Patient's Query
Hello doctor,
I have been dealing with bad GERD for years, and now I feel burning even with PPIs daily. Food gets stuck sometimes, and I have a bitter taste all day. Do I need an endoscopy again? Is there surgery that can fix reflux if the medicines do not work anymore? Also, can GERD lead to cancer if it keeps coming back like this?
Kindly help.
Welcome to icliniq.com.
I read your query and can understand your concern.
You are experiencing a burning sensation and symptoms of GERD (gastroesophageal reflux disease) that persist despite the use of PPIs (proton pump inhibitors). Additionally, you have a sensation of food being stuck and a bitter taste throughout the day, indicating the need for a repeat upper GI endoscopy.
An upper GI (gastrointestinal) endoscopy is necessary if symptoms continue or worsen despite PPI treatment, particularly in cases of dysphagia, anemia, weight loss, or reflux.
This procedure will help rule out conditions such as esophagitis, strictures, Barrett's esophagus (a precancerous condition), and esophageal carcinoma.
While rare, GERD can lead to carcinoma, and chronic GERD may result in Barrett's esophagus, which increases the risk of developing esophageal carcinoma.
Surgical options are available when lifestyle changes and medications are ineffective, especially in younger patients: laparoscopic Nissen fundoplication is the gold standard antireflux surgery that reinforces the valve between the esophagus and stomach.
I hope this information helps you.
Feel free to ask further queries.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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