Esophageal Discomfort: When to Seek ENT Help - Otolaryngology

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Esophageal foreign body sensation


Recently, I have been taking medication continuously due to feeling unwell, but towards the end of the treatment, my esophagus has become very uncomfortable.
The discomfort is located around the chest area.
During my follow-up appointment, the doctor prescribed an additional three days of medication and advised me to drink plenty of water and eat light meals.
However, with two days of medication left, the pain in my esophagus seems to be getting worse, and now I even feel a pressing pain when lying down.
Should I wait until I finish the medication before seeing an ENT specialist? I'm concerned that delaying for two more days might worsen my condition.

Niming, 20~29 year old female. Ask Date: 2016/05/03

Dr. Zheng Jueyi reply Otolaryngology


Hello, if the pain in that area persists, it may be related to the heart, lungs, or esophagus.
It is recommended to visit the cardiology and gastroenterology departments at the hospital for examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/05/03

More Info


When experiencing discomfort in the esophagus, especially if it is persistent or worsening, it is crucial to take the symptoms seriously. Based on your description, it sounds like you are dealing with significant discomfort located in the chest area, which could be indicative of several underlying issues. Given that you have already consulted with your physician and have been prescribed medication, it is understandable to feel uncertain about whether to wait until the medication course is completed or to seek further evaluation from an ENT (Ear, Nose, and Throat) specialist.

Firstly, it is essential to understand that esophageal discomfort can arise from various causes, including gastroesophageal reflux disease (GERD), esophagitis, esophageal spasms, or even more serious conditions such as esophageal strictures or tumors. The fact that you are experiencing increasing pain, especially to the point where it affects your ability to lie down comfortably, is concerning. Pain that intensifies or is accompanied by other symptoms such as difficulty swallowing, weight loss, or persistent nausea should prompt immediate medical attention.

While your doctor advised you to drink plenty of water and maintain a light diet, these measures may not be sufficient if your symptoms are worsening. The recommendation to wait for two more days to see if the medication helps is reasonable in some cases, but given your escalating discomfort, it may not be wise to delay further evaluation.
If you are feeling significant pressure or pain in your chest, it is advisable to seek medical attention sooner rather than later. An ENT specialist can perform a thorough examination, which may include a laryngoscopy or esophagoscopy, to visualize the esophagus and determine if there are any abnormalities that require treatment. Additionally, they can assess for any potential complications that may have arisen from your current condition.

In the meantime, continue to monitor your symptoms closely. If you experience any new symptoms, such as difficulty breathing, severe chest pain, or if the pain becomes unbearable, do not hesitate to seek emergency medical care. It is always better to err on the side of caution when it comes to potential esophageal issues, as early intervention can prevent complications.

In summary, while it may be tempting to wait until you finish your medication, your worsening symptoms warrant a more proactive approach. Consider reaching out to your healthcare provider or an ENT specialist sooner to ensure that you receive the appropriate care and to address any underlying issues that may be contributing to your discomfort. Your health and well-being should always be the top priority, and seeking timely medical advice can lead to better outcomes.

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