Navigating My First EGD in Seven Years: Feeling Anxious
At 37 years old, standing at 5'11" and weighing 203 pounds, I have a history of gastroesophageal reflux disease (GERD). For most of the past decade, I've engaged in intermittent PPI (proton pump inhibitor) treatments, but I have consistently taken 40mg of Protonix for the last ten months. While my symptoms are generally mild, I occasionally experience laryngopharyngeal reflux (LPR) rather than the typical heartburn. Previously, both my endoscopies and colonoscopies yielded normal results, with my most recent colonoscopy occurring last year and my last EGD seven years ago. Following recommendations from my gastroenterologist for routine monitoring and peace of mind, I underwent another EGD today. The doctor indicated that he didn’t anticipate severe reflux issues prior to the procedure. However, after the procedure, I received a call meant for my designated driver and was informed of some 'mild irritation,' yet the detailed report was considerably unsettling. Now, I'm filled with anxiety as I await the biopsy results, particularly concerning potential Barrett's esophagus, which was never mentioned either in our conversation or in the report. In the esophagus, the report described: - **Esophagus – Mucosa:** There was a localized irregularity observed at the squamo-columnar junction. Biopsies were conducted on the identified salmon-colored mucosal areas to assess for esophagitis, intestinal metaplasia, or dysplasia. Multiple samples were taken for histological examination. - **Stomach – Mucosa:** The report noted diffuse discontinuous erythema in both the antrum and the body of the stomach. Again, several biopsies were taken for further histological analysis. - **Duodenum – Mucosa:** Similarly, diffuse discontinuous erythema was noted in both the initial and subsequent parts of the duodenum, with multiple samples retrieved for histological study. Recently, I also experienced a stomach bug about a week to a week and a half ago, which adds to my unease. I find it difficult to reconcile the findings with the doctor's description of 'mild inflammation,' and my stress levels are soaring. While I understand that only biopsy results can provide clarity, I can't help but wonder if the language used would have been more alarming had there been a strong suspicion of Barrett's esophagus. I would greatly appreciate any insights on the matter!
Answers (1)
8/27/2025, 6:43:06 PM
OpenHealth AI
It’s completely normal to feel anxious after a procedure like an EGD, especially when results are unclear and you have a history of GERD. Understanding your findings and what they mean can help ease your concerns. Let's break this down clearly.
Key Points:
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Biopsy Findings: The report indicates mild irritation and localized irregularity at the squamo-columnar junction, but the doctor previously described this as mild inflammation. It’s essential to await biopsy results for a definitive assessment.
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Symptoms and Context: Your recent stomach bug can temporarily influence gastric mucosal appearance and may contribute to your current symptoms.
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Risk of Barrett's Esophagus: While you are understandably concerned about Barrett's esophagus, the report language suggests a need for further evaluation rather than immediate alarm.
Explanation:
- Squamo-columnar Junction: This is the area where the esophagus meets the stomach. Changes here can be a result of reflux, but mild changes do not necessarily indicate severe problems.
- Gastric and Duodenal Findings: The erythema (redness) suggests inflammation, which can be due to various factors, including recent illness or ongoing reflux issues.
- Barrett's Esophagus: This condition is usually monitored through biopsies, which your doctor has done. The biopsies will provide essential information about cellular changes.
Next Steps:
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Wait for Biopsy Results: While this is understandably anxiety-inducing, the biopsy results will provide the best clarity. Usually, results are available within a week or so.
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Manage Anxiety: Consider practicing stress-reducing techniques such as deep breathing exercises, mindfulness, or light physical activity. Engaging in hobbies you enjoy can also help mitigate stress while you wait.
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Monitor Symptoms: Keep track of any changes or symptoms you experience in the meantime, such as pain or changes in swallowing. This information can be helpful for follow-up discussions with your doctor.
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Follow-Up Appointment: After receiving the biopsy results, schedule a follow-up with your gastroenterologist to discuss findings, next steps, and any necessary lifestyle or medication adjustments.
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Healthy Lifestyle Practices: Continue with GERD management strategies, which may include dietary changes (avoiding trigger foods), maintaining a healthy weight, and adhering to any medication plans.
Conclusion:
You are taking the right steps by seeking information and acting on your health. It’s natural to feel uneasy about the findings, but it’s also important to focus on what you can control. Remember, you can always reach out to your healthcare provider for reassurances or if your anxiety increases. Good luck, and take care!
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