Followup to my previous two questions

[jamesrwright]

You answered my previous two questions re my swallowing problems. I am the 28 yearo ld male that had sudden onset dysphagia for solids (feels like stuff is getting stuck..not sure if it really is)

Here are tests I have had so far
1. Upper GI Scope was clear of any masses/strictures. I had subtle felinzation of  esophagus. They did a biopsy. I do have esoiphoille in the esophagus, but less than 5 per high powered view  which is consistent with acid reflux. However, I have no symptoms of acid reflux and the scope revealed no reflux damage i.e. inflammation either upper or lower I have also been on acid reducing medicines for about a month with no response. (prilosec and then pepcid 40 mg 2x a day_ I had an ENT do a scope as well. Same thing-everything fine other than possible minor irritation of larynx which the GI scope did not see.
2. Barium-modified and regular-no problems but modified did not use the type of solids I am having trouble with "hard solids"
3. CT scan-nothing there.

I know that my espiphoille cell is less than is needed for me to have esophagitis , but based on my symptoms, I feel that it is related to allergies, especially due to time of onset (Mid April when it started getting warm in the Pittsburgh area). I did have some other symptoms of environmental allergies I don't usually have Is there anything that we are missing. Could this be allergy related?

[Kevin Pho, MD]

You have had a pretty comprehensive evaluation, where many of the possible causes would have been found.  

A 24-hr pH study is the most definitive test for reflux, and control with a medication can be considered for treatment.  If medications cannot control the reflux, surgical options can be considered.

I agree that allergies can also worsen the symptoms.  Control of post-nasal drip with a nasal spray like Flonase as well as Allegra can be considered.

These options can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_

[dlhigh]

This is the second time that I've noticed a response from this doctor that concludes he's not listening, unless I'm mistaken and I read your post wrong.  I would like to copy and paste the portion of the question and a portion of the response again to illustrate:  statement from james " I have no symptoms of acid reflux and the scope revealed no reflux damage"  answer from KP  "  A 24-hr pH study is the most definitive test for reflux, and control with a medication can be considered for treatment. If medications cannot control the reflux, surgical options can be considered. "    This is why I get frustrated.  DOES IT SEEM LIKE MANY DOCTORS ARE NOT LISTENING OR DO I HAVE A COMPREHENSION PROBLEM?  I seen a cardiologist today for about two minutes after an hour an a half wait in his 90 degree office, to have him tell me that my six months of occasional dizziness when I sit up in the mornings is the result of drinking too much tea and that I'm dehydrated, while he was taking a call from his wife wanting to know how long until he's finished.  I told him that I've been drinking this same amount of tea for 20 years and if ever I was dehydrated, it would be today from his office with no ac and yet no dizziness today. By the way,  there were four more patients in the waiting room after me and he told her he'd be done in a half an hour. hehehehe. I reccomend you search out a doctor that cares enough to listen and take the time to really understand your symptoms, preferrably an ENT. Good luck on the road to good health!