keep away from spicy and fried food but sometimes i am outside can i take food from outside.is this a life long problem.these changes will not appear again.pls tell me.stress is also a key factor in this problem bcoz i am in a stress right now.this problem bothers me day and night right now.i am so much worried.i should be relaxed after the biopsy report.mainly inflammation is there and it is mild and gastro esophagal junction is also the same infammation.what does patchy mild irritant changes means?pls tell me.thanks in advance

Follow up: Dr. Anders Mark Christensen (2 hours later)

Hello dr,i am waiting fir your reply,i an also taking carafate 2 teaspoon three tines a day.this will also help me in healing if stonach gastro esophagal junction

Answered by Dr. Anders Mark Christensen (4 hours later)

Brief Answer:
It can happen again.

Detailed Answer:
Hi again,

Yes, it can happen again. You can take food from outside. It is not necessarily a life-long problem, if you follow my advice from previously, it will probably never bother you again.
"Patchy mild irritant changes" is virtually the same as mild inflammation, nothing to worry about.

Hope this helps.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Anders Mark Christensen (2 days later)

Hi,i have uploaded the report.pls tell me how much time will it to heal me.i am taking proyonix 40 mg for 1 month and carafate 10 ml thrice a day for 1 week and change my life style diet everything but still i am having burning sensation in my stonach after meal.how long i have to take the nedicine.its not life long probkem.why i am having burning sensation in my stomach if i am taking medicine.its not a life long problem.will i heal completely.soyamilk or alomond milk which is better for me.i am suffering from 1 and half montg.i am so much worried

Follow up: Dr. Anders Mark Christensen (4 minutes later)

Is there any long term side effect of medicine

Follow up: Dr. Anders Mark Christensen (2 hours later)

I am waiting fir your reply Dr

Follow up: Dr. Anders Mark Christensen (37 minutes later)

Is there any medicine for removing the inflammtion of stomach or gastri esophagal junction

Answered by Dr. Anders Mark Christensen (3 minutes later)

Brief Answer:
Proton pump inhibitors

Detailed Answer:
Hi again,

There is no doubt in my mind that the changes will disappear after some weeks. Stick to the plan outlined previously, and everything will be fine. If it is of any help, you are more than welcome to write to me within the next week to let me know how things are with you.

All the best,
Anders

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Anders Mark Christensen (29 hours later)

Hello Dr,i have uploaded all the reports in detail.pls go through it and let me know there are mild reflux changes at gastro esophagal junction.so these changes have damged my gastro esophagal junction to what extent.are is this serious or not serious.it can be repaired and come to original lining like earlier one.will this problem is life time.i am trying my best with medicine and life style changes but still in problem.pls help me again.sorry to bother you again and again.pls reply me.i am waiting.

Answered by Dr. Anders Mark Christensen (9 hours later)

Brief Answer:
The damage is not permanent or serious

Detailed Answer:
Hi again,

The damage to your gastro-esophageal junction is not serious, and not permanent. Your body will repair it if you follow the instructions outlined previously. You will be fine, trust me.

Best wishes.

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Above answer was peer-reviewed by : Dr. Vaishalee Punj