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Got my second opinion

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URL: http://www.barrettscampaign.org.uk/forum//forum_posts.asp?TID=2019
Printed Date: 22 Aug 2019 at 5:09am


Topic: Got my second opinion
Posted By: MarieDay
Subject: Got my second opinion
Date Posted: 09 Feb 2019 at 9:01pm
I went to the Barrett's Esophagus Center at Massachusetts General Hospital, and spoke to a ver nice physician there I have long strand Barrett's plus a moderate hiatal hernia. Additionally I have been dropping pounds on my anti-acid diet. I spoke with him for about 40 minutes and what I came out with is
(1) eat and drink what you want as long as it doesn't make you feel bad, (2) take your PPIs, and get regular surveillance. That's pretty much it. He also said other than lifting heavy weights, he doesn't discourage any exercise that strengthens the core. He said British Gaviscon is good for breakthrough symptoms. He was one of the writers on a study looking at aspirin as a chemo-preventive. He said the data look promising (same with Motrin), but no one is ready to make recommendations and they wouldn't know what dosage at this point to suggest. Hope this helps someone.



Replies:
Posted By: chrisrob
Date Posted: 10 Feb 2019 at 1:57pm
Hi Marie,

I fully concur with your doctor. Foods do not make any difference to acid production nor reflux.

This new page to the latest revision of the http://www.downwithacid.org.uk - Down With Acid encyclopaedia due out soon
, describes how acid production and regulation occurs.

Reflux, on the other hand, is due to a malfunctioning lower oesophageal sphincter (usually occasioned by a hiatus hernia).

Standard management regimen for Barrett's is to remain on PPIs and continue with surveillance scopes every few years.

A report on the AspECT trials (Aspirin & Esomeprazole Chemoprotection Trial) may be read https://www.cancerresearchuk.org/about-us/cancer-news/press-release/2018-06-04-taking-aspirin-and-anti-acid-reflux-medication-prevents-oesophageal-cancer-in-high-risk-patients - here .

(Motrin is a US drug but its main constituent, ibuprofen, is widely used in UK. Like all NSAIDs, aspirin and ibuprofen can cause excess acid production and bleeding. They should not normally be used by those of us with Barrett's. So self medicating in an attempt to replicate the trial's finding is not recommended.)


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http://www.barrettswessex.org.uk - www.barrettswessex.org.uk


Posted By: MarieDay
Date Posted: 11 Feb 2019 at 10:39pm
Something the doctor did say, which is just hitting me. He talked about risk of kidney disease from long-term use. Can you address this chrisrob?



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