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Dr. Andrew Rynne

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Severe chest pain, burning. Had gastric bypass. Had hiatal hernia. What can be done?

i am having severe chest pain ,burning last about 2 hours the other night 6 1/2 hours i have had gastric bypass gained weight back but i still vomit alot feels like foods just sits on my chest and have to get it out.... i get hot sweaty and it just burns for hours..then goes away at first it lasted about an hour and would only happen every few months now it is 2 or 3 times a week .... dr said my be ulcer stricture i was told once i had hiatal hernia then told i dont have one i have low iron and hemaglobin i am only 48 yr old female i have been suffering for years.... just had a CAT scan..said all was fine.... i had a endoscopy done in dec but asked dr to do again.... today i am experiencing whenever i eat or drink anything ... it just burns going down and burns my stomach for a few minutes and then goes away.... diet coke really hurts going down.... trying to stay away from that today... i have been poked tested xrayed noone can find anything actually fustrating and miserable thanks
Thu, 4 Apr 2019
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General Surgeon 's  Response
Hi,

Noted your detailed history and understood the concerns.Burning sensation in chest and of food being held in esophagus is indicative of GERD or Esophagitis or so.

There can be an actual mechanical obstruction or there can be a condition called esophagospsm. Esophagospasm is usually instigated by certain foods, beverages like coke, anxiety, too hot or too cold foods and fluids, smells and so on.

Hence I would advise you to find the instigating or enhancing factors, foods, beverages and stop these altogether to get better results. You have already undergone all the relevant tests like upper GI Endoscopy and so on hence this is the possibility.

Motility study of esophagus by Barium swallow under fluoroscopy for real-time visualization can help. Consume only the foods and beverages that suit you the most. Take a second opinion of another Gastroenterologist to be sure about.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant,
General Surgeon
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