Q: Hello doc I’ve been having
discomfort in my throat for a while now it feels like there’s something stuck
in my throat especially in my chest; fatigue and headache is present and
there’s this huge discomfort in my chest, like something is stuck there and
when I swallow something I can feel that part becoming irritated. I coughed
while I was eating yesterday and some pain emanated from there. I just quit
smoking recently and I’m 22 years old. Do you think this could be cancer?
Two things also – I’ve been smoking for over a year now and sometimes acid
pushes up into my esophagus also
A: Hey! Thanks for
writing in.
A little Biology class to get us started…:)
When we eat, the
food moves down from the mouth, to the esophagus (the food pipe) and into the stomach.
There is a sphincter (you can look at it as a valve or control) at the lower
end of the esophagus just before the stomach. This valve usually allows food to
move in one direction: from the esophagus to the stomach. However, in people
with Gastro-Esophageal Reflux Disease (GERD), this valve called Lower
Esophageal Sphincter allows food to also move back from the stomach to the
esophagus. This food, which contains acid from the stomach, causes burning
sensations in the esophagus described as heartburn. A condition called hiatal
hernia increases the chances of GERD and is usually seen in obese people,
pregnant women and during situations that increase the pressure in the abdomen
like coughing, sneezing etc.
Symptoms typically include
those you have described, really – burning sensation in the chest after eating,
difficulty with swallowing, and sensation of having a lump in the throat, chest
pain and regurgitation of food or sour-tasting fluid. If your symptoms are worse
at night, you could also have disrupted sleep and chronic cough.
Lifestyle factors that play a role in GERD include certain foods like fatty,
fried foods, alcohol, minty foods etc, smoking, eating huge meals, lying down
immediately after a meal etc
To avoid these eat smaller meals and try not to lie down until
about 3 hours after a meal, keep your weight within normal limits and give
tight clothes a rest 😀 Avoid foods that act as triggers and stay off
smoking. Elevate the feet of your bed by using blocks under the bed. Do not use
pillows to achieve this as it just increases pressure in the stomach and
worsens the problem.
Other treatment modalities include medications and surgery. Your doctor will
advise as to what works best for you.
Now, as you can see
from this post, your main symptoms are most likely due to smoking. I’m not
quite sure whether you are still smoking or you’ve quit. If you haven’t, this
is really the time to give it up, don’t you think? J
Tobacco use is a
major preventable cause of death worldwide.
The first step to quitting is having a clear desire to quit. You have to be positive, reminding yourself
why you need to quit. Apart from having a good support system, avoiding the
areas where one usually is encouraged to smoke is a good idea. Friends and
acquaintances that encourage you to smoke, should not be seen too
frequently…especially as you start off on this process.
It is important to have other hobbies and activities that take
your mind off smoking or take the place of smoking…in a sense. Getting more
active with a sporting activity or church activities or volunteering etc are
all activities that can take the edge off quitting. Some have found switching
to oral substitutes like chewing gum, carrots and mints, helpful.
Apart from home support, having a support group of people who wish
to quit also helps a lot. I have sent the phone number of a psychologist who
can help you during this process. I will update this post shortly with websites
that have information on support groups in Lagos for people who wish to quit.
You need to get on with the first part of the work, which is making the
decision to quit. Having a wonderful family that you wish to be there for is an
extra push. Knowing that many people have been able to kick this habit before
you should confirm that you can do this!
I’m rooting for you!
Share the good news as the days progress. You could be
encouraging someone else who wishes to quit! Let’s show that this can be done!
For a related post,
please click on this https://chatwithdrketch.com/2015/02/24/daily-health-tips-im-trying-to-stop-smoking-pot/
Have a good night, y’all 😀