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Treatment for esophagus cancer - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Dear User, You have started the trial chat with our doctor. This chat is only to provide you an idea how an actual chat would be like. Please note that the time of this chat is insufficient for the doctors to provide you a detailed answer to your questions. After the trial period, you will be redirected to the Payment page and you can select a package of your choice.
Doctor :   Hi
Doctor :   How can I help you?
User :   I have had a dull pain in my upper abdomen for about 3 or 4 months now. It is constant. I have had my heart checked and it is fine. I am worried I have cancer of the esophagus.
Doctor :   May I know your age and gender?
User :   45 y.o. woman I don't smoke
Doctor :   Do you find an increase or decrease in the intensity of pain following food?
User :   yes, I think so, but not too much more. It seems rather constant - not a sharp pain, but an awareness pretty much always.
Doctor :   Ok
Doctor :   Do you have other associated symptoms such as nausea, vomiting?
Doctor :   Is your appetite affected?
Doctor :   Have you been losing weight without any reasons?
Doctor :   I need more time to answer your questions to the best of my knowledge as I have to ask you few more questions.
Doctor :   Are you there?
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Doctor :   Hi
Doctor :   Are you there?
User :   Yes, I am here
Doctor :   Do you have other associated symptoms such as nausea, vomiting?
User :   No, I don't. I haven't been losing weight. In fact, I've been gaining weight over the past year. I have a lot of gas after eating.
Doctor :   Ok
Doctor :   Do you have any difficulties while swallowing?
Doctor :   Do you consume alcohol?
User :   What do you mean difficulty? I only drink once a week or so, a drink with dinner.
Doctor :   I mean, do you have any discomfort - feeling of food getting struck in the chest after swallowing?
User :   Yes, I do. I have to wait a moment to feel that it has gone down.
Doctor :   Ok
Doctor :   Do you have any medical illness such as diabetes/hypertension/liver problems/pancreatitis/psycological problems such as anxiety?
User :   None
Doctor :   Have you seen a doctor for this current problem?
User :   I went for a regular check-up yesterday, after having my heart checked. The doctor did not have anything to say, except it was heartburn, but I'm not so sure. I don't have a history of getting heartburn.
Doctor :   Ok
Doctor :   Are you taking any medications/pills?
User :   No
Doctor :   Ok
Doctor :   Let me brief you.
Doctor :   Based on your description, the symptoms are consistent with the following conditions
Doctor :   1. Somatic pain secondary to psychological factors
Doctor :   2. Gastritis with or without reflux
Doctor :   3. Pancreas or biliary system etiologies.
Doctor :   I do not feel that your symptoms are consistent with any of the GIT cancers, as you do not have any other symptoms of cancers.
Doctor :   Symptoms of oesophageal cancers are predominantly difficulty in swallowing than pain.
Doctor :   I would however suggest you to get an endoscopic examination.
Doctor :   An endoscopic examination will clear all the doubts along with giving you the specific cause for the discomfort.
Doctor :   In the mean time, I will suggest you the following
Doctor :   1. Use antacid syrups such as syp gelusil 1tsp thrice daily before a meal.
Doctor :   2. Restrict hot, spicy food. Avoid caffeine.
Doctor :   3. Decreasing alcohol will also benefit you in reducing the symptoms.
Doctor :   4. Proper stress management with adequate sleeping habits and regular diet is also essential.
Doctor :   5. Few investigations such as complete blood counts, liver function test will also be needed along with the endoscopy to give you a better opinion on the cause.
User :   how do blood counts and liver function tests relate to my symptoms.
Doctor :   Blood counts can indicate presence of anaemia, which can present with symptoms of food getting struck in the chest(which you have reported). The other advantage of blood count
Doctor :   indicates presence of inflammation which will be beneficial in diagnosing pancreas or biliary system inflammation.
Doctor :   You may get these tests as well as the endoscopy through a gastroenterologist.
Doctor :   Your symptoms are not even close to a cancer, hence
Doctor :   I suggest you not to worry much about the cancer,
User :   If my doctor did a blood test yesterday, would he have some indication from typical blood tests that something might be wrong?
Doctor :   proper and appropriate treatment can be planned based on the reports of the endoscopy.
Doctor :   Yes, if a blood count was done, it can rule out an inflammatory causes.
User :   Are cbc's blood counts?
Doctor :   Yes.
Doctor :   Have you followed what I have suggested?
User :   Yes, I have. But if I you'll just indulge my cancer worry for a moment longer, when I went online and put in my symptoms, I came across a website that had testimonials of people with cancer and many of their initial symptoms were a dull ache in their upper abdomen and feeling that food needed time to get into their stomach. That is why I was worried.
Doctor :   I can understand your concern.
Doctor :   Information on websites are for information. I would not recommend you to jump into a decision based on what you read online.
Doctor :   I would suggest you to get the endoscopy through a gastroenterologist.
User :   okay. thanks.
Doctor :   Endoscopy is the gold standard in the diagnosing the condition.
User :   I will get one right away. Thanks.
Doctor :   Do you have any other query that I can help you with?
User :   No, thank you.
Doctor :   Thanks for consulting me. Bye for now.
User :   bye
Doctor :   Wishing you the best of health.
Question is related to
Diseases and Conditions
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