[54F] With sensation of something stuck in throat and chest pain

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Gastroesophageal Reflux Disease (GERD): This condition occurs when 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. Symptoms often include a sensation of something stuck in the throat, chest pain, heartburn, and a sour taste in the mouth.

  • Treatment: GERD is typically managed with lifestyle changes, over-the-counter antacids, and prescription medications like Pantoprazole, which you are already taking. In some cases, further evaluation by a healthcare provider may be necessary to adjust treatment.

• Esophageal Spasm: This condition involves abnormal muscle contractions in the esophagus, which can cause chest pain and the sensation of something being stuck in the throat.

  • Treatment: Treatment may include medications to relax the esophagus, dietary changes, and managing stress and anxiety.

• Esophagitis: Inflammation of the esophagus, often due to acid reflux, can cause similar symptoms.

  • Treatment: Treatment involves managing acid reflux with medications and lifestyle changes, and in some cases, additional medications to reduce inflammation.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to help alleviate your symptoms:

1. Dietary Changes: Avoid foods and drinks that trigger acid reflux, such as spicy foods, fatty foods, chocolate, caffeine, and alcohol. Eating smaller, more frequent meals can also help.
2. Elevate Your Head: When sleeping, try elevating the head of your bed by about 6-8 inches to prevent acid from flowing back into your esophagus.
3. Avoid Lying Down After Eating: Wait at least 2-3 hours after eating before lying down or going to bed.
4. Maintain a Healthy Weight: Excess weight can put pressure on your abdomen, pushing up your stomach and causing acid to back up into your esophagus.
5. Use MDandMe: Journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or Worsening Chest Pain: Especially if it is accompanied by shortness of breath, sweating, or pain radiating to your arm, neck, or jaw, as these could be signs of a heart attack.
• Difficulty Swallowing: If you start having trouble swallowing or feel like food is getting stuck.
• Unexplained Weight Loss: If you notice a significant and unexplained loss of weight.
• Persistent or Worsening Symptoms: If your symptoms do not improve with over-the-counter treatments or lifestyle changes.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare provider for a formal diagnosis and appropriate treatment.