How often to have an esophageal reflection?
October 5, 2016 | 30,00 EUR | answered by Dr. med. Ralf Berg
Nearly a week ago, I had an MRI during which I had to breathe in and out rapidly for several minutes. Right after the examination, I experienced a kind of cramping in my esophagus.
The next day, I felt like I suddenly could feel every bite I took going down my esophagus. This condition has not changed up to this day.
I had a similar feeling in May. An ultrasound was done in the same month, with no findings.
My question is: Can a tumor in the esophagus develop during this period? And how often should an esophagoscopy be done to be sure?
I should mention that I quit smoking 26 years ago, but regularly drink red wine on weekends.
Also, I have an anxiety disorder and fear of illnesses. Thank you!
Hello regarding your question:
Esophageal tumors are rare and insidious. Among other reasons, because they grow slowly and almost never cause symptoms in the early stages. Therefore, the answer to your question is: a esophageal tumor usually cannot develop quickly enough to cause your symptoms. For question 2, I am afraid there is no "scientific" answer, as it is simply not known. Since tumors are rare, to my knowledge there is no recommendation for screening at all.
It is much more likely that you actually have spasms or, more accurately, dystonias (the esophageal muscles have increased tone/tension, without restricting passage, but you feel like nothing is going through). This often occurs with anxiety disorders. Active relaxation exercises (Yoga, autogenic training, also hypnotherapy) and warm drinks can help.
You have already reduced your risk just by quitting smoking. While alcohol does lead to an increased incidence of esophageal tumors, it also requires higher consumption. In small amounts, the risk is negligible.
I hope I was able to answer your questions.
Best regards,
Dr. R. C. Berg
