Esophageal Polyps and Gastroesophageal Reflux Symptoms

Q: Esophageal Polyps and Gastroesophageal Reflux Symptoms

Hello： Small polyps typically do not cause any sensation, but a feeling of a foreign body in the throat may be related to gastroesophageal reflux disease (GERD). <br>Changhua Hospital cares about your health. <br>Dr. <br>Tsai An-shun.

Esophageal issues: esophageal polyps?

Two years ago, I underwent an upper gastrointestinal endoscopy, during which the doctor informed me that I had a mild ulcer measuring 0.3 cm.
I subsequently took medication for three months.
In July of this year, I frequently experienced a sensation of something stuck in my throat.
After another endoscopy, the doctor diagnosed me with gastroesophageal reflux disease (GERD).
The mild gastric ulcer was stable, but there was a 0.5 cm polyp in my esophagus, which was cauterized during the procedure.
The biopsy results indicated it was a benign polyp.
However, I still often feel a sensation of something stuck in my throat.
Could this be a recurrence of the polyp? I also frequently feel gas rising in my throat and wake up in the morning with a sour taste in my mouth.
Is this related to gastroesophageal reflux disease?

Lai En, 20~29 year old female. Ask Date: 2017/10/17

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: Small polyps typically do not cause any sensation, but a feeling of a foreign body in the throat may be related to gastroesophageal reflux disease (GERD).
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2017/10/17

More Info

Understanding esophageal polyps and gastroesophageal reflux disease (GERD) symptoms is crucial for managing your health effectively. Based on your history and recent findings, let's break down the situation.

Esophageal Polyps
Esophageal polyps are abnormal growths that can occur in the esophagus. In your case, the polyp was identified during an endoscopy and was subsequently treated with electrocautery, which is a common method for removing such growths. The biopsy results indicated that the polyp was benign, which is reassuring. However, it is essential to monitor for any recurrence or new growths, especially if you continue to experience symptoms.

Symptoms and Management
You mentioned feeling a sensation of something stuck in your throat, which can be quite distressing. This sensation, often referred to as "globus sensation," can be associated with several conditions, including GERD. The reflux of stomach acid can irritate the lining of the esophagus and throat, leading to discomfort and a feeling of tightness or obstruction.
The fact that you wake up with an acidic taste in your mouth further suggests that your GERD may not be fully controlled. GERD can cause various symptoms, including:
- Heartburn
- Regurgitation of food or sour liquid
- Difficulty swallowing
- Chronic cough
- Sore throat or hoarseness

Connection Between Symptoms and GERD
The symptoms you are experiencing, such as the sensation of gas rising and a sore throat, are indeed related to GERD. When stomach acid flows back into the esophagus, it can cause inflammation and irritation, leading to the symptoms you described. The sensation of gas can also be a result of esophageal spasms or increased sensitivity of the esophagus due to reflux.

Recommendations
1. Medication Management: If you are not already on a proton pump inhibitor (PPI) or if your current dosage is insufficient, discuss with your healthcare provider about optimizing your GERD treatment. PPIs are effective in reducing stomach acid production and can help alleviate symptoms.

2. Lifestyle Modifications: Consider making dietary changes to manage your GERD symptoms better. Avoiding trigger foods (like spicy foods, caffeine, and alcohol), eating smaller meals, and not lying down immediately after eating can help reduce reflux episodes.

3. Follow-Up Endoscopy: Given your history of esophageal polyps and ongoing symptoms, it may be prudent to schedule a follow-up endoscopy. This will allow your doctor to assess the esophagus for any new growths or changes and ensure that your GERD is being managed effectively.

4. Monitor Symptoms: Keep a diary of your symptoms, noting when they occur and any potential triggers. This information can be invaluable for your healthcare provider in tailoring your treatment plan.

5. Consider Additional Testing: If your symptoms persist despite treatment, your doctor may recommend further testing, such as a 24-hour pH monitoring study, to assess the frequency and severity of acid reflux.

Conclusion
In summary, while your benign esophageal polyp is not a cause for concern, the ongoing symptoms you are experiencing are likely related to GERD. It is essential to work closely with your healthcare provider to manage your symptoms effectively and monitor for any changes. By combining medication, lifestyle changes, and regular follow-ups, you can significantly improve your quality of life and reduce the impact of these conditions.

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