Chronic gastric and esophageal irritation - #22864

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

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

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 !