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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 29245
Experience:  MD
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I've suffered from acid reflux and gastritis for many years.

Customer Question

I've suffered from acid reflux and gastritis for many years. My symptoms come and go, but seem to be getting worse over time. If I take Dexilant, Tums, and really watch my diet things aren't too bad, but any deviation will cause a relapse. I had a scope about five years ago, an abdominal ultrasound two years ago, and an abdominal CT last year, all were normal. I also got tested for H Pylori and a full blood work up recently, which also showed nothing. My GI doctor doesn't seem concerned, but I'm getting tired of this. Should I push for another scope? Also, after getting my gallbladder removed I started taking Digestive Enzymes with Pepsin, could this be contributing to the problem? Finally, since no medicine seems to completely control my symptoms, should I be worried about stomach or esophagus cancer? I'm only 38, but still concerned. Thanks so much for your assistance.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr Basu replied 2 years ago.
Hi there,
This is Dr Basu, Experienced Specialist.
I am here to address your concerns and provide great service.

I understand your frustration.
Cancer is very unliekly at your age.
However, a repeat endoscopy should be considered to look for any changes in the esophageal lining known as Barret's.
Also ulcer disease should be ruled out.
Afterall, you do respond to dexilant --that is reassuring pretty much rules out anything serious.
Pepsin enzyme supplementation shoudl not cause this problem.
You may also have nonacid bile reflux problem.
This is tested by esophageal pH monitoring.
You can ask for this test from your GI doc.
This is treated with a bile acid sequestrant cholestyramine daily.

Thank you for sharing your concerns with us today. If you have any additional questions or need further clarifications, please do not hesitate to ask. I am here to answer them. I wish you good health. Regards, ***** *****