Question
The patient describes a feeling of throat tightness after meals and mentions having stomach bloating issues for the past few days, with hazy memory. A few days ago, they had dinner outside and felt bloated after eating, but without any discomfort, accompanied by flatulence and hiccups, which subsided a few hours later. Yesterday, they skipped breakfast and had a poor appetite for lunch, consuming only a small amount of soup and steamed eggs, feeling their stomach was full. The symptoms eased after about an hour. In the afternoon, they had some snacks, including bread and lily beans, but for dinner, they had no appetite at all. They experienced a sense of fullness in the upper abdomen that persisted for several hours, accompanied by hiccups and flatulence. This morning at 11 AM, they still felt their stomach was full.
Answer
The doctor suspects esophagitis or gastrocnemial neurosis and recommends undergoing an esophageal barium swallow or gastroscopy to confirm the cause. If the patient is unwilling to undergo examination, they can try medication treatment such as amoxicillin, metoclopramide, cimetidine tablets, and multi-enzyme tablets.