instruction: hello doctor a few months before I felt burn and pain in the chest area when I swallow anything like my own saliva it lasted more than a week and again I felt normal again yesterday I started to feel this pain and I started to think about that and felt stress tonight when I swallow anything I feel this chest pain and burn and when I do not swallow also I feel pain in the chest area is it serious and should I worry about that when I searched on the internet it says big diseases like esophageal cancer the symptoms say difficulty in swallowing coughing and things and now I feel like I am feeling all those symptoms please help
output: hello the symptoms you have been experiencing such as difficulty in swallowing and burning pain warrant a more extensive study with barium studies in which you swallow a material composed of barium and then you will be radiographed the esophageal structural pathologies are going to be demonstrated by this way such as strictures and endoscopy to have a more clear view of esophagus and stomach gastroesophageal reflux which is the backflow of acid into the esophagus is the most common reason and it can be treated easily with medications gastritis or pyloric infection needs to be treated with specific medications ubt urea breath test is required to rule out pyloric infection the results of the aforementioned test are required to make a definite diagnosis however esophageal cancers are extremely unlikely given the duration of your symptoms and your age I can assure you in your age most common etiologies are esophageal spasm and strictures former can be treated with calcium channel blockers and antidepressants and in case of strictures endoscopic dilation can be done to relieve the pressure