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What Causes Acid Reflux Post Treatment For H.pylori Infection?
Question: I have had bad acid reflux for about four months now after getting treated for h pylori. Three years ago i also got a little reflux when i was disgnosed with celiac disease. In between that i get scid reflux every so often but a tum ir zantac will take it away immediately. Tomorrow i have an endoscopy to see why i am having so much reflux after foing through h pylori triple therapy. My question is: should i be worried about having barrets? I am 22 and live a pretty healthy life style.
Brief Answer:
Barrett's very unlikely and rare at your age group
Detailed Answer:
hi.
thanks for posting query at hcm.
Barrett's esophagus occurs when the normal cells that line "the lower part" of the esophagus (called squamous cells) are replaced by a different cell type (called intestinal cells). This process usually occurs as a result of repetitive damage to the inside of the esophagus caused by "longstanding" acid reflux disease, called gastroesophageal reflux disease (GERD).
longstanding is the keyword and it may take years for barretts to develop. however, NOT all patients with gerd develop barretts. some patients wont develop with a history of 20years.
so do not worry.
1. avoid chocolates; carbonated drinks, orange and tomato juice, alcohol and smoking
2. eat your dinner at least 2 to 3 hours before going to bed
3. raise your head by placing two pillows under your head before sleeping
4. use OTC proton pump inhibitor for couple of weeks to a month
hope to answer your concern
further questions are welcomed
regards
dr Tayyab Malik
Barrett's very unlikely and rare at your age group
Detailed Answer:
hi.
thanks for posting query at hcm.
Barrett's esophagus occurs when the normal cells that line "the lower part" of the esophagus (called squamous cells) are replaced by a different cell type (called intestinal cells). This process usually occurs as a result of repetitive damage to the inside of the esophagus caused by "longstanding" acid reflux disease, called gastroesophageal reflux disease (GERD).
longstanding is the keyword and it may take years for barretts to develop. however, NOT all patients with gerd develop barretts. some patients wont develop with a history of 20years.
so do not worry.
1. avoid chocolates; carbonated drinks, orange and tomato juice, alcohol and smoking
2. eat your dinner at least 2 to 3 hours before going to bed
3. raise your head by placing two pillows under your head before sleeping
4. use OTC proton pump inhibitor for couple of weeks to a month
hope to answer your concern
further questions are welcomed
regards
dr Tayyab Malik
Above answer was peer-reviewed by :
Dr. Raju A.T
I have used PPIs for about three months now. My symptoms are getting better but I am not 100% better yet. Can this just mean that i have to keep on with the PPIs until i am feeling 100% again?
Brief Answer:
kindly read detailed answer below
Detailed Answer:
Hi, Welcome back,
Thanks for getting back to me.
Your symptoms must be gone if your using a PPI for almost "3 months", provided "proper diet" is followed and precipitating factors are avoided.
STOP the PPI immediately.
"once again; just follow DIET/advise as mentioned in previous reply.
avoid any kind of stress."
After 4 weeks, if symptoms are not improving, then visit a Gastroenterologist and better discuss clinical symptoms in detail for re-assessment accordingly.
Wish you good and sound health.
Regards
Dr Tayyab Malik
kindly read detailed answer below
Detailed Answer:
Hi, Welcome back,
Thanks for getting back to me.
Your symptoms must be gone if your using a PPI for almost "3 months", provided "proper diet" is followed and precipitating factors are avoided.
STOP the PPI immediately.
"once again; just follow DIET/advise as mentioned in previous reply.
avoid any kind of stress."
After 4 weeks, if symptoms are not improving, then visit a Gastroenterologist and better discuss clinical symptoms in detail for re-assessment accordingly.
Wish you good and sound health.
Regards
Dr Tayyab Malik
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
So i should stop the PPI?
Brief Answer:
Yes, you may stop PPI and discuss with treating physician .
Detailed Answer:
hi.
pleasure to answer your queries .
stop PPI and follow the diet as advised earlier.
you also mentioned earlier that you would have an endoscopic examination - today.
if you did not; so you may have the endoscopic examination for a thorough observation of the upper GIT and further course of action (medication) maybe advised accordingly.
wish you good and sound health.
if no further questions, kindly close dialogue box.
thank you
regards
dr Tayyab Malik
Yes, you may stop PPI and discuss with treating physician .
Detailed Answer:
hi.
pleasure to answer your queries .
stop PPI and follow the diet as advised earlier.
you also mentioned earlier that you would have an endoscopic examination - today.
if you did not; so you may have the endoscopic examination for a thorough observation of the upper GIT and further course of action (medication) maybe advised accordingly.
wish you good and sound health.
if no further questions, kindly close dialogue box.
thank you
regards
dr Tayyab Malik
Above answer was peer-reviewed by :
Dr. Veerisetty Shyamkumar
Dr XXXXXXX
One final question. I had my exam today and it all came back normal except that i have some esophagitis and and that there is an irregular Z line. Next to indications it says: GERD. Is the irregular Z lime something to worry about? I have attached an image of the pictures taken.
One final question. I had my exam today and it all came back normal except that i have some esophagitis and and that there is an irregular Z line. Next to indications it says: GERD. Is the irregular Z lime something to worry about? I have attached an image of the pictures taken.
Brief Answer:
Irregular Z line indicates GERD
Detailed Answer:
Hi.
Pleasure to answer your concern, i've seen the image.
Z line is an imaginary line that reflects the point where esophgeal mucosa meets gastric mucosa.
In normal subjects, its smooth and regular.
In patients with GERD, its irregular.
However, its NOT anything severe or to be concerned of.
So do not worry.
Have a healthy diet and follow the advice in my first reply.
Avoid foods as mentioned earlier.
Wish you good and sound health.
You may get back to me whenever needed .
If no further queries then please close the dialogue box.
Regards
Dr Tayyab Malik
Irregular Z line indicates GERD
Detailed Answer:
Hi.
Pleasure to answer your concern, i've seen the image.
Z line is an imaginary line that reflects the point where esophgeal mucosa meets gastric mucosa.
In normal subjects, its smooth and regular.
In patients with GERD, its irregular.
However, its NOT anything severe or to be concerned of.
So do not worry.
Have a healthy diet and follow the advice in my first reply.
Avoid foods as mentioned earlier.
Wish you good and sound health.
You may get back to me whenever needed .
If no further queries then please close the dialogue box.
Regards
Dr Tayyab Malik
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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