
Hello I’m Having Issues Swallowing And Feel Gagging A Lot

Question: Hello I’m having issues swallowing and feel gagging a lot after food swallowed sometimes also get bad burning in middle of my chest I’ve also been having tummy cramping for years with loose stool that contains white stuff

Hello I’m having issues swallowing and feel gagging a lot after food swallowed sometimes also get bad burning in middle of my chest I’ve also been having tummy cramping for years with loose stool that contains white stuff
Brief Answer:
Some tests to check esophageal structure and function are needed as explained below
Detailed Answer:
Hello and welcome to "Ask a Doctor" service,
I carefully read your query and understand your concern.
Patients with difficulty swallowing may also experience an increase in the gag reflex.
There are several causes of difficulty swallowing (dysphagia). In your age, very likely it is related to problems with the esophagus such as achalasia or esophageal spasms.
I would recommend you to have further examinations to determine the cause, these would be a barium enema, esophageal manometry and endoscopic examination of the esophagus. Neurological conditions can be considered and a neurological exam is needed to rule out these as well.
Only after these tests, the doctor will have a clear understanding of the cause of your symptoms and recommend the proper treatment.
II hope this answers your query. I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
Some tests to check esophageal structure and function are needed as explained below
Detailed Answer:
Hello and welcome to "Ask a Doctor" service,
I carefully read your query and understand your concern.
Patients with difficulty swallowing may also experience an increase in the gag reflex.
There are several causes of difficulty swallowing (dysphagia). In your age, very likely it is related to problems with the esophagus such as achalasia or esophageal spasms.
I would recommend you to have further examinations to determine the cause, these would be a barium enema, esophageal manometry and endoscopic examination of the esophagus. Neurological conditions can be considered and a neurological exam is needed to rule out these as well.
Only after these tests, the doctor will have a clear understanding of the cause of your symptoms and recommend the proper treatment.
II hope this answers your query. I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
Above answer was peer-reviewed by :
Dr. Yogesh D

Brief Answer:
Some tests to check esophageal structure and function are needed as explained below
Detailed Answer:
Hello and welcome to "Ask a Doctor" service,
I carefully read your query and understand your concern.
Patients with difficulty swallowing may also experience an increase in the gag reflex.
There are several causes of difficulty swallowing (dysphagia). In your age, very likely it is related to problems with the esophagus such as achalasia or esophageal spasms.
I would recommend you to have further examinations to determine the cause, these would be a barium enema, esophageal manometry and endoscopic examination of the esophagus. Neurological conditions can be considered and a neurological exam is needed to rule out these as well.
Only after these tests, the doctor will have a clear understanding of the cause of your symptoms and recommend the proper treatment.
II hope this answers your query. I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
Some tests to check esophageal structure and function are needed as explained below
Detailed Answer:
Hello and welcome to "Ask a Doctor" service,
I carefully read your query and understand your concern.
Patients with difficulty swallowing may also experience an increase in the gag reflex.
There are several causes of difficulty swallowing (dysphagia). In your age, very likely it is related to problems with the esophagus such as achalasia or esophageal spasms.
I would recommend you to have further examinations to determine the cause, these would be a barium enema, esophageal manometry and endoscopic examination of the esophagus. Neurological conditions can be considered and a neurological exam is needed to rule out these as well.
Only after these tests, the doctor will have a clear understanding of the cause of your symptoms and recommend the proper treatment.
II hope this answers your query. I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
Above answer was peer-reviewed by :
Dr. Yogesh D


I’ve had two endoscopes showed nothing

I’ve had two endoscopes showed nothing
Brief Answer:
Endoscopy rules out structural problems, tests for functional problems of the esophagus are needed- details below
Detailed Answer:
Hello and welcome back,
It is good you have had endoscopies and they are normal as this may rule out structural problems in the esophagus.
There are a couple of other tests that check the function of the esophagus such as manometry and barium enema and that may diagnose conditions that are more common in your age (functional problems). The doctor will also need to perform a neurological exam to rule out neurological causes of your symptoms.
So, I would encourage you to talk with your doctor related to this and see the chance of having these examinations.
I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
Endoscopy rules out structural problems, tests for functional problems of the esophagus are needed- details below
Detailed Answer:
Hello and welcome back,
It is good you have had endoscopies and they are normal as this may rule out structural problems in the esophagus.
There are a couple of other tests that check the function of the esophagus such as manometry and barium enema and that may diagnose conditions that are more common in your age (functional problems). The doctor will also need to perform a neurological exam to rule out neurological causes of your symptoms.
So, I would encourage you to talk with your doctor related to this and see the chance of having these examinations.
I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
Above answer was peer-reviewed by :
Dr. Yogesh D

