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Chronic gastric and esophageal irritation
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Digestive Health
Question #22864
206 days ago
398

Chronic gastric and esophageal irritation

Maryam

I am 35 year old and I have has alot of gastric issues since childhood, like extreme gas. I also had a big but benign colon polyp fiver years ago which was diagnosed as I was seeing blood in the stool and was later removed. Now I have been having symptoms of acidity and my throat from left side is still red after two back to back severe infections I have been thinking about my symptoms lately and remember that for many years I feel coolness in esopahagus on drinking even normal temperature water or feel hot on drinking hot. Could this mean my esophagus is damaged? What symptoms should I look for to go for an endoscopy or another colonoscopy?

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Doctors' responses

Hello Maryam Thanks for sharing your history and concerns so clearly. Given your background of long-standing gastric issues, a history of a large benign colon polyp, ongoing acidity, and persistent redness in your throat after infections, it’s understandable to be cautious.

About the “Coolness” or “Hot” Sensation in the Esophagus Feeling coolness or heat in your esophagus when drinking water (even at normal temperature) is usually due to heightened sensitivity of the esophageal lining. This can happen after repeated acid reflux, infections, or inflammation (esophagitis). It doesn’t always mean there’s permanent damage, but it does suggest your esophagus is more sensitive than usual.

When to Consider Endoscopy (Upper GI Scopy) You should consider an upper GI endoscopy if you have: - Persistent or worsening heartburn or acidity not improving with medication - Difficulty swallowing (food getting stuck or painful swallowing) - Unexplained weight loss - Vomiting (especially with blood or coffee-ground appearance) - Black, tarry stools (suggesting bleeding) - Persistent pain or discomfort in the upper abdomen or chest - Ongoing throat redness or hoarseness not improving

When to Consider Colonoscopy Since you had a large polyp before, you should follow up as per your gastroenterologist’s advice (usually every 3–5 years, or sooner if new symptoms arise). Repeat colonoscopy is needed if you have: - Blood in stool (especially if it’s new or increasing) - Change in bowel habits (new constipation, diarrhea, or narrowing of stool) - Unexplained weight loss - Persistent abdominal pain - Family history of colon cancer or polyps

What You Can Do Now - Keep a symptom diary (note any new or worsening symptoms). - If your throat redness and sensitivity persist, or if you develop any of the warning symptoms above, see a gastroenterologist for evaluation. - Regular follow-up is important given your history.

Thank you and get well soon

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Hello

The “cool/burning” sensation in your esophagus with normal or hot drinks usually means chronic irritation/inflammation (GERD, esophagitis, or hypersensitive esophagus) — not necessarily permanent damage. But given your history, it should not be ignored.

Red flags → get an endoscopy if you have any of these: Persistent throat redness or pain Daily acidity/heartburn Burning chest pain Difficulty or pain while swallowing Feeling food stuck Chronic cough/hoarseness Unexplained weight loss Vomiting blood or black stools Anemia Night reflux

Colonoscopy is needed if: Blood in stool again Change in bowel habits Unexplained anemia Abdominal pain + weight loss History of large polyp (often needs repeat surveillance colonoscopy anyway)

🛑Yes — your symptoms suggest chronic esophageal irritation, not necessarily “damage,” but you do qualify for an upper endoscopy (UGIE).

Given your past large polyp, you should also be on a scheduled colonoscopy follow-up plan.

I trust this helps Thank you !

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Your symptoms most likely suggest acid reflux–related esophageal sensitivity, not permanent damage, as temperature sensitivity and throat redness are common with GERD or LPR. An upper endoscopy is advised if you develop difficulty or pain while swallowing, food sticking, weight loss, black stools, vomiting blood, or reflux not improving with treatment. Given your history of a large colon polyp, a repeat colonoscopy (every 3–5 years or sooner if bleeding or bowel changes occur) should be discussed with a gastroenterologist.

