Health Library Logo

Health Library

Barretts Esophagus

Overview

Your esophagus is a tube that carries food from your mouth to your stomach. Normally, it has a smooth, pink lining. A valve called the lower esophageal sphincter (LES) sits at the bottom of the esophagus, acting like a gate to prevent stomach acid from flowing back up.

Sometimes, this valve doesn't work properly. This can happen if the valve weakens or relaxes too often. When stomach acid flows back up into the esophagus (a condition called gastroesophageal reflux disease, or GERD), it damages the lining. This damage can cause the lining to thicken and turn red. This condition is called Barrett's esophagus.

GERD often causes symptoms like heartburn or a feeling of food coming back up (regurgitation). In some people, chronic GERD can lead to changes in the cells of the esophagus, which is Barrett's esophagus.

Barrett's esophagus increases the risk of esophageal cancer, a cancer of the esophagus. While the risk is not very high, it's important to get regular checkups. These checkups often involve special tests like imaging (looking at the inside of the esophagus) and taking small tissue samples (biopsies) to look for precancerous changes in the cells (dysplasia). If precancerous cells are found, treatment is available to prevent esophageal cancer from developing.

Symptoms

Barrett's esophagus is often linked to a condition called GERD (Gastroesophageal Reflux Disease). GERD is usually characterized by persistent symptoms like frequent heartburn and the bringing up of stomach contents (regurgitation). Some people also experience trouble swallowing food. While heartburn and regurgitation are common, it's important to know that about half the people with Barrett's esophagus don't have many, if any, obvious signs of acid reflux. This makes it crucial to talk to your doctor if you have any concerns about your digestive health.

If you've had heartburn, regurgitation, or acid reflux problems for more than five years, it's a good idea to talk to your doctor about your risk of Barrett's esophagus. This is a conversation you should have with your doctor regardless of whether you experience other symptoms.

However, there are some serious digestive issues that require immediate medical attention. Seek urgent care if you experience:

  • Chest pain: Chest pain can be a sign of a heart attack, so it's very important to get immediate medical help.
  • Difficulty swallowing: Trouble swallowing can indicate a blockage or other serious problem.
  • Vomiting blood (red or coffee-ground-like): Vomiting blood is a sign of internal bleeding and needs immediate medical attention.
  • Black, tarry, or bloody stools: This also indicates internal bleeding and requires immediate medical attention.
  • Unintentional weight loss: Losing weight without trying can be a sign of a more serious underlying condition and should be checked by your doctor.

If you have any of these symptoms, or if you have questions about your digestive health, don't hesitate to talk to your doctor. Early detection and treatment are key to managing any potential health concerns.

When to see a doctor

If you've experienced heartburn, acid reflux, or food coming back up (regurgitation) for more than five years, talk to your doctor about your risk of Barrett's esophagus. This is a condition where the lining of your food pipe (esophagus) changes, and it's important to get it checked.

It's crucial to seek immediate medical attention if you experience any of the following:

  • Chest pain: Chest pain can be a sign of a heart attack, a serious medical emergency. Don't ignore it. Get help right away.
  • Difficulty swallowing: If you're having trouble swallowing food or liquids, this could indicate a problem with your esophagus or other parts of your digestive system. See a doctor.
  • Vomiting blood or blood that looks like coffee grounds: Vomiting blood is a serious sign of bleeding in your digestive tract. This needs immediate medical attention.
  • Black, tarry, or bloody stools: Black or tarry stools (feces) or stools containing blood can also indicate bleeding in your digestive tract and require prompt medical care.
  • Unintentional weight loss: If you've lost weight without trying, this could be a sign of an underlying health problem. It's important to talk to your doctor to determine the cause.

In short, if you've had persistent heartburn, acid reflux, or regurgitation for a long time, it's a good idea to discuss it with your doctor. And if you experience any of the warning signs mentioned above, don't delay getting medical help. Early diagnosis and treatment are key to managing these issues effectively.

Causes

Barrett's esophagus is a condition where the lining of the food pipe (esophagus) changes. Scientists don't fully understand why this happens. Many people with Barrett's esophagus have a long-term problem called GERD (Gastroesophageal Reflux Disease). GERD is when stomach acid flows back up into the esophagus. But, some people with Barrett's esophagus don't have any noticeable symptoms of acid reflux. This is sometimes called "silent reflux."

In either case, whether the reflux is noticeable or not, stomach acid and other chemicals travel back up into the esophagus. This exposure damages the lining of the esophagus. The damage triggers the cells lining the esophagus to change, which is what we call Barrett's esophagus.

Risk factors

Barrett's esophagus is a condition where the lining of your food pipe changes. Several things can increase your chances of getting it.

Family History: If someone in your family has Barrett's esophagus or esophageal cancer, you're at a higher risk. This means your genes might play a role.

Gender: Men are more likely to develop Barrett's esophagus than women. Scientists aren't entirely sure why this is the case.

Race: White people have a slightly higher risk of Barrett's esophagus compared to other racial groups. Again, the exact reasons aren't completely understood.

Age: While anyone can get Barrett's esophagus, it's more common in adults over 50. As we age, our bodies may be more susceptible to changes in the food pipe lining.

Chronic Acid Reflux: If you have frequent heartburn or acid reflux that doesn't improve with over-the-counter medications (like those that reduce stomach acid), or if you need regular medication for it, your risk of Barrett's esophagus is higher. This is because constant stomach acid exposure to the food pipe can cause damage and changes to its lining.

Smoking: Both current and past smoking can increase your risk. Smoking can weaken the protective barrier in your esophagus and make it more vulnerable to acid damage.

Weight: Being overweight, especially with extra fat around the belly area (called abdominal obesity), can also raise your risk. Excess weight can put more pressure on your stomach, making it easier for stomach acid to flow back into your esophagus.

Complications

Barrett's esophagus can increase the chance of getting esophageal cancer. This risk isn't huge, even if someone has abnormal changes in the cells of their esophagus that are considered precancerous. Importantly, most people with Barrett's esophagus won't get esophageal cancer. While the risk is higher than for people without Barrett's, it's still relatively low for most.

Address: 506/507, 1st Main Rd, Murugeshpalya, K R Garden, Bengaluru, Karnataka 560075

Disclaimer: August is a health information platform and its responses don't constitute medical advise. Always consult with a licenced medical professional near you before making any changes.

Made in India, for the world