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Laura asks…

Barrett’s Esophagus is it always a malignancy ?

I am being treated with Chemo for a condition called Barrett’s Esophagus . I am a Veteran and utilizing the VA medical system. The Dr’s don’t really answer my questions to a point that I can really understand the situation that I am in. I was told that it is a genetic condition that is caused by acid reflux, which I have had since I was a kid. I’m 47 now. I was treated for stomach ulcers at 11 years old and have been eating tums like a kid eats skittle’s for years. I was told by my primary care Dr. that my condition is considered Pre-malignant, I think that means that it hasnt yet developed into a cancerous cell yet. If it is not cancerous, I am more curious now as to why I am undergoing chemo treatment ! I was adopted at birth and therefore I have no family medical information to refer too ! This was discovered during a few separate Dr appointment conversations that my doc had pieced together things from earlier appointments and ordered a Endo and which a biopsy was taken, where some abnormal looking cells were found near my stomach. Anything you may have will help me to ask some more lucid and informed questions during my next visit. I am afraid to ask if this is a life threatening illness, But I have researched it some on line and see that it can be in some cases. What are some very smart questions to ask and what are the answers that I should get both pro’s and con’s Thanks for anything you can provide. In this case a family history would be the best but my adoption records require a court order to open and a bunch of time and money that I don’t have.
Clock , I have already read that article and it differs 100% from others. I am not a big fan of WIKI-PEDIA anyway
I mean that this exact article was found in WIKI-PEDIA, ver batum,

answers:

FROGMAN,
Barrett’s oesophagus is a condition in which the tissue lining the oesophagus is replaced by tissue that is similar to the lining of the intestine. This process is called intestinal metaplasia. No signs or symptoms are associated with Barrett’s oesophagus, but it is commonly found in people with gastroesophageal reflux disease – GERD. The exact causes of Barrett’s Oesophagus are not known, but, as I have mentioned, GERD is a risk factor for the condition. Also, you fall into the average age group at diagnosis, which is 50. It is possible that you are one of a small number of people with Barrett’s oesophagus who may develop a rare but often deadly type of cancer of the oesophagus called oesophageal adenocarcinoma. Barrett’s oesophagus may be present for several years before cancer develops. Oesophageal adenocarcinoma is frequently not detected until its later stages when treatments are not always effective. The endoscopic examination, when the biopsy was taken, was to look for early warning signs of cancer. As you have stated, there were ‘precancerous cells’ seen. Typically, before oesophageal cancer develops, precancerous cells appear in the Barrett’s tissue. This condition is called dysplasia and can be seen only through biopsies. Detecting and treating dysplasia may prevent cancer from developing. Several endoscopic therapies are available to treat severe dysplasia and cancer. During these therapies, the Barrett’s lining is destroyed or the portion of the lining that has dysplasia or cancer is cut out. The goal of the treatment is to encourage normal esophageal tissue to replace the destroyed Barrett’s lining. There are two therapies – Photodynamic Therapy (PDT). PDT uses a light-sensitizing agent called Photofrin and a laser to kill precancerous and cancerous cells; and Endoscopic Mucosal Resection (EMR). EMR involves lifting the Barrett’s lining and injecting a solution under it or applying suction to it and then cutting it off. The lining is then removed through the endoscope. The fact that you are receiving chemo indicates that there may be cancer present rather than ‘precancerous cells.’ If you have no other medical problems that might preclude surgery, you might care to discuss the items that I have mentioned with your doctor/oncologist/specialist. I shall add some links below that may contain further details of interest.

ALL ANSWERS SHOULD BE THOROUGHLY RESEARCHED, IN ANY FORUM AND ESPECIALLY IN THIS ONE. – MANY ANSWERS ARE FLAWED.

It is extremely important to obtain an accurate diagnosis before trying to find a cure. Many diseases and conditions share common symptoms.

The information provided here should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions.

I add links with details of this subject

http://www.gicare.com/

diseases/Barrett-esophagus.aspx

http://en.wikipedia.org/

wiki/Barrett%27s_esophagus

http://en.wikipedia.org/

wiki/Esophageal_cancer

http://heartburn.about.com/

cs/articles/a/esophaguscancer.htm

Hope this helps
matador 89

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Joseph asks…

Dear God what is wrong with me?

I have had this spitting problem since mid-January 2008. And I still have it. I got it after I worked at Ross. I started working at Ross in late September 2007. I quit early February 2008. I got sick 10 times while working there! I worked there for 5 months so I got sick twice a month!

Colds, sneezing, headaches, vomiting, dizziness, sore throat, spitting, body pain all over, fever, leg pain, neck pain, and more.

Does anyone know what this is I have? I’ve had if for almost 3 years now! I am so upset. I can’t sleep, the spitting is non stop! :`(

This stuff comes into my throat and I must hack it up and spit it out or I will choke to death on it. I’m not kidding; I almost died three times because of this, I went to the ER those three times! I have been to 10+ doctors, none have found out what it is. No medicine or treatment works. All my tests show nothing. It’s not allergies, acid reflux, sinisitus, apparently, because prevacid, claratin, nasonex, and such drugs have not worked.

The spit is sometimes yellow or green in color. Mostly clear and/or solid white and/or foamy. I feel it at the very back of my throat, at the bend part if that helps any.

I had bouts with the spitting while working at Ross. I thought it was just a cold. It came and went then it finally hit me like a sack of bricks, once and then twice I was down for the count! All the fever and other cold like symptoms went away but the spitting remained.

I worked at the store in Los Angeles. The one near 3rd and Fairfax in case you wanted to know. If you value your health you will not work or shop there. There was this manager there named Rubin and he would constantly be blowing out his nose. I’m pretty sure I caught this disease from him. Another manager Tony, I would also catch coughing on me. Swearing at me in Spanish. Even though I always did my job 100%. I don’t know why they did this to me. I tried suing but an attorny told me that I can’t prove it so I have no case. *sigh* A lady sued some store for spilling hot coffe on herself and won lots of money! I can’t prove it!? There is no justice in this world!

Anyways if anyone knows these people, or knows what this disease is that I have please tell me. I am very sick and don’t know how much longer I can take it.
loclacrn:

I got tested for TB and I don’t have it. Afraid to take anitbiotics. Also I had two chest X rays: front and side. They told me everything was fine. Oh god, fluid in my lungs!? Can they see that in an x-ray? The bottom of my ribs do hurt! But I just thought that was from hacking up so much my lungs keep stabbing my organs.

answers:

Not quite sure of what you have but i know what you are atleast spitting out! I’m 100% positive that you are spitting out mucus!

Here is a wiki article that might explain why you keep producing mucus.

Http://en.wikipedia.org/wiki/Mucus

It sometimes just moves up to your mouth.

From my experience, most of the time when I get sick, I get this mucus which i spit out. Its annoying, I’m sorry you have to deal with this.

Feel better, maybe you should be on antibiotics.

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