Esophageal Cancer: Symptoms and Signs

CAD can also lead to heart attacks and heart failure. Depending on what’s causing your indigestion, you may experience abdominal pain, bloating (full feeling), belching and gas, nausea, vomiting, and acidic taste in your mouth, “growling” stomach, and even diarrhea. Symptoms usually get worse when you’re stressed but normally go away in a few hours. What other symptoms are you experiencing, such as chest pain, shortness of breath, unexplained weight loss, difficulty swallowing, pain

in your jaw or arm pain? Don’t worry about sounding like a hypochondriac.

One of the challenges is that the symptoms, initially, can be very vague and patients often do not present with classical symptoms until they develop jaundice. Now, by far the commonest presenting symptom is jaundice.

An endoscopy uses a long flexible tube with a camera at the end to see inside your oesophagus and stomach. Not everyone with indigestion or heartburn needs an endoscopy. But if you’re finding it hard to swallow, or if you’re over 55 and are losing weight for no reason, your GP may refer you for an urgent endoscopy.

A PPI is a type of medication that reduces acid production in your stomach. Chest discomfort that’s related to gastroesophageal reflux disease (GERD) is often called noncardiac chest pain (NCCP), according to the American College of Gastroenterology (ACG). A person who suspects that they or someone else is having a heart attack should immediately call 911 or go straight to the emergency room.

Moreover, recent trials suggest that “test and treat” is a safe and cost effective strategy that results in a long term outcome similar to that with a strategy of prompt endoscopy. Hence, “test and treat” has been gaining widespread acceptance.

Often, the pain from a heart attack and a severe heartburn episode is so hard to tell apart that doctors need sophisticated tests to figure out what’s going on. Telling your doctor about these symptoms is usually all they need to make a diagnosis of heartburn. But they may ask you to take special tests to find out how severe the problem is or to keep an eye on your treatment. If you’ve got a burning feeling in your chest just behind your breastbone that starts after you eat, it might be heartburn.

Indeed, it can easily result in drug trials that demonstrate no efficacy (usefulness) when, in fact, the drug is helping a subgroup of patients. Research in indigestion is difficult.

Prescription medicines for indigestion

Heartburn — which actually has nothing to do with your heart — is marked by a burning sensation after meals in your throat or in your chest behind the breastbone. It’s caused by stomach acid coming in contact with the esophagus (the pipe your food travels down). A valve at the bottom of that pipe seals off the top of the stomach when you’re not eating, but when valve is overly relaxed, partially digested food and stomach acid sometimes make their way back up into the esophagus, irritating its sensitive lining.

I had a blood profile and she phoned me back that evening to say she wanted to see me the next morning. This went on for a week.

For example, nausea is treated with medications that suppress nausea but do not affect the cause of the nausea. On the other hand, the psychotropic drugs (antidepressants) and psychological treatments (such as cognitive behavioral therapy) treat hypothetical causes of indigestion (for example, abnormal function of sensory nerves and the psyche) rather than causes or even the symptoms. Treatment for indigestion often is similar to that for irritable bowel syndrome (IBS) even though the causes of IBS and indigestion are likely to be different. Life-threatening illnesses (for example, cancer, heart disease, and high blood pressure) are the illnesses that capture the public’s interest and, more importantly, research funding.

can heartburn and indigestion give pain in the ribs

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