I was diagnosed with intestinal metaplasia in June 2018. I had a follow up in February and I'm scheduled for a follow up in 3 years. Can someone help me on how to manage this, I was put on dexilant. My regurgitation flares up sometimes but for most times I'm just bloated.

@syl1 understanding the terms in a pathology report can be confusing. I found this article by the American Cancer Society that explains the differences when a report of Barrett’s esophagus mentions dysplasia.

- Understanding Your Pathology Report: Barrett’s Esophagus (With or Without Dysplasia) https://www.cancer.org/treatment/understanding-your-diagnosis/tests/understanding-your-pathology-report/esophagus-pathology/barrets-esophagus.html

Here's an excerpt:
What if my report mentions Barrett’s esophagus and dysplasia?
Sometimes the cells of Barrett’s esophagus become more abnormal. This is called dysplasia. Dysplasia is a pre-cancer. Although the cells are abnormal, they do not have the ability to spread to other sites. This condition can be treated.

I encourage to read the full article. There's a load of information in it and will help you know what questions to ask at you next appointment.

@syl1, I moved your questions about Barrett’s esophagus and intestinal metaplasia to this existing discussion about BE. Click VIEW & REPLY to read through the past posts that I think you will find informative.

It is my understanding that they are the same thing. Perhaps your PCP misspoke. By the way I had Barrett’s Esophagus about 10 years ago but with Nexium twice a day mine went away. But it sounds like following the book referred to in this thread would be a wise move for all of us with GERD rather than depend upon meds.

Hello @syl1,

I was wondering how you’re doing, and whether you received more information to help with your concerns? Has your doctor outlined any “next steps” or surveillance protocol?