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EGD with biopsy
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EGD with biopsy

Today I had a Egd with a biopsy. Here is what the Doc said in report.
Impressions:
Erythema in the lower third of the esophagus.
Hiatus hernia.
Gastric mucosal abnormality characterized by erythema. Biopsied.
The examination was otherwise normal.

Ok is this report anything to worry about? Im a little freaked out. He told my husband every looked fine did the biopsy just to be sure he didnt miss anything. Im freaking because he knows I worry and maybe he didnt write everything in my report. can they do that?
just being weird and high anxiety.
thanks wmac
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140029_tn?1393301742
ok going to bed but i'll fire what I know... which isn't much but i'll try :)

first off I wouldn't stress.. or try not to..easier said than done I know I have anxiety and I was stressing out too when I was first sick..

Ok Erythema is...

It can be caused by infection, massage, electrical treatment, acne medication, allergies, exercise, solar radiation (sunburn), cutaneous radiation syndrome, or waxing and plucking of the hairs — any of which can cause the capillaries to dilate, resulting in redness. Erythema is a common side effect of radiotherapy treatment due to patient exposure to ionizing radiation.

In about 30-50% of cases, the cause of erythema is unknown.

Circumoral erythema has been described as a typical sign of acute oleander poisoning by ingestion


so sounds like it's just inflammation probably caused i'm guessing secondary to your hatial hernia...since they biopsied it i'm guessing is was negative?  If it was then there's no alarm no infection no need to stress.. somehow someway you got a  hiatus hernia or hiatal hernia is the protrusion (or herniation) of the upper part of the stomach into the thorax through a tear or weakness in the diaphragm.


In most cases, sufferers experience no discomfort and no treatment is required. However, when the hiatal hernia is large, or is of the paraesophageal type, it is likely to cause esophageal stricture and discomfort. Symptomatic patients should elevate the head of their beds and avoid lying down directly after meals until treatment is rendered. If the condition has been brought on by stress, stress reduction techniques may be prescribed, or if overweight, weight loss may be indicated. Medications that reduce the lower esophageal sphincter (or LES) pressure should be avoided. Antisecretory drugs like proton pump inhibitors and H2 receptor blockers can be used to reduce acid secretion.

Where hernia symptoms are severe and chronic acid reflux is involved, surgery is sometimes recommended, as chronic reflux can severely injure the esophagus and even lead to esophageal cancer.

The surgical procedure used is called Nissen fundoplication. In fundoplication, the gastric fundus (upper part) of the stomach is wrapped, or plicated, around the inferior part of the esophagus, preventing herniation of the stomach through the hiatus in the diaphragm and the reflux of gastric acid. The procedure is now commonly performed laparoscopically. With proper patient selection, laparoscopic fundoplication has low complication rates and a quick recovery.[5]

Complications include gas bloat syndrome, dysphagia (trouble swallowing), dumping syndrome, excessive scarring, and rarely, achalasia. The procedure sometimes fails over time, requiring a second surgery to make repairs.


I have to admit I didn't type that..wikeipedia power there...

But anyway don't stress..hopefully yours is very mild and you can just take acid reducers..but if it gets really bad (not to stress you out) then yes it can require surgery.  

Hope that helps :)
*and they could write anything in your report.. but they would have told you.  I think going back to your GI and talking about this as long as it's not a super huge hit to your wallet wouldn't be a bad idea.. just to calm your mind over it but it sounds pretty minor and your endoscope basically came up negative.  Since you're having redness and such down there no doubt you're having possible pain/nausea/heartburn so you probably should be on some acid blocker like nexium..protonix..acidphex.. your doctor will put you on one of these if you're having those symptoms.

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Avatar_f_tn
What it means is that you've got redness in the esophagus and in the stomach. The usual cause is attributed to 'gastritis' with a reflux of acid into the esophagus - probably due to the hiatal hernia. He biopsied to look for the presence of H. pylori a bacterium that is implicated in gastritic and reflux.

If he finds H. pylori, he put you on a course of antibiotics to knock it out. In addition, he'll probably put you on acid suppression meds since you probably had the EGD in the first place due to symptoms that could be attributed to 'gastritis.'

You may want to consider following a GERD diet if the diagnosis comes back as gastritis due to GERD. It can help (in some) reduce the problems associated with acid reflux.
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Avatar_f_tn
I am hysteric pls help...
         My father gt some problems some 4 months back. ha hd difficulty in digesting even normal food for some 3-4 hrs. so he wud ocassionally drink lots of water a puke the food out. this would happen once in around 3 weeks.after 1 and half months he went to a doc and he did an endroscope and it said mucosal erythema in stomach. doc gave meds for 2 months and again did endroscope this time it was severe mucosal erythema and the scattered red erosions had increased. another course followed. the doc didn't do a biopsy. and insisted its nothing and may jst require a long term treatment and gave a H Pyroli Kit for 15 days.... when he takes medicines he remains fine.

  I am so afraid. Is he at arisk of a cancer or something fatal because its almost 4 months now and though the earlier troubles have decreased but not cured. My father was a cool person but is now very tensed and after the medicine is stopped for a week he feels as if the food is stuck in his chest and can even puke a bit out.

i don't want to lose him after my maternal grandfather and paternal aunt in cancer. pls tell me it's nothing..... pls help  pls reply soon at misba.***@****
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Avatar_f_tn
I am hysteric pls help...
         My father gt some problems some 4 months back. ha hd difficulty in digesting even normal food for some 3-4 hrs. so he wud ocassionally drink lots of water a puke the food out. this would happen once in around 3 weeks.after 1 and half months he went to a doc and he did an endroscope and it said mucosal erythema in stomach. doc gave meds for 2 months and again did endroscope this time it was severe mucosal erythema and the scattered red erosions had increased. another course followed. the doc didn't do a biopsy. and insisted its nothing and may jst require a long term treatment and gave a H Pyroli Kit for 15 days.... when he takes medicines he remains fine.

  I am so afraid. Is he at arisk of a cancer or something fatal because its almost 4 months now and though the earlier troubles have decreased but not cured. My father was a cool person but is now very tensed and after the medicine is stopped for a week he feels as if the food is stuck in his chest and can even puke a bit out.

i don't want to lose him after my maternal grandfather and paternal aunt in cancer. pls tell me it's nothing..... pls help  pls reply soon at misba.***@****
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2503042_tn?1339695510
There is a syndrome called Gastroparesis that can cause pain and vomiting.  The GI doctor would need to do a mobility study.  Sometimes chronic vomiting after eating is caused by gastroparesis.  It is not related to cancer in any way.  The causes are varied, with the most common cause being diabetes.

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