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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31330
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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I apologize for the length but i cant ask your ...

Customer Question

I apologize for the length but i can't ask your opinion without all the detail. I've had what my doctor says is a acid reflux problem for the last 3 years. Originally i started having this feeling that I can't belch so I would end up vomiting to relieve the pressure. This started happening more frequently and then heartburn like once a week. Then I had a lot of saliva build up, so much i couldn't swallow it all, had to keep spitting. The doctor put me on Nexium, which cured the symptoms but at the same time in a matter of weeks i started having lots of difficulty swallowing. I always wonder if the Nexium was the culprit of my swallowing trouble. It lasted for a few months. First few bites were ok but then my throat felt very narrow so i had to stop eating halfway into the meal... ended up losing like 40lbs in about a 3 month span. I had an endoscopy and Doctor found nothing except redness down my esophagus. He did give me a dilation just in case i had a stricture and i felt some relief but only for a few days. Since then I've had a Bravo PH study that showed I have an acidic PH of reflux mostly when i'm upright. I had a two barium swallows that showed nothing. Nowadays I have some minor difficulty eating but not so bad, some days worst then others. Harder to swallow crispy or rough foods as they irritate/scratch my throat a lot. Doctor says i probably have esophitis and possibly bile reflux. I get a lot of throat irritation, burning, tingling, sometimes pain, especially at work (grocery cashier). Sometimes get a bad taste in my mouth that also causes my throat to burn. Still taking a daily nexium. Bothers me a whole lot, what are your thoughts as i'm kinda at a loss now?
Submitted: 8 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 8 years ago.


Did they ever do test for helicobacter pylori?

Was an esophageal manometry done?

Dr. Arun

Customer: replied 8 years ago.
I had an endoscopy but i don't know if they tested for helicobacter pylori.    I never did get an esophageal manometry done as my GI doctor felt the results wouldn't be beneficial because i have esophagitis. The other tests i have had is an esophagram and a Bravo Ph study.
Expert:  Dr. Arun Phophalia replied 8 years ago.


Since an esophagitis was documented by esophagogastroduodenoscopy; the usual protocol is to identify for the H. Pylori. Helicobacter pylori infection may have protective effects on esophageal acid exposure by lowering intragastric acidity or may cause dyspeptic symptoms by chronic gastritis. Lifestyle factors like obesity, alcohol, and smoking, also should be taken in to consideration, which increase intra-abdominal pressure or reduce lower esophageal sphincter tone. However, the relationship of GERD or dyspepsia to H. pylori infection or lifestyle factors has been diverse, so an esophageal pressure studies or manometry is relevant to assess the pressure at lower esophageal sphincter. Your symptoms typically looks like gastroesophageal reflux disease. Read about the GERD;

Another condition one should also consider is esophageal spasms;

Please feel free for your follow up questions.

Dr. Arun

Dr. Arun Phophalia and 3 other Health Specialists are ready to help you
Customer: replied 8 years ago.
A new symptom i've been having is pain in my stomache...or belly. It hurts a bit after i eat but especially if i go for a walk right after eating. what can be happening?
Expert:  Dr. Arun Phophalia replied 8 years ago.


Your these symptoms can be again part of the conglomerate of esophagitis or GERD. As I mentioned, associated acid peptic disease can occur. Seems to be nothing worrying. These symptoms do get remit on their own (spontaneously).

Dr. Arun