proctitis & duodnum inflammation

hi,  a year ago i started having upper middle epigastric pain and cramps and diahreah everyday.   i had EGD and Colonoscopy that just showed duodnum inflammation and some proctitis.     Was given Canasa suppositories that worked on the proctitis, my cramps and diahreah went away.      The upper middle gastric pain still comes and goes.    Now also, I have middle chest pain that is just a pressure that sits there all the time.   I had a heart evaluation, it's definately not that.    A normal chest xray, EKG and echo stress.       So, why the inflammation that comes and goes?    What can be happening in my chest, in the esophogus maybe?    I take prilosec 2x daily with little help,   sometimes I just notice a milder passing ache in my upper belly like before, but now my chest has much pressure in it 24/7  and I have had heart palpitations again extensive cardiac tests no answer

[Ratnakar Kini, MD]

Hi,
It could be due to acid reflux.
In 70% of the cases upper GI endoscopy will show no lesions in the esophagus.
24 hours pH monitoring will be helpful in these situations.
You may continue prilosec.
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The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.

- Ratnakar Kini M.D.