Brief Answer:
Can be suggestive of early stage of Achalasia cardia.

Detailed Answer:
Hello,
Thank you for choosing HealthcareMagic for your query.
Have gone through your details and i appreciate your concerns.

As per the details given by you most likely your endoscopy was suggestive of Gastritis and inflammed esophageal mucosa most likely due to regurgitation of acid from stomach into esophagus.Esophagus is lined by mucosal layer.Reflux of acid from stomach back into esophagus irritates the mucosal layer.This irritation leads to inflammation of that, if not treated properly can even lead to more serious problems like Barett esophagus etc.

As you have problem in swallowing water and food to be on a serious node it can also be suggestive of a problem called Achalasia cardia.This condition is very commonly observed in patients having poorly controlled symptoms of GERD.In the early stages of achalasia, chest pain or heartburn, and regurgitation commonly occurs.At this stage its difficult to make a diagnosis on the basis of enoscopy.However proper treatment should be started to revert the changes at the earliest.

Omeprazole 20 mg is too low a dose for you considering the level of your symptoms.
Please request your gastroenterologist to start you on PPI-antacids like Rabeprazole or Esomeprazole. Esomeprazole can be used in the dosage as high as 80 mg twice daily.Trials have shown that esomeprazole is superior to other PPI's in controlling reflux symptoms. Also, request him/her to add Domperidone 30mg or Levosulpiride(both are prokinetic)slow release once daily. This will slow down the reflux of acid back.Prokineic should be added in your regimen.

An antacid containing local anesthetic (Mucaine gel or peptobismol) should be taken 2tsf thrice daily.

Acotiamide is another wonderful new drug and is very effective in controlling symptoms of GERD and esophagitis. In trials- Acotiamide, a gastrointestinal motility modulator, at a standard dose of 100mg thrice daily has significantly affected esophageal motor functions or gastroesophageal reflux in healthy adults.

All these drugs can be considered by your gastroenterologist to provide you with symptomatic relief in your problem.All these medicine can be used at a time also by your primary.


To prevent the esophageal dammage from developing into Barett or acalasia cardai i would suggest you to ask your gastroenterologist to follow aggressive treatment pattern initially. As your symptoms will improve drugs can be tappered off gradually.


Hope i answered your doubts well.
In case you have any other query or Need a professional advice feel free to ask.

Regards,
Kumar.

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