Esophageal Issues: Symptoms and When to Seek Help - Gastroenterology and Hepatology

Esophageal issues?

Hello, Doctor.
Recently, after eating hot pot (with chicken and pork), I experienced a sharp pain in my throat while swallowing, which led to some throat discomfort on the first day.
Two days later, I started to feel some chest pain, although my throat improved and I have phlegm (which appears to have no blood in it).
Since then, I've had a slight chest pain; drinking water and swallowing saliva does not cause severe pain, but eating does cause some discomfort.
I would like to ask the doctor if this could be due to "esophageal abrasion from food" or "a bone getting stuck." Should I go to the hospital for an examination, or can I observe for a few more days to see if other symptoms develop? Thank you for your guidance.

KL, 20~29 year old female. Ask Date: 2021/09/26

Dr. Chen Shidian reply Gastroenterology and Hepatology

Please seek medical examination.

Reply Date: 2021/09/26

More Info

When experiencing symptoms such as throat pain, chest discomfort, and difficulty swallowing after consuming food, it is essential to consider various potential causes. Based on your description, it is possible that you may have experienced a minor injury to the esophagus, such as a "food scratch" or even a situation where a bone might have become lodged in the esophagus. However, there are several other conditions that could also explain your symptoms, and it is crucial to evaluate them properly.

Possible Causes of Your Symptoms
1. Esophageal Injury: Consuming large pieces of food, especially if not chewed thoroughly, can lead to minor abrasions or scratches in the esophagus. This can cause pain during swallowing and may lead to inflammation, which could explain the discomfort you are feeling in your chest.

2. Foreign Body Obstruction: If a bone or a large piece of food has become lodged in the esophagus, it could cause significant pain and discomfort. This is often accompanied by difficulty swallowing, a sensation of something being stuck in the throat, and sometimes even regurgitation.

3. Gastroesophageal Reflux Disease (GERD): If you have a history of GERD, the symptoms you are experiencing could also be related to acid reflux, which can cause irritation and inflammation of the esophagus, leading to pain and discomfort.

4. Infection or Inflammation: Conditions such as esophagitis (inflammation of the esophagus) can also cause similar symptoms. This could be due to infections, irritants, or even allergies.

5. Muscle Spasms: Esophageal spasms can cause chest pain and difficulty swallowing. These spasms can occur due to stress, certain foods, or other underlying conditions.

When to Seek Medical Attention
Given your symptoms, it is advisable to seek medical attention, especially if:
- The chest pain worsens or becomes severe.

- You experience difficulty breathing or swallowing.

- You notice any signs of bleeding, such as blood in your saliva or vomit.

- Symptoms persist for more than a few days without improvement.

- You develop additional symptoms such as fever, chills, or significant weight loss.

Diagnostic Approach
If you decide to visit a healthcare provider, they may recommend several diagnostic tests, including:
- Endoscopy: This procedure allows the doctor to visualize the esophagus and stomach directly and can help identify any injuries, obstructions, or inflammation.

- Imaging Studies: X-rays or CT scans may be used to check for foreign bodies or other structural issues.

- Barium Swallow Test: This test can help visualize the esophagus and identify any abnormalities in swallowing.

Management and Treatment
If a minor injury is confirmed, treatment may include:
- Dietary Modifications: Soft foods and avoiding irritants (spicy, acidic, or hard foods) can help reduce discomfort.

- Medications: Antacids or proton pump inhibitors may be prescribed if GERD is suspected.

- Observation: If symptoms are mild and improving, your doctor may recommend monitoring your condition for a few days.

In conclusion, while it is possible that your symptoms are due to a minor esophageal injury or obstruction, it is essential to consult with a healthcare provider for a thorough evaluation and appropriate management. Early intervention can prevent complications and ensure a swift recovery.

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