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Gastroenterology (Expert Forum)
GI Symptoms
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
GI Symptoms
by magnum72, Oct 03, 2007 09:10AM
I am a 35 year old male, 6'2" tall, 245lbs.I was battling what I thought were symptoms of esophageal origin over a year ago. I had all of the necessary tests performed, Barium Swallow and Endoscopy, both were negative. Only evidence was of mild reflux at the LES. My Endoscopy was performed Oct\06. My symptoms seemed to subside for about 10 months, but I am now battling what I would call the same symptoms - Chest pain on the left side, radiating to my back and sensitivity in my esophagus to cold fluids. I have no difficulty swallowing but the odd time there is pain when swallowing. I have already made an appointment to see my GP. Would he be sending me for another endosopy? Or evaluate in other ways? Is my body not reacting to Pariet (heartburn meds)? Obviously the scare is that it is eshophageal cancer. Would it be possible to develop in such a short period if all of my tests came back negative less than a year ago?
Thanks in advance for any insight!
Kevin
Thanks in advance for any insight!
Kevin
Doctor's Answer
by Kevin Pho, MD, Oct 03, 2007 09:32PM
, Oct 03, 2007 09:32PM
The endoscopy is normally a pretty comprehensive test that would rule out many major esophageal disorders. Motility studies can be considered, since a reaction to cold fluids can be caused by a esophageal motility disorder.
Right upper quadrant pain radiating to the back should be evaluated for an ulcer as well as pancreatitis. The endoscopies can exclude an ulcer. Imaging with a CT scan as well as blood tests can evaluate the pancreas.
Esophageal cancer would be appropriately evaluated with an endoscopy - if suspected, this should be repeated.
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.
www.kevinmd.com
Right upper quadrant pain radiating to the back should be evaluated for an ulcer as well as pancreatitis. The endoscopies can exclude an ulcer. Imaging with a CT scan as well as blood tests can evaluate the pancreas.
Esophageal cancer would be appropriately evaluated with an endoscopy - if suspected, this should be repeated.
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.
www.kevinmd.com
Member Comments (2)
by teripec, Oct 03, 2007 10:11AM
To: kevin
kevin, I don't know why but I need to ask this... how's your sex life? Have you considered an std? Deep kissing and oral sex can pass something as simple as a yeast infection to others that are more serious and cause you many problems.
