Brunner's gland hyperplasia

Posted by lakelady55 @lakelady55, Apr 19, 2022

Brunner's gland hyperplasia symptoms and treament

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Profile picture for clementels @clementels

Hello, I just happened to find this support site by chance and God only knows how truly happily relieved I am. I was diagnosed with Barretts Esophagus and Brunners Gland Hyperplasia roughly a year ago by happen chance. I had consistently explained that I was having trouble swallowing food, and regurgitating at night while asleep. Not just that, I also had noticed there was blood in my stool. I expressed these things with medical professionals and was constantly told my symptoms were due to other medical issues. As I told every physician I visited, one finally checked my old blood test and noticed that my red blood cells were extremely low and with the black stool sent me for a endo which revealed that I had a combination of 23 polyps which were causing the loss of blood, which led to the discovery of both the BE AND BGH. While I'm grateful, I am still extremely disappointed because there seems to be this apathetic demeanor concerning treatment which I have yet to receive.

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I have been telling Dr's since March that I am bleeding and still continue with it! The camera showed multiple places of bleeding.
After my hospital in March, I was assigned a different GI Dr. It took 4 months (July) to get in to see their NP.
I have told all my Dr's I have not had a good bowel movement since March. I had to do the prep for the camera and ended up on the same day as camera appt. back to the hospital because I knew I was bleeding. Confirmed be hosp. Dr. Luckily the ER doc talked to the GI Dr. that was supposed to do the camera on Monday to please do it on Tues. The schedule that this Camera Dr. is Monday, Wed, and Fri. By Monday I had not really eaten since Sat. Prep started Sunday. Today is Sunday, camera still there! Put in Tues. Thanks

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Profile picture for tryingrealhard @tryingrealhard

Hi LakeLady55,
Sorry you are dealing with this.

I have been diagnosed with Brunner’s gland hyperplasia (BGH) in my duodenum and foveolar hyperplasia in my stomach on my most recent endoscope. I have had a whole host of GI issues and various diagnosis over the years but I won’t get into that here because I think you are looking for information on how to get relief so I will not bore you with my details.

I have researched this quite a bit and also had found the articles the moderator provided here. Long story short, from what I understand (as a layman) is that the condition can be caused by bile reflux. I had my gallbladder removed so for me, it has caused bile to back up into the duodenum and stomach causing the change in the cells. I have tried a few medications like bile binders, prevalite, proton pump inhibitors, etc. Unfortunately, they have not provided much relief and some can make bloating worse.

Not sure if your BGH is caused by bile but it may be a question for you to ask you gastroenterologist about. If medications don’t work and you are symptomatic your doctor will need to thoroughly evaluate the situation. There are surgeries to divert bile further down in the small intestine that studies show improve BGH.

My doctor said it is benign so there is really not much to do. I question this tactic a bit because while it is usually a benign lesion, there are other case studies that show it can become malignant. Hence why it is so important to be sure what it is so no hugely invasive surgeries are done to remove it if it isn’t cancerous or causing a blockage.

I get reflux both bile and acid, vomiting bile (sometimes blood), abdominal distention, and abdominal pain. I have a whole host of other organ systems that are affected due to chronic inflammation so these symptoms just add to the list of things to overcome during the day. Since we are doing the wait and see approach, for symptomatic relief I try to rely on coping skills I learned with cognitive behavior therapy. Mind over matter is not what I am saying because what is happening in our bodies is not something that can be wished away. It is rather a set of tools that I use like relaxation techniques, distraction, pacing myself, etc. I have tried many diets like elimination, FODMAP, etc. but with little success. I have learned that things like tomato, onion, garlic, alcohol are triggers so I do best to avoid them. You may want to try keeping a good journal to see if you notice any patterns when you aren’t feeling well. Then try to remove those offending things.

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Thanks for sharing your story!! I have acid reflux and my gallbladder removed years ago!!
I hope you can get good results! I believe that Dr.s sometimes ignore our symptoms because they don't know enough about our disease and symptoms!
Prayers for you!

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Profile picture for xmipou @xmipou

Hello, I also have pressure/pain behind the left rib, also indigestion. I was diagnose with Brunner’s gland Hyperplasia after an endoscopy. Were you also diagnose after an endoscopy or your doctor performed other studies to make your diagnosis?

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I was diagnosed with BGH years ago! My Dr. at the time found it on an endoscopy! At that time her told me not to worry about it, nothing will happen. He has since died a few yrs ago and no one in the medical community here in Louisville seems to specialize in it!
I have googled BGH for answers thru the US and know one comes up.

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I am comforted, @hhd to see you find this discussion so you can connect with others dealing with Brunner’s Gland Hyperplasia. I am glad you found this discussion related to the camera and bleeding you are currently dealing with. https://connect.mayoclinic.org/discussion/pillcam/

I am tagging @xmipou, @tryingrealhard, @amandaa and @clementels to learn what updates they may have.

An appointment at Mayo Clinic would be a good option for you to check out: http://mayocl.in/1mtmR63

How are you feeling?