Brief Answer:
Endoscopy rules out structural problems, tests for functional problems of the esophagus are needed- details below
Detailed Answer:
Hello and welcome back,
It is good you have had endoscopies and they are normal as this may rule out structural problems in the esophagus.
There are a couple of other tests that check the function of the esophagus such as manometry and barium enema and that may diagnose conditions that are more common in your age (functional problems). The doctor will also need to perform a neurological exam to rule out neurological causes of your symptoms.
So, I would encourage you to talk with your doctor related to this and see the chance of having these examinations.
I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
Endoscopy rules out structural problems, tests for functional problems of the esophagus are needed- details below
Detailed Answer:
Hello and welcome back,
It is good you have had endoscopies and they are normal as this may rule out structural problems in the esophagus.
There are a couple of other tests that check the function of the esophagus such as manometry and barium enema and that may diagnose conditions that are more common in your age (functional problems). The doctor will also need to perform a neurological exam to rule out neurological causes of your symptoms.
So, I would encourage you to talk with your doctor related to this and see the chance of having these examinations.
I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
Above answer was peer-reviewed by :
Dr. Yogesh D


Only thing it showed was gastritis and maybe enosphillic esophagus but they aren’t sure

Only thing it showed was gastritis and maybe enosphillic esophagus but they aren’t sure
Brief Answer:
Detailed answer below
Detailed Answer:
Hello and welcome back,
It is good news, in a way, that the endoscopy does not show major problems but it does let you with questions related to the cause of your symptoms.
The endoscopy can evaluate the structure of the esophagus but not its function. And in young patients, functional problems are more common than structural ones.
This is why the other examinations mentioned above would be important so that achalasia and esophageal spasms can be ruled out (functional disorders).
I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
Detailed answer below
Detailed Answer:
Hello and welcome back,
It is good news, in a way, that the endoscopy does not show major problems but it does let you with questions related to the cause of your symptoms.
The endoscopy can evaluate the structure of the esophagus but not its function. And in young patients, functional problems are more common than structural ones.
This is why the other examinations mentioned above would be important so that achalasia and esophageal spasms can be ruled out (functional disorders).
I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
Above answer was peer-reviewed by :
Dr. Yogesh D

Brief Answer:
Detailed answer below
Detailed Answer:
Hello and welcome back,
It is good news, in a way, that the endoscopy does not show major problems but it does let you with questions related to the cause of your symptoms.
The endoscopy can evaluate the structure of the esophagus but not its function. And in young patients, functional problems are more common than structural ones.
This is why the other examinations mentioned above would be important so that achalasia and esophageal spasms can be ruled out (functional disorders).
I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
Detailed answer below
Detailed Answer:
Hello and welcome back,
It is good news, in a way, that the endoscopy does not show major problems but it does let you with questions related to the cause of your symptoms.
The endoscopy can evaluate the structure of the esophagus but not its function. And in young patients, functional problems are more common than structural ones.
This is why the other examinations mentioned above would be important so that achalasia and esophageal spasms can be ruled out (functional disorders).
I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
Above answer was peer-reviewed by :
Dr. Yogesh D


I want to know what causes brown mucus with stool that’s got white in it

I want to know what causes brown mucus with stool that’s got white in it

And I’ve lost my appetite have bloating and nausea

And I’ve lost my appetite have bloating and nausea
Brief Answer:
Detailed answer below
Detailed Answer:
Hello and welcome back,
Generally, mucus is white color, so it is not clear to me what you mean brown mucus. The white stuff in the stool may be mucus, stool examinations may be needed.
IBS (irritable bowel syndrome) may cause mucus in the stools and other conditions such as food allergy (milk, gluten, etc), inflammatory bowel disease (Crohn and rarely ulcerative colitis- these also may cause blood with the stools), infections (parasites, bacteria), etc.
Stool samples may be indicated to rule out parasites and bacterial infections. Avoiding milk may be indicated for a few weeks to see if you feel better. A blood test can rule out gluten intolerance, and in some cases, a colonoscopy (examining the bowel with a camera) is needed to rule out Crohn and Ulcerative colitis and also other bowel problems.
If all tests come out normal, irritable bowel syndrome is considered (this does not have well-understood etiology but stress often worsens it).
I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
Detailed answer below
Detailed Answer:
Hello and welcome back,
Generally, mucus is white color, so it is not clear to me what you mean brown mucus. The white stuff in the stool may be mucus, stool examinations may be needed.
IBS (irritable bowel syndrome) may cause mucus in the stools and other conditions such as food allergy (milk, gluten, etc), inflammatory bowel disease (Crohn and rarely ulcerative colitis- these also may cause blood with the stools), infections (parasites, bacteria), etc.
Stool samples may be indicated to rule out parasites and bacterial infections. Avoiding milk may be indicated for a few weeks to see if you feel better. A blood test can rule out gluten intolerance, and in some cases, a colonoscopy (examining the bowel with a camera) is needed to rule out Crohn and Ulcerative colitis and also other bowel problems.
If all tests come out normal, irritable bowel syndrome is considered (this does not have well-understood etiology but stress often worsens it).
I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
Above answer was peer-reviewed by :
Dr. Yogesh D

