Esophageal ulceration
I consulted a doctor about taking supplements, and I feel like they are stuck in my chest.
About an hour later, I start to experience a burning sensation.
After eating lunch, when the food slides down, I feel a sharp pain in my chest.
I saw a doctor and took medication, but just a few days later, I felt like the capsule got stuck again.
Now, even when I drink slightly warm water, I feel a burning sensation in my chest.
Is it possible that I shouldn't be drinking coffee? In the past two days, I've felt discomfort in my stomach after drinking coffee, which I didn't experience before.
I'm a bit worried.
I don't smoke and I don't have a habit of drinking alcohol.
Xiao Hua, 30~39 year old female. Ask Date: 2021/06/26
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is recommended to avoid tea (black tea/green tea/milk tea), coffee, spicy foods, and hard foods.
It is advised to take medications with a large amount of water to ensure that the medication reaches the stomach; otherwise, it may cause esophageal ulcers.
If there is no improvement, you may consult a gastroenterologist for an endoscopy.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.
Reply Date: 2021/06/26
More Info
Esophageal injury can manifest through a variety of symptoms, particularly when it is related to medication ingestion or dietary habits. Based on your description, it seems you are experiencing discomfort that could be attributed to esophageal irritation or injury, likely exacerbated by the medications you are taking.
When you mention feeling like the medication is "stuck" in your chest, this sensation is often referred to as dysphagia, which is the medical term for difficulty swallowing. This can occur when pills are not adequately swallowed with enough water, leading to irritation of the esophagus. The burning sensation you experience an hour after taking medication or eating could indicate esophagitis, which is inflammation of the esophagus, often caused by acid reflux or direct irritation from substances like medications or certain foods.
The symptoms you describe—burning sensations, pain when swallowing, and discomfort after consuming food or beverages—are common indicators of esophageal injury. In your case, the fact that you are experiencing these symptoms after taking capsules and consuming coffee suggests that both the medication and the coffee may be contributing to your discomfort.
Coffee, in particular, is known to relax the lower esophageal sphincter, which can lead to increased acid reflux and irritation of the esophagus. Additionally, caffeine can stimulate gastric acid secretion, which may further exacerbate your symptoms. Given that you have noticed an increase in discomfort after consuming coffee, it would be wise to eliminate it from your diet temporarily to see if your symptoms improve.
In terms of dietary recommendations, it is advisable to avoid irritants such as spicy foods, acidic foods (like citrus), and caffeinated beverages, as these can aggravate esophageal irritation. Instead, focus on a bland diet that includes soft, easy-to-swallow foods. Foods such as oatmeal, yogurt, and mashed potatoes can be soothing. It is also crucial to ensure that you drink plenty of water when taking medications to help them pass smoothly into the stomach and reduce the risk of irritation.
If your symptoms persist despite dietary modifications and careful medication management, it may be necessary to consult with a gastroenterologist. They may recommend further evaluation, such as an endoscopy, to assess the condition of your esophagus and rule out any serious underlying issues.
In summary, your symptoms suggest possible esophageal injury or irritation, likely exacerbated by your medication and dietary choices. Avoiding irritants like coffee and ensuring adequate hydration when taking medications are essential steps you can take. If symptoms continue, seek medical advice for further evaluation and management.
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