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Hi Doctor: Several years ago I had an issue with

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Posted on Sat, 16 Feb 2019
Question: Hi Doctor:

Several years ago I had an issue with food not going down my esophagus and eventually because I was not careful it almost killed me. That was about 14 years ago. At that time, I went to a gastro doctor and did an endoscopy and colonoscopy. Nothing at that time came up.
Since then if I do not chew properly the food gets stuck and I feel it slowly do down. Sometimes if I am not careful it is pretty bad but I know the pattern, wait and it eventually clears. Sometimes I have no issues.
It started to be more challenging so 4 years ago I had a repeat endoscopy with the same gastro doctor that did the original.
I minor ulcer did come up and that was treated but nothing else came up. Even today I have to be careful because if not then I have to stop eating for a little while and let it clear. The gasto doctor did not see anything concerning in the endoscopy related to my swallowing issue.
Over the past few weeks I have recovered from some stomach issue (mild pain, nausea, diarrhea) but most of that has cleared except for constant burping for some reason.
Since nothing was found on my endoscopy would you still recommend a repeat check? Can there be significant changes (generally speaking) since the last endoscopy or is that unlikely. I know there is usually a 10 year wait between colonoscopy tests if nothing shows up. My gastro doctor did not think a follow up was necessary but I left that state.
Please let me know your thoughts.

Thanks, XXXXXXX Rosen
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Follow up: Dr. Shinas Hussain (0 minute later)
Hi Doctor:

Several years ago I had an issue with food not going down my esophagus and eventually because I was not careful it almost killed me. That was about 14 years ago. At that time, I went to a gastro doctor and did an endoscopy and colonoscopy. Nothing at that time came up.
Since then if I do not chew properly the food gets stuck and I feel it slowly do down. Sometimes if I am not careful it is pretty bad but I know the pattern, wait and it eventually clears. Sometimes I have no issues.
It started to be more challenging so 4 years ago I had a repeat endoscopy with the same gastro doctor that did the original.
I minor ulcer did come up and that was treated but nothing else came up. Even today I have to be careful because if not then I have to stop eating for a little while and let it clear. The gasto doctor did not see anything concerning in the endoscopy related to my swallowing issue.
Over the past few weeks I have recovered from some stomach issue (mild pain, nausea, diarrhea) but most of that has cleared except for constant burping for some reason.
Since nothing was found on my endoscopy would you still recommend a repeat check? Can there be significant changes (generally speaking) since the last endoscopy or is that unlikely. I know there is usually a 10 year wait between colonoscopy tests if nothing shows up. My gastro doctor did not think a follow up was necessary but I left that state.
Please let me know your thoughts.

Thanks, XXXXXXX Rosen
doctor
Answered by Dr. Shinas Hussain (2 hours later)
Brief Answer:
You can go for a manometric study.

Detailed Answer:
Hello,
Thanks for the query.
As the endoscopy is normal there won’t be any significant anatomical problems.
The other things we have to look in to are motility (movement) disorders of esophagus( food pipe) which can not be detected by endoscopy.
Consult your gastroenterologist and plan for a “ manometery” to look for motility disorder.
You can also go for barium swallow to rule out conditions like diverticulum.
As of now you can take antacids like omeprazole for symptomatic relief.
Wishing all the best.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Shinas Hussain (0 minute later)
Brief Answer:
You can go for a manometric study.

Detailed Answer:
Hello,
Thanks for the query.
As the endoscopy is normal there won’t be any significant anatomical problems.
The other things we have to look in to are motility (movement) disorders of esophagus( food pipe) which can not be detected by endoscopy.
Consult your gastroenterologist and plan for a “ manometery” to look for motility disorder.
You can also go for barium swallow to rule out conditions like diverticulum.
As of now you can take antacids like omeprazole for symptomatic relief.
Wishing all the best.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Shinas Hussain (9 hours later)
Hi Dr:

I have some follow up questions:

1. So did the endoscopy rule out cancer of the esophagus then by nothing showing up? Also, could cancer occur in the 4 year follow up or does growth usually take longer.
2. I am experiencing a lot of post nasal drip (maybe allergies maybe not) and could that have something to do with my condition then?
3. I have no issue with liquids at all. Does that mean anything for looking into the issue?
4. Finally, my gastro doctor never recommended any more tests after the endoscopy so can you please comment on that in a general fashion.

