Get Relief From Barrett's Esophagus!
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- Опубликовано: 18 окт 2024
- Do you have Barrett's Esophagus and want relief? There are many ways to treat and monitor Barrett’s Esophagus.
In this video, I discuss the best ways to treat and monitor Barrett’s Esophagus. First, lets talk about medications that will help with GERD/acid reflux and will soothe Barrett’s Esophagus. Then, let's discuss what you should do if the medications are not helping or your esophagus is too inflamed. Next, I will talk about how Barrett’s Esophagus should be monitored - how long should you wait between EGDs based on how bad your Barrett’s Esophagus is. Afterwards, I explain why it is important to have recurring EGDs and what happens when areas of concern are found. Next, lets dive into why Barrett’s Esophagus was not eradicated when it was originally diagnosed. Finally, lets discuss what endoscopic options there are to treat Barrett’s Esophagus and why a patient would need surgery.
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DISCLAIMER: While I am a Gastroenterologist, I am not acting as your Gastroenterologist. The information provided on this channel is intended to be general educational content and not directed towards any one individual. If you believe you have a medical condition that deserves attention please seek care from your healthcare provider. If you are experiencing a life threatening emergency, call 911.
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Doc you deserve millions subscribers, your information video are on point without stretching it 15 20 min long unnecessarily, i subscribed
Thanks for sharing! Hopefully we get there and keep giving helpful information!
Thank you for this clear explanation of Barrett's esophagus, I was never told any of these details about my diagnosis.
You’re welcome - I’m happy to have provided some more information as it’s hard to convey at the time of endoscopy. Waking from sedation is unfortunately the worst time to try to convey the significance of any findings, which is why it’s great to be able to make this channel!
What causes the lump in throat feeling with Barrett’s I am taking 40 mg of ozemparole- will this ever go away or is there anything else that can be done about this?
Hi!
My body has gone through a lot!!
I had always been very dedicated to my body. I've never been overweight until recently. In my 30s, I was around 130 pounds now in my 50, I'm 150 pounds. First got diagestive issues when I moved to the USA. After living 3 years here, I contracted H. pilory. Then, ten years later, I started having issues with heartburn, and food would go to my mouth. The doctor found a hiatal hernia that measured 2 cm. I didn't know better, so I went under the knife. Then, 6 years later, the doctor found one gallstone that measured 2 cm, and they removed my gallbladder.😢
The reason they also got gallbladder out is because Bile was moving to my stomach. I was having bile and acid reflex. Then, symptoms went away, but I remained feeling bloated after meals.
Since then, I developed IBS symptoms, and just a few weeks ago, I started having heartburn again. 😫
I have avoided sugar for many years. I've tried keto, but the diet makes me have loose stools. I have done fasting, but symptoms don't change.
I saw a gastroenterologist last week, and he prescribed an acid blocker, but symptoms are not changing. The fact is, I told him that my right side was hurting, and he didn't say anything. Instead, he wanted me to get a colonoscopy!! Why?????
I just recently had a colonguard test, and it came negative.
If you tell a doctor about your symptoms and you get an upper respiratory infection because of the acid, how the acid blockers are going to resolve the problem? Why want to do a colonoscopy when right now my problem is at the other end?!!!!😵💫
I have tried to eat more meat than vegetables, and all I get is diarrhea, with lots of bile, and sometimes I get constipated too. It is so hard to follow a diet, especially when your liver is not working properly and there's not a gallbladder to regulate bile.
I sincerely regret both surgeries, but I didn't know better, I just wanted to get rid of the symptoms.....and I did, but not for very long.
Today, I'm very discouraged, and I don't know who to trust. I don't even know if I can trust everything I watched on RUclips or the diets......I have tried everything. Did I mention that I'm 51 years old and that I have menopause symptoms as well? Yeap!!!
So. I get hot flashes, insomnia, and heart palpitations.
I don't know which direction to go. I'm lost and frustrated.
May God bless you and heal you.
What does your PCP advise?
In the UK all this treatment is free and very professional we do pay into it in our national insurance but still better than privet
You been through a lot, hope you are doing well now and , God bless you.
