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What does endoscopy reveal?

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Crohn's Disease
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Posted 2/9/2013 10:53 PM (GMT 0)
I have Dx of GERD. I have been having episodes of nausea and vomiting.

My GP suggested it may be Crohn's disease or Celiac disease. My blood work checked out ok.

I went to GI PA and he thinks it is GERD. He did set me up for endoscopy. I had an unintentional weight loss going from 108 to 97 pounds over a period of nine months. I am 60 inches in height and have small thin build. The GI PA thinks the weight loss is just a coincidence.

So basically what can endoscopy reveal?
Posted 2/9/2013 11:28 PM (GMT 0)
Then endoscopy will show ulcers or other problems in your esophagus or stomach. The doc also may be able to take a biopsy for celiac, but I'm not sure. To rule out Crohn's, you would need a colonoscopy and either a pill cam, CT or small bowel follow through test. Since GERD is their first suspicion, it makes sense that they are starting with the upper endoscopy. I have gastorparesis (slow stomach emptying) which was diagnosed with a test where I swallowed radioactive eggs and then they x-rayed as the food moved through. For me the gastroparesis is intermittent, and when I have it I get full easily and very nauseated. Gastroparesis isn't necessarily related to Crohn's, but for me it gets bad when I'm in a Crohn's flare. I hope you get some answers and feel better soon.
Posted 2/9/2013 11:33 PM (GMT 0)
Sorry that you are suffering. Well, an upper endoscopy shows inflammation or ulcers in the esophagus, stomach and duodenum. Doctors can tell whether the ulcers are caused by Crohn's or not. If they suspect Crohn's or any other cause, they take biopsies but this is not usually done.
I have been suffering from GERD for 14 years now and out of experience I highly recommend that you undergo the endoscopy ASAP. The procedure itself is painless if performed under sedation. Diagnosing and treating GERD at the beginning can make you avoid its becoming chronic.
IMO, constant vomiting and having heartburn can cause your weight loss. I had my GERD 9 years before I was diagnosed w Crohn's and I remember that I lost weight drastically then because I hated eating to the extent that my doctor wanted to admit me to hospital to get fluids and iv nutrition.
Sucralfate won't treat nausea. You need something like Motilium or any other domperidone like meds or any antiemetic or antivomiting med.
Keep us posted of how things go on.
Good luck and take care :)
Posted 2/10/2013 12:02 AM (GMT 0)
Thank you for replies. I have had vomiting spells for almost a year now. Sometimes I go for weeks without vomiting but other times it is about once a week.

PA did mention something about gastroparerisdisease.

I do eat when the vomitng spell ceases. In fact, I am very hungry.

Also, with the GERD I have very little heartburn. I don't think it is any more than your average occasional stuff.
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