Comment from: missy, 65-74 Male (Caregiver)Published: October 07
My husband just passed away from esophageal cancer. He had asked our PCP to order an endscopy for him and was told we don't do that unless you can't swallow. He had GERD for 5 years. It was diagnosed only because he had pain under his right rib cage and then it took 3 visits to our PCP. The first visit he was given muscle relaxers, the second vist a chest x-ray was ordered and the third visit my husband asked for a gallbladder sonogram and it was then that they saw lesions in his liver. The end result was esophegeal cancer with mets to the liver. He lived 5 weeks. This could have been prevented if the doctor would have ordered a scope for him. I think that endscopy should be as much a part of a physical as a colonscopy. Esophegeal cancer and barret's esophegus is increasing. If a doctor does not want to order an endscopy, then check with another doctor and be persistant. My husband was only 65 yrs. old.
Comment from: GERD sufferer, 55-64 Female (Patient)Published: January 21
Many years ago, I suffered from "stomach pain". It felt like I had been punched in the diaphragm. This went on so long I sought medical help. After a number of procedures, I finally had a gastroscopy and was diagnosed with GERD. I was told to have a gastroscopy every year or two which I did. My older brother suffered from "heartburn" and was always popping TUMS or ROLAIDS. Finally, he had a scope done and was found to have esophageal cancer. When they proceeded to operate in order to remove part of the esophagus and reposition it, it was discovered the cancer had spread. They closed him up, and he passed away two months later. Then I saw a program on television about a fellow who had died the same way. His brother was told Barrett's Esophagus, which is a pre-cancerous condition that can develop if GERD is left untreated, can be hereditary. The brother got treatment and was okay. I told my doctor that my brother had had Barrett's and about the show. When he did my next gastroscopy, he told me I did have Barrett's; however, the last one I had about three years ago was clean. I was told I didn't have to continue with the scopes as long as I took the medication. What works for me is omeprazole. I have taken it for years and have no side effects I am aware of. I do encourage everyone I know who suffers from heartburn which doesn't go away with change of diet, to see a doctor and get a gastroscopy.
Comment from: Cyfy88, 45-54 FemalePublished: December 07
I am a 50 year old female. 10 years ago I had 2 open esophagus sores and 1 open stomach sore, I was not diagnosed with H-pylori or barrett's at this time. Eating Prevacid for 2 years consistently did not cure it. Seemingly chewing licorice root tablets did. I made lifestyle changes, gave up sugar (which irritated my stomach) and refined whites, walked the treadmill 5x weekly and only occasionally experienced heartburn. Starting a business (stress) brought it back. 1 year later "Empty Nest" triggered 2 hospitals visits in 1 week with extreme pain in stomach under sternum. After a CT scan, Ultra Sound and Barium Drink X-rays they determined I had GERD. I requested the Gastrointestinal Doctor to do an Upper GI but she was more concerned about a lower so I did not insist. I found another doctor who was willing to do the Upper and that's when they found barrett's disease with low grade Displasia. I will now take Ranitidine daily and Prevacid 30mgs daily and follow up with another Scope in 3 months.
Comment from: Cindy, 35-44 Female (Patient)Published: November 16
I was diagnosed almost 2 years ago with Barrett's, GERD, and a Hiatal Hernia. I was having a lot of heartburn and reflux, to the point that several times; I thought I was having a heart attack. I was also having back problems in the left wing of my back/shoulder. I made an appointment with my family physician for my back (a follow up after being in the emergency room for several spasms). I mentioned to him that I have acid and heartburn pretty bad. He asked how often and I laughed and told him, "everyday.” I never thought it was that big of a deal. He immediately sent me to the gastro doctor, and commented that my back problems could be part of the GERD. The gastro doctor, ordered an EGD immediately and low and behold, I waited too long. Fortunately, no cancer, however, this is something you never get rid of. I will always be medicated for my acid and to prevent barrett's from worsening. I am reading that so many of you don't know whether to push for more tests, or you wait until you are way too late. You are the only patient you need to worry about! The doctors have many. You need to worry about you and push for anything you feel you need. I am fortunate enough to have great doctors that have been with me for years, and have listened to me when I complain, but many people do not have that, you need to be your own advocate! You want another EGD, then you tell them, and you get them to help you get it approved with your insurance. I just had my second EGD and my doctor has made it very clear that I have to have the EGD every year to make sure the barrett's isn't worsening. I am waiting for biopsies from this last one and they don't anticipate a change, however, I will see him again next year!
