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Hello! I Have Issues With Acid Reflux For Years Now

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Posted on Tue, 5 May 2020
Question: Hello! I have issues with acid reflux for years now but last few months it got worse. However what was most worrying was that since January I has a wierd burning sensation whenever I was swallowing food, but it was more evident in hard food or meat or pills. Soups felt better. I had also a squeezing / burning sensation on my esophagus whenever I was doing push ups or dips or other exercises that involve the chest muscles. However I usually didn't get those uncomfortable feelings when was not eating something or not working out.

My doctor suspects it may be eosinophilic esophagitis but not sure. Last month, after taking antibiotics for having a cold somehow I've noticed that the burning sensation when I swallowed was mostly gone! (may be also to diet changes as I reduced sweets, honey and chicken and spices).

However I still have an acid reflux issue and sour mouth at mornings and my esophagus still feels occasionally "out of place", sometimes burning and sometimes just irritated or "streched". Sometimes feels like having a lump on my throat.

Biggest Problem is that despite having a nexium 40mg per night for few months already (since January) I got worse recently . My voice is weakened and I feel like having a lump on my throat. Hard to swallow too. I've noticed the symptoms get worse when I workout on the chest area. I feel a squeezing/burning sensation on the esophagus. Also when I strech my back and neck my thoat lump feels worse. My thoat so feels a bit swollen.

Also not sure if it helps but I also suffer from eczema and it got much worse the last few weeks. My diet is pretty clean. I eat only grilled food, no spices, oatmeal, breaded oven baked fish, bananas, raisins, vegetables and chicken. Rarely some hot cocoa(no sugar) and some teas or garlic water.

I used to workout 3 times per week. I have a fit and healthy body. I don't drink or smoke. I meditate often and don't feel I have a lot of stress but I do work many hours in the computer. I have seasonal allergies but insuually control them with workout and with breathing methods (Wim Hof) and cold showers.

I worry that there is no improvement in my acid reflux and especially about my throat lump and difficulty ton swallow sometimes. I am out of balance. Yes, I feel stressed for it :( I want to start working out again with no problems and start eating food with no fear!


Please help. Thank you for your kind services to humanity. ❤️
doctor
Answered by Dr. Dr. Jolanda (47 minutes later)
Brief Answer:
An esophago-gastroscopy examination should be done

Detailed Answer:
Hello and welcome in Ask the Doctor

I can understand your concern

I read carefully the whole history of your signs and symptoms.

If you were my patient I would recommend you do an esophago-gastroscopy examination to evaluate the actual situation of the esophagus and the stomach also.

This examination is a must especially in patients who experience difficulty in swallowing for soft or even hard foods. Even if you have done it previously you should do it again. If the result comes negative then no worries.

The next step for the lump in your throat in my opinion and according to your symptoms it might be from the allergy. For this, you can take antihistamines medication such as Loratadine tablet twice for some days and see how it works.

However please discuss this with your doctor for all the above. I am sure he or she will order them for you.

Hope to have been helpful

Regards
Dr. Jolanda

Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Dr. Jolanda

Pulmonologist

Practicing since :2003

Answered : 2902 Questions

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Hello! I Have Issues With Acid Reflux For Years Now

Brief Answer: An esophago-gastroscopy examination should be done Detailed Answer: Hello and welcome in Ask the Doctor I can understand your concern I read carefully the whole history of your signs and symptoms. If you were my patient I would recommend you do an esophago-gastroscopy examination to evaluate the actual situation of the esophagus and the stomach also. This examination is a must especially in patients who experience difficulty in swallowing for soft or even hard foods. Even if you have done it previously you should do it again. If the result comes negative then no worries. The next step for the lump in your throat in my opinion and according to your symptoms it might be from the allergy. For this, you can take antihistamines medication such as Loratadine tablet twice for some days and see how it works. However please discuss this with your doctor for all the above. I am sure he or she will order them for you. Hope to have been helpful Regards Dr. Jolanda