[Dysphagia] Interesting case

[eripley at yahoo.com (Irene Campbell-Taylor)]

There is a high incidence of GERD in COPD. There is also exercise induced reflux. This gentleman's substernal pain ...I'm assuming he's been checked for possible cardiac causes...and the belching etc. are most probably esophageal dysmotility signs. Substernal chest pain that is not cardiac in origin is most often caused by GERD. And the patient usually has no heartburn. Patients I have seen with COPD are frequently unaware that they have GERD because they assume that pain must accompany it when in fact it does not. An unfortunate number have been found to have esophageal adenoma after my suggesting endoscopy - which I would suggest in this case.

Dr I Campbell-Taylor
Clinical Neuroscientist
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