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Looking for information or guidance. We have a 9yo boy that has had stomach pain for 4 months. He describes it as pressure right at the belly button. His symptoms include: pressure, nausea, loss of appetite, constipation.
The symptoms are present everyday but do flare causing symptoms to be worse. The flares can happen at anytime but definitely after eating & car rides.
When doing a endoscopy BGH was found. We are trying to find the root cause of these glands to be hyperactive and so far have only managed to wrack up thousands of dollars in medical bills & our sweet 9 year old is still in pain everyday.
A little background: in March he was diagnosed with a histamine disorder, we chose to use supreme nutrition herbs to aid in gut healing. Since he was a baby he has never had a normal stool and has battled with skid marks his entire life. He’s struggled with rashes around his mouth, on his elbows & knees. He often get stye’s in his eyes & canker sores. He also has tics, some are verbal & some non verbal. Along with chronic congestion.
In March we pulled gluten & dairy from his diet & the rashes, chronic congestion, styes, canker sores & tics have since improved. The end of April is when his stomach pain began and he went from pooping daily to constipated. However, looking at the skid marks we wonder if he’s been chronically constipated his entire life and since removed his trigger foods his body is now relearning how to have a normal bowel movement. But how does the Brunner Gland Hyperplasia fit in? What could be the root cause? Is this all apart of the healing process or is there an underlying condition and if so, where do we go from here? From a GI standpoint BGH is a normal finding but all my research shows is actually rare & typically a response to something else going on. We are desperate to help our boy and are hoping this might bring some light and help us find him some relief.

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Profile picture for healdm01 @healdm01

Looking for information or guidance. We have a 9yo boy that has had stomach pain for 4 months. He describes it as pressure right at the belly button. His symptoms include: pressure, nausea, loss of appetite, constipation.
The symptoms are present everyday but do flare causing symptoms to be worse. The flares can happen at anytime but definitely after eating & car rides.
When doing a endoscopy BGH was found. We are trying to find the root cause of these glands to be hyperactive and so far have only managed to wrack up thousands of dollars in medical bills & our sweet 9 year old is still in pain everyday.
A little background: in March he was diagnosed with a histamine disorder, we chose to use supreme nutrition herbs to aid in gut healing. Since he was a baby he has never had a normal stool and has battled with skid marks his entire life. He’s struggled with rashes around his mouth, on his elbows & knees. He often get stye’s in his eyes & canker sores. He also has tics, some are verbal & some non verbal. Along with chronic congestion.
In March we pulled gluten & dairy from his diet & the rashes, chronic congestion, styes, canker sores & tics have since improved. The end of April is when his stomach pain began and he went from pooping daily to constipated. However, looking at the skid marks we wonder if he’s been chronically constipated his entire life and since removed his trigger foods his body is now relearning how to have a normal bowel movement. But how does the Brunner Gland Hyperplasia fit in? What could be the root cause? Is this all apart of the healing process or is there an underlying condition and if so, where do we go from here? From a GI standpoint BGH is a normal finding but all my research shows is actually rare & typically a response to something else going on. We are desperate to help our boy and are hoping this might bring some light and help us find him some relief.

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Hi @healdm01, and welcome to Mayo Clinic Connect! The last 4 months must feel like a nightmare.

I am not familiar with Brunner Gland Hyperplasia, but want to invite @tryingrealhard, @custom1222, @xmipou, @clementels, and @hhd who have discussed BGH.

You mention a GI doctor, and also a histamine disorder. Has your son seen other doctors, and if so are they working together to figure out what is happening? What led to his histamine disorder diagnosis?

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Thank you for the reply! My 1.5 year old was diagnosed back in December, he was born with a group of histamine cells we thought were a birth mark. After his diagnosis and research we realized this was likely a genetic factor and myself and all 3 kids were eventually diagnosed. Right now are are just working with GI. We did request an appointment with Mayo and they denied it. So I’m reaching all platforms to hopefully find some light and direction on where we go from here. I won’t give up until I find someone willing to help us. But first I need all the research and experiences with BGH to help me better understand what could potentially be the cause. The Mayo put our request in with some other departments and I have been in contact with a couple GI doctors at the U of M than mentioned Rheumatology & Immunology next but I’m trying so hard to also protect him because every appointment leads to more blood draws and it’s driving his anxiety. BGH seems rare and I feel so alone and so unheard. Any feedback here would be so appreciated.

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Profile picture for healdm01 @healdm01

Looking for information or guidance. We have a 9yo boy that has had stomach pain for 4 months. He describes it as pressure right at the belly button. His symptoms include: pressure, nausea, loss of appetite, constipation.
The symptoms are present everyday but do flare causing symptoms to be worse. The flares can happen at anytime but definitely after eating & car rides.
When doing a endoscopy BGH was found. We are trying to find the root cause of these glands to be hyperactive and so far have only managed to wrack up thousands of dollars in medical bills & our sweet 9 year old is still in pain everyday.
A little background: in March he was diagnosed with a histamine disorder, we chose to use supreme nutrition herbs to aid in gut healing. Since he was a baby he has never had a normal stool and has battled with skid marks his entire life. He’s struggled with rashes around his mouth, on his elbows & knees. He often get stye’s in his eyes & canker sores. He also has tics, some are verbal & some non verbal. Along with chronic congestion.
In March we pulled gluten & dairy from his diet & the rashes, chronic congestion, styes, canker sores & tics have since improved. The end of April is when his stomach pain began and he went from pooping daily to constipated. However, looking at the skid marks we wonder if he’s been chronically constipated his entire life and since removed his trigger foods his body is now relearning how to have a normal bowel movement. But how does the Brunner Gland Hyperplasia fit in? What could be the root cause? Is this all apart of the healing process or is there an underlying condition and if so, where do we go from here? From a GI standpoint BGH is a normal finding but all my research shows is actually rare & typically a response to something else going on. We are desperate to help our boy and are hoping this might bring some light and help us find him some relief.

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Hi, @healdm01 - I wanted to let you know that I moved your post here to an existing Mayo Clinic Connect discussion on Brunner's Gland Hyperplasia.

Glad you got connected with @jlharsh. I'd also like for you to meet @lakelady55 @hhd and others here. Hoping they can shed some light onto any condition that may be underlying the BGH.

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