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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Extreme Pain While Eating Be A Sign Of An Ulcer?

I am treated for GERD but I was reading a report from an endoscopy and there is a lot of terminology used that I don't understand. I am using Linzess and Carafate and nexium. I see, I had a duodenal polyp, reflux esophagitis, squamous and glandular mucosa, and I just want to know if I have an ulcer. I have extreme pain when I eat especially certain types of food and drink orange juice.
posted on Sat, 15 Mar 2014
Twitter Wed, 25 Jun 2014 Answered on
Twitter Wed, 25 Jun 2014 Last reviewed on
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General Surgeon,  's  Response
Hi ! Good afternoon. I am Dr Shareef answering your query.

No ! With the read out report by you in the paragraph, there is no mention of an ulcer. However, you have got reflux esophagitis which means that acidic contents are flowing back over the esophagus instead of flowing down and this might also cause ulceration. The following might help you in overcoming the effects of reflux esophagitis in addition to your current medications.

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 of course complete abstinence from alcohol and smoking.
3) Regular routine exercises like morning walk depending on your medical fitness to reduce weight if overweight.
4)Addition of a prokinetic agent to proton pump inhibitor for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards.
5) A routine blood sugar test both fasting and post prandial.

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. Wishing you an early recovery. Dr Shareef.



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Could Extreme Pain While Eating Be A Sign Of An Ulcer?

Hi ! Good afternoon. I am Dr Shareef answering your query. No ! With the read out report by you in the paragraph, there is no mention of an ulcer. However, you have got reflux esophagitis which means that acidic contents are flowing back over the esophagus instead of flowing down and this might also cause ulceration. The following might help you in overcoming the effects of reflux esophagitis in addition to your current medications. 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 of course complete abstinence from alcohol and smoking. 3) Regular routine exercises like morning walk depending on your medical fitness to reduce weight if overweight. 4)Addition of a prokinetic agent to proton pump inhibitor for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards. 5) A routine blood sugar test both fasting and post prandial. 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. Wishing you an early recovery. Dr Shareef.