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Swallowing is hard - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3388 Questions
User :   I have pain - tender to touch - on my xiphoid process. It also hurts to swallow any hot beverages or food. I have been scoped by GI, x-rayed, MRI Abdoman, CT chest, Stress Test, ultrasound of left side (where pain radiates the most) EKG, Blood count, cardiac enzymes, metabolic panel, Sed rate, Rhematologist, Cardiologist - all normal normal normal. Docs dont think it is pancrease or gall bladder. Still I have this pain and it is makes it hard to do much of anything - much better when laying down, not using any of my abdominal or chest muscles. Scheduled for an injection on Friday but nervous it won t work. Not sure how it got here - was made worse by underwire bra. Hurts to take the bra I do have on off (one of the worst things I can do). Hurts to bend, sit at the computer in any kind of tense position (like when you are thinking and typing). Worse with exertion or deep breaths unless laying down. Any thoughts on what this is and if injection is likely to work. Seems pretty localized but weird that hot hurts so much. My bottom rib close to it seems like it might be a little involved too - hard to tell. Chiro thinks it is facia as opposed to cartilage but he isn t sure.
Doctor :   Hello
User :   Hi
User :   I've never done this before - I assume you are considering your response now?
Doctor :   give me a min please i am going thru your query
Doctor :   may i konw your age and gender please
User :   Also wanted to add I wore a pretty tight bra through weaning and it started to hurt when I would take the bra off after I weaned - almost like getting overly dependant on a back brace. Seems like it started before that a little but wasn't clear what caused the chest pain. Location became obvious after nearly 2 months of wearing the bra. Was able to wean off the bra over a week or so but have had this pretty intense pain since. I am 37yo female
Doctor :   since how long you have been having this pain ?
Doctor :   do you have any other medical condition ?
User :   It has been 2 months since I have worn the bra and not much improvement and now starting to get worse. Total of around 4 months. Had chest pain before that but I thought it was related to a shoulder injury. No other medical conditions
Doctor :   is there any relation to food ?
User :   only that hot beverages seem to hurt. Otherwise no relation to food at all. THought maybe just because hot goes by the sensitve area even though outside esophagus but is that a long shot? GI said scope upper and lower normal
User :   cold seems soothing
Doctor :   yes i have read your history and you have got almost every test thats possible
User :   :)
Doctor :   well the good thing is that the results are normal
Doctor :   if there was any thing serious these tests are highly specific and diagnostic and they would have picked any abnormality
Doctor :   now the culprit here can be two things
User :   Tests were mostly in Nov/Dec. before I got as bad as i am now but I presume they still would have seen stuff
Doctor :   yes thats right
Doctor :   now first we need to make sure you change your bra
User :   I don't wear the bad one anymore - just a light support tank top type thing. Hurts to take it off though.
Doctor :   and second i want you to take PRILOSEC 20 MG
Doctor :   for 14 days one tab a day
User :   I have been taking prilosec
Doctor :   any relief ?\
User :   at that dose for over a month
User :   no
Doctor :   take it to 40 mg
Doctor :   twice daily
User :   you think it is my stomache?
User :   I did a week at 40 mg and noticed no difference
Doctor :   well thats the only logical explanation as the tests are extremely extensive
User :   hurts to push on xiphoid- local tenderness - could that be stomach? even though scope normal?
User :   Why would bra I am wearing make a difference and why better when lying down and not using the muscles
Doctor :   scope will find if there was a issue
User :   they are plannign to inject it Friday - thoughts about that? steriod
Doctor :   since when you have changed yoru bra?
Doctor :   it could be
Doctor :   as there might be a tissue inflamation
User :   I wear one most of the time - tried to sleep without it but was too hard
User :   would injection help that
Doctor :   for that the streriod injection will work
User :   So there is nothing else - either stomach or tissue
Doctor :   no as the test would have shown
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