Thanks again. XXXXXXX
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Follow up: Dr. Shinas Hussain (0 minute later)
Hi Dr:

I have some follow up questions:

1. So did the endoscopy rule out cancer of the esophagus then by nothing showing up? Also, could cancer occur in the 4 year follow up or does growth usually take longer.
2. I am experiencing a lot of post nasal drip (maybe allergies maybe not) and could that have something to do with my condition then?
3. I have no issue with liquids at all. Does that mean anything for looking into the issue?
4. Finally, my gastro doctor never recommended any more tests after the endoscopy so can you please comment on that in a general fashion.

Thanks again. XXXXXXX
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Follow up: Dr. Shinas Hussain (7 minutes later)
Sorry Doctor forgot to add: It is also causing excessive burping. Those are my only symptoms right now: Post nasal (at least feels like that) and excessive burping from it. No idea if it is allergies or something related to my issue. Thanks.
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Follow up: Dr. Shinas Hussain (0 minute later)
Sorry Doctor forgot to add: It is also causing excessive burping. Those are my only symptoms right now: Post nasal (at least feels like that) and excessive burping from it. No idea if it is allergies or something related to my issue. Thanks.
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Follow up: Dr. Shinas Hussain (4 hours later)
Hi Doctor: Just following up on my questions. Thank You!
XXXXXXX
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Follow up: Dr. Shinas Hussain (0 minute later)
Hi Doctor: Just following up on my questions. Thank You!
XXXXXXX
doctor
Answered by Dr. Shinas Hussain (17 hours later)
Brief Answer:
Proceed with manomtry

Detailed Answer:
Hi,
1. Cancer is unlikely as it is easily detected in the scopy,
2.Acid reflux can cause post nasal drip, how ever most probably it is due to conditions like sinusitis, You can do steam inhalation for symptomatic relief.
3. Difficulty is swallowing manifest as
difficulty for solid and for liquids it manifest later, We have to look for motility disorders.
4. You can go for a manometry to rule out motility disorders.

Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Shinas Hussain (0 minute later)
Brief Answer:
Proceed with manomtry

Detailed Answer:
Hi,
1. Cancer is unlikely as it is easily detected in the scopy,
2.Acid reflux can cause post nasal drip, how ever most probably it is due to conditions like sinusitis, You can do steam inhalation for symptomatic relief.
3. Difficulty is swallowing manifest as
difficulty for solid and for liquids it manifest later, We have to look for motility disorders.
4. You can go for a manometry to rule out motility disorders.

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Shinas Hussain (3 hours later)
Hi Doctor: Final question ( I Promise!). In regards to your answer in number 1 does that apply to an endoscopy that is 4 years old? Thanks. XXXXXXX
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Follow up: Dr. Shinas Hussain (0 minute later)
Hi Doctor: Final question ( I Promise!). In regards to your answer in number 1 does that apply to an endoscopy that is 4 years old? Thanks. XXXXXXX
doctor
Answered by Dr. Shinas Hussain (9 hours later)
Brief Answer:
A repeat endoscopy is required.

Detailed Answer:
Hi,
You can ask any number of questions, no issues!!
A repeat scopy is required. As the symptoms persist or worsened, a fresh scopy is always recommended
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Shinas Hussain (0 minute later)
Brief Answer:
A repeat endoscopy is required.

Detailed Answer:
Hi,
You can ask any number of questions, no issues!!
A repeat scopy is required. As the symptoms persist or worsened, a fresh scopy is always recommended
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Dr. Shinas Hussain

General & Family Physician

Practicing since :2015

Answered : 21311 Questions

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Hi Doctor: Several years ago I had an issue with

Hi Doctor: Several years ago I had an issue with food not going down my esophagus and eventually because I was not careful it almost killed me. That was about 14 years ago. At that time, I went to a gastro doctor and did an endoscopy and colonoscopy. Nothing at that time came up. Since then if I do not chew properly the food gets stuck and I feel it slowly do down. Sometimes if I am not careful it is pretty bad but I know the pattern, wait and it eventually clears. Sometimes I have no issues. It started to be more challenging so 4 years ago I had a repeat endoscopy with the same gastro doctor that did the original. I minor ulcer did come up and that was treated but nothing else came up. Even today I have to be careful because if not then I have to stop eating for a little while and let it clear. The gasto doctor did not see anything concerning in the endoscopy related to my swallowing issue. Over the past few weeks I have recovered from some stomach issue (mild pain, nausea, diarrhea) but most of that has cleared except for constant burping for some reason. Since nothing was found on my endoscopy would you still recommend a repeat check? Can there be significant changes (generally speaking) since the last endoscopy or is that unlikely. I know there is usually a 10 year wait between colonoscopy tests if nothing shows up. My gastro doctor did not think a follow up was necessary but I left that state. Please let me know your thoughts. Thanks, XXXXXXX Rosen