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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r400914 | @r400914 | Oct 7, 2022
In reply to @romax "I’m in the same situation. I was diagnosed with IM a few days ago. I haven’t..." + (show)
@romax

I’m in the same situation. I was diagnosed with IM a few days ago. I haven’t been able to sleep and I find myself really down.
I had H.pylori and treated a few years back. I’m pretty sure I got IM from that bug. I’m in my early 50’s.

I also have acid reflux. Approximately 3 years ago I had the Stretta procedure to correct the acid reflux. During the initial endoscope I had pre ulcers forming and erosive esophagus. After the stretta my erosive esophagus and my pre ulcers went away.

I just underwent another endoscope and the doctor said my esophagus looked good. I’m waiting for the Bravo study to verify my acid levels.

I really encourage everyone with acid reflux to do your research on the Stretta procedure.
(Dr. Noar on YouTube)

Anyone have any suggestions on Intestinal Metaplasia? Can it be removed at an early stage through retraction? Who specializes in IM?

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I have the same as you, early 50’s , IM, acid reflux, ulcers, but taking 40g of pentaprozole and I had a second endo and doctor said looks much better. I do have to stay on the pentaprozole. I’m feeling good. I just try to eat healthy nothing fried, no red meat, wash products very well. I don’t think IM is reversible but I do think you can control it by eating healthy.

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riflemanz64 | @riflemanz64 | Oct 7, 2022

Cut all salt out of diet. No booze, soda, smoking of any type. Eat a gerd diet,low acid,low fat to prevent gerd. No Ibuprofen only tylenol. Don't eat before bed.

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txmankc | @txmankc | Aug 8, 2023
In reply to @evapa "Yes I may have silent reflux and I am careful with my diet. I am trying..." + (show)
@evapa

Yes I may have silent reflux and I am careful with my diet. I am trying to get an appointment with a gastroenterologist who specializes in intestinal metaplasia. My regular gastroenterologist says it is not likely to develop cancer from it but I like to find out more and educate myself. It is good talking to you.

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Hi - Unfortunately, our 19 year old got diagnosed with IM recently. Do you mind passing on the name and contact of the doctor that specializes in IM please? Thx

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txmankc | @txmankc | Aug 8, 2023
In reply to @gastrogirl "I got same sort of diagnosis after Mayo did my endoscopy biopsy. They were great at..." + (show)
@gastrogirl

I got same sort of diagnosis after Mayo did my endoscopy biopsy. They were great at explaining it all to me. Mine however was precancerous. My advice is ask as many questions as you have. make a list, plan your appointment. What would you really like to know?
Use patient portals to get answers also.

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Hope you are doing well!

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Moderator
Colleen Young, Connect Director | @colleenyoung | Aug 15, 2023
In reply to @txmankc "Hi - Unfortunately, our 19 year old got diagnosed with IM recently. Do you mind passing..." + (show)
@txmankc

Hi - Unfortunately, our 19 year old got diagnosed with IM recently. Do you mind passing on the name and contact of the doctor that specializes in IM please? Thx

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Hi @txmankc, as a mom, I'm sure you are worried sick about this diagnosis for your son.

Mayo Clinic specializes in GI neoplasia. You may wish to read more here:
- Gastrointestinal Neoplasia Clinic https://www.mayoclinic.org/departments-centers/gastrointestinal-neoplasia-clinic/overview/ovc-20357679

To inquire if Mayo Clinic might be an option for your son, you can speak with a coordinator http://mayocl.in/1mtmR63

How is he doing?

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brigitteroluxe72 | @brigitteroluxe72 | Aug 25, 2023

He inly mentioned avoiding picklrs because they're too salty Yhe GI said.

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brigitteroluxe72 | @brigitteroluxe72 | Aug 25, 2023
In reply to @riflemanz64 "I have some abnormal cells too along with chronic gastritis, I also had H Pylori too..." + (show)
@riflemanz64

I have some abnormal cells too along with chronic gastritis, I also had H Pylori too which is a risk factor. Get checked for that. I also have Barretts Esophagus which is in remission due to my taking of PPI's and a strict low acid diet. NO booze, No smoking. No soda! Drink water, decaf green tea, unsweetened almond milk which is alkaline. No mexican, Italian or FRIED FOODS! It's scary thinking about stomach cancer.Do what you can to put the odds in your favor.

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Does low acid mean no apple cider vinegar with water on an empty stomach? No coffee?

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riflemanz64 | @riflemanz64 | Aug 26, 2023

NO Apple cider vinegar period! You can try healthwise low acid coffee which I drink with unsweetened almond milk as a creamer. Almond milk is alkaline.

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dragnwc19 | @dragnwc19 | Aug 26, 2023

Intestinal Metaplasia? Isn't that basically Barrett's Metaplasia, only south of the duodenum? It's the same pipeline, where the esophageal lining starts resembling (and shouldn't) the bowel.
Wonder if there are any known irritants to avoid? North of the stomach it's acid, but south, digestive juices are necessary. There's an inverse relationship there, so any advances in treating one side should be a clue-in for treating the other, one would think.
Routine monitoring w/biopsy.

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amylynn2 | @amylynn2 | Oct 26, 2023

I've just been diagnosed with complete-type intestinal metaplasia antral. I do not have H Pylori. What does low spice mean? Do I need to not cook with turmeric, cumin, chili powder, curry powder, cayenne pepper, etc. I am on pantoprazole, but still have constant heartburn.

Thanks for the suggestion of low acid coffee and the Acid Watcher Diet.

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