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Acidity and heart burn problems - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   I'm feeling short breath stomach cramps light discomfort in the chest
Doctor :   Hi
User :   Hello Doc
Doctor :   May I know since when you are having this problem ?
User :   I missed to tell that I felt some sickness from some sushi that I eate like 25 days ago
Doctor :   Ok.
User :   Well I'm a heavy smoker never had short breath when not exercising. Im feeling like this for a two weeks
Doctor :   Ok.
Doctor :   May I know your height and weight please ?
User :   Started with short breath when Im laid, then like 8 days ago started to feel like a involuntary contraction to what I think is my stomach, I'm 75 kilos, about 160 pounds
Doctor :   Ok.
Doctor :   May I know if you ever had gastritis or Acidity in your stomach ?
User :   Oh I have been felling some random nausea, for no reason
Doctor :   Can you specify your hieght too ?
User :   My digestive system was always the best
Doctor :   Ok.
User :   I'm about 5"8 or so. 1,70cm
Doctor :   May I know your age please ?
User :   38
Doctor :   May I know if you have had any diarrhea or vomitings ?
Doctor :   Or any fever ?
User :   Only the day I ate the bad sushi. I vomited once, and for like 2 days diarrhea, and soft feces for like another 4 days
User :   no fever
Doctor :   Ok.
Doctor :   Have you also belched a lot ?
Doctor :   And do you think the mild discomfort in the stomach and chest are associated with any pain ?
Doctor :   or tenderness ?
User :   Yes I am. Everything I eat in the last week made me feel like it was not good
User :   no pain
Doctor :   Ok.
User :   no tenderness
Doctor :   As I am not able to examine you physically , I shall give you a differential diagnosis, and a [ossible step to releive yourself : User :   Im also feeling heart burns, which I never fealt
User :   ok
Doctor :   You possibly have had a food contamination with Staph bacteria in stale or infected food due to which you have had all these symptoms and is termed food poisoning .
User :   It is normal to this happen after so long?
User :   I mean after eating the bad food?
Doctor :   2. You have started to experience Achalasia Cardia or Heart burn which is seen in acidity or severe gastritis , if you have had some spicy diet and is being aggravated by smoking .
Doctor :   These two seem to be the prime reasons for your problem.
Doctor :   I would also suggest a 3rd possibility of Oesophageal burn or ulcer or malory weiss.
User :   If this is this problem, am I in danger ?
Doctor :   You are not in any danger , but I should tell you that you have to follow a few steps and run through two tests : User :   ok
Doctor :   1.The main treatment for food poisoning is replacing fluids into the body (rehydration) through an IV and by drinking. The patient may need to be admitted to the hospital. This depends on the severity of the dehydration, response to therapy, and ability to drink fluids
Doctor :   2.Antibiotics are rarely needed for food poisoning.Only a few specific causes of food poisoning are improved by using these medications.
Doctor :   3. So I would suggest that you rehydrate well , lots of water,juices and fruits .
Doctor :   If it doesnt help in 1-2 days then I think you should get some Antidote or stomach lavage done, Do you remember if you have had any mushrooms?
User :   Like I said, I ate this bad fish about a month ago? Should I be feeling these symptoms earlier
User :   No no mushrooms
Doctor :   Yes exactly right, The most favouring diagnosis would be Acidity or Hear burn or esophagus problem .
Doctor :   May I know since when you are smoking and how many per day ?
Doctor :   Do you consume any alcohol ?
User :   oh boy, I'm 38, I smoke since I was 16. The last 4 yrs Ive been smoking 2 packs a day.
User :   Alcohol is rare to me. But I smoke some pot for relaxing
Doctor :   2 packs is 40 per day almost ?
User :   yes :(
Doctor :   Ok.
User :   since yesterday I smoked like 10 cigarettes "only"
Doctor :   My dear you are harming yourself too much .
User :   Ill stop , this was a good call... to make this happen
Doctor :   That is good , You have to cut down.
Doctor :   May be 2/3 per day would be too much and a total cut down to zero would be best.
Doctor :   I shall recommend two tests and I think these will confirm what I have suggested or diagnosed.
Doctor :   1. Ultrasound abdomen/stomach.
User :   I always thought my immune system was A grade. People get sick say with flu... I resist. After everybody is getting good, I feel the symptoms but very lighter
User :   This is all to new to me
User :   getting sick I mean
Doctor :   2. Endoscopy of Stomach and esophagus.
Doctor :   Ok.
Doctor :   If these two tests come out with a diagnosis , I would say you are very lucky.
Doctor :   And would encourage you to totally quit smoking.
User :   I'll go to a hosp. to do those
User :   Isnt quitting suddenly bad for me?
Doctor :   You may have some withdrawl symptoms but you can start with nicotine patch or chewing gum - nicorette
Doctor