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Suggested Reading on Barrett's Esophagus by Our Doctors
Most sore throats are caused by viruses or mechanical causes (such as mouth breathing) and can be treated successfully at home. However, a person should be seen by a health care professional if they have a sore throat that has a rapid onset, and is associated with a fever or tenderness of the front of the neck; a sore throat that causes the person to have difficulty swallowing (not just pain swallowing) or breathing; or if a sore throat lasts for more than a week.
GERD (gastroesophageal reflux disease) is a condition in which the acidified liquid
contents of the stomach backs up into the esophagus. The symptoms of uncomplicated GERD are heartburn,
regurgitation, and nausea. Effective treatment is available for most patients with GERD.
Bronchitis is a disease of the respiratory system in which the bronchial passages become inflamed. There are two types of bronchitis, acute and chronic. Symptoms of acute bronchitis include frequent cough with mucus, lack of energy, wheezing, and possible fever. Treatment may require medication such as bronchial inhalers and predinsone. Supportive treatment is focused on relieving the symptoms with fever reducers, cough suppressants, and rest. Treatment may be more aggressive in patients with pre-existing conditions such as empyema, COPD, or cigarette smoking.
A hiatal hernia is an anatomical abnormality in which part of the stomach protrudes through the diaphragm and up into the chest. Causes of hiatal hernia are a larger than normal esophageal hiatus. There are two types of hiatal hernias, sliding, or para-esophageal. When symptoms of hiatal hernia appear, they are similar to GERD symptoms. Hiatal hernia treatment is generally surgery.
Chronic cough is a cough that does not go away and is generally a symptom of another disorder such as asthma, allergic rhinitis, sinus infection, cigarette smoking, GERD, postnasal drip, bronchitis, pneumonia, medications, and less frequently tumors or other lung disease. Treatment of chronic cough is dependant upon the cause.
Esophageal cancer is a disease in which malignant cells form in the esophagus. Risk factors of cancer of the esophagus include smoking, heavy alcohol use, Barrett's esophagus, being male and being over age 60. Severe weight loss, vomiting, hoarseness, coughing up blood, painful swallowing, and pain in the throat or back are symptoms. Treatment depends upon the size, location and staging of the cancer and the health of the patient.
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A hiatal hernia is an anatomical abnormality in which
part of the stomach protrudes through the diaphragm and up
into the chest. Although hiatal hernias are present in
approximately 15% of the population, they are associated with
symptoms in only a minority of those afflicted.
Normally, the esophagus or food tube passes down through
the chest, crosses the diaphragm, and enters the abdomen
through a hole in the diaphragm called the esophageal
hiatus. Just below the diaphragm, the esophagus joins the
stomach. In individuals with hiatal hernias, the opening of the
esophageal hiatus (hiatal opening) is larger than normal, and a
portion of the upper
stomach slips up or passes (herniates) through the hiatus and into
the chest. Although hiatal hernias are occasionally seen
in infants where they probably have been present from
birth, most hiatal hernias in adults are believed to have
developed over many years....
My husband just passed away from esophageal cancer. He had asked our PCP to order an endscopy for him and was told we don't do that unless you can't swallow. He had GERD for 5 years. It was diagnosed only because he had pain under his right rib cage and then it took 3 visits to our PCP. The first visit he was given muscle relaxers, the second vist a chest x-ray was ordered and the third visit my husband asked for a gallbladder sonogram and it was then that they saw lesions in his liver. The end result was esophegeal cancer with mets to the liver. He lived 5 weeks. This could have been prevented if the doctor would have ordered a scope for him. I think that endscopy should be as much a part of a physical as a colonscopy. Esophegeal cancer and barret's esophegus is increasing. If a doctor does not want to order an endscopy, then check with another doctor and be persistant. My husband was only 65 yrs. old.
Related Reading: esophageal cancer | chest x-ray | liver