Never had any issues until I moved to the USA. Being on PPI's long term isn't good.
What a refreshing and non-medical jargon filled video. Thank you Mark.
Cool - that’s the goal! Thanks for watching.
One of the better videos I've seen on this topic.
Thanks! I appreciate it.
I was diagnosed with it 7 years ago. It really sucks. I have regular endoscopies, take 40g Omeprazole every day and try to watch what I eat and drink but sometimes the discomfort in my gullet is bad. If I have anything spicy or alcoholic - two of my former pleasures in life - I really pay for it. I don't want surgery so seem to be consigned to these problems for the rest of my life 😔
Thank you very much for your calm , detail and assuring video.
Where are you located at all? Im sure every patient will want to have a doctor like you.❤❤❤
Thank you Dr Cooper for another informative and well done video!
Periodically I get a cough that won’t quit. I can’t even sleep at night. If I lay flat I can feel what’s going on. If I sit up straight it burns awful.
The Acid Watcher Diet by Dr Jonathan Aviv is very helpful.
You might want to watch Dr. Thomas Seyfried.
Don't wait go see a DR. Immediately address the situation and get treatment...advice from a Barrett's patient...😮
But what are the side effects of the PPI, I have osteoporosis after taking PPI for 10 years on and off, and it didn't help, and I read of others side effects of taking PPI's for long time, like anemia, kidney stones etc.
Increased Dementia risk and Kidney damage.
@@duke613yup also osteoporosis, especially for the ladies. It bothers me that he doesn’t even mention this.
One thing that helps for me is alcaline water (ph 10). Just sip a little and keep it in the throat once in while. It neutralizes pepsine in the throat.
How/ where do you get alkaline water? I don’t recall ever seeing it for sale .
THANK YOU Dr. Cooper! Yes, it was extremely helpful & well presented!!! 😊
I have low grade dysphasia with no cancer yet..
But my Barrett's is weeping blood, what to do.😢
Excellent explanation thank you
I'm on 20mg omeprazole for Barrett's with no evidence of dysplasia. I can't say that I'm thrilled being on medication for the rest of my life (only 38, and I'm hoping it will be a long one). All of my friends who are doctors have said that the benefits of omeprazole (i.e., reducing the chance of cancer) outweigh the negatives (kidney damage, which I'm afraid of). Do you have any thoughts on the matter?
Dr. I had Barrett’s esophagus for 20 years now I was pretty good for 10 of those now that I’m 70 it’s really coming back. I also have Crohn’s two years ago. They took out nine polyps in my stomach. They said they were pre-cancerous help me.
I have barretts too. I have been eating and drinking aloe Vera gel. I get it from the leafs not the bottled stuff. You get them in grocery stores preferably organic. RUclips has videos about getting the gel out of them. I also been drinking red cabbage juice. I make myself. I think those 2 foods are helping. I had an inflamed esophagus and recently had an EGD and there wasn't any inflamation.
Please watch Dr. Thomas Seyfried. He has great insight on cancer prevention and treatment.
When I squeeze my chest inside outside then I feel pain in my oesophagus !
And I feeling upper back pain right hand back !
Should I go for endoscopy
I was diagnosed with short segment Barrett’s. Don’t experience acid reflux often. Very seldom. My doctor says I need to take protonix for the rest of my life?
Do some people get better after few years of PPIs and can wean themselves off? Just curious
Great videos Doc. Would like to ask if there were cases where BE was permanently and fully cured in itself?
It does seem to regress at times when patients are on PPI. I’ve seen it happen numerous times. I tell patients to continue the PPI indefinitely since it has proven itself to help and would be concerned stopping it may permit the BE to return.
I was well over 500 lbs and had gadtric bypass, and im now down to 283 lbs and that should.habe helped mu gerd and it did not. I have been on ppis and other meds for a long time and nothing is helping. Throwing up stomach acid 3 to 4 days at a time. Im hoping something helps soon. I see the surgeon today 1/9/2024
I’ve been diagnosed with Barrett’s for some 15 years (first endoscopy in my mid-30s) and progressed steadily to the point where I have had my 3rd session of ablation. One of the things identified is more ablation is needed, although the exact rationale wasn’t clear. I am curious on your opinion, as an independent point of view, on options if repeated ablation isn’t effective.
