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Please help me dont know what should I do!

Posted , 5 users are following.

moj93936
moj93936

ok where do I start :

Im a 25 years old male NEVER had any problems with swallowing / stomach or anything related to it.

I was taking a strong anti biotic for skin baciria and after 2 days i was starting to have pain in my chest... i kept talking the antibiotic and a day after i felt like the pill went down wrong and it was kinda hurt.

after that i was starting to feel a lump feeling in my throat like the pill got stuck or something... I stopped taking these pills (so took them 5 days in total) and went to the doctor

she told me to go to a gasto doctor I went to him and it's been already 2 weeks and most of the feeling stopped just had some lump in throat feeling and some chest/back pain but it comes and goes but not as worse as the start.

He told me i need to do endoscopy and im very scared to do it so I told him I prefer not to at this point so he gave me

pills to keep the acid not to go up and some cream.

everything pretty much went away and then it came back i dont really have the chest/back pain anymore but now i just have a lump feeling in my throat for id say 1hour of the day

but when i swallow now i feel like it's not smooth and there is air that i swallowing

anyone know what could it be?

also, there is another test i can do not as scary as endoscopy? like the one you do from the nose? maybe i can ask my doctor for that?

i really dont know what to do anymore and im very scared...

please advise

0 likes, 9 replies

9 Replies

  • moj93936
    moj93936

    Posted

    also in past week i was starting to have Phlegm (yellow/green) when im cleaning my throat to try to make the lump feeling go away...
  • Barretts
    Barretts moj93936

    Posted

    Hi,

    The lump in the throat feeling (globus) is a fairly common symptom of extra-oesophageal reflux (also known as LPR). But these symptoms do need to be checked out. Chamces are extremely slim but any restriction to the throat could even be due to a tumour.

    The sensation is due to the cricopharyngeal muscle spasming, in trying to prevent the reflux of matter from the top of th eoesophagus from where it could aspirate into your respiratory system and cause other damage.

    The pills you,ve been given are presumably Proton Pump Inhibitors - they'll have a name ending in "prazole" which will reduce the acid so any reflux that persists will be less damaging.

    But you do really need an endoscopy. I know it sounds scary but isn't as bad as it sounds. If you are sedated, you may not even know anything about it. Yes, some endoscopy units may have trans-nasal scopes tht can be used but generally they are not as effective as a standard scope.

    An endoscope has multiple channels for air, light, water, the camera and a channel for taking a wire snare for removing biopsies (which, by the way, is totally painless).

    (There are some new "fine bore" endoscopes which most departments do not have as they are expensive, that do have all the functions of a standard scope. (The charity I chair is currently attempting to raise £35,000 to buy one for Southampton.)

    But if you have had reflux of acid and bile for a while, you could have done permanent damage to your oesophagus ("Barrett's Oesophagus") which has th epotential in a few cases of mutating to cancer.

    The yellow/green phlegm you describe sound like bile.

    • Barretts
      Barretts

      Posted

      Sorry about the emoji that automatically comes up if I try to close a bracket!
    • moj93936
      moj93936 Barretts

      Posted

      Thanks for your answer

      I do have these problems for a lil over a month.

      and it is feels better

      what are the connection with the antibiotic?

      and if I will ask to do the nose endocopy first to have a better look at the throat maybe it will give us a better idea?

      Im very scared to do endoscopy because I always like to be in control and to idea of them "putting me to sleep" five people and the room and monitors makes it scary.

      there is anything i can ask for the doctor to take (maybe it will fix my problem) without doing the test?

      thanks

    • Barretts
      Barretts moj93936

      Posted

      I don't know about your antibiotic. It may have exacerbated acid production.

      As regards a trans-nasal scope, your hsopiatl may or may not be able to provide this - depends if they have suitable equipment. However, visual examination of the oesophagus may not be that much use without taking biopsies. Hiatus hernia, oesophagitis, Barrett's Oesophagus all display subtly different shades of red.

      Without knowing what their up against, there's nothing else the doctor can give you - apart, perhaps, from something to diminish your anxiety.

      I've had Barrett's Oesophagus for at least 21 years and numerous scopes so it's easy for me to say it's nothing to worry about - but I must admit to getting very anxious when one's due. Just discuss your fears with the specialists and they'll see how to manage it.

    • lily65668
      lily65668 moj93936

      Posted

      For one thing, you don't have to have sedation for a gastroscopy. Some hospitals/doctors prefer to do it without anyway. You could always discuss it with your doctor.

      I'm going out on limb here, and realise I might give offence, but I am a former nurse. What you're describing is a common nervous symptom (as well as being a symptom of the very rare Barrett's oesophagus). I get it myself on occasion. As you're saying it feels better now why not wait, say, three months and see how it is, then go back to your doctor if it's not improving further. Since this symptom only started very recently, another few weeks won't make any difference anyway.

  • jim48507
    jim48507 moj93936

    Posted

    I had an endoscopy recently and it's not that traumatic.  It's quick and mildly uncomfortable but it would be the best way to find out what's going on.  They'll give you a sedative.  
  • LJS
    LJS moj93936

    Posted

    I had the endoscope procedure a couple of days ago. I also was extremely anxious. I am an anxious person and do not even like visiting opticians and dentist! When I went in I asked the nurse taking my details if I could speak to the person in charge of the scope to go through my concerns. I explained my fears eg not being able to ask for help as I had scope in throat so we agreed on communicating with me raising hand etc.. she would then ask questions so I could nod or shake head with eye contact. I also said if my breathing was becoming anxious to say ''white feather'. I can visualize a feather going up and down controlled by my breathing. I asked for the cannula to be put in my hand before going in as I wanted to try throat spray only but if I changed mind using procedure I would want to get sedated quickly.

    They made me so at ease I did try the throat spray only, it did not hurt was uncomfortable. I got anxious so raised my hand which the person watching me made sure scope lady new. The other nurse held my hand and said white feather. I was then able to visualise the feather to keep my breathing calm, I was given the option to continue 'shake my head', then sedation, nod of a head. The sedation was put in and I remember nothing after they put the mouth guard back in. The next memory I have is waking up in another room.

    So from this experience you could

    1 Speak to through person in charge of the scope

    2 Tell them ALL of your concerns, so they can put you at ease.

    3 Plan coping mechanisms that work for you. Eg breathing exercises. I always go with white feather as I can imagine this well. Whatever coping measures you can think of let the people in the room know. I was so relieved I told them that I imagine a white feather. I was not thinking and needed the nurses prompt.

    4 maybe have the cannula inserted ready for sedation should you change your mind.

    After this experience if I had to go back tomorrow I would. No it is not nice, get the medics to help you. It is only a few minutes, if you remember, happily I do not.

    Wishing you all the best.

    Hope it goes

    • LJS
      LJS

      Posted

      Missed off the well at end of above! Doh!
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