Feeling Worse After Endoscopy: Post-Procedure Discomfort

Feeling more uncomfortable after undergoing an endoscopy?

Hello, doctor.
On Saturday (10/17), I visited a gastroenterologist due to chest pain while swallowing, and the doctor diagnosed it as "esophageal ulcer." Then, the doctor asked if I wanted to have an endoscopy, leaving the decision up to me.
To confirm the condition, I decided to go ahead with the endoscopy.
Today (10/20), the symptoms of chest pain while swallowing have significantly decreased, but I wasn't sure if I should cancel the endoscopy.
I went ahead with the scheduled appointment and had the endoscopy in the morning.
The result was...
I felt fine before the procedure, but after the endoscopy, I became even more uncomfortable.

Initially, I had no sensation of a foreign body in my throat, but after the endoscopy, I constantly feel like something is stuck in my throat, and it feels prickly.
The chest pain, which had already been very mild, has worsened after the endoscopy.
Before the procedure, I only felt pain when eating, but now I experience sharp pain in my chest even when I haven't eaten.

Due to these symptoms, I'm very scared...
Could it be that the endoscopy made my esophagus worse? During the endoscopy, I felt uncomfortable and couldn't relax at all; it was a very unpleasant experience.
Is it possible that I got injured from the endoscopy?
If this discomfort lasts for several days, should I see a doctor? Should I go back to the gastroenterologist or see an ENT specialist? I really regret having the endoscopy...

Ping Ping, 30~39 year old female. Ask Date: 2020/10/20

Dr. Chen Shidian reply Gastroenterology and Hepatology

It may be due to tension that there is throat irritation during the gastroscopy, which should resolve in a day or two.
Esophageal or chest pain will depend on the results of the gastroscopy.
A diet of mild, soft, and liquid foods for two days can aid in recovery.

Reply Date: 2020/10/20

More Info

After undergoing an endoscopy, it’s not uncommon for patients to experience discomfort or even an exacerbation of their symptoms. In your case, it appears that the endoscopy has led to a heightened sensation of something being stuck in your throat, as well as increased chest pain. These reactions can be concerning, but they are not entirely unusual.

Firstly, it’s important to understand that during an endoscopy, a flexible tube with a camera is inserted through the mouth and down the esophagus to examine the digestive tract. This procedure can sometimes cause irritation to the throat and esophagus, leading to sensations of discomfort, tightness, or pain. The fact that you felt better before the procedure but are now experiencing increased discomfort could be attributed to this irritation or even anxiety related to the procedure itself.

The sensation of having something stuck in your throat, known as globus sensation, can occur after an endoscopy due to the manipulation of the throat and esophagus. This feeling may persist for a few days as the tissues heal. Similarly, the chest pain you are experiencing could be a result of the procedure irritating the esophagus or even muscle tension from anxiety during the endoscopy.

It is also worth noting that if you had a pre-existing condition such as an esophageal ulcer, the procedure might have aggravated it temporarily. However, it is unlikely that the endoscopy would cause significant new damage to the esophagus if performed correctly.
If your discomfort persists beyond a few days, or if you experience worsening symptoms such as severe pain, difficulty swallowing, or any signs of bleeding, it is crucial to seek medical attention promptly. You should return to your gastroenterologist, as they are best equipped to evaluate any complications related to the endoscopy or your underlying condition. They may recommend further tests or treatments to address your symptoms.

In the meantime, here are a few tips to help manage your discomfort:
1. Stay Hydrated: Drink plenty of fluids to help soothe your throat.

2. Soft Foods: Stick to soft, easy-to-swallow foods that are less likely to irritate your throat.

3. Avoid Irritants: Stay away from spicy, acidic, or very hot foods that could exacerbate your symptoms.

4. Rest: Allow your body some time to recover from the procedure.

Lastly, it’s essential to communicate openly with your healthcare provider about your concerns and symptoms. They can provide reassurance and guidance on the best course of action moving forward. Remember, while it’s normal to feel anxious after a procedure, your health and comfort are the priority, and seeking help is always the right choice if you feel something is not right.

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