Do you dread taking nutritional supplements because they usually end up “stuck” in your chest (esophagus)? Hate that feeling? Is the supplement really trapped there or does it just feel that way?
The pills that are most notably associated with irritating the esophagus are certain antibiotics,” says Akram Alashari, MD, abdominal surgeon and critical care physician, Department of Surgery, College of Medicine, University of Florida
Examples, say Dr. Alashari, are “tetracycline, doxycycline and clindamycin),” as well as “aspirin and anti-inflammatory agents, and bisphosphonates (for osteoporosis).
“The supplements most commonly associated with esophagitis include vitamin C, iron and potassium chloride.
“It is hypothesized that, in patients with risk factors for delayed esophageal transit, medication-induced esophagitis is caused by prolonged contact of the medication with the esophageal mucosa.
“Aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs) may cause esophagitis by disrupting the normal cytoprotective prostaglandin barrier in the stomach and esophagus.”
Prostaglandins are hormone-like compounds, and “cytoprotective” refers to protecting the cell.
Here is additional information from Dr. Alashari on why pills can cause a stuck feeling in the esophagus.