Barrett's esophagus

Overview

Barrett's esophagus doesn't cause symptoms by itself; reflux does.

Most people with Barrett's never get cancer.

Acid changes the food pipe lining.

It raises the risk of cancer.

Symptoms

Common signs:

• Heartburn

Less common

• Trouble swallowing

Look up a symptom: Heartburn

When to get medical care

Causes

Acid damage.

Does it spread or run in families?

• It isn't contagious. You can't catch it from someone else.

Who is more likely to get it

• White men over 50
• Long-term reflux

Diagnosis

A clinician asks about your symptoms and may order tests.

The exam

A physical exam.

Tests

Tests, if needed:

• Endoscopy with biopsy:

Treatment

Treatment depends on the cause and how severe it is.

Self-care

• Take acid reducers
• Lose weight
• Raise the head of the bed

Prevention

To lower your risk or prevent problems:

• Treat heartburn

Which doctor treats this

• Start with your primary care provider (family doctor or internist).
• They may send you to a gastroenterologist (stomach and gut doctor).

Children, pregnancy, and older adults

• White men over 50 with heartburn: Highest risk.

Pregnancy and breastfeeding

• If you're pregnant or planning to be, tell your prenatal provider about this condition.
• Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
• Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
• Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.

Outlook

Regular checks catch changes early.

Getting ready for your visit

Bring a list of your symptoms and medicines.

What to bring

• A list of your medicines and supplements
• Notes on when symptoms started and what makes them better or worse

Questions to ask

• What's causing this?
• What treatment do you recommend?
• How often do I need a scope?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Barrett's esophagus