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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Barrets Esophagus

Hi I am 49 male recently diagnosed with Barretts esophagus by endoscopy. went to ent back in April when I had tightness in the throat. He saw irritation in scope, Little LPR, I was dilated 3 weeks ago by my GI Doc, I still feel like maybe they missed something. I feel a weird sensation below my adams apple. like before, sometimes feels like it bothers my breathing, but I am fine.
Fri, 28 Apr 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history and understood your concerns.
Well, Barrett's esophagus is necessarily a condition of the lower esophageal part and not of the throat at all.
Hence let us be very clear that your symptoms are in the throat and that too weird sensation below the Adam's apple, sometimes bothering the breathing.
This looks to be a local problem of the throat.
The LRPD or GERD associated with Barrett's and post-dilatation can cause the problems to enhance a bit.
This in turn can cause pains, spasms, inflammation of the muscles in the neck causing spasms, giving feeling of tightness, tenderness over thyroid and cricoid cartilage.
Please discuss this issue with your Doctors and get treated accordingly.
I am sure you must already be under a proper treatment so let us recapitulate the best one possible for you.
Ranitidine to reduce the acidity as you must have taken a PPI for a long time.
Domperidone to improve esophageal motility.
Antacid particularly when on empty stomach.
Control of stress and anxiety help a lot.
Soft bland small frequent feeds.
Regular review by an ENT and Gastroenterologist.
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Diagnosed With Barrets Esophagus

Hi. Thanks for your query. Noted the history and understood your concerns. Well, Barrett s esophagus is necessarily a condition of the lower esophageal part and not of the throat at all. Hence let us be very clear that your symptoms are in the throat and that too weird sensation below the Adam s apple, sometimes bothering the breathing. This looks to be a local problem of the throat. The LRPD or GERD associated with Barrett s and post-dilatation can cause the problems to enhance a bit. This in turn can cause pains, spasms, inflammation of the muscles in the neck causing spasms, giving feeling of tightness, tenderness over thyroid and cricoid cartilage. Please discuss this issue with your Doctors and get treated accordingly. I am sure you must already be under a proper treatment so let us recapitulate the best one possible for you. Ranitidine to reduce the acidity as you must have taken a PPI for a long time. Domperidone to improve esophageal motility. Antacid particularly when on empty stomach. Control of stress and anxiety help a lot. Soft bland small frequent feeds. Regular review by an ENT and Gastroenterologist.