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Gastroenterology (Expert Forum)
What else could be wrong?
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.
What else could be wrong?
by montypython, Sep 22, 2005 12:00AM
Howdy and thanks for this opportunity. For approx 3 years I've had epigastric symptoms. First noticed stomach contents coming up in certain Yoga positions 3 years ago. Began having night time reflux 1 year ago w/ "stuck in throat" symtpoms. Was scoped showed distal espohageal erosion. Started Nexium 40 q am. Symptoms improved for a few months. Now however I have constant nausea and very profound "stuck" sensation. It feels as if my stomach contents are constantly present in esophagus and hoarse from acid. My weight was an issue (sudden gain in menopause) but I'm down from a high of 198 to 172. (I'm 5'7") I'll see my gasto MD next week in meantime nas upped Nexium to BID but no improvement.
Of course I'm worried about CA (had breast CA 1998). What is other differential? I'm switched to decaf and don't feel diet is an issue...
Thanks in advance for your response and again thanks for the opportunity to ask these questions.
Jackie
Of course I'm worried about CA (had breast CA 1998). What is other differential? I'm switched to decaf and don't feel diet is an issue...
Thanks in advance for your response and again thanks for the opportunity to ask these questions.
Jackie
Doctor's Answer
by Kevin Pho, MD, Sep 23, 2005 12:00AM
, Sep 23, 2005 12:00AM
An obstruction, esophageal stricture, GERD, motility disorders, or hiatal hernia are all possible.
The endoscopy would evaluate for most of these considerations. You can also consider a 24-hr pH study along with esophageal motility studies, which can evaluate for continuing GERD as well as motility disorders.
Another consideration would be delayed gastric emptying, which can be evaluated with a gastric emptying scan.
These options can be discussed with your GI 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.
http://www.straightfromthedoc.com
The endoscopy would evaluate for most of these considerations. You can also consider a 24-hr pH study along with esophageal motility studies, which can evaluate for continuing GERD as well as motility disorders.
Another consideration would be delayed gastric emptying, which can be evaluated with a gastric emptying scan.
These options can be discussed with your GI 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.
http://www.straightfromthedoc.com
