[31F] Experiencing esophageal discomfort and weight loss

Patient Description

A 31-year-old female is experiencing a sensation of something stuck in her esophagus, sharp pressure-like chest pain after eating, unintended weight loss, and a metallic taste post-ingestion. The pain, described as sharp and full, occurs 5 to 10 minutes after eating and is rated 7 out of 10 in severity. There is no difficulty swallowing, vomiting of blood, or black, tarry stools reported. The symptoms have been present for 2 weeks and are not associated with any recent injuries. Over-the-counter medications have not been mentioned in the context of pain relief.

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Arora's Assessment

What might be happening

Based on the information you provided, here are a few possibilities:

  • Gastroesophageal Reflux Disease (GERD): This is a condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus, causing symptoms like chest pain, a feeling of something stuck in the throat, and a metallic taste in the mouth.

    • Treatment typically involves lifestyle changes and over-the-counter medications. If these don't help, your doctor might recommend prescription medications or surgery.
  • Esophagitis: This is inflammation that may damage tissues of the esophagus, the muscular tube that delivers food from your mouth to your stomach. Esophagitis can cause painful, difficult swallowing and chest pain.

    • Treatment typically involves medications to decrease stomach acid and lifestyle changes.
  • Gastric Ulcer: This is a sore that develops on the lining of the esophagus, stomach, or small intestine. Symptoms include a gnawing or burning pain in your middle or upper stomach between meals or at night, bloating, heartburn, nausea or vomiting, and in some cases, a poor appetite that can lead to weight loss.

    • Treatment typically involves medications to decrease stomach acid and lifestyle changes.

What you can do

While waiting for your doctor's appointment, here are some things you can do:

  1. Avoid foods and drinks that trigger heartburn. Everyone has specific triggers. Common triggers such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine may make heartburn worse.
  2. Eat smaller meals. Avoid overeating by eating smaller meals.
  3. Don't lie down after a meal. Wait at least three hours after eating before lying down or going to bed.
  4. Elevate the head of your bed. If you regularly experience heartburn while trying to sleep, put gravity to work for you. Place wood or cement blocks under the feet of your bed so that the head end is raised by 6 to 9 inches.

What you should look out for

Please seek immediate medical attention if you experience:

  • Severe chest pain or pressure, especially if it radiates to your arm, neck, or back
  • Vomiting blood or black material
  • Black stools
  • Difficulty breathing
  • Sweating
  • Pain that lasts for hours or that you would describe as severe

Remember, I'm an AI and this advice is based on the information you provided. It's always important to consult with a healthcare professional for accurate information.

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9 mo ago


People Also Ask


What are the common symptoms of Gastroesophageal Reflux Disease (GERD)?

Common symptoms of GERD include heartburn, regurgitation of food or sour liquid, difficulty swallowing, a sensation of a lump in your throat, and chest pain, especially after eating.


How can esophagitis affect my eating habits?

Esophagitis can cause painful swallowing, chest pain, and a sensation of food being stuck in the throat, which may lead to avoiding certain foods or eating less, potentially resulting in weight loss.


What lifestyle changes can help manage gastric ulcers?

Lifestyle changes to manage gastric ulcers include avoiding foods that irritate the stomach, such as spicy or acidic foods, reducing stress, quitting smoking, limiting alcohol intake, and eating smaller, more frequent meals.


When should I seek immediate medical attention for chest pain?

You should seek immediate medical attention for chest pain if it is severe, radiates to your arm, neck, or back, is accompanied by difficulty breathing, sweating, or if you experience vomiting blood, black stools, or severe pain lasting for hours.

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