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Gastroenterology (Expert Forum)
chasing 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.
chasing symptoms
by jetmom, Feb 28, 2003 12:00AM
I have been experiencing these GI symptoms for about a month
My stomach feels full continuously. I feel a presence in my esophagus. My tongue is coated (looks like growth in a petri dish). I don't get ACID reflux, but it feels like something is backing up I have upper abdominal pain.
I was treated last year for H. pylori, but recent tests show no rei-nfection. Also, negative tests for giardia. I have lower intestinal cramping until the daily movement.
My doctor is beginning to chase symptoms. A friend of mine died last year because her doctor only chased symptoms.
I see my doctor on 3-3-03. I need help convincing him to take a more aggressive approach.
I'm not afraid of him,he is very good to our family, but I need to convince him to pay more attention to this.
As a matter of note, After 15 years of mild neurological symptoms, I have recently been diagnosed with MS. I experience no immediate reactions to the Avonex. I have been using it for only two weeks. Liver tests have yet to be performed.
My stomach feels full continuously. I feel a presence in my esophagus. My tongue is coated (looks like growth in a petri dish). I don't get ACID reflux, but it feels like something is backing up I have upper abdominal pain.
I was treated last year for H. pylori, but recent tests show no rei-nfection. Also, negative tests for giardia. I have lower intestinal cramping until the daily movement.
My doctor is beginning to chase symptoms. A friend of mine died last year because her doctor only chased symptoms.
I see my doctor on 3-3-03. I need help convincing him to take a more aggressive approach.
I'm not afraid of him,he is very good to our family, but I need to convince him to pay more attention to this.
As a matter of note, After 15 years of mild neurological symptoms, I have recently been diagnosed with MS. I experience no immediate reactions to the Avonex. I have been using it for only two weeks. Liver tests have yet to be performed.
Doctor's Answer
by Kevin Pho, MD, Feb 28, 2003 12:00AM
, Feb 28, 2003 12:00AM
Hello - thanks for asking your question.
Feeling a "presence" in your esophagus absolutely needs further workup with either a gastroscopy (preferred) or a barium swallow.
There are multiple causes that can cause this symptom, which should be discussed with your personal physician. These include benign tumors, caustic esophagitis/stricture, diverticula, malignancy, peptic esophagitis/stricture, esophageal rings/webs, achalasia, esophageal spasm, scleroderma or functional dysphagia to new a few.
A gastroscopy or barium swallow will help in the diagnosis. The appropriate treatment will depend on what is found.
I strongly suggest follow-up with your personal physician or gastroenterologist.
I stress that this answer is not intended as and does not substitute for medical advice - please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Feeling a "presence" in your esophagus absolutely needs further workup with either a gastroscopy (preferred) or a barium swallow.
There are multiple causes that can cause this symptom, which should be discussed with your personal physician. These include benign tumors, caustic esophagitis/stricture, diverticula, malignancy, peptic esophagitis/stricture, esophageal rings/webs, achalasia, esophageal spasm, scleroderma or functional dysphagia to new a few.
A gastroscopy or barium swallow will help in the diagnosis. The appropriate treatment will depend on what is found.
I strongly suggest follow-up with your personal physician or gastroenterologist.
I stress that this answer is not intended as and does not substitute for medical advice - please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
