Brief Answer:
Your symptoms are suggestive of acid reflux disorder and dyspepsia.

Detailed Answer:
Hello and thank you for choosing HealthcareMagic for your query,

I've gone through all your details and appreciate your concern.
Before answering your query lets have a briefing about your problem.
Most likely, the problem you are having is Dyspepsia with Gastro esophageal reflux disorder.

Dyspepsia, in layman's language is known as indigestion. It is a term that describes discomfort or pain in the upper abdomen. However, it's not a disease in itself. Dyspepsia is a group of symptoms which often include bloating, nausea and increased acid production and heartburn.
Gastroesophageal reflux disease, or GERD, is a digestive disorder that affects the lower esophageal sphincter (LES), the ring of muscle between the esophagus and stomach. Reflux means to flow back or return. Therefore, gastroesophageal reflux is the return of the stomach's contents back up into the esophagus.The backwash (reflux) irritates the lining of your esophagus and causes GERD.In normal digestion, the lower esophageal sphincter (LES) opens to allow food to pass into the stomach and closes to prevent food and acidic stomach juices from flowing back into the esophagus.

Gastroesophageal reflux occurs when the XXXXXXX is weak or relaxes inappropriately, allowing the stomach's contents to flow up into the esophagus. If not treated, chronic acid reflux can injure the esophagus and, in some people, progress to a precancerous condition known as Barrett’s esophagus.Frequent retrosternal heartburn is a cardinal symptom of reflux disorder; acid reflux causes a retrosternal or epigastric burning feeling that characteristically radiates up towards the throat, Sometimes this burning sensation can be pulsating also.Every time the acid from stomach refluxes back into esophagus it injures esophageal mucosa.This injured mucosa undergoes severe spasmodic contractions due to inflammation causing sensations of abdominal spasm.


Usually we manage GERD with a combination of medication and lifestyle changes. If symptoms persist or are severe, innovative endoscopic and surgical procedures can be done that provide long-term symptom relief.

Rx

Part-1
1)Control production of acid-For which you Take a proton pump inhibitor like Esomeprazole 40 mg twice daily along with a prokinetic drug (eg.Domperidone).Antacid like Pepto bismol can be taken for few days along with it.
Any over counter probiotic should be taken for few days to provide relief in symptoms of indigestion.

Part-2
2)To prevent the acid formed inside stomach to reflux back into esophagus--I would suggest you to add Levosulpiride. Itis a prokinetic drug and is very effective in controlling reflux of acid back into esophagus.A better way is to take it with Rabeprazole trials have shown that its very effective when combined with Rabeprazole.So you can switch over to Rabeprazole from Nexium.
If endoscopy shows ulcers-
3)Sucralfate is used to treat and prevent l ulcers.Sucralfate works by forming a coating' over the ulcer. This protects the ulcer from the acid of the stomach, allowing it to heal. Sucralfate is best taken with water on an empty stomach 1 hour before meals and at bedtime. It should be taken daily by you and would help in healing ulcers.
General precautions are-
Follow a bland diet (low acid levels, low in fat, not spicy)
Eat frequent, small meals.
Lose weight.
Avoid the use of alcohol, tobacco, and caffeine.
Do not eat food less than 2 hours before bedtime.
Raise the head of the bed before sleeping.
Avoid clearing of the throat.

Now lets come to your query-
Dear patient all your symptoms are highly specific of reflux disorders.They are not the symptoms of colon cancer.
Colon cancer usually presents with blood in stools.
Chances of it bring stomach cancer are very less however endoscopy would make things clear.

So i would recommend you to go for endoscopy and ask your Gastroenterologist to start medicines as adviced above.
Thanks

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Brief Answer:
Follow up answer.

Detailed Answer:
Hi again,

Question 1-
As per endoscopy is concerned take one tablet of anti anxiety medicine like Ativan tonight(this will help you calm down your nerves).
Symptomatically you are a clear cut case of gastritis so don't worry too much.
Even if endoscopy shows gastritis we have a number of medicines which can control your symptoms very well.
Nexium is among baseline medicines so don't worry just relax.

Question 2-
The main symptoms I am left..... acid reflux-I would give any suggestion after endoscopy reports.Just wait for 1 day(as per me you are clear cut case of gastritis).
However-
The pathophysiology of gas bloating and flatulence is complicated.
The term gut microflora or microbiota means hundeds of species of bacteria which lives in our intestinal tract.These bacterias and yeast are responsible for proper digestion and fermentation of food. Hundrereds of species of bacteria and yeast re found in colon of human intestine.In the same way thousands of these species florishes in our gut these bacteria play a vital role in digestion and absorption of food.Even minor disturbances in gut microflora can lead to significant changes in gut function, including gas production.
There are various mechanism that can be related to increased flatulence.

If this microbiota is disturbed(very common in patient with acid peptic disease) food is improperly fermented causing production of large amount of gases in gut leading to severe flatulence.Hence most common cause in most of the cases is disturbed microbiota.

A probiotic would help you with that.

However if you desperately want to clear your doubts about any other possibility just go for MRI whole abdomen.
Any pathology from metaplasia to carcinoma any where in abdomen would be reflected in it.

Good luck.

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Brief Answer:
Follow up.

Detailed Answer:
Hi XXXXXXX
Minir sinus infection etc are nit a contraindication to endoscopy.
Don't worry its just a minor procedure.
You are worrying too much.
For head pain you can take a Tylenol and certizine.

Unless you have fever there is no need to reschedule colonoscopy.

Thanks.

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Brief Answer:
follow up.

Detailed Answer:
Hi again,
Role of endoscopy was to visualise any visible ulcer and to take tissue sample for biopsy.
If every thing turns out to be normal then you have acid peptic disorder(most of the times endoscopy is normal)).

You would be prescribed medicines and diet restiction for few months.

I don't think there is role of colonoscopy in your case.

Regards.

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Brief Answer:
follow up.

Detailed Answer:
Hi there,
Our Gut and esophagus is lined by a thin layer of cells called mucosa.
Inserting an endoscope and taking biopsy causes breech in this mucosal layer causing mild infammation and pain.
It will take 2-3 days for mucosa to heal itself.once healed inflammation would settle down and pain would be done.
It a common thing post procedure so don't panic and relax.
In case pain is too much take Tylenol twice daily with peptobismol.

Regards

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