How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Arun Phophalia Your Own Question

Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29199
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
Type Your Health Question Here...
Dr. Arun Phophalia is online now
A new question is answered every 9 seconds

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: 5 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 5 years ago.

Greetings.

Did they ever do test for helicobacter pylori?

Was an esophageal manometry done?

Dr. Arun

Customer: replied 5 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 5 years ago.

Hello,

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;

http://www.mayoclinic.com/health/gerd/DS00967

Another condition one should also consider is esophageal spasms;

http://www.mayoclinic.com/health/esophageal-spasms/DS00763

Please feel free for your follow up questions.

Dr. Arun

Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29199
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
Dr. Arun Phophalia and 4 other Health Specialists are ready to help you
Customer: replied 5 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 5 years ago.

Hello,

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

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4013
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4013
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5575
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    16265
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12090
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    8726
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery