Carol Kelly74 said:Alright, can someone point me toward a good private clinic in Washington, D.C. where I can get a gastroscopy done? Thanks.
Well, you might want to look into the Clinic in a Suburban neighborhood—their gastroenterology department is actually quite solid.
If you show up without a referral, you just pay the full out-of-pocket price and call it a day. I believe it comes to about $333.
It was roughly $167 when a woman walked in without insurance (we were actually sitting through an internal medicine lecture at the time).
You absolutely need to go through with the gastroscopy. A stomach ulcer can exist regardless of whether H. pylori is present... and honestly, lingering with that condition isn't wise. You risk developing gastroesophageal reflux, Barrett esophagus, and eventually esophageal cancer (as a consequence of chronic inflammation).
A gastroscopy is really the gold standard here. It’s vital because of what they see visually on the screen, but also for diagnostic purposes—they take a small tissue sample for pathology. I'm not entirely sure if the quality varies at private practices, since I don't know how closely they are integrated with pathology labs.
In terms of medication, proton pump inhibitors are the best bet—things like Omeprazole and other "-zoles."
H2 blockers (like Pepsi or Ranitidine) are somewhat older drugs and aren't nearly as effective.
Essentially, OMEPRAZOL aids in tissue healing (along with symptom relief), whereas Ranitidine merely masks the symptoms/inflammation, meaning everything could just flare right back up in a few months...
(Another issue is that the government tries to cut costs, so they often prescribe Ranitidine instead of Omeprazole... 😢 )
Triggers for increased stomach acid include vagus nerve activation (around 2 in the night), consuming acidic foods (lemon, soda), and high-protein meals (which act as a catalyst for acid secretion).