Hi,Dear,Thanks for your query to HCM.
Dear I read facts of your query and reviewed it in context to your query health issues.
I understood your health concerns and feel Concerned about them.
Based on the facts of your query the reply of your query is-
GERD with Globus Pharyngicus with accompanied IBS.
Other causes need to be ruled like-Accompanied
hyperthyroidism with Ischemia-and other Ent Conditions affecting the pharynx like Constrictor pharygeus Spasm.
Do's -suggested for your case-
Bland / non spicy / non-fried diet with Low solids and high liquids would recoup you more from
Chest pain due to reflux acidity.
Tab Vit B12 /
Folic acid to improve the resistance of esophageal and upper gastric mucous to bear with increased acidity.
Gaviscon-Liquid with PPI- like Panto-D- would control the complaints
High fiber diet x regularly
Plenty of fluids x regularly
Antibiotics like Ciplox-OZ-
and Tab Bentyl would recoup the IBS fast.
Tab Zincovit +Vit B12 would recoup the inflamed colonic and intestinal mucosa of the accompanied IBS.
Stool analysis Test and review with GI-Surgeon and GI Endoscopist would be needed if no recovery with initial treatment given to rule out
fissure in ano /
Proctitis ,
diverticulosis and Crohn's disease and other causes of the IBS
Just don't worry and be patient and co-operate with your doctors,till you verify with your attending doctors.
Need to Check with Physician / GI Endoscopist and GI-Surgeon if things don't recover.
-Other causes need to be verified with your family GP doctor and team of Specialist doctors, as the facts may be different what you submitted.
-For this
Second opinion from PCP-or Gp doctor and if need be with Physician / GI -Endoscopist and GI- Surgical- specialist-is needed who would do proper investigation after proper physical assessment to resolve your health issues.
-for early recovery-please follow above do's which would resolve your complex health issues.
Hope this would help you to treat your health issues in the best way possible.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS