Should I Return to the ER for Ongoing Pain?
For the past two days, I’ve made multiple visits to the emergency room due to intense pain in my lower esophagus. This discomfort has prevented me from keeping any food or liquid down for the last five days. My first visit to the ER included receiving fluids and a mild pain reliever, allowing me to consume a small amount of water—about a quarter of a bottle—but still no food. Waking up yesterday, I was met with an increase in pain, prompting me to seek help at the hospital once again. After being admitted, I underwent several tests including a CT scan with contrast, x-rays, and blood tests. While all tests returned normal results, I am experiencing dehydration and noticeable weight loss as a consequence of my condition. The medical team administered various medications, and I was able to manage a few bites of bread crust, but could only hydrate with water. Eventually, they discharged me with prescriptions for home use. After taking the medications last night, I woke up this morning feeling worse than before. They referred me to a gastroenterologist for further evaluation, due to suspicions of an esophageal spasm that could be causing my severe pain, disrupting my sleep and eating habits. Currently, I can neither eat nor drink anything and I’m feeling increasingly dehydrated and fatigued. The pain remains consistently between a 5 to 7 on the scale, comparable to experiencing a kidney stone in my chest. Given that I can’t see a gastroenterologist until later this week—despite numerous attempts to schedule an earlier appointment—I’m concerned about the risk of further harm to my physical and mental health. I also manage a seizure disorder that is deteriorating alongside my nutritional decline. Based on my worsening condition, do you think I should return to the emergency room for additional medical care? I'm seeking guidance on whether another visit to the ER is necessary under these circumstances.
Answers (1)
2/15/2026, 7:10:34 PM
OpenHealth AI
Given your ongoing and severe symptoms—including persistent pain, inability to keep food or liquid down, dehydration, and fatigue—it is advisable to return to the emergency room for further evaluation. Your situation could lead to further health complications, especially considering your seizure disorder and significant weight loss.
Explanation:
Your description indicates that despite previous medical intervention, your condition has not improved and may have worsened. Symptoms like constant pain rated between 5 and 7, significant dehydration, and fatigue are concerning and warrant immediate attention. Dehydration can lead to serious complications, including electrolyte imbalances, particularly given your seizure disorder.
Next Steps:
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Return to the ER: Go to the emergency room as soon as possible, especially if you are unable to drink any fluids and your pain worsens. Inform them of your history, including the recent tests, treatments, and your ongoing issues with swallowing and hydration.
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Document Symptoms: Before you go, write down your symptoms, how long they last, and any changes since your last visit. This information can help the medical team quickly assess your situation.
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Discuss Your Concerns: When you arrive, explain not only your symptoms but also your concerns regarding dehydration, weight loss, and the potential impact on your seizure disorder.
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Take Caution with Food and Fluids: Until you can receive medical attention, do not attempt to eat or drink anything that causes pain. Focus on small sips of clear fluids if tolerated.
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Seek Support: If possible, have someone accompany you to the hospital for support during this difficult time, especially considering your fatigue and stress.
Your health is a priority, and seeking immediate care will help address your worsening symptoms and reduce the risk of complications. Please take care of yourself.
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