Irritation of the esophageal lining due to pain medications, vomiting, acid reflux, autoimmune eosinophilic esophagitis, radiotherapy, alcoholism, smoking, microbial infection of the food pipe, etc., cause swelling and inflammation of the food pipe leading to esophagitis. It presents with heartburn, painful swallow, and sore throat. Stopping medications that irritate the esophagus, taking medicines for infection, diet modifications, limiting alcohol and tobacco use, maintaining an appropriate gap between food, drug, sleep, etc., help treat it.

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What is the reason for nausea and loss of appetite?

Query: Hi doctor,My husband has been feeling very unwell. He is having nausea and dry retching in the morning, loss of appetite, weight loss, and muscle loss. His blood work shows elevated ferritin of 537 and low sodium of 132.He has had a normal colonoscopy, endoscopy, abdominal ultrasound, and CT scan. I...  Read Full »

Dr. Prakash H. M

Answer: Hi, Welcome to Based on your query, my opinion is as follows: Increased serum ferritin (attachment removed to protect patient identity) is usually a sign of chronic inflammation. Here the symptoms of nausea, loss of appetite and morning symptoms indicate possible gastric cause. Chro...  Read Full »

Why am I getting chest pain while having food?

Query: Hi doctor,I am having chest pain or esophagus pain while having food for the last two days. The pain is repeated for every 5 to 10 minutes. Please help.  Read Full »

Dr. Pooja Pardhi

Answer: Hi, Welcome to There are many causes of chest pain. Pain while eating food is related to esophageal disorders like esophagitis, esophageal erosions, gastroesophageal reflux disease, esophageal spasm or peptic ulcer disease. The serious causes of chest pain like heart related problem...  Read Full »

My 56-year-old father has difficulty in swallowing food. Could it be because of esophagus cancer?

Query: Hello doctor, My 56-years-old father has been complaining about difficulty in swallowing for four months. So we did an endoscopy and CT scan, and it looked like a 1.5 cm neoplasm. We thought it was esophagus cancer. But the biopsy showed no sign of dysplasia or metaplasia (in the first biopsy). Then...  Read Full »

Dr. Manisha Raghunath Auradkar

Answer: Hello, Welcome to I can understand your concern. The pathology reports are considered more accurate as the tissue sample is examined. So even if the CT (computed tomography) scan showed neoplasia-like features, a pathology report is followed when it comes to treatment. I have gone th...  Read Full »

Why does my 10-year-old daughter throw up every time she eats or drinks something?

Query: Hello doctor, My 10 year old daughter has been throwing up immediately after eating or drinking anything. This has been going on since the last five days. She has no fever, headache or diarrhea. All the LT, CBP and urine tests are normal. Presently she is on injection Rantac and tablet Pan. She ha...  Read Full »

Dr. Preeti Puranik

Answer: Hello, Welcome to I have read your query and gone through the reports (attachment removed to protect patient identity). The vomiting could be due to gastritis or food poisoning. As there is no fever or diarrhea, infection is unlikely and food poisoning generally subsides in two to thr...  Read Full »

Are my symptoms of chest heaviness and tightness due to costochondritis?

Query: Hi doctor, I have been having ongoing chest heaviness and tightness unresponsive to inhalers and Prednisone. My chest X-ray has been normal, and a chest CT scan as well as stress echo and regular echocardiogram. The only diagnosis I have is esophagitis and gastritis, but I have been taking medicati...  Read Full »

Dr. Manav Gupta

Answer: Hi, Welcome to Since your doctor has ruled out the respiratory and the medical causes of your chest tightness, possibilities are that of costochondritis or muscular weakness, fibromyalgia, ankylosing spondylitis, rheumatic diseases. There are a few questions I need you to answer: Is...  Read Full »

Can stomach ulcers result in chest pain?

Query: Hi doctor, I was diagnosed with hepatitis B positive 18 months ago. My consultant told me that my condition is inactive and need no medication. Some months back, I was feeling hurt in my chest. I was later diagnosed with an ulcer. For some weeks now, I have been having pain around my chest, especia...  Read Full »

Dr. Mian Shah Yousaf

Answer: Hello, Welcome to You have been diagnosed with inactive hepatitis B. For that, I will request you to send me all your laboratory work so that a decision about the treatment can be taken. You are now having central chest pain, which looks like to due to an esophageal ulcer called esoph...  Read Full »

Why am I experiencing abdominal pain, burning tongue and throat, and gray-colored stools?

Query: Hi doctor, I have had severe reflux since January and was just diagnosed with GERD and grade C esophagitis in February. At the time the reflux started, I began having yellow stool with a lot of undigested food in it. My stool has not been brown once since this started and there is always undigested...  Read Full »

Dr. Ajeet Kumar

Answer: Hello, Welcome to To be very honest, it is little strange that you developed GERD symptoms in January and developed Grade C esophagitis due to reflux. Since most of the patients with chronic GERD do have acid reflux symptoms for many years before having worsening symptoms and developm...  Read Full »

Why do I have the feeling of something stuck in the throat post COVID-19 infection?

Query: Hello doctor, I was diagnosed with COVID-19. My doctor prescribed me Dexamethasone, Famotidine 40 mg, Ab-FLO, Faronem 200 mg, and Zeet syrup. These medicines I took for 13 days as advised by the doctor. After that, lots of acne arises on my face. So I went to the dermatologist, and he recommended ...  Read Full »

Dr. Sandeep V. Nair

Answer: Hi, Welcome to First of all, let me congratulate you on being a COVID-19 survivor. Allopathic medicines have effects as well as side effects. They have side effects because they are effective. The acne that you had was probably the side effect of Dexamethasone that you took for COVI...  Read Full »

I am unable to swallow food without water. Why?

Query: Yesterday night suddenly could not swallow food and threw up the gulp of food that refused to go down, could only swallow a few sips of water after and constantly felt a choking sensation. Have felt the sensation and swallowing anything except liquids or soft solids is near impossible, can only swal...  Read Full »

Dr. Sandeep V. Nair

Answer: Hi First of all do not panic. I need to know a few more things. 1.Whether you have ingested any caustic substance such as too acidic or too alkaline prior to your present illness? 2.Whether you remember any fish bone or any other hard food substance that may have stuck in your food pipe? 3.Wheth...  Read Full »

I hurt my stomach before four weeks and still having burning sensation and acid reflux. Why?

Query: Hi doctor, I am not sure I am over-stressing, but I have noticed when I drink cold icy water I can feel it go down to my stomach. I hurt my tummy muscle four weeks ago, and still not 100 percent cured. It still burns and I get acid reflux as well my throat is dry and sore. My breath is smelly and I...  Read Full »

Dr. Dalia Mostafa Nayel

Answer: Hello, Welcome to As for the feeling of cold water going down your thirst and the acid reflux, both indicate an inflammatory condition esophagitis and gastritis. This can be treated with a proton pump inhibitor Controloc (Pantoprazole) once daily and an antacid Ranitidine before every...  Read Full »

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