Q. I feel heaviness in my chest and throat after eating. Is this due to H. pylori infection?

Answered by
Dr. Ajeet Kumar Lohana
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Oct 07, 2020

Hi doctor,

For the past four months, I feel heaviness in my chest and throat a few minutes after eating like food stuck there. I consulted a gastroenterologist, he did an endoscopy and came out with H.pylori Infection. I am on two weeks medication. Are my symptoms due to this infection?

#

Hello,

Welcome to icliniq.com.

Well, the symptoms you mention seems to be due to esophageal (food pipe) problem. However, the H.pylori infection infects the stomach and usually causes acid-related symptoms like acidity and pain but is all confined to the stomach area, not the esophageal area. So it is unlikely that the H pylori has to do with this thing.

I am more interested in seeing your endoscopy report, particularly in terms of findings in the esophagus. Images can guide us as well. I also wanted to know, do you stress out at swallowing? I mean, do you have severe difficulty while taking a bolus? Is it towards liquids or solids or to both?

Do you have symptoms of retrosternal burning or chest burning? Did acid keep coming into your mouth? Do you have vomiting? And does ever vomit contained the foods that you just ate? Do you have weight loss? And lastly, how is your mood nowadays? Do you feel that anxiety or stress worsens your symptoms? Any prior history of the same problem or prior gut-related problems like altered bowel habits and abdominal pain?

All the above information are important to me to figure out what is causing this problem to you. Esophageal motility disorders and functional heartburn are the two which are common in our population and can easily be missed on endoscopy.

Do upload all the investigations which have been done in this course of illness. Have you done any barium studies before?

Thank you doctor,

I have a little problem with swallowing sometimes. I am feeling anxious and stressed a lot as nothing was there earlier. No problem with acid coming in my mouth, but I feel heaviness from throat to the chest after eating.

#

Hello,

Welcome back to icliniq.com.

Can you upload the endoscopy report? And please let me know the medications that include in your two-week course?

Thank you doctor,

I have attached the files.

#

Hello,

Welcome back to icliniq.com.

In endoscopy, the esophagus is otherwise unremarkable (attachment removed to protect patient identity).

I suggest you take tablet Pantoprazole 40 mg half an hour before breakfast for two weeks. This or the drug with the same class would have already been advised to you in a two-week regimen for the treatment of H.pylori.

Plus, I want you to get another test called a barium swallow. In this, a barium paste is swallowed by mouth, and the radiologist would take serial x-rays of the chest to see the flow of barium along the esophagus. This will tell whether there is inappropriate turbulence or block in the flow of the barium. If this turns out to be negative, I can then start you some low dose antidepressant medication considering functional heartburn.

The functional heartburn is a hypersensitive esophagus that perceives food signals as pain signals and causes burning, heaviness, and pain, usually after meals. But this is a diagnosis of exclusion, which means, once we exclude the other common possibilities, namely the gastroesophageal reflux disease (GERD) and esophageal motility disorders, and if nothing comes out, then we consider this diagnosis.

I hope this helps.


Was this answer helpful?

 | 


Related Questions:
I feel shortness of breath and chest heaviness on climbing few stairs. Please advise.

In August I started spotting it lasted for 3 weeks then became very heavy bleeding with large amounts of tissue/clots and the bleeding has not stopped. It is almost November not and I am still going. There isnt much pain just feeling tired and an o...   Read full

Are H.pylori infection and stomach cancer interrelated?

In August I started spotting it lasted for 3 weeks then became very heavy bleeding with large amounts of tissue/clots and the bleeding has not stopped. It is almost November not and I am still going. There isnt much pain just feeling tired and an o...   Read full

What could be the reason for my acidity and chest heaviness?

In August I started spotting it lasted for 3 weeks then became very heavy bleeding with large amounts of tissue/clots and the bleeding has not stopped. It is almost November not and I am still going. There isnt much pain just feeling tired and an o...   Read full

 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

7 Days COVID Care
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Also Read


Frequently Asked Questions About COVID-19 Vaccines
COVID-19 vaccines can be a real lifesaver. Read this to know the answers to the common questions and doubts on COVID-19 ...  Read more»
Female Sexual Arousal Disorder: Break the Shackles and Seek Help!!
This article throws light on Female Sexual Interest/Arousal Disorder, a common but least discussed sexual health topic a...  Read more»
Covaxin Vs Covishield
The coronavirus vaccines, Covaxin and Covishield, have received a green signal for restricted emergency use in India. In...  Read more»

Ask your health query to a doctor online?

Ask a Medical Gastroenterologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.