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What causes chest pain while swallowing?

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Posted on Wed, 17 Dec 2014
Question: In 2004 I had my esaphagus removed at UC XXXXXXX due to multiple massive benign tumors, with stomach pull thru. I had not been able to eat, severe pain in chest, pain in swallowing when I tried to eat and had lost a lot of weight. The operation was done after I had consulted several doctors, gone to the Mayo clinic, UCLA (where I as diagnosed)and UC XXXXXXX ( diagnosed confirmed). I still had some some pain after eating that increased with time until 2007 when I had emergency surgery to remove my gall bladder (done by cut open after 3 attempts to do laparoscopically). Now 7 years later the pain after I eat has continued and increased. My doctors, both are gastrologists, have done ERCPs (3) A collection bag for my bile was inserted but after no change it was removed. Then a stent was placed in my bile duct with again no change. Final diagnosis: nothing was found "wrong". Their opinion was that my issues were the result of my surgeries. I have had several different scans, X-rays, MRI's, ERCPs, endo's. My doctor placed me on full liquid diet after I noticed that when I was on liquid diets for tests, that my pain was less severe. While the amount of liquids had too be small since any amount more than about 4 oz would also cause me pain. Meds I am on: nexium 40mg - Zoloft 50mg (depression has been big issue) dicyclomine 10mg 3xa day - on top of all this I also suffer severe constipation for which I take stool softner and laxatives. I also have had 3surgeries for neck and lower back fusions due disc degeneration - so I also suffer severe pain in lower back. My pain management doctor has me on oxycodone 15mg every4hours as needed - soma350mg - and 100mg fentanyl patch every 3 days. Problem with pain meds is that they offer minimal help with all my pains. (I've seen same pain dr since 2006). Question: what else can I do? I'm on Medicare on perm disability. Help!
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Answered by Dr. Klerida Shehu (4 hours later)
Brief Answer:
Unfortunately,everything is related to previous surgeries...

Detailed Answer:
Hi,

I have gone through your medical history carefully and am sorry about the health situation you are in.

From what you are describing, 3 are possible diagnosis that meet your actual concerns:
1. visceral hyper sensibility
2. adherence after multiple surgery, that would make it painful when swallowing and passing foods
3. somatization of stress (somatization disorder)

Altogether, unfortunately, they all related to the surgeries you have already done. If I was your caring doctor would change pain-killers and closely observe the amelioration/aggravation of your pain.

Psychological therapy is also another good option to help you face the current situation with less stress/anxiety.

All the best and God bless!
Dr.Klerida
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Klerida Shehu

Gastroenterologist

Practicing since :2006

Answered : 2266 Questions

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What causes chest pain while swallowing?

Brief Answer: Unfortunately,everything is related to previous surgeries... Detailed Answer: Hi, I have gone through your medical history carefully and am sorry about the health situation you are in. From what you are describing, 3 are possible diagnosis that meet your actual concerns: 1. visceral hyper sensibility 2. adherence after multiple surgery, that would make it painful when swallowing and passing foods 3. somatization of stress (somatization disorder) Altogether, unfortunately, they all related to the surgeries you have already done. If I was your caring doctor would change pain-killers and closely observe the amelioration/aggravation of your pain. Psychological therapy is also another good option to help you face the current situation with less stress/anxiety. All the best and God bless! Dr.Klerida