I had a little medical thing happen yesterday. Probably at some point I mentioned that the reason I ended up diagnosed with GERD/reflux, despite never noticing anything like heartburn except when I was pregnant, was that on several occasions I had taken a perfectly normal bite of food and it had not gone down right: I could breathe, but the food felt stuck for a couple of minutes. Which makes it sound like the kind of thing where you just need to take sip or water or something, and downplays how extremely painful it is, combined with a feeling of needing to burp and/or throw up, combined with the urgent feeling of The Body Is Having An Emergency Right Now, combined with any sip of water either refusing to go down or else increasing the pain. Really, very uncomfortable, do not recommend. Anyway, I got on a daily medication for GERD/reflux (omeprazole, if you are curious) and the swallowing thing stopped happening, and the medication also stopped my incessant light dry cough that I’d thought was a sign of my family’s pervasive asthma/allergy issues but turned out to be unnoticed heartburn also.
ANYWAY. Yesterday morning I had one of those painful “food is stuck” things, but I hadn’t had anything to eat yet, just coffee (but: acidic; also: hot, which apparently can sometimes trigger such things); and also, instead of for a couple of terrible minutes, it went on for over an hour at a “Do I need to go to the ER?” level of pain/weirdness, and then it was at a milder level for an hour or so after that, and then for the rest of the day it wasn’t happening anymore but my esophagus felt sprained, and there was discomfort every time I swallowed (new awareness: how often I swallow). I could theoretically eat and drink, but it was much too unpleasant to do it. I did try two doses of baking-soda-in-water early on in the process (thinking it might be a big acidic overreaction to the coffee), to no effect.
From online research, it seems to have been an esophageal spasm. It looks like generally it’s not dangerous, but it’s very uncomfortable, and not very treatable. Or rather: there are a lot of articles online with, like, the same three things doctors can try (including, inevitably, have the patients lose weight! and eat bland soft food! and avoid foods that seem to make it happen more often! yay medical science!!), plus a couple of medications and procedures, but then hundreds of message boards saying NOTHING WORKED AND I CAN’T LIVE LIKE THIS. I am going to try not to assume this will be my life, since apparently a person can also have one esophageal spasm and then no more.
The likelihood of having them is thought to be increased by stress and anxiety, isn’t that funny? Ha ha ha ha ha! Ha ha ha!
One thing I have learned about myself is that I will eventually take a child to the ER, because I can take being thought of as an over-fretful mother, and I can’t take wondering how I’d feel if I should have brought them but didn’t—but I will apparently never take myself to the ER unless I have broken a bone (well, not if it’s a toe bone, but anything larger), have internally acquired a bullet, or have lost, at minimum, a finger or toe. Not only can’t I believe something is Actually Happening, I can’t handle the way the medical staff make you feel bad if you’re right (“Why didn’t you come sooner??”) or bad if you’re wrong (“Yeah, next time this happens? Try having a couple of Tums and a glass of water, mmkay?”) (not to mention the way if you show up with any complaint of pain they treat you as if you’re lying to get pain medication). I will gently die first. Apparently. My hope is that if something happens to me that is life-threatening and also treatable, that I will briskly lose consciousness and someone else will be there to make the ER decision on my behalf.
I WILL, it seems, after half an hour or so of chest pains on the level of labor pains, casually and with reluctance (and only after he’s told me all about the project he’s working on) notify my husband that something medical is happening that is probably not a heart attack because it is not on the left side and not involved with my arms; and that the only way in which it is “spreading to my jaw” is that I have the barfy/tingly feeling I always have with this swallowing problem; and that I am not dizzy or short of breath or sweating; and that really it feels more like my THROAT than my HEART; and also because it’s been going on for awhile and nothing further, such as passing out / perishing, has occurred; and that the MAIN reason I’m concerned is that (1) it’s been going on so long and (2) it’s so painful and (3) I HADN’T TAKEN A BITE OF ANYTHING. (And also secret concern 4: I am picturing the ER nurse saying “And you had intense, regular chest pains? And you didn’t come to the ER…why, again?”) (And then, later on: “So, next time this happens, try an antacid mmkay? Maybe lie down, put your feet up, have a little water.”)
And in a pandemic, it’s so much more fraught. In normal times, I would at least be calling my primary doctor today to see if she wanted to take any action, or maybe want to send me back to the doctor I saw for my endoscopy. But as it is, I’m hand-wringing. I don’t want to start messing around with various medical buildings and medical staff if this was a one-time thing. It wouldn’t just be “Oh, okay, come on in and we’ll have a quick check”; it would be first to the primary doctor, then to the lab, then to a specialist, then back to the specialist for a scheduled test/procedure, etc. That is a LOT of exposure. And my endoscopy was less than a year ago, so I’m not super-worried that there’s something new in there; more like thinking this is typical of the kind of issues the doctor who did the endoscopy said people in my situation might have. (He also mentioned my STOMACH MIGHT TWIST AROUND, TYING ITSELF OFF FROM THE ESOPHAGUS.)