Chest Pain: Possible Esophageal Inflammation After Fever

Q: Chest Pain: Possible Esophageal Inflammation After Fever

Hello： Remember to drink plenty of water when taking medication to prevent drug residue from remaining in the esophagus, which can cause esophageal ulcers, especially with capsule medications. <br>Additionally, if the condition worsens, consider undergoing an endoscopy, and be aw

Chest tightness or chest pain?

Hello Doctor, I would like to ask about a high fever I had a few days ago.
I took medication, but sometimes I took it without eating.
At that time, my chest felt very hot, and it felt like something was stuck inside.
After a few days, my fever subsided, but now every time I eat or drink, I experience chest pain and some difficulty breathing.
Could this be esophagitis? How should I handle this?

Liu Xijun, 20~29 year old female. Ask Date: 2017/11/04

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: Remember to drink plenty of water when taking medication to prevent drug residue from remaining in the esophagus, which can cause esophageal ulcers, especially with capsule medications.
Additionally, if the condition worsens, consider undergoing an endoscopy, and be aware of any other heart or lung issues; seek medical attention if necessary.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2017/11/04

More Info

Hello! Based on your description, it sounds like you may be experiencing symptoms consistent with esophagitis, which is inflammation of the esophagus. This condition can occur after a fever, especially if you have been taking medications without food, as certain medications can irritate the esophagus. Additionally, if you had a high fever, it could have led to dehydration or changes in your eating habits, which might contribute to your symptoms.

Possible Causes of Your Symptoms:
1. Esophagitis: This inflammation can be caused by various factors, including:
- Medications: Some medications can cause irritation if taken without sufficient water or food. Common culprits include non-steroidal anti-inflammatory drugs (NSAIDs) and certain antibiotics.

- Infections: Viral infections, especially after a fever, can lead to esophagitis.

- Gastroesophageal Reflux Disease (GERD): Acid reflux can cause inflammation and pain in the esophagus, particularly after eating.

2. Gastritis or Peptic Ulcer: If your stomach lining is inflamed or if you have an ulcer, it can cause referred pain to the chest area, especially after eating.

3. Muscle Strain: Sometimes, the muscles around the chest can become strained due to coughing or other activities, leading to pain that feels like it is coming from the esophagus.

Recommendations for Management:
1. Dietary Modifications:
- Eat Soft Foods: Start with soft, bland foods that are less likely to irritate your esophagus, such as mashed potatoes, yogurt, or smoothies.

- Stay Hydrated: Drink plenty of water, but avoid very hot or very cold beverages, as they can exacerbate pain.

- Avoid Irritants: Stay away from spicy, acidic, or very hot foods, as well as caffeine and alcohol, which can worsen symptoms.

2. Medications:
- Antacids: Over-the-counter antacids may help neutralize stomach acid and provide relief.

- Proton Pump Inhibitors (PPIs): If you suspect GERD, medications like omeprazole can reduce acid production and help heal the esophagus.

- Avoid NSAIDs: If you are taking any non-prescription pain relievers, consider stopping them, as they can irritate the esophagus.

3. Eating Habits:
- Eat Smaller Meals: Instead of large meals, try eating smaller portions more frequently throughout the day.

- Chew Thoroughly: Take your time to chew food well to make swallowing easier.

- Stay Upright: After eating, remain upright for at least 30 minutes to help prevent reflux.

4. Consult a Doctor: Since your symptoms include chest pain and difficulty swallowing, it is essential to consult a healthcare professional. They may recommend further evaluation, such as an endoscopy, to assess the condition of your esophagus and rule out any serious underlying issues.

When to Seek Immediate Care:
If you experience severe chest pain, difficulty breathing, or if the pain worsens or does not improve with home care, seek medical attention immediately. These could be signs of a more serious condition that requires prompt evaluation.

In summary, while your symptoms may suggest esophageal inflammation, it is crucial to consult with a healthcare provider for an accurate diagnosis and appropriate treatment. Take care of yourself, and I hope you feel better soon!

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