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

After seeing my gastroenterologist yesterday, I am on a 6 week fodmap diet, and I'm off pantoprazole.

Sure. Thanks for your encouragement and help.

@amylynn2

I'm glad that you will be seeing a GI doctor on Tuesday. Please let the doctor know about the need for a good eating plan that will help to reduce the heartburn you are experiencing.

I look forward to hearing from you again. Will you post again after your appointment?

Actually my first GI doctor forgot to tell me I had this. My primary
doctor did. I see a new GI doctor Tuesday.

Hello @amylynn2 and welcome to the Digestive Health support group on Mayo Connect. I have had several surgeries of the upper digestive tract and I follow a low residue (low fiber) as well as low spice eating plan as well.

You will probably have to experiment with how much spice is "too much." By that I mean that some spices might produce more heartburn symptoms than others. The quantity of spices might also be a factor in your symptom control.

From my own experience, when cumin, curry powder or cayenne pepper are called for in a recipe, I just sprinkle some in, I don't use the measurement suggested by the recipe.

I would suggest that you keep a journal of what foods/spices that you ear and what symptoms they cause. Eating small, frequent meals is usu ally better than eating large meals.

I hope that you find an eating plan that works for you. Did your GI doctor provide you with any specific diet restrictions?

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.

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.

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.

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

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