Persistent Stomach Pain and Throat Inflammation: Seeking Medical Advice - Gastroenterology and Hepatology

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Stomach pain, throat inflammation?


Hello, Doctor.
On January 25th, I visited an ENT specialist due to stomach pain, mild diarrhea, and a sore throat with inflammation and redness.
After taking the three-day medication prescribed by the doctor, my condition improved slightly, but I still experience intermittent stomach pain and my throat remains red.
Therefore, on January 30th, I consulted a general internist at the hospital, who prescribed a week’s worth of medication.
However, after taking the medication, I feel a tightness in my chest, my stomach condition hasn't improved, and my throat still shows signs of inflammation.
Could it be that I've only taken the medication for one day and it hasn't had a chance to take effect? If my condition remains poor after finishing the medication, what should I do next? Thank you.

Jason, 20~29 year old female. Ask Date: 2021/01/31

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: If we exclude the possibility of a cold, gastroesophageal reflux can also cause pharyngitis, chest tightness, and upper abdominal pain.
You may consult a gastroenterologist for an evaluation to determine if it is gastroesophageal reflux disease (GERD).
However, if there is also a fever present, it may not be a case of GERD.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2021/01/31

More Info


It sounds like you are experiencing a complex situation involving persistent stomach pain and throat inflammation. Your symptoms, including stomach pain, throat irritation, and a feeling of chest tightness, can be quite distressing and may require a comprehensive approach to diagnosis and treatment.

Firstly, it is important to understand that stomach pain can arise from various causes, including gastritis, peptic ulcers, gastroesophageal reflux disease (GERD), or even functional gastrointestinal disorders. The throat symptoms you describe, such as redness and inflammation, could be related to post-nasal drip, acid reflux, or a viral infection. Given that you have already seen an ENT specialist and a general internist, it is crucial to continue following their recommendations while also being vigilant about your symptoms.

The medications you were prescribed may take some time to show their full effect. For instance, proton pump inhibitors (PPIs) like Omeprazole can take several days to provide maximum relief from acid-related symptoms. If you have only taken the medication for a short period, it is possible that you have not yet experienced the full benefits. However, if you notice that your symptoms are worsening or not improving after completing the prescribed course, it is essential to follow up with your healthcare provider.

In the meantime, there are several self-care strategies you can implement to help alleviate your symptoms:
1. Dietary Modifications: Avoid foods and beverages that can irritate your stomach or throat. This includes spicy foods, acidic foods (like citrus), caffeine, alcohol, and carbonated drinks. Instead, focus on a bland diet that includes soft foods, such as bananas, rice, applesauce, and toast (often referred to as the BRAT diet). Eating smaller, more frequent meals can also help reduce stomach discomfort.

2. Hydration: Staying well-hydrated is important, especially if you have experienced diarrhea. Aim to drink plenty of water throughout the day. If you find plain water difficult to tolerate, consider herbal teas or electrolyte solutions.

3. Avoid Lying Down After Eating: To minimize the risk of acid reflux, try to remain upright for at least two to three hours after meals. If you need to lie down, elevating your head with pillows can help.

4. Monitor Symptoms: Keep a diary of your symptoms, noting when they occur, their severity, and any potential triggers. This information can be invaluable for your healthcare provider in determining the next steps in your treatment.

5. Follow-Up Care: If your symptoms persist or worsen after completing your current medication regimen, it is advisable to return to your healthcare provider. They may consider additional diagnostic tests, such as an upper endoscopy, to evaluate the condition of your stomach and esophagus more thoroughly. Additionally, they may explore other potential causes of your symptoms, such as infections or functional gastrointestinal disorders.

6. Consider Stress Management: Stress can exacerbate gastrointestinal symptoms. Techniques such as mindfulness, meditation, or gentle exercise may help reduce stress levels and improve your overall well-being.

In conclusion, while it is understandable to feel anxious about your ongoing symptoms, it is essential to give your current treatment a fair chance to work. If your condition does not improve after completing your medication, do not hesitate to seek further medical advice. Your health is a priority, and persistent symptoms warrant thorough investigation and appropriate management.

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