question-icon

I Was Just Informed I Have Barrett's Esophagus And Was

default
Posted on Thu, 25 Oct 2018
Twitter Thu, 25 Oct 2018 Answered on
Twitter Last reviewed on
Question : I was just informed I have Barrett's Esophagus and was given Pantoprazole to take. Is this a good drug to take since I read it may worsen condition?
doctor
Answered by Dr. Remy Koshy (1 hour later)
Brief Answer:
Explained below

Detailed Answer:
Hello and welcome to "Ask A Doctor"

Proton pump inhibitors does play an inevitable role in the treatment of barrett's esophagus as well as in controlling the symptoms.

Though there has been some studies that have shown to worsen the condition on the intake of PPIs for long term, personally I would suggest it better for you to take them for a few days time so as to keep your symptoms in check, after which you can discuss with your doctor for an integrative approach.

You can go through the benefits of taking PPIs from https://gut.bmj.com/content/46/2/144

Meanwhile, I would also suggest you to do the following:
- Avoid tea or coffee or any caffeinated drinks.
- If you are overweight, try loosing some weight.
- Always have your food a least 2 hours before going to bed.
- Sleep with your head in elevated position.
- Drink plenty of water.
- You can take an OTC probiotic, which helps in strengthening your gut immunity.


I hope this helps,

Please feel free to discuss further,

Regards
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
default
Follow up: Dr. Remy Koshy (8 hours later)
Thank you for your reply.

My biopsy showed that I have non-dysteria Barrett's esophagus and my doctor said I need another upper endoscope in 3-yrs.. Could this just be the start of it and am I catching this early. I'm somewhat worried that it will turn into cancer.

Al
doctor
Answered by Dr. Remy Koshy (16 hours later)
Brief Answer:
Explained below

Detailed Answer:
Hello again,
Thanks for writing back,

Sorry for the delay in replying back,

I have read through your query and can certainly understand your concern,


Since your biopsy showed to have non-dysplastic Barrett's oesophagus, the chances of Non dysplastic BE to progress to cancer, is less than 1%. So, I would say, please do not be worried unnecessarily, as stress can cause increased release of acid in the stomach, thereby increasing your symptoms.

Please make sure to follow the lifestyle modifications that I mentioned in my previous reply,

Also it would be wise to get a follow up every 2-3 years, just so as to keep a check on the status of the oesophageal lining.

I hope this helps,

Please feel free to discuss further,

Regards

Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
Answered by
Dr.
Dr. Remy Koshy

General & Family Physician

Practicing since :2014

Answered : 476 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
I Was Just Informed I Have Barrett's Esophagus And Was

Brief Answer: Explained below Detailed Answer: Hello and welcome to "Ask A Doctor" Proton pump inhibitors does play an inevitable role in the treatment of barrett's esophagus as well as in controlling the symptoms. Though there has been some studies that have shown to worsen the condition on the intake of PPIs for long term, personally I would suggest it better for you to take them for a few days time so as to keep your symptoms in check, after which you can discuss with your doctor for an integrative approach. You can go through the benefits of taking PPIs from https://gut.bmj.com/content/46/2/144 Meanwhile, I would also suggest you to do the following: - Avoid tea or coffee or any caffeinated drinks. - If you are overweight, try loosing some weight. - Always have your food a least 2 hours before going to bed. - Sleep with your head in elevated position. - Drink plenty of water. - You can take an OTC probiotic, which helps in strengthening your gut immunity. I hope this helps, Please feel free to discuss further, Regards