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Chest discomfort, Esophagitis, No tear shown in Gastroscopy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   hello
User :   just a moment i have to type its long
User :   i got a gastroscopy and i have esophagitus but the strange thing is i have strenuous breathing
Doctor :   Ok
User :   i got ct scan, chest x ray pulmonary function tests, doctor said they were fine
User :   how is esophagitus related to breathing
User :   i got blood tests too
User :   i have its like a tightness in my chest
User :   you cant feel the pain from the outside
Doctor :   Most common symptoms of oesophagitis is chest discomfort - similar to heart burns.
User :   its like an internal block
Doctor :   Some people feel like a choking sensation in the centre of the chest across the sternum.
Doctor :   Though the symptoms and description of the symptoms varies among individuals, the diagnosis is established by upper GI endoscopy.
User :   im not choking its like the lungs cant expand because of the chest
User :   anyway i visited a chinese doctor
Doctor :   Ok
User :   he said the epigastrium and muscular tenderness is from the esophagitus which causes the breathing problem
User :   what do u think
Doctor :   It is difficult to correlate/explain exactly the symptoms of breathing problems with oesophagitis unless there is a tear in the oesophagus
User :   they did a gastroscopy no tear
User :   is it like the chest muscles
Doctor :   However if your chest examination/xrays are normal, oesophagitis can be attributed as the causes breathing difficulty.
User :   but do u know how or why
User :   thats my real difficulty
User :   i want to understand the connection
Doctor :   Severe inflammation of the oesophagus can explain the breathing difficulty by itself, if no other pathology (lung or heart pathology) is found.
User :   i got mild erosive esophagitis
Doctor :   Oesophagitis is the term used to refer to an inflammatory condition of the oesophagus.
User :   i know that
Doctor :   There are individuals with oesophagitis who have reported breathing problems.
User :   okay and how long does it take to heal
User :   following all dietary restrictions
Doctor :   The possible explaination is that breathing and movement of the chest wall can increase the pain.
User :   im not taking the ppis im taking chinese medicine
User :   its not like a pain its more like i just feel the existence of it inside me
Doctor :   hence it is an involuntary mechanism to reduce the pain.
Doctor :   This is the possible explanation thought to be the cause of breathing difficulty reported.
Doctor :   Have you got a biopsy done?
User :   whats a biopsy
Doctor :   Usually during an upper GI endoscopy when a possible inflammatory changes are seen on the oesophagus, a tissue from the affected part
Doctor :   is taken for study under the microscope.
Doctor :   I would like to know if this has been done.
User :   im not sure but there is one other thing on the ct scan it showed a lot of gastric air
Doctor :   You mean infundibular air?
User :   he called it gastric air
Doctor :   Air in the infundulum (part of the stomach)
User :   not sure but what does that emphasise
Doctor :   has no significant role in diagnosing the condition
Doctor :   The amount of air in the stomach varies among different individuals.
User :   what would a biopsy show
Doctor :   Hence it has no significant importance.
Doctor :   Biopsy will be the conclusive/confirmatory test to prove the diagnosis.
User :   well they saw the inflammation on the camera
Doctor :   I understand that.
User :   i did a gastroscopy
Doctor :   However most gastroenterologist recommend a biopsy if any abnormal areas such as inflammation is noted.
User :   do u think i should do a bronchioscopy
User :   is it worth it
Doctor :   Bronchoscopy has no role as far as oesophagitis is concerned.
User :   what would a bronscioscopy show
Doctor :   I would suggest lung and heart evaluations like xray's /CT scans and even 2D echo if breathing difficulties is significant
User :   ive done ct x rays
Doctor :   and if it is necessary - the call taken by your doctor.
User :   whats a 2d scan
User :   2d echo
User :   ive done ecgs theyre fine
Doctor :   2D/3D/4D echo is a ultrasound scans of the heart.
User :   ive done them things i think
User :   what about mri
Doctor :   Bronchoscopy is suggested if things are doubtuf/suspicious on these Xray/CTscans/MRI/s
User :   really
User :   it must be the gastro thing
Doctor :   or if there is doubt to suspect a lung involvement by pulmonologist.
User :   before i got these symptoms 2 days before i felt perfect
Doctor :   Sitting from here without physically examining you and access to your reports it is inappropriate or rather invalid to comment if bronchoscopy is needed or not.
User :   anyway how long to heal esophagitus
Doctor :   Oesophagitis is usually a chronic conditions.
Doctor :   The cause is almost always secondary to heart burns/reflux of acids.
Doctor :   Rarely they are caused by infections/chemicals and irritants.
User :   how long to heal
Doctor :   The treatment and the time of healing is dependent on the cause.
User :   the cause is gerd
Doctor :   Considering it to be secondary to reflux (GERD)
Doctor :   i expect that your symptoms to be better in a few weeks.
User :   have u ever talked to people with the same problems
Doctor :   However repeat scopies may be necessary after a month or 2.
Doctor :   Yes, I have been exposed to few individuals with GERD and oesophagitis.
Doctor :   Do you follow?
User :   yes

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