Ian's first follow-up visit with the Gastroenterologist

Ian had his follow-up visit with his Gastroenterologist, Dr. Narahari, this morning. He got there early and they were able to see him early. The doc is very straight forward and Ian's a little overwhelmed. The doctor phoned me while Ian was still in the exam room to discuss things with me, too.

Dr. N's office will call an allergist to refer him so that the two offices will coordinate diagnosis and treatment. Once we discover the food that is causing the allergic reaction, and the inflammation in the esophagus goes away, Ian's dosage of Prilosec will drop back to a normal daily dose for the rest of his life.
Until then, Ian must still continue a "soft-food" diet. In other words, no meat! Foods that are not soft, like meat, would risk another obstruction and could cause the esophagus to tear.

The normal opening of the esophagus is greater than 18 (units;) Ian’s is currently at about 10 (units.) So, Dr. N wants to perform a series of Esophageal Dilations. Dr. N explained that this has to be done slowly so as to not stress the inflamed esophagus and cause it to tear, so he can expand the esophagus, at most, 3 (units) in each procedure. We’re looking at at least two, maybe three procedures. (i.e., the first one will take him to ~13 (units) and the second one will get him to ~16 (units)… hopefully the allergist find the offending food and Ian will remove it from his diet and the rest of the inflammation will recede to normal esophagus diameter.) Each procedure should last no longer than 30 minutes. If all goes as planned and Ian eliminates the offending food from his diet, he will be able to avoid a steroid swallow that asthmatics take. As said before, the Prilosec will continue but at normal doses.

Next problem: Dr. N has access to the Endoscopy suite on Wednesdays. Dr. N would have liked to start the first procedure tomorrow or next Wednesday. Ian has classes and labs all day on Wednesdays. Ian needs to see if he can do his lab on a different day and talk to his professors about missing lectures. If Ian is unable to work things out, his first open Wednesday is the day before Thanksgiving (no classes that day.) He also needs someone to drive him on days he has the procedure(s) because he’ll be under general anesthesia for the procedures.

So, that’s where we are as of right now.