I have a question about pain that comes with crohns  disease . I have had a recent endoscopic, that indicated I have Barretts esophagus and duodenitis  that was inflamed. but have not been diagnosed with Crohns disease. What do I need to help with pain management? Some time the pain is unbearable.
Thank you for your question! Pain in your case is due to duodenitis. It will be burning in nature in the epigastric region. Pain is due to excess amount of gastric acid production and reflux of acid into esophagus due to low esophageal sphincter tone (which help preventing acid reflux into esophagus). Crohn's disease is a different entity. Your pain is not related to Crohn's disease. Take pantoprazole tablets twice daily for 10 days. It gives symptomatic relief. Avoid alcohol, smoking, caffeine and late night dinner. These measures will keep your esophageal sphincter in a good tone.