Hey ,

I will help you with the translation, although the interpretation of your physician is leading. Let’s focus on the histology report and their findings in the stomach & oesophagus.

Under the ‘Microscopic’ section Alinea ‘B’ the histology report says:
• mild foveolar hyperplasia – this means that the tissue found in the biopsy in the stomach became bigger because of an increase in the number of cells.
• oedema – which means that the tissue is swollen
• vascular ectasia – which means the arteries are swollen and more vulnerable
• mild fibromuscularization of the lamina propria – which means the tissues of the arteries in the connective tissue (which is the lamina propria) have changed mildly in such a way that blood flow can be restricted.

There was no H. Pylori seen in the biopsy although the IHC (Immunohistochemistry report that will come) could give more definitive information.

Reasons why the stomach tissue is ‘irritated’ are unclear. The use of NSAID could explain such an irritation, and a reflux of bile from the duodenum into the stomach (entrogastric reflux) could explain this as well. Alcohol use could cause irritations. Other medications as well.

Have you had an operation when you were younger called pyloroplasty? This is usually done when you are a baby.

Did you have a cholecystectomy?

For now, I would advise you not to use betaine HCl as a supplement. Focus on the healing of the stomach tissue.

And let us know what the opinion of your gastroenterologist is!

Hey ,

I do believe that abnormal stomach function can increase the risks of getting gastritis.

I also believe that poor conversion of T4 to T3 and the low B6 & folate (and suboptimal B12) are the ‘easier’ problems to address that could influence digestion.

The B vitamins are necessary for healthy nerve function (which in my opinion could right now play a role in worsening the dynamic) which is necessary for healthy GI function in general.

The low fT3 will also slow down motility in all parts of the GI tract.

Getting those 2 things in place is necessary for healthy digestion anyway!

Because the healing of the stomach lining can take some time, doesn’t mean you can’t progress in my opinion as well.

A low FODMAP food pattern is for example still a powerful tool that can help with SIBO.

Making liquids from slippery elm and marshmallow root like Bernadette suggested can help with the healing of the stomach lining.

Once you ended your period with healing you could try weaning off PPIs again slowly. In previous attempts of weaning off your medication, could you share with us how you did that?

Medications
We know that antiacids can slow down gastric emptying as well. Do you feel some medicines work better for you than others?

I personally would be really interested in the opinion of your gastroenterologist as well.
• Does he for example feel that an entrogastric reflux is at play here as well? 
• And how does he interpret the results of the Histology report? (Does he for example feel like testing again? And if so in what time frame?)

 I’m sorry if I was unclear (english is not my mother language!). No, the B vitamins I would like you to take! We need them for healthy nerve function (Especially folate, B12 and B6 which were low or suboptimal on your OAT & Vitamins & Minerals blood test)!