Brief Answer:
Detailed answer below
Detailed Answer:
Hello and welcome back,
Generally, mucus is white color, so it is not clear to me what you mean brown mucus. The white stuff in the stool may be mucus, stool examinations may be needed.
IBS (irritable bowel syndrome) may cause mucus in the stools and other conditions such as food allergy (milk, gluten, etc), inflammatory bowel disease (Crohn and rarely ulcerative colitis- these also may cause blood with the stools), infections (parasites, bacteria), etc.
Stool samples may be indicated to rule out parasites and bacterial infections. Avoiding milk may be indicated for a few weeks to see if you feel better. A blood test can rule out gluten intolerance, and in some cases, a colonoscopy (examining the bowel with a camera) is needed to rule out Crohn and Ulcerative colitis and also other bowel problems.
If all tests come out normal, irritable bowel syndrome is considered (this does not have well-understood etiology but stress often worsens it).
I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
Detailed answer below
Detailed Answer:
Hello and welcome back,
Generally, mucus is white color, so it is not clear to me what you mean brown mucus. The white stuff in the stool may be mucus, stool examinations may be needed.
IBS (irritable bowel syndrome) may cause mucus in the stools and other conditions such as food allergy (milk, gluten, etc), inflammatory bowel disease (Crohn and rarely ulcerative colitis- these also may cause blood with the stools), infections (parasites, bacteria), etc.
Stool samples may be indicated to rule out parasites and bacterial infections. Avoiding milk may be indicated for a few weeks to see if you feel better. A blood test can rule out gluten intolerance, and in some cases, a colonoscopy (examining the bowel with a camera) is needed to rule out Crohn and Ulcerative colitis and also other bowel problems.
If all tests come out normal, irritable bowel syndrome is considered (this does not have well-understood etiology but stress often worsens it).
I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
Above answer was peer-reviewed by :
Dr. Yogesh D


I feel I have a uti I’m having horrible pelvic pain after pee and going to much to urinate I can’t bare the pain what I do

I feel I have a uti I’m having horrible pelvic pain after pee and going to much to urinate I can’t bare the pain what I do
Brief Answer:
Urinary infection or pelvic inflammatory disease should be ruled out
Detailed Answer:
Hello and welcome back,
Urinary symptoms and pain when you urinate may be due to a urinary infection but may also indicate pelvic inflammatory disease (sexually transmitted infection).
If you are sexually active it is important to have a gynecological exam and if abnormalities are found during this examination samples may be taken for chlamydia, gonorrhea, and trichomonas. If no abnormalities are identified in the gynecological exam then investigations for urinary infection should be done (as explained below).
If you have not been sexually active in the last 3 months then urinary infection is likely. In this case, a urinalysis and urine culture are needed to identify the infection and the needed antibiotic.
I hope this answers your query. I remain at your disposal in case further medical assistance is needed.
Kind regards,
Dr. Antoneta Zotaj,
General and Family Physician
Urinary infection or pelvic inflammatory disease should be ruled out
Detailed Answer:
Hello and welcome back,
Urinary symptoms and pain when you urinate may be due to a urinary infection but may also indicate pelvic inflammatory disease (sexually transmitted infection).
If you are sexually active it is important to have a gynecological exam and if abnormalities are found during this examination samples may be taken for chlamydia, gonorrhea, and trichomonas. If no abnormalities are identified in the gynecological exam then investigations for urinary infection should be done (as explained below).
If you have not been sexually active in the last 3 months then urinary infection is likely. In this case, a urinalysis and urine culture are needed to identify the infection and the needed antibiotic.
I hope this answers your query. I remain at your disposal in case further medical assistance is needed.
Kind regards,
Dr. Antoneta Zotaj,
General and Family Physician
Above answer was peer-reviewed by :
Dr. Raju A.T

