1. < Digestive Health

Intestinal Metaplasia: What do you do to lower the risk of cancer?

Posted by evapa @evapa, Apr 22, 2021

Has anyone been diagnosed with intestinal metaplasia? What does your doctor recommend? I was just diagnosed and am very anxious about it because of the risk of cancer. Would like to hear your experience with it. Thank you.

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jillannw | @jillannw | Jun 2, 2022
In reply to @evanssandy34 "I agree, long term use of PPI's have damaged my liver and are only meant to..." + (show)
@evanssandy34

I agree, long term use of PPI's have damaged my liver and are only meant to be use short term, not daily. Have you doctor check for low acid. It has the same symptoms as to much acid. Thank you to my sister and mom, I found out that I have low acid and the PPI's were just making things worse. Good luck!

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How did your dr check for low acid?

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r400914 | @r400914 | Jun 2, 2022

I wish I knew, this is all new to me

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r400914 | @r400914 | Jun 3, 2022
In reply to @sue225 "I was diagnosed with GERD in 1997 also gastritis. Originally took a proton pump inhibitor but..." + (show)
@sue225

I was diagnosed with GERD in 1997 also gastritis. Originally took a proton pump inhibitor but developed over a year later allergic reaction (rash and itching). Then samething happened with h2blockers. For years I managed with gaviscon and occassional flare ups that I treated with liquid antacid Recently my gastritis is pretty constant and usual methods not working. Gastroscopy showed metaplasia on one of biopsies, and chronic gastritis. Have appt next Friday with allergist to see if there is a way to tolerate either an h2 blocker or ppi. Perhaps in combination with daily antihistamine. Will see. I am very careful with my diet but my usual methods no longer working.

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Sue, Good luck on Friday’s appointment with allergist.

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1 reply
sue225 | @sue225 | Jun 3, 2022
In reply to @r400914 "Sue, Good luck on Friday’s appointment with allergist." + (show)
@r400914

Sue, Good luck on Friday’s appointment with allergist.

Jump to this post

Thankyou. New bit of info. Apparently, PPi's are not good for metaplasia if you have H pylori. Can actual make condition worse. I dont have h pylori.
Maybe will focus on h2 blockers.
Confusing

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1 reply
r400914 | @r400914 | Jun 3, 2022
In reply to @sue225 "Thankyou. New bit of info. Apparently, PPi's are not good for metaplasia if you have H..." + (show)
@sue225

Thankyou. New bit of info. Apparently, PPi's are not good for metaplasia if you have H pylori. Can actual make condition worse. I dont have h pylori.
Maybe will focus on h2 blockers.
Confusing

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Ohh, my GI prescribed me with Pantaprazole (PPI) I don’t H Pyloric. It’s confusing. I really hope that helps. For how long you have Metaplacia? For me it was just diagnosed.

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sue225 | @sue225 | Jun 3, 2022

Had a gastroscopy end of March. One of the biopsies showed metaplasia. Ask your doctor. Study does say metaplasia caused by hpylori.
Also, need to be followed up with gastroscopy in three years.

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1 reply
r400914 | @r400914 | Jun 4, 2022
In reply to @sue225 "Had a gastroscopy end of March. One of the biopsies showed metaplasia. Ask your doctor. Study..." + (show)
@sue225

Had a gastroscopy end of March. One of the biopsies showed metaplasia. Ask your doctor. Study does say metaplasia caused by hpylori.
Also, need to be followed up with gastroscopy in three years.

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Same here, 3 years follow up 😬

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kellbell8 | @kellbell8 | Jun 4, 2022

Hi everybody. I was diagnosed with a hiatal hernia (slider) about 10 years ago and have been on PPIs since then. I had another endoscopy 5 years ago with no additional findings except the still existing sliding hiatal hernia. I just had my 5 year routine endoscopy and have now been diagnosed with mild, inactive, chronic gastritis with intestinal metaplasia. My doctor just sent me a "tick the box" style letter in the mail to let me know.........no follow up call, no nothing. It did indicate that he wants me to repeat the endoscopy in a year. I plan on calling his office Monday morning so that I can sit down with him and ask the many questions I have, as well as a plan going forward to properly manage this. I'm scared to death!! Can anyone provide any insight or support? Thanks so much in advance.

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1 reply
sue225 | @sue225 | Jun 4, 2022

Some info which may be helpful to others with metaplasia. Acid suppression drugs should NOT be taken. Report from my gastroenterologist says that" diminished acid increases serum gastrin which then propagates metaplasia changes." So, sticking to liquid antacid.

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