Food intake burn issues?
Hello, doctor.
I apologize for having many questions.
Recently, due to time constraints, I consumed very hot porridge shortly after it was cooked, which resulted in a burn on a large area of my tongue.
I did not spit it out; instead, I kept swallowing.
That evening, I experienced typical symptoms of tongue burns, such as heat, swelling, and a stinging sensation.
I also felt nausea, a sensation of a foreign body, and a burning sensation in my throat below my neck, and I am uncertain if my esophagus was also burned.
Additionally, I have pain around the area below my left clavicle, and I am unsure if this location corresponds to the esophagus (I occasionally experience pain near my left clavicle).
I have already visited a clinic and informed the doctor, but they did not provide specific explanations.
The medications prescribed to me were KEFLEX 500, acetaminophen, and omeprazole (HS).
I have researched these medications but am unsure if they are appropriate for treating my condition.
After taking the medications, I experienced headaches, a heavy feeling in my head, and a warm sensation in my body (though I do not have a fever) along with a runny nose.
Are these side effects normal? Furthermore, if these uncomfortable symptoms persist, which department should I visit at a larger hospital for further examination? An ENT specialist mentioned that I might need to see another department but did not specify whether it should be gastroenterology or internal medicine.
Thank you, doctor.
EE, 20~29 year old female. Ask Date: 2020/03/17
Dr. Zheng Jueyi reply Otolaryngology
Hello: It is common for burns to cause inflammation of the throat or esophagus, and prescribing medication is reasonable.
As for headaches, heaviness in the head, and body heat, these are generally not related to medication side effects.
If discomfort persists, you may consult a gastroenterologist for examination and treatment.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2020/03/17
More Info
Burns from hot food can be quite painful and may lead to various symptoms, depending on the severity of the burn. In your case, it sounds like you have experienced a significant burn on your tongue and possibly in your throat and esophagus. Here’s a comprehensive overview of the symptoms, treatment options, and when to seek further medical attention.
Symptoms of Burns from Hot Food
1. Pain and Discomfort: The immediate sensation after a burn is usually intense pain. This can be localized to the area of the burn, such as your tongue, or it can radiate to surrounding areas, including the throat and neck.
2. Swelling and Redness: Burns often cause swelling and redness in the affected area. In your case, the swelling of the tongue and throat can lead to difficulty swallowing and a sensation of tightness or an "alien" feeling in the throat.
3. Nausea and Vomiting: The irritation caused by the burn can lead to nausea and a feeling of wanting to vomit, as your body reacts to the injury.
4. Difficulty Swallowing: If the burn extends to the throat or esophagus, you may experience pain when swallowing, which can lead to avoidance of food and fluids.
5. Other Symptoms: You mentioned experiencing headaches, a heavy feeling in your head, and a runny nose after taking medication. These could be side effects of the medications prescribed, such as Keflex (an antibiotic) and omeprazole (a proton pump inhibitor), which can sometimes cause gastrointestinal discomfort or allergic reactions.
Treatment Options
1. Immediate Care: For minor burns, rinse the area with cool (not cold) water for about 10-15 minutes to help reduce pain and swelling. Avoid ice, as it can further damage the tissue.
2. Pain Management: Over-the-counter pain relievers like acetaminophen or ibuprofen can help manage pain. However, since you are already on medications, consult your doctor before taking additional pain relievers.
3. Avoid Irritants: Stay away from spicy, acidic, or hot foods and beverages that can further irritate the burn. Stick to soft, bland foods that are easier to swallow.
4. Hydration: Drink plenty of fluids to stay hydrated, especially if you are avoiding solid foods. Warm (not hot) broths can be soothing.
5. Medications: The medications prescribed to you are aimed at preventing infection (Keflex) and reducing stomach acid (omeprazole). If you experience side effects, discuss them with your doctor, as they may need to adjust your treatment.
When to Seek Further Medical Attention
If your symptoms persist or worsen, it is crucial to seek further medical evaluation. Given your symptoms, you may want to consider the following:
1. Gastroenterology Consultation: If you continue to experience pain when swallowing or if you have concerns about potential esophageal injury, a gastroenterologist can perform an endoscopy to assess the damage.
2. Ear, Nose, and Throat (ENT) Specialist: If you have persistent throat pain or difficulty breathing, an ENT specialist can evaluate your throat and surrounding structures for any complications.
3. Emergency Care: If you experience severe pain, difficulty breathing, or signs of infection (such as fever or increased swelling), seek emergency medical care immediately.
Conclusion
Burns from hot food can lead to a range of symptoms that may require careful management. While many minor burns heal on their own, it is essential to monitor your symptoms and seek medical advice if they persist or worsen. Always communicate openly with your healthcare provider about any side effects from medications and follow their recommendations for further evaluation if necessary.
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