Managing Throat and Gastrointestinal Discomfort: A Patient's Journey

Throat and gastrointestinal discomfort?

Hello Doctor: I have been experiencing gastroesophageal reflux and bloating issues for 2-3 years, but I can still eat normally.
My symptoms have not worsened and have even improved.
I was taking traditional Chinese medicine to regulate my gastrointestinal system until I caught a cold in July, after which my entire body felt off.
Initially, I experienced occasional shortness of breath, dizziness, throat phlegm, and decreased appetite.
I then sought treatment from a traditional Chinese medicine practitioner, but I didn't notice much difference.
Now, I have a sensation of phlegm stuck in my throat, can only consume liquid foods, and often feel like food is getting stuck in my esophagus when swallowing.
I also have difficulty burping, with the sensation of air trapped in my throat.
Sometimes, I feel discomfort in the upper left abdomen, and I experience pain in my epigastric area.
Whether I take traditional or Western medicine, I feel dizzy and break into a cold sweat; in more severe cases, I experience palpitations and trembling.
My entire body feels out of balance, and I don't know what to do.
Should I take medication first or get checked out?

Willy, 20~29 year old female. Ask Date: 2023/10/07

Dr. Chen Shidian reply Gastroenterology and Hepatology

You can visit a gastroenterologist for evaluation, especially if there is significant weight loss.
If you continue to experience severe palpitations or tremors, you may consider consulting a psychiatrist.

Reply Date: 2023/10/07

More Info

It sounds like you are experiencing a complex set of symptoms that are affecting your throat and gastrointestinal (GI) tract, which can be quite distressing. Given your history of gastroesophageal reflux disease (GERD) and bloating, along with the recent onset of new symptoms following a cold, it is important to approach this situation methodically.

Firstly, your symptoms of throat discomfort, difficulty swallowing, and the sensation of food getting stuck in your esophagus (dysphagia) could be related to several factors. GERD can lead to inflammation of the esophagus (esophagitis), which may cause pain and discomfort when swallowing. Additionally, the presence of mucus or phlegm in your throat could be a result of post-nasal drip, which is common during or after a cold, or it could be related to acid reflux irritating the throat.

The feelings of dizziness, cold sweats, palpitations, and tremors you are experiencing are concerning and may indicate a more systemic issue. These symptoms could be related to anxiety, especially if you are feeling overwhelmed by your physical symptoms. However, they could also be indicative of a more serious condition, such as an electrolyte imbalance or a reaction to medication.

In terms of management, it is crucial to prioritize a thorough evaluation of your symptoms. Here are some steps you should consider:
1. Medical Evaluation: Given the complexity of your symptoms, it would be wise to consult with a healthcare provider, preferably a gastroenterologist, who can perform a comprehensive evaluation. This may include an upper endoscopy (EGD) to visualize the esophagus and stomach, as well as to check for any signs of inflammation, strictures, or other abnormalities.

2. Medication Review: If you are currently taking any medications, including herbal remedies, it is important to review these with your doctor. Some medications can exacerbate GERD symptoms or cause side effects that may contribute to your overall discomfort.

3. Dietary Adjustments: While you mentioned that you can only eat liquid foods, it may be beneficial to focus on a bland diet that is easy to digest. Avoiding spicy, acidic, or fatty foods can help minimize irritation to your esophagus and stomach.

4. Symptom Management: Over-the-counter antacids or proton pump inhibitors (PPIs) may provide temporary relief from GERD symptoms. However, these should be used under the guidance of a healthcare provider, especially if you are experiencing significant discomfort.

5. Hydration and Nutrition: Ensure you are staying hydrated, especially if your appetite has decreased. If solid foods are difficult to swallow, consider nutrient-rich smoothies or soups that can provide essential vitamins and minerals.

6. Follow-Up Care: After your initial evaluation, follow up with your healthcare provider to discuss the results of any tests and to adjust your treatment plan as necessary. If anxiety is a contributing factor, consider discussing this with your doctor, as they may recommend counseling or therapy.

In summary, while it may be tempting to self-medicate or rely solely on herbal remedies, a structured approach involving medical evaluation, dietary management, and careful monitoring of your symptoms is essential. Your health is paramount, and addressing these issues with a healthcare professional will provide you with the best chance for recovery and relief from your symptoms.

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