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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Erosion And Esophagitis From GERD Mean?

I just had an endoscope and colonoscopy done due to serve abdominial pain and heartburn. 2 years ago I had an irregular z line. Now it is all inflamed and eroded. Doctor took biopsy. Paper work says results erosion and esophagitis from gerd. What does this mean?
Mon, 24 Nov 2014
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General Surgeon 's  Response
Hi ! Good evening. I am Dr Shareef answering your query. In GERD, the acidic contents of stomach is regurgitated (back flows) into the esophagus and this causes the esophageal mucosa to get inflamed which is known as esophagitis, causing retrosternal burning sensation and pain upper abdomen. If this continued for long, the eophageal gastirc junction mucosa gets eroded (ulcerated) which might bleed gradually. This is what a GERD results in for which following management might help:

1) Elevate the head end of the bed with two blocks on each side, so that the regurgitation does not occur while lying down, and the contents of esophagus and stomach flow down with gravity.
2) Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food and avoidance of alcoholic beverages and smoking if you do.
3) Regular routine exercises like morning walk depending on your medical fitness.
4) Prescription for a prokinetic agent and a proton pump inhibitor for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards

I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.

Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.


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What Does Erosion And Esophagitis From GERD Mean?

Hi ! Good evening. I am Dr Shareef answering your query. In GERD, the acidic contents of stomach is regurgitated (back flows) into the esophagus and this causes the esophageal mucosa to get inflamed which is known as esophagitis, causing retrosternal burning sensation and pain upper abdomen. If this continued for long, the eophageal gastirc junction mucosa gets eroded (ulcerated) which might bleed gradually. This is what a GERD results in for which following management might help: 1) Elevate the head end of the bed with two blocks on each side, so that the regurgitation does not occur while lying down, and the contents of esophagus and stomach flow down with gravity. 2) Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food and avoidance of alcoholic beverages and smoking if you do. 3) Regular routine exercises like morning walk depending on your medical fitness. 4) Prescription for a prokinetic agent and a proton pump inhibitor for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.