I Am Suffering From Burning Sensation In My Stomach For 1 And Half Month.2 Weeks Back Done With Upper Endoscopy And Reports Are There In Detail.pls Tell This Problem Us Permanent Or Temporary?

Brief Answer:
Reversible right now if properly treated.

Detailed Answer:
Hello,
Have gone through your details and i appreciate your concerns.
Initially i would like to say that your doctor is not treating you completely.
Why?
Please go through every line and try to understand that basic cause of your problem is reflux of acid from stomach to esophagus.Stomach is lined by a natural layer of mucosa membrane which is resistant to acid however mucosa in esophagus is easily destroyed by acid which regurgitates back from stomach.This cause severe irritation of esophagus leading to inflammation.The esophagus reacts to the repeated injury from the acidic fluid by changing the type of cells lining it from squamous (normal cells) to columnar (intestinal-type cells). This transformation, called metaplasia, is believed to be a protective response because the specialized columnar epithelium (epithelium means lining) in Barrett's esophagus is more resistant to injury from acid than the squamous epithelium.However in long term it increases risk of adenovarcinoma by 5%.So if not controlled properly things may lead to baretts esophagus in future.

Have a more detailed look,
The esophagus is a muscular tube that is located in the chest and serves to transfer food from the mouth to the stomach. The lower esophageal sphincter (LES) is a valve that is located at the junction of the stomach with the esophagus. Its function is to prevent acid and other contents of the stomach from coming back into the esophagus. GERD is a condition in which excessive acid-containing fluid refluxes (flows) back into the esophagus, in part because the lower esophageal sphincter is weak.
In some patients with GERD, the esophagus reacts to the repeated injury from the acidic fluid by changing the type of cells lining it from squamous (normal cells) to columnar (intestinal-type cells). This transformation, called metaplasia, is believed to be a protective response because the specialized columnar epithelium (epithelium means lining) in Barrett's esophagus is more resistant to injury from acid than the squamous epithelium.

Now proper management consists of two step-
1)Control acid production-Just taking prisolec in optimal doses wont help.There are much better PPI's available in market.

2)Prevent reflux of acid formed back to esophagus-This part is completely overlooked by your Gastro.

Please request your gastroenterologist to start you on PPI-antacids like Rabeprazole or Esomeprazole.Prisolec is a basic PPI and better options are there for treating specific conditions GERD.
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 ) 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 should be given by your gastroenterologist to provide you with relief in your problem.
To prevent the esophageal damage from developing ask your gastroenterologist to follow aggressive treatment pattern initially. As your symptoms will improve drugs can be tappered off gradually.

Avoid-
Dairy products, which contain sugar lactose that causes gas.
Vegetables, including onions, radishes, cabbage, celery, carrots, brussel sprouts, broccoli, cauliflower and legumes.
Fruit sugar, which is especially high in prunes, raisins, bananas, apples, apricots and fruit juices from prunes, grapes and apples
Fiber.
Fatty foods and carbonated drinks.

Try Eating more fermented foods. These are rich in both good bacteria and enzymes you can try raw natto kefir or cultured veggies. This is probably one of the most important first steps.
Take a high-quality probiotic.
Take external enzyme supplements.
Exercising, to help keep food moving through your system.

Hope i was helpful.
Thanks!

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Brief Answer:
Fully curable.

Detailed Answer:
Hi,
Sucralfate is used to treat an active duodenal ulcer. Sucralfate can heal an active ulcer, but it will not prevent future ulcers from occurring. As right now you don't have proper ulcers sucralfate is not a must for you.
Mucaine and specially acotiamide would be very helpful. If not available in the USA get it from the European country or Asia online(can get it from Mexico or Tirana easily just for help). Initially 100mg thrice daily for 21 days followed by twice daily for next 3 months(it plays wonder).
If you would follow all suggestions things will start getting better in a few weeks and you would be fine in next 12 weeks.
Normal chilled milk (cow) is good for you.
Don't panic if treated properly you would be fine in 12 weeks (totally).
The only problem is that doctors in the USA are too skeptical about using good medicines. So if you can get a prescription then good otherwise get medicines from Europe or Asian countries.
Take a print out of my initial answer and discuss it with your doctor.
Regards!

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Brief Answer:
Follow up answer.

Detailed Answer:
Hello again,
As i told you earlier these guys are over skeptical about drugs and therefore i practised in Europe and not in USA.
Coming to point combine Rabeprazole with domperidone will good better results and dose is also once a day in morning empty stomach.
Rabeprazole will take care of acid formation and Domperidone(however levosulpiride a better drug is available but again doctor will create havoc in prescribing it) will prevent reflux.
Mucaine gel will form a coating in your stomach and would prevent acidic irritation.
Get acotiamide from UK online.
Thanks

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Brief Answer:
follow up.

Detailed Answer:
Hello again,
Though the medicine is meant to heal ulcers yet giving it un necessarily may cause associated side effects like burning belching etc.
Secondly you are just on antacid and not on prokinetic drug.
As i told you you need a prokinetic in combination with antacid along with a coat forming gel.
Hope i was helpful.
feel free to ask any query.
Regards!

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