What causes persistent pressure near the end of the esophagus?

Hello,

Thank you for consulting with icliniq.com.

I have carefully reviewed your case history, including the attached files (attachments removed to protect the patient's identity) and the description of the pain site.

Given your age and the fact that your endoscopy was normal, it is indeed reassuring. Sometimes, persistent GERD (gastroesophageal reflux disease) can lead to distal reflux esophagitis, causing pain in the mid-upper abdomen. While Gaviscon is suitable, I suggest you consider a switch from Famotidine to proton pump inhibitors (PPIs) such as Pantoprazole 40 mg. Take it half an hour before breakfast for the next two weeks; this change may be beneficial for you.

If you have any further questions or concerns, please feel free to ask.

Thank you.

Hello,

Welcome back to icliniq.com.

Certainly, GERD (gastroesophageal reflux disease) and gastritis are commonly encountered issues in everyday gastroenterology clinics. For the time being, transitioning from Famotidine to Pantoprazole and increasing Gaviscon to 10ml after each meal and before bedtime would be beneficial.

I would also suggest you consider implementing some lifestyle modifications:

1. Avoid eating out for a couple of days.
2. Steer clear of reheated meals and limit alcohol consumption.
3. Opt for frequent small meals instead of consuming a large amount at once.
4. Refrain from sitting or lying down immediately after meals.
5. Have dinner approximately three hours before bedtime.
6. Most importantly, try to relax and avoid overthinking, as health anxiety can exacerbate symptoms.

Given that your symptoms are linked to a specific trigger, such as a bad meal, they should resolve with time. If the symptoms persist even after using Pantoprazole, further investigations may be considered. Be assured that with time, your symptoms will improve. Allow yourself the necessary time to heal and try to stay relaxed.

I hope this helps you.

Thank you.

Hello,

Welcome back to icliniq.com.

Barrett's esophagus and esophageal cancer generally take many years to develop. It is highly unlikely to have developed these conditions, especially considering the normal endoscopy conducted two years ago. Also, the symptoms you are experiencing appear to be closely linked to consuming a bad meal.

Thank you.

Hello,

Welcome back to icliniq.com.

Follow the above suggestions and give yourself some time to recover. Avoid overthinking or browsing your symptoms.

Wishing you excellent health.

Best regards.