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Gastroenterology (Expert Forum)
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.
symptoms
by robbo5, Jan 25, 2005 12:00AM
about 3 weeks ago i noticed when lying down fairly severe pain in the aesophagus which seemed to disappear when sitting up. the pain was nowhere else then. over the past 3 weeks the pain has become more severe and radiates to the jaw and sometimes down the arms. the pain now comes on at random whatever position im in. just before the episodes began i came off celebrex and went on to arthrotec a nsaid. my doctor says i have the symptoms of anjina but after visiting the hospital emergency ward i was given amoxycillin and peptac liquid as they found after blood tests and ecg no heart/anjina signs. also i have never had chest pain in the attacks. this was on saturday. i experienced a slight repeat of the symtoms on sunday but no more since. i am inclined to believe the problem is related to stomach bile moving back up the aesophagus but i have never seen symtoms of pain only in the throat, jaw and arms associated with a condition like this so i am worried about anjina,even though i have never had an episode after exercise,all have been at rest.i have had no stomach pain or any pain lower than the throat. perhaps anyone who has experienced similar symptoms or an expert can help.
Doctor's Answer
by Kevin Pho, MD, Jan 26, 2005 12:00AM
, Jan 26, 2005 12:00AM
If angina is considered - it can be evaluated with an exercise stress test. This certainly can be arranged via your personal physician or a cardiology referral.
Assuming that the heart is ok, you may want to evaluate for the various causes of dyspepsia. This can include inflammation of the upper digestive tract, ulcers or GERD. Reasonable tests to consider would be an upper GI series and/or an upper endoscopy. You can also consider blood tests for a bacteria known as H Pylori - which is associated with ulcers or inflammation. If GERD is present, an acid-suppression medication can be tried.
I would discuss these options 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.
Medical Weblog:
kevinmd_b
Assuming that the heart is ok, you may want to evaluate for the various causes of dyspepsia. This can include inflammation of the upper digestive tract, ulcers or GERD. Reasonable tests to consider would be an upper GI series and/or an upper endoscopy. You can also consider blood tests for a bacteria known as H Pylori - which is associated with ulcers or inflammation. If GERD is present, an acid-suppression medication can be tried.
I would discuss these options 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.
Medical Weblog:
kevinmd_b
