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Are GERD and anxiety related?

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Published At April 2, 2024
Reviewed AtApril 2, 2024

Patient's Query

Hi doctor,

I am a 35-year-old male. I have no history of consuming tobacco. I have a history of GERD and anxiety. I have normal blood tests and cholesterol. I currently take 40 mg of Protonix a day in addition to 150 mg of Zoloft. My GERD symptoms are usually intermittent and related to stress levels. A week or so ago, I swallowed a large, sharp piece of a tortilla chip, which I could feel scratching my esophagus as I ate it. Because of my anxiety, I am worried that maybe this was not from the chip or my GERD, and perhaps I have some malignancy of the esophagus. My GI says I do not need further testing, and this is likely due to the chip or my GERD, and my anxiety is making it worse. Is this a reasonable opinion? I am stressed, and any information or additional reassurance you could offer would mean so much.

Kindly help.

Answered by Dr. Ghulam Fareed

Hello,

Welcome to icliniq.com.

I understand your concern.

You have done your endoscopic examinations before, which is very reassuring. This feeling is typically associated with an event (eating tortilla chips), and since then, you have felt the same whenever you swallow without adequately chewing food.

  1. This is the ubiquitous clinical presentation, and we diagnose it with the typical relationship of onset of symptoms with the event (in your case, tortilla chips).
  2. I think using antacid syrup like Gaviscon (Sodium alginate) post meals and proper chewing of food for one to two weeks would resolve your symptoms.
  3. Esophageal malignancy or cancer presents differently, like progressive worsening of swallowing, initial from solids, semi-solids, then liquids with weight loss, prolonged symptoms, and sometimes the family history of cancer too.
  4. You are already taking medication for your anxiety; if you persistently think of these symptoms, it will worsen your anxiety. Try to avoid overthinking or diverting your attention.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thank you for the reply.

I do not have trouble swallowing. I am slightly uncomfortable if I do not chew enough or swallow too fast. I tend to rush while eating, so I am sure I can work on that. Also, there has been no sudden weight loss, though I have slowly reduced my weight over the past year.

Kindly help.

Answered by Dr. Ghulam Fareed

Hello,

Welcome back to icliniq.com.

I understand your concern.

No difficulty in swallowing is very reassuring. Try to chew correctly, eat relatively slowly, and you will be fine. Intentional weight loss is normal. If there is unintentional weight loss without apparent reasons, that should be evaluated.

I hope this information will help you.

Thanks.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ghulam Fareed
Dr. Ghulam Fareed

Medical Gastroenterology

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