Is pain while swallowing a GERD complication?

Question

Hello doctor,

I am a 40-year-old woman with GERD, and I have recently started experiencing sharp pain in my upper abdomen and lower chest, especially when swallowing. The pain sometimes radiates to my back, which makes it even more alarming. I am worried this could be a sign of esophagitis, an esophageal spasm, or another GERD complication. What diagnostic tools, like a barium swallow or esophageal manometry, would help determine the cause of these symptoms, and what treatment options might provide relief?

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern.

Gastroesophageal reflux disease (GERD) is a chronic upper GIT disease in which the stomach contents permanently and regularly flow into the esophagus, resulting in symptoms and complications. It is manifested by:

1. Heartburn.

2. Regurgitation.

3. Chest pain.

4. Difficult or painful swallowing.

5. Frequent burping.

6. Nausea and vomiting

Complications are:

1. Severe heartburn.

2. Esophageal dysmotility.

3. Sinus problems.

4. Tooth erosion.

5. Chronic cough and laryngitis.

The most serious complications are esophageal stricture, and Barrett's esophagus, which might progress to cancer.

Investigations:

1. Upper endoscopy (a tiny camera on the end of a flexible tube) to visualize the upper digestive system, stomach, and esophagus. It can find inflammation or other complications or help to take a biopsy.

2. An ambulatory acid probe test (a monitor is placed in the esophagus) is used to identify when and for how long stomach acid regurgitates.

3. An X-ray of the upper GIT (gastrointestinal tract) after drinking a chalky liquid that coats and fills the inside lining of the esophagus is used to estimate swallowing problems.

4. Esophageal manometry measures the rhythmic muscle contraction in the esophagus while swallowing and also measures the coordination and force exerted by the esophagus muscles. It is done for swallowing problems.

5. Transnasal esophagoscopy.

Treatment:

Proton pump inhibitors such as Omeprazole, Lansoprazole), and Pantoprazole.

During episodes:

1. Elevate the head of the bed.

2. Start on your left side when you go to bed.

3. Do not lie down after meals for three hours.

4. Do not consume food that triggers the reflux as alcohol, chocolate, caffeine, peppermint, or fatty foods.

5. Do not wear tight-fitting clothes.

6. Eat slowly and chew well.

7. Maintain a healthy weight.

If no improvement or you are refusing medication, surgery will help.

I hope this information will help you.

Thanks.