I'm here looking for answers. I'm 49, have had GERD, COPD for years and recently been diagnosed with BO. Plus i have a hiatal hernia. I wanna know what my Dr should be doing & advising me. Other than that, i wouldn't have a clue.
Thanks for watching. I hope you find the content of the videos helpful to educate yourself and become an informed patient. I’m glad you’re taking the time to do so.
@@MarkCooperMD
Thank u, but with all the health problems i have i always try to research more on any one of my conditions. No one else is going to do it for me, my Dr doesn't tell me much. So i do it. Love the information and videos u show. Muchly appreciated.
What about the long term side effects of PPIs? The meds do not seem like a good long term plan to me.
If you have Barrett’s the risk of esophageal cancer is larger than the small risk of less substantial side effects from PPI. So the benefits exceed the risks.
@@MarkCooperMD Can you cite the studies that show that? What about the studies that find increased risk of esophageal cancer from PPIs(the big Swedish study)? Or kidney damage, heart attack and stroke, C. Diff and pneumonia? All debunked? Correlattion but no causation?
@@swiftlytiltingplanet8481 thanks for the questions- they are good ones. Most is correlation without causation and when studied in more detail have often been debunked. Risk to kidney, pneumonia, C diff are all statistically significant but small risk. The largest study of Barrett’s and use of PPI showed decrease transformation to cancer.
In practice I think it’s critical people make their own decision for the simple reason that it feels better when you do, and that itself is part of health quality.
At some point this deserves its own video. Thanks for watching.
@@MarkCooperMD Great answer. Love that you like having patients make their on decisions. Inform us fully but then let us choose. Beautiful. Thankyou. ;)
@@MarkCooperMD I appreciate that feedback and answer, but Im not sure its a true statement. There is alot of substantial side effects from being on a PPI long term. My main pont is, it doesnt seem like meds is a good long term plan, short term yes while correcting the root cause. Thats been my problem, trying to find a nd fix the root cause.
Can you suggest anything natural to take. My doctor wants me to take Prilosec
There’s very solid data that Prilosec will reduce risk of progression to cancer. The safety profile of the medication is good. Natural or synthetic it’s all chemicals at the atomic level. So I would concur with your doctor.
I just found out that I have Barrett’s. I’m concerned about taking PPI indefinitely. I read there is a lot of risks in doing so. I’m concerned and worried. Any advice?
Hi I have the same problem.... prescribed Omeprazole 20mg a day but I don't take it.... killing acid in the stomach may ruin the whole digestion system ...no proper absorption od vitamins and minerals...unable to break proteins...in result allergies may develop....low absorption of magnesium and B12
Long list of side effects....scary...and new studies independent from big pharma shows that if a pH level of stomach acid is 1-3 the sphincter is closed....taking any antacids and ppi pH goes up and it is opening even wider worsening the reflux
All antacids and ppi is a big money for big pharma...like statins.....we have to be careful.... doctors now have their hands tied up by the big pharma.... doctors have protocols to obey to not to cure the diseases but keep people on prescriptions as long as possible....
We can help ourselves with a good diet a healthy lifestyle....no sugar low carbs...
I see that you wrote an huge article. I was in your shoes . But trust me you have no other choice than taking PPI and lifestyle changes when you have Barrett’s .
I must humbly disagree. I think the reason that the makers of Omeprazole say to only use it for 14 day, is there is a list for problems that happen when you continue on this medication for more then 14 days. While I am new to BE, I have studied GERD's years ago. And I will find another way of dealing with this!
I think the 14 day instructions might pertain to those that just buy it over the counter for temporary relief and not under a doctor’s supervision. My doctor has prescribed 20mg twice a day and I’m confident in what he dosed for my situation. I will continue with upper endoscopies for monitoring my diagnosis. Hope you have a doctor -gastroenterologist that you have faith in.
