Barrett's Esophagus - This is what I think I have
Posted: Wed Aug 29, 2007 4:19 pm
Esophagitis, Barrett's Esophagus, and Cancer of the Esophagus
Esophagitis, or inflammation of the esophagus, is a major complication of GERD. If GERD is left untreated, esophagitis can cause bleeding, ulcers, and chronic scarring. This scarring can narrow the esophagus, eventually interfering with your ability to swallow. People with esophagitis need to be checked for the development of Barrett's esophagus.
Barrett's esophagus results when the body replaces normal cells in the esophagus with cells similar to those inside the intestine. The presence of these cells is a precursor of adenocarcinoma, a particularly deadly kind of cancer. Developing Barrett's esophagus does not mean you will get cancer, but your chances of getting cancer will be greatly increased. Your doctor will want to check you on a regular basis in order to detect any cancer in its early stages.
Asthma and Other Complications
Pulmonary, or lung, damage is a major complication of GERD. GERD can lead to the formation of scar tissue in the lungs. It can also cause the onset of adult asthma. As many as eight out of every 10 people with asthma may have GERD. Some cases of adult-onset asthma, especially in those with no history of allergies or childhood asthma, can be traced to GERD. Treating GERD may help avoid the onset of asthma and sometimes can relieve asthma.
GERD can also lead to chronic hoarseness, a chronic cough, sleep disturbance, laryngitis, halitosis (bad breath), growths on the vocal cords, a feeling as if there is a lump in your throat, earaches, and dental problems.
What Causes It?
When you swallow, a muscular valve known as the lower esophageal sphincter, or LES, which is located where the esophagus joins the stomach, opens to let food into your stomach and then closes to keep your stomach contents from coming back up. The major cause of GERD is that this valve that does not function the way it should -- either because it is weak or because it relaxes inappropriately. Hiatal hernia is a common cause of a weak LES.
Diet and lifestyle also play a role. Fatty foods, mints, chocolate, alcohol, coffee, and tea all relax the LES. So does nicotine, from cigarettes or chewing tobacco. Hormonal changes associated with pregnancy can temporarily weaken the LES, too. Obesity can lead to GERD because the pressure of extra weight pushing on your abdomen may "overpower" the LES, allowing reflux to occur. The same mechanism explains reflux that may occur when you bend over at the waist.
Esophagitis, or inflammation of the esophagus, is a major complication of GERD. If GERD is left untreated, esophagitis can cause bleeding, ulcers, and chronic scarring. This scarring can narrow the esophagus, eventually interfering with your ability to swallow. People with esophagitis need to be checked for the development of Barrett's esophagus.
Barrett's esophagus results when the body replaces normal cells in the esophagus with cells similar to those inside the intestine. The presence of these cells is a precursor of adenocarcinoma, a particularly deadly kind of cancer. Developing Barrett's esophagus does not mean you will get cancer, but your chances of getting cancer will be greatly increased. Your doctor will want to check you on a regular basis in order to detect any cancer in its early stages.
Asthma and Other Complications
Pulmonary, or lung, damage is a major complication of GERD. GERD can lead to the formation of scar tissue in the lungs. It can also cause the onset of adult asthma. As many as eight out of every 10 people with asthma may have GERD. Some cases of adult-onset asthma, especially in those with no history of allergies or childhood asthma, can be traced to GERD. Treating GERD may help avoid the onset of asthma and sometimes can relieve asthma.
GERD can also lead to chronic hoarseness, a chronic cough, sleep disturbance, laryngitis, halitosis (bad breath), growths on the vocal cords, a feeling as if there is a lump in your throat, earaches, and dental problems.
What Causes It?
When you swallow, a muscular valve known as the lower esophageal sphincter, or LES, which is located where the esophagus joins the stomach, opens to let food into your stomach and then closes to keep your stomach contents from coming back up. The major cause of GERD is that this valve that does not function the way it should -- either because it is weak or because it relaxes inappropriately. Hiatal hernia is a common cause of a weak LES.
Diet and lifestyle also play a role. Fatty foods, mints, chocolate, alcohol, coffee, and tea all relax the LES. So does nicotine, from cigarettes or chewing tobacco. Hormonal changes associated with pregnancy can temporarily weaken the LES, too. Obesity can lead to GERD because the pressure of extra weight pushing on your abdomen may "overpower" the LES, allowing reflux to occur. The same mechanism explains reflux that may occur when you bend over at the waist.