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Starting Getting Chest Pain And Heartburn On XXXXXXX 15th 2019.
Question: Starting getting chest pain and heartburn on XXXXXXX 15th 2019. XXXXXXX 18th sudden dizziness( lightheaded) and ringing in both ears. Dizziness lasted for 3 weeks and and only went away after layong down woth eyes closed for a few minutes. Dizziness is much better as of today July 28th and only happens for a few minutes. A doctor visit noted that i had fluid on both of my ears.Suddenly felt throat tight ess and discomfort on July 12th after eating lunch. Throat tightness seems to occur after eating or drinking and last last for a few minutes. It would last for hours when it first occured. Throat does not usually feel sore but throat lounges seem to help woth theoat discomfort. Sometimes solid foods seems to get stuck at lower part of throat. I do not have trouble swallowing liquids or foods such as yogurt. Dry foods seem to get stuck in back of throat. Have also had arm itchiness which started a week after getting dizzy. It started on the right arm and then left arm but now it is only on the right hand and fingers. CT Scan of chest, neck snd MRI of brain which came back normal. Ringing has went away from right ear but remains in left ear.
Brief Answer:
Acid reflux is likely, treatment recommended and possible follow up
Detailed Answer:
Hello and welcome to Ask a Doctor service,
I carefully read your query and understand your concern.
It is very likely, in the beginning, in XXXXXXX you went through a viral infection that caused problems with the stomach (probably increased acid and reflux that caused heartburn and chest pain) and also the blocked ears with dizziness. This is normally self-limiting and is expected to be better within a few weeks, as it has happened in your case.
The throat tightness seems to be there for 2 weeks now. This generally may happen with throat muscle spasms, especially if this happens intermittently ( not every time you eat). In this case, it may be the acid reflux that may contribute to this and you may take omeprazole 40 mg 30 minutes before breakfast and try to chew your food well before swallowing.
If the throat tightness is not better with this treatment in 1-2 weeks or you notice any worsening (if it is more frequent or it is continuous or it progresses for other food that did not seem to be a problem previously) you will need to see a doctor and in this case examinations of the esophagus are needed (endoscopy, barium enema, manometry, etc).
As for the skin itchiness, it is important for us to know if there are lesions as well or only itchiness. If lesions are present please upload a couple of images so we can examine them and better determine the cause. Jaundice or weight loss are very important to be reported as well.
I hope this is helpful. I remain at your disposal for further medical assistance.
Regards,
Dr. Antoneta Zotaj
General and Family Physician
Acid reflux is likely, treatment recommended and possible follow up
Detailed Answer:
Hello and welcome to Ask a Doctor service,
I carefully read your query and understand your concern.
It is very likely, in the beginning, in XXXXXXX you went through a viral infection that caused problems with the stomach (probably increased acid and reflux that caused heartburn and chest pain) and also the blocked ears with dizziness. This is normally self-limiting and is expected to be better within a few weeks, as it has happened in your case.
The throat tightness seems to be there for 2 weeks now. This generally may happen with throat muscle spasms, especially if this happens intermittently ( not every time you eat). In this case, it may be the acid reflux that may contribute to this and you may take omeprazole 40 mg 30 minutes before breakfast and try to chew your food well before swallowing.
If the throat tightness is not better with this treatment in 1-2 weeks or you notice any worsening (if it is more frequent or it is continuous or it progresses for other food that did not seem to be a problem previously) you will need to see a doctor and in this case examinations of the esophagus are needed (endoscopy, barium enema, manometry, etc).
As for the skin itchiness, it is important for us to know if there are lesions as well or only itchiness. If lesions are present please upload a couple of images so we can examine them and better determine the cause. Jaundice or weight loss are very important to be reported as well.
I hope this is helpful. I remain at your disposal for further medical assistance.
Regards,
Dr. Antoneta Zotaj
General and Family Physician
Above answer was peer-reviewed by :
Dr. Yogesh D
Thank you for your response. I have actually been taking Pantoprazole 40mg for 4 days now and have noticed that the theoat tightnesa still occurs but doesnt seem to last as long anymore. my throat also doesnt seem to be tight when waking up in the morning or going to sleel at night. Have been having anxiety of this and fearing the worst. The tightness definatly seems to be somewhat better as it doesnt last as long as before and isnt as uncomfortable. I do still have a worry that it could be due tonaomething worse. Do i need to worry if it seens to be somewhat better but is still occuring? I did have the mri to make sure i was clear there. I understand that craniel nerve IX or X can be tested with the soft pallatte and saying %E2%80%9Cahh%E2%80%9D. I have checked mone and my uvula appeara to be slightly swollen and throat is a little red. My uvula seems to be sighly more to the left but I do not see it deviste to left more when saying ahh. I am note 100%25 sure how to check but it appears that both sides of the palate rise.
Brief Answer:
You may continue the treatment for another couple of weeks
Detailed Answer:
Hello and welcome back,
I fully understand your concern related to the cause of your symptoms.
On the other hand, the fact that you do feel better already and that the throat is a bit Rex, it is reassuring that very likely acid reflux is causing the symptoms.
I would recommend you to eat frequent small amounts of food and not eat or drink 3-4 hours before bed time.
You may raise the bed head with bricks so you are not so flat, avoid coffee, alcohol and smoking and also fast food, fried fatty food as these may make the throat worse.
If you do not notice a full important in a total of 4-5 weeks from treatment with Pantoprazole then an endoscopic examination may be indicated.
As for the uvula, it needs a Doctor to check it but generally patients with n9 palsy have changes in voice (nasal speech).
I hope this answers your query.
I remain at your disposal if further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj
You may continue the treatment for another couple of weeks
Detailed Answer:
Hello and welcome back,
I fully understand your concern related to the cause of your symptoms.
On the other hand, the fact that you do feel better already and that the throat is a bit Rex, it is reassuring that very likely acid reflux is causing the symptoms.
I would recommend you to eat frequent small amounts of food and not eat or drink 3-4 hours before bed time.
You may raise the bed head with bricks so you are not so flat, avoid coffee, alcohol and smoking and also fast food, fried fatty food as these may make the throat worse.
If you do not notice a full important in a total of 4-5 weeks from treatment with Pantoprazole then an endoscopic examination may be indicated.
As for the uvula, it needs a Doctor to check it but generally patients with n9 palsy have changes in voice (nasal speech).
I hope this answers your query.
I remain at your disposal if further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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