Brief Answer:
Urinary infection or pelvic inflammatory disease should be ruled out
Detailed Answer:
Hello and welcome back,
Urinary symptoms and pain when you urinate may be due to a urinary infection but may also indicate pelvic inflammatory disease (sexually transmitted infection).
If you are sexually active it is important to have a gynecological exam and if abnormalities are found during this examination samples may be taken for chlamydia, gonorrhea, and trichomonas. If no abnormalities are identified in the gynecological exam then investigations for urinary infection should be done (as explained below).
If you have not been sexually active in the last 3 months then urinary infection is likely. In this case, a urinalysis and urine culture are needed to identify the infection and the needed antibiotic.
I hope this answers your query. I remain at your disposal in case further medical assistance is needed.
Kind regards,
Dr. Antoneta Zotaj,
General and Family Physician
Urinary infection or pelvic inflammatory disease should be ruled out
Detailed Answer:
Hello and welcome back,
Urinary symptoms and pain when you urinate may be due to a urinary infection but may also indicate pelvic inflammatory disease (sexually transmitted infection).
If you are sexually active it is important to have a gynecological exam and if abnormalities are found during this examination samples may be taken for chlamydia, gonorrhea, and trichomonas. If no abnormalities are identified in the gynecological exam then investigations for urinary infection should be done (as explained below).
If you have not been sexually active in the last 3 months then urinary infection is likely. In this case, a urinalysis and urine culture are needed to identify the infection and the needed antibiotic.
I hope this answers your query. I remain at your disposal in case further medical assistance is needed.
Kind regards,
Dr. Antoneta Zotaj,
General and Family Physician
Above answer was peer-reviewed by :
Dr. Raju A.T


How I relieve the pain though it’s not nice cramping

How I relieve the pain though it’s not nice cramping
Brief Answer:
Pain killers recommended. Defining the cause and treating it is crucial
Detailed Answer:
Hello and welcome back,
I understand it is not nice to be in pain and that you need a solution for your pain.
You may use Ibuprofen 600 mg and paracetamol 500 mg every 6-8 hours after food to help with the pain and possibly local warm compresses. You need to drink plenty of water to help flush the urinary system in case a urine infection is present.
On the other hand, treating the cause of pain is crucial to treat the pain. Thus, you will need to have the proper checks to determine the cause. You will need a urinalysis and a gynecological exam to check for urinary infection or pelvic inflammatory disease and also because you have diarrhea you will need the proper tests to find the cause of this as well.
Only after the exact cause of your symptoms is determined and addressed you will have the definite treatment for the pain.
I hope this answers your query. I remain at your disposal in case further medical assistance is needed.
Kind regards,
Dr. Antoneta Zotaj,
General and Family Physician
Pain killers recommended. Defining the cause and treating it is crucial
Detailed Answer:
Hello and welcome back,
I understand it is not nice to be in pain and that you need a solution for your pain.
You may use Ibuprofen 600 mg and paracetamol 500 mg every 6-8 hours after food to help with the pain and possibly local warm compresses. You need to drink plenty of water to help flush the urinary system in case a urine infection is present.
On the other hand, treating the cause of pain is crucial to treat the pain. Thus, you will need to have the proper checks to determine the cause. You will need a urinalysis and a gynecological exam to check for urinary infection or pelvic inflammatory disease and also because you have diarrhea you will need the proper tests to find the cause of this as well.
Only after the exact cause of your symptoms is determined and addressed you will have the definite treatment for the pain.
I hope this answers your query. I remain at your disposal in case further medical assistance is needed.
Kind regards,
Dr. Antoneta Zotaj,
General and Family Physician
Above answer was peer-reviewed by :
Dr. Yogesh D

Brief Answer:
Pain killers recommended. Defining the cause and treating it is crucial
Detailed Answer:
Hello and welcome back,
I understand it is not nice to be in pain and that you need a solution for your pain.
You may use Ibuprofen 600 mg and paracetamol 500 mg every 6-8 hours after food to help with the pain and possibly local warm compresses. You need to drink plenty of water to help flush the urinary system in case a urine infection is present.
On the other hand, treating the cause of pain is crucial to treat the pain. Thus, you will need to have the proper checks to determine the cause. You will need a urinalysis and a gynecological exam to check for urinary infection or pelvic inflammatory disease and also because you have diarrhea you will need the proper tests to find the cause of this as well.
Only after the exact cause of your symptoms is determined and addressed you will have the definite treatment for the pain.
I hope this answers your query. I remain at your disposal in case further medical assistance is needed.
Kind regards,
Dr. Antoneta Zotaj,
General and Family Physician
Pain killers recommended. Defining the cause and treating it is crucial
Detailed Answer:
Hello and welcome back,
I understand it is not nice to be in pain and that you need a solution for your pain.
You may use Ibuprofen 600 mg and paracetamol 500 mg every 6-8 hours after food to help with the pain and possibly local warm compresses. You need to drink plenty of water to help flush the urinary system in case a urine infection is present.
On the other hand, treating the cause of pain is crucial to treat the pain. Thus, you will need to have the proper checks to determine the cause. You will need a urinalysis and a gynecological exam to check for urinary infection or pelvic inflammatory disease and also because you have diarrhea you will need the proper tests to find the cause of this as well.
Only after the exact cause of your symptoms is determined and addressed you will have the definite treatment for the pain.
I hope this answers your query. I remain at your disposal in case further medical assistance is needed.
Kind regards,
Dr. Antoneta Zotaj,
General and Family Physician
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Above answer was peer-reviewed by :
Dr. Yogesh D

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