Have you found any relief?@@Josh_James76
I have just been diagnosed with Barrett's I had 10 biopsies taken is that bad? waiting for results back
My husband has Esophagus phase 4 and a leak at eating tube,doctor cannot put a stand 、is there any option to save his life
I’m sorry you’re going through this.
I have an endoscopy as my heartburn is more frequent and i am so scared. I am almost 65, have Type 2 diabetes and some other issues. I take a PPI twice a day been trying to eat even healtheir. I take a walk almost every day. Worried though it is this Thursday morning.
Good luck tomorrow!
Double check when you are taking the PPI. It should be taken before breakfast and before dinner.
Thanks for watching!
I was diagnosed with Barrette’s. I recently got my endoscopy and my doctor said “no Barrette’s”.
Sometimes it resolves. Sometimes pathology over calls it. Seems you don’t have Barrett at this time.
Hello. Is it reversqble?
How were you diagnosed? By an endoscope? And then after you had another endoscope?
Really interested to hear.
What were your symptoms
After my first endoscopy they said I have GERD and an ulcer, then with my second endoscopy they said gastritis has healed and now saying i have Barretts and a sliding Hiatal hernia. I don't understand how they didn't see both of these with the first endoscopy. Still waiting on biopsy results and it's been 7 weeks already and nothing back yet.
hi, i have gerd, i have been taking 40 mg of omeprazole, i didn't need to use it for two years, recently I caved in and had four bottles of alcohol and now I'm in so much pain, right now its been a week that I've been back on 40mg omperzole, do you think ill be able to heal this? or if i caused damage?
I have Barrett’s esophagus and autoimmune atrophic gastritis along with iron deficiency anemia. It seems odd to have Barrett’s esophagus with a condition that results in not making as much acid in the stomach due to parietal cell antibodies.
One may have developed before the other. While stomach acid is a part of the irritant to provoke Barrett’s it’s not the only - bile acids, digestive enzymes, and ingested substances may also have a role.
I Apologize for posting my text in many of your videos. I just want to get some answers.
The Centers for Disease Control and Prevention (CDC) estimates that 15% of adults in the United States have CKD. A 2016 cohort study linked PPI use with a 20% to 50% higher risk of CKD.
Cohort studies do not provide reliable data. Monday morning quarterbacking.
Get a Stretta procedure! Look into it!
I was “diagnosed” with Barrett’s six years ago, also have irregular z-line. Since then I’ve tested every three years and both tests have come back negative for intestinal metaplasia. Should i test again at 3 or 5 years? Or why even test again if it keeps coming back negative?
This is a grey area. Personally I offer to patients that they can continue with egd if they wish but let them know I don’t feel strongly about it’s benefit in this type of case. I encourage patients with resolved Barrett’s to continue a PPI
@@MarkCooperMDthanks for the reply and info. I was also curious about continuing PPI but didn’t want to ask 😂
@@MarkCooperMD I have Barrett’s and just weaned off rabeprazole because of side effects after nearly 7 years on it Would a low dose every 3-4 days be helpful or is that too little . I had no symptoms whatsoever when I was diagnosed, it was found accidentally during a lung biopsy for sarcoidosis ( it was positive) my diet back then included far too many Pepsis a day for many years, I feel that was the root cause of low stomach acid and causing the Barrett’s .
PPI's also damage kidneys.
You missed the key word rarely. It is much more common for Barrett’s to cause esophagus cancer.
Just don't inquire regarding the damage of PPI(Proton Pump Inheritor;) especially to those who are erroneously diagnosed. Just sayin' though. 😊🤲🤳
Hello. Is barret reversable?
Não
Yes, but will take few years
@@usmanzafar8573 , No
@@usmanzafar8573 No
Most of the stuff you read will say no. But occassionally it vanishes.... 100% true.
I feel like I can’t swallow food sometimes at all like it won’t go down at all at the bottom, I’ve just been diagnosed with Barrett’s .. but is this stomach muscles not co-operating or is this the Barrett’s condition? 🥹 what would be the next step,
thanks
You may have narrowing of the esophagus in addition to the Barrett’s. Barrett’s itself doesn’t cause many symptoms. A dilatation at the time of EGD may be reasonable.