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Results Of Egd - Reactive Gastropothy?

darkhorse

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darkhorse Apprentice
darkhorse
Posted

I have a follow up appointment for my endoscopy on Wednesday of next week, but I got a thing in the mail today about my results. It said that I have reflux esophagitis (GERD) and reactive gastropathy.

I am confused because I rarely get heartburn. I mean, I do get it every here and there, but maybe only once a month. So I don't get the reflux esophagitis thing. And then, I couldn't find anything on reactive gastropathy except for a few medical studies and a book excerpt. The book said that it causes elongation and distortion of the villi of the intestine. Isn't that what Celiac disease is?

I'm confused!! :blink::unsure:

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GFinDC Veteran
GFinDC
Posted

Well you got me, what the hay is that supposed to be?

Here is pdf slide show that talks about some of it. May be helpful to you. The way I read it, the reactive gastritis is damage of some sort caused by chemical action, drugs, medicines, acid, hard partying, autoimmune disease, etc.

The GERD is just that, and one site I saw says it is very common. Makes sense from all the tv commercials for antacids.

Warning dense slide show with lots of pictures of odd, gooey looking stuff and big words.

Open Original Shared Link

Oh, celiac causes blunting/erosion of the villi.

Rondar2001 Apprentice
Rondar2001
Posted

Hi there, just a note of caution on the GERD diagnosis. My tests showed that I had GERD even though I very rarely get heartburn; the techs kept asking me how severe my heartburn was even though I told them I don't get heartburn.

My regular doctor prescribed Nexium which did absolutely nothing. I then saw a GI doc who basically said the tests for GERD arent really reliable especially in the absence of other symptoms. He took me off the nexium and told me not to worry about it and he didn't believe I had GERD.

LDJofDenver Apprentice
LDJofDenver
Posted
I have a follow up appointment for my endoscopy on Wednesday of next week, but I got a thing in the mail today about my results. It said that I have reflux esophagitis (GERD) and reactive gastropathy.

I am confused because I rarely get heartburn. I mean, I do get it every here and there, but maybe only once a month. So I don't get the reflux esophagitis thing. And then, I couldn't find anything on reactive gastropathy except for a few medical studies and a book excerpt. The book said that it causes elongation and distortion of the villi of the intestine. Isn't that what Celiac disease is?

I'm confused!! :blink::unsure:

Hopefully they've prescribed something like Prilosec for the GERD. Even if you don't experience the feeling of heartburn, the acid is still making its way into your esophagus (GERD) and you'll want to do something about that. I think about 10% of GERD people end up with Barretts Esophagus, and may be wise to check into taking action to avoid that -- bring this up at your follow-up appointment next week.

Here a couple links, describing reactive gastrophy (of course, in medical-ese!):

Page 2 on this link has an article about it:

Open Original Shared Link

definitions:

Open Original Shared Link

Open Original Shared Link

ravenwoodglass Mentor
ravenwoodglass
Posted
Hi there, just a note of caution on the GERD diagnosis. My tests showed that I had GERD even though I very rarely get heartburn; the techs kept asking me how severe my heartburn was even though I told them I don't get heartburn.

My regular doctor prescribed Nexium which did absolutely nothing. I then saw a GI doc who basically said the tests for GERD arent really reliable especially in the absence of other symptoms. He took me off the nexium and told me not to worry about it and he didn't believe I had GERD.

Good point. In addition GERD and heartburn symptoms can also be part of the GI presentation of celiac. If they are related to celiac they will resolve on the diet.

In addition they often do both a colonoscopy and an endo together. In some cases the prep for the lower scope can cause problems that would be considered 'reactive gastropathy' if there was something in the prep that your body didn't tolerate well. This occured with me on my last procedures and although I was given a variety of meds to take, including prilosec, I choose to try Pepto Bismal liquid first. It took care of the discomfort in one dose and I only needed it for a couple of days.

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