### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi- Thank you for taking my question.  I had an endoscopy 3/09 due to a constant tight feeling in my upper middle abdomen.  (Still there to this day).  When I woke up from the endoscopy they had me do a barium swallow.  As I came out of the anesthesia I realized I had severe pain in my esophagus.  It was painful to even swallow water.  It lasted about 10 days.  But at the same time I realized that if I move my chest muscles, I feel great pressure in my chest (still to this day). And slowly it became too painful to talk.   I have a voice, but the vibration of it hurts something in what feels like my esophagus.  It becomes very sore. (also bumps in the road etc any vibration hurts.  Question 1) could that endoscopy injury with the barium poured over it be causing these problems?  2) If so, what is going on?  Scar tissue? Barium irritation/inflammation? 3) How to remedy? Thank you so much for your time.  Im in constant pain and I cant use my voice.  Kari

### output:

H. Thanks for your queries and an elucidated history answer your queries:1. Yes it is possible that the endoscopy injury added on with barium study can cause such a problem / pain as you explained .2. To know what exactly is going on you need to undergo another endoscopy and probably a CT scan of the chest. 3. Remedy: for the remedy to be correct, we need the correct diagnosis as to what is the exact problems, for this you need to undergo another endoscopy. *There may probably an injury at the cricophrynx and larynx, hence you have the pain, and can not talk, you have vibrations too. CT scan of the neck is also necessary with that of the Chest. * Till then take PPI, Antacid gels 3 hourly, Risperidone, soft bland diet and continue whatever your Doctor must have advised you.