First off thank you for the kind words in the other thread. Secondly, I'm happy to see that your thrush has cleared up nicely. Now coming to your questions.
1) Actually, the simple answer here is that YES, many pills can cause inflammation of the lining of the esophagus, this is why when a pill gets stuck in the esophagus and does not go down within 12-24 hours at the most we try to remove it. The reason is that many pills can cause inflammation of the lining of the esophagus because of their composition. This is not true for all pills but some them certainly can cause worsening of the situation. Now as to whether it can cause this 5 days later, it is certainly possible as sometimes the inflammation takes time to settle down.
2) Regarding thrush in the esophagus, if you had it in the esophagus it would not come back up into the throat as you said but rather, it would cause severe symptoms in the esophagus. This would include persistent pain while swallowing which would be present for both liquids and solids and the pain would not have improved at all. Additionally, esophageal thrush/candidiasis would NOT have improved after just two days of Diflucan, it usually takes a course of the anti fungal for a week or more.
3) NO hiatal hernia does not come out of the blue but it rather develops slowly over time. This means that you would have always had a small hiatal hernia which CAN be missed on chest xrays and this event would have triggered worsening of the hernia. Most patients with hiatal hernias never know that they have had this problem because of its small size and minimal symptoms, it is usually diagnosed as an incidental finding on a chest x-ray (if it is large enough) or during an endoscopy being done for another purpose. In your case, the stuck pills could have caused inflammation of the lining which in turn could have triggered worsening of a POSSIBLE hernia OR the stuck pills, infection etc which led to inflammation of the lining exposed you to develop an H.pyroli infection. The H.pyroli infection would explain the excessive burping right now and that is why I think it would be worthwhile getting tested for it with a stool for antigen or urea breath test IF the burping does not settle down in the next week.
So in short, I think the best thing to do right now is to observe the symptoms for the next week or so, I think the excessive burping should settle down and IF it does not then we can consider testing for an H,pyroli infection. A hiatal hernia is possible but I would keep it down the list as there are other more likely possibilities to consider first. Also, an endoscopy is not necessary at this point in time, if the symptoms persist or if you again develop severe pain while swallowing ONLY then would I consider an endoscopy.
Does this answer your questions? If not let me know and we can discuss this further.
Do you have any more questions?
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