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Gastroenterology (Expert Forum)
chronic pain
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.
chronic pain
by Alison-Boteler, Sep 05, 1998 12:00AM
I'm at my wits end! I'm suffering from horrible esophageal pain 24 hours a day. It all started when I took Fosomax. An endoscopy showed that I had some "distal sluffing" but no serious erosion. After 5 months on ppi inhibitors and carafate (which made my osteoporosis get worse), a second endoscopy showed that my esophagus had healed. But I'm still in terrible pain. I had two 24 hour acid ph tests that were "normal". I had hopeed a fundoplication surgery would solve my problem. However, since there's no acid coming up...Im not a candidate. Actually, stomach acid suppressing drugs give me no relief so acid probably isn't the cause. Has something permanently changed about my esophageal tissue, so that it will always hurt? I don't know if I can take this much longer. I tested negative for H. pylori and thrush. What else cold cause a burning and itching in the esophagus? (It actually got worse on Prilosec.) could there be some other kind of fungus or parasite? A RAST test showed that I had a huge reaction to mold, but I don't have any allergy symptoms. If I take an antihistamine, my esophagus doesn't feel any better.Is this some kind oof nociceptive pain? I've been to two specialists and I can't get any relief. I used to be such a happy person. This chronic pain ha made my life unbearable. Is there any other explanation for this, besides the Fosomax (which I quit 8 months ago, and have since "healed") or acid reflux, which always showed up between 6.1 and 7.1, upright, all day long? Is there any treatment or diagnosis that could have been missed?
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Dear Alison Boteler,
Fosamax has been shown to cause a severe esophagitis. The symptoms should resolve in time. In view of the persistence of symptoms, you should ask your doctor to rule out an esophageal motility disorder by doing a motility study. An infection of the esophagu sshould be visible at the time of endoscopy. The normal endoscopy study argues against a parasitic infection.
This information is presented for educational purposes. Always consult your personal physician for specific medical questions.
HFHSM.D.-rf
*keywords: esophagitis, chest pain Fosamax
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