strange heartburn problem
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Question:
I’ve had bad heartburn-like pain in my chest for the past 5 months at varying levels of intensity. At its worst, I’ve gone to the emergency room. Sometimes it is almost tolerable. This started after 10 days on doxycycline, so the initial thought was that caused irritation to the esophagus or stomach. Accordingly, my Prevacid dose was upped and the theory was that after a few weeks of extra acid suppression, I would heal, and could go back to the 15 mg every other day dose of Prevacid I was taking originally. Well, 5 months later, and there is really no improvement in symptoms. In fact, I’m now on 30 mg twice a day and it’s no better: I still get excrutiating attacks ever few weeks, and the pain is always present if sometimes almost tolerable. I even switched to Aciphex for 3 weeks, but it wasn’t better than Prevacid and made me feel "strange" so I went back to Prevacid. Now, 4 months ago an endoscopy revealed that my esophagus was fine, but there was some "slight irritation" of the stomach lining itself. I have yet to get another endoscopy to see if it looks worse, but probably will. So, my question is why the heck am I not healing? BTW, there seems to be almost no correspondence between the level of pain and what food I eat, but I eat cautiously anyway. Also, I never drink alcohol, I don’t smoke, and I’m under weight if anything. I would describe the pain as not so much burning as a tightness/fullness/achiness, mostly under the sternum, but often also under the right breast area. The later pain is a poser because I didn’t think anything but lung was over there! Thanks for any insight. John.
Response:
– Hide quoted text — Show quoted text -> I’ve had bad heartburn-like pain in my chest for the past 5 months at > varying levels of intensity. At its worst, I’ve gone to the emergency > room. Sometimes it is almost tolerable. This started after 10 days > on doxycycline, so the initial thought was that caused irritation to > the esophagus or stomach. Accordingly, my Prevacid dose was upped and > the theory was that after a few weeks of extra acid suppression, I > would heal, and could go back to the 15 mg every other day dose of > Prevacid I was taking originally. Well, 5 months later, and there is > really no improvement in symptoms. In fact, I’m now on 30 mg twice a > day and it’s no better: I still get excrutiating attacks ever few > weeks, and the pain is always present if sometimes almost tolerable. > I even switched to Aciphex for 3 weeks, but it wasn’t better than > Prevacid and made me feel "strange" so I went back to Prevacid. Now, > 4 months ago an endoscopy revealed that my esophagus was fine, but > there was some "slight irritation" of the stomach lining itself. I > have yet to get another endoscopy to see if it looks worse, but > probably will. > So, my question is why the heck am I not healing? > BTW, there seems to be almost no correspondence between the level of > pain and what food I eat, but I eat cautiously anyway. Also, I never > drink alcohol, I don’t smoke, and I’m under weight if anything. I > would describe the pain as not so much burning as a > tightness/fullness/achiness, mostly under the sternum, but often also > under the right breast area. The later pain is a poser because I > didn’t think anything but lung was over there!
Not enough info here to do anything but take a wild guess. You need another EGD, plus ambulatory pH testing and esophageal manometry. HMc
Response:
Just a couple of thoughts. Have you been checked for Heliobactor Pilori infection in your stomach? The pain you describe sounds similar to that which I had when infected. Re the pain under the right breast, I think your gall bladder is on the RHS, in behind the lower ribs. Gall stones can cause anything from a dull ache to sharp pains in this area. Andrew. – Hide quoted text — Show quoted text -> I’ve had bad heartburn-like pain in my chest for the past 5 months at > varying levels of intensity. At its worst, I’ve gone to the emergency > room. Sometimes it is almost tolerable. This started after 10 days > on doxycycline, so the initial thought was that caused irritation to > the esophagus or stomach. Accordingly, my Prevacid dose was upped and > the theory was that after a few weeks of extra acid suppression, I > would heal, and could go back to the 15 mg every other day dose of > Prevacid I was taking originally. Well, 5 months later, and there is > really no improvement in symptoms. In fact, I’m now on 30 mg twice a > day and it’s no better: I still get excrutiating attacks ever few > weeks, and the pain is always present if sometimes almost tolerable. > I even switched to Aciphex for 3 weeks, but it wasn’t better than > Prevacid and made me feel "strange" so I went back to Prevacid. Now, > 4 months ago an endoscopy revealed that my esophagus was fine, but > there was some "slight irritation" of the stomach lining itself. I > have yet to get another endoscopy to see if it looks worse, but > probably will. > So, my question is why the heck am I not healing? > BTW, there seems to be almost no correspondence between the level of > pain and what food I eat, but I eat cautiously anyway. Also, I never > drink alcohol, I don’t smoke, and I’m under weight if anything. I > would describe the pain as not so much burning as a > tightness/fullness/achiness, mostly under the sternum, but often also > under the right breast area. The later pain is a poser because I > didn’t think anything but lung was over there! > Thanks for any insight. > John.
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