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Chronic gastric and esophageal irritation
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Digestive Health
Question #22864
45 days ago
145

Chronic gastric and esophageal irritation - #22864

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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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
45 days ago
5

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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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
45 days ago
5

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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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
41 days ago
5

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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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
45 days ago
5

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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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
45 days ago
5

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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Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
38 days ago
5

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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