New here...'scheduled for ph test and repeat edg

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K.A.P.
New Member


Date Joined Feb 2014
Total Posts : 2
   Posted 2/4/2014 6:29 PM (GMT -6)   
Hi,
New to the boards, but from what I have read so far, it seems like there are a lot of folks on here that have experienced what I am going through now.

I started getting contraction like chest pains a few years ago. The first Dr. Said it was from heartburn, and said to stop eating spicy foods, coffee, soda, all the usual culprits. Nothing changed. They became even stronger in 2010, and my husband was concerned about a cardiac issue. The cardiologist cleared me after a stress test and gave my heart a clean bill of health. She did however send me for an ultra sound on my gallbladder and a hida scan, and referred me to a surgeon. The surgeon said it was my gall bladder as it was functioning at 24% of what it should! and scheduled surgery. This did not get rid of the chest pains completely, but they seemed to be a bit better until about 6 months ago. Now they are the strongest and almost daily. They can get so bad that I break out in a cold sweat and can't breath through the waves of pain, and it spreads to my back and up my neck into my jaw. I was referred to a G.I. Doc, who has done a barium swallow ( clear ) and an EGD ( clear, slightly irritated stomach with gastritis and a small hiatal hernia). They put me on calcium blockers, that worked for 3 weeks...then amitriptyline, which didn't work at all and caused some severe side effects. I had a manometry done last week...the initial Dr. Said that it was borderline ( almost half of the swallows showed no contraction in the lower part of the swallow), but another Dr. ( my medical care is through the VA) called and said that after reviewing the results, wants me back in for a repeat EGD and PH test. I have scheduled those for the 25th of this month, and really hope that they are able to figure out what is going on. I don't usually get heartburn, and have occasional issues when swallowing, but those are minor compared to the insane chest pains.

Am I overly optimistic that the repeat EGD Aand PH will show something?

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 2/5/2014 10:00 PM (GMT -6)   
Hi K.A.P.,

Welcome to Healing Well!
It sounds as if you might be experiencing something like "nutcracker esophagus" or some type of painful esophageal spasm. Have your doctors mentioned that possibility?

Here's a link with some information:

www.webmd.com/digestive-disorders/tc/esophageal-spasm-topic-overview

Good luck in your search for answers! I think there's a very good chance you'll find something out with the repeat testing.

Glad you've joined the forum!
Best wishes,
Denise

GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”
Eckhart Tolle

K.A.P.
New Member


Date Joined Feb 2014
Total Posts : 2
   Posted 2/6/2014 8:18 AM (GMT -6)   
Hi Denise,

Thank you for the reply. Nut cracker esophagus has been mentioned, I seem to wind up not having an episode when they are doing the tests, so the results don't show what is happening when I am having the pains.

At first the GI was running under the assumption that it was achalasia, until the barium swallow ruled it out. The hernia is minor and they don't have any concerns about it at this time.

Fingers crossed for the 25th....

:-)
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