Barrett's esophagus history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

The majority of patients with [disease name] are asymptomatic.

OR

The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].

History

• The ususal history is suggestive for GERD clinical manifestations:

1. Heartburn (pyrosis): burning sensations in the retrosternal area,.most commpnly after eating.
2. Regurgitation: flow of refluxed gastric content into mouth sometimes mixed with undigested food.
3. Dysphagia: potentially suggestive of a stricture.
4. Chest pain: mimicking angina pectoris, postprandial, squeezing and burning, substernal, lasting minutes to hours, awakens from sleep, exacerabated by stress, resolves spontaneously or with antiacids.
5. Globus sensation: sensation of a lump in the throat
6. Odynophagia: if present ususally indicates the presence of an ulcer.
7. Less commonly: bronchospasms, laryngitis, chronic cough, hypersalivation, nausea.

• Patients can also by asymptomatic.

Symptoms

Barrett's esophagus itself does not cause symptoms. The acid reflux that causes Barrett's esophagus results in symptoms of heartburn.

The change from normal to premalignant cells that indicates Barrett's esophagus does not cause any particular symptoms. However, warning signs that should not be ignored include:

• Frequent and longstanding heartburn
• Trouble swallowing (dysphagia)
• Vomiting blood
• Pain under the breastbone where the esophagus meets the stomach
• Unintentional weight loss because eating is painful

History and Symptoms

• The majority of patients with [disease name] are asymptomatic.

OR

• The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
• Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. 

History

Patients with [disease name]] may have a positive history of:

• [History finding 1]
• [History finding 2]
• [History finding 3]

Common Symptoms

Common symptoms of [disease] include:

• [Symptom 1]
• [Symptom 2]
• [Symptom 3]

Less Common Symptoms

Less common symptoms of [disease name] include

• [Symptom 1]
• [Symptom 2]
• [Symptom 3]