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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Stomach Problems, Chest Pains, Pain Under My Right Arm. Treatment?

I have had stomach problems for two years now..... Undiagnosed..... Three days ago when I eat it feels like I m swollowing broken glass. My throat doesn t hurt but I feel the liquid or food traveling slowly down my esophagus and then hitting my upper abdomen . I also feel like there is an air bubble trapped in my upper abdomen and in mu esophagus up to the back of my throat...... This is causing chest pains and pain under my right arm ..... Help!
Thu, 21 Mar 2013
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General & Family Physician,  's  Response
Hi,

Here are the possibilities that can lead to slow swallowing.

1) Achalasia cardia - this is condition in which the oesophagus muscle has an issue and can't work normally..
2) Diffuse esophageal spasm - spasm of random area of esophagus
3) Scleroderma- Systematic disease that an cause hardening of esophagus by fibrous replacement instead of muscle cell.
4) Gastric reflux- Peptic strictures - (acid reflux makes some obstructed area at the entrance of stomach)
5) Esophageal cancer due to prolonged reflux disease.

Due to multiple cause its only possible to pinpoint the diagnosis with few diagnostic tests as below
1) Esophageal manometry- where pressure of esophagus is measured (for Achalasia cardia rule out)
2) Barium swallow x rays (peptic strictures / cancer rule out)
3) Endoscopic biopsy to check if the tissue in cancerous or not

The treatment is different depending the cause of the disease.


ADVICE:-
CONSULT GASTROENTROLOGIST (Stomach/intestine doctor)

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Had Stomach Problems, Chest Pains, Pain Under My Right Arm. Treatment?

Hi, Here are the possibilities that can lead to slow swallowing. 1) Achalasia cardia - this is condition in which the oesophagus muscle has an issue and can t work normally.. 2) Diffuse esophageal spasm - spasm of random area of esophagus 3) Scleroderma- Systematic disease that an cause hardening of esophagus by fibrous replacement instead of muscle cell. 4) Gastric reflux- Peptic strictures - (acid reflux makes some obstructed area at the entrance of stomach) 5) Esophageal cancer due to prolonged reflux disease. Due to multiple cause its only possible to pinpoint the diagnosis with few diagnostic tests as below 1) Esophageal manometry- where pressure of esophagus is measured (for Achalasia cardia rule out) 2) Barium swallow x rays (peptic strictures / cancer rule out) 3) Endoscopic biopsy to check if the tissue in cancerous or not The treatment is different depending the cause of the disease. ADVICE:- CONSULT GASTROENTROLOGIST (Stomach/intestine doctor)