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Hello dear See as per clinical history benign polyp was there but was removed Probably it is either simple gastric issue or esophagitis with chances of gerd. Even there can be complications also of performed surgery However for exact clarification please get following tests done and share result with gastroenterologist or concerned physician only for better clarity Stomach USG Culture Urine analysis Colonoscopy Anascopy Sigmoidoscopy Rectal physical examination Regards

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Your long history of gastric problems, acidity, throat irritation, and altered temperature sensation in the esophagus most likely points to chronic acid reflux (GERD) with esophageal sensitivity, rather than permanent esophageal damage. The “cool or hot” sensation when drinking liquids is commonly seen in esophageal hypersensitivity and reflux-related inflammation.

The persistent redness on one side of the throat after repeated infections can be due to acid reflux reaching the throat (laryngopharyngeal reflux), post-nasal drip, or local irritation, not necessarily structural damage.

Important reassurance:

These sensations do not automatically mean your esophagus is damaged

Serious damage usually causes progressive symptoms, which you are not describing

When an endoscopy (upper GI scope) is recommended:

Difficulty or pain while swallowing (especially solids)

Food getting stuck

Unexplained weight loss

Persistent vomiting

Black stools or anemia

Severe reflux symptoms not responding to treatment

Long-standing reflux (>5–10 years) with worsening symptoms

When a repeat colonoscopy is needed:

New or recurrent blood in stool

Unexplained anemia

Change in bowel habits

Family history of colon cancer

Otherwise, follow the surveillance interval advised after your previous polyp (often 5–10 years depending on type)

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It sounds like you’re experiencing a mix of gastrointestinal symptoms, and there are a few elements here that are definitely worth closer attention. First off, considering your history of a benign colon polyp, vigilance with regular surveillance colonoscopies is generally recommended. Typically, follow-up frequency is determined by the characteristics of the initial polyp, so discussing the timeline for your next colonoscopy with a gastroenterologist would be wise. As for your esophagus, your current symptoms of a cool or hot sensation might suggest increased sensitivity or irritation, which could be related to gastroesophageal reflux disease (GERD) or perhaps an underlying esophageal condition. Persistent or worsening symptoms like difficulty swallowing, unexplained weight loss, persistent nausea or vomiting, chronic cough, or any signs of bleeding (like dark or bloody stools) are red flags and should prompt an urgent evaluation. An endoscopy might be considered to assess for damage, such as esophagitis or Barrett’s esophagus, depending on the severity and persistence of your symptoms. Meanwhile, lifestyle modifications could be beneficial: try smaller, more frequent meals and avoid triggers, such as caffeine, alcohol, spicy foods, and lying flat after eating. Elevating the head of your bed might also help with nighttime symptoms. For now, it may be useful to consult your doctor to get a personalized management plan and decide if medication or further diagnostic testing is necessary. This conversation is crucial in ensuring any serious issues are caught early and managed effectively.

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Hello Maryam, thank you for sharing your concern. Your symptoms are commonly seen in acid reflux (GERD), esophageal irritation, or throat inflammation, where the lining becomes temporarily sensitive.

You should consider endoscopy if any of the following occur: Difficulty swallowing (food getting stuck), Pain while swallowing, Persistent throat or chest burning not improving with treatment, Recurrent vomiting, Unexplained weight loss, Black stools or vomiting blood, Long-standing reflux symptoms not improving after 4–8 weeks of proper acid-reducing medication.

Regarding colonoscopy, repeat testing is usually advised based on the type and size of the previous polyp (commonly every 3–5 years for larger polyps), so it would be reasonable to check with the doctor who removed your polyp about the recommended surveillance schedule.

What you can do now: Avoid very spicy, oily foods, excess tea/coffee, and late-night meals. Do not lie down for at least 2–3 hours after eating. Maintain healthy weight. Start Tab. Pantoprazole 40mg before meals twice a day × 1 month.

If throat redness and reflux symptoms continue despite treatment for a few weeks, seeing a gastroenterologist for evaluation (including possible endoscopy) would be appropriate.

Review after 1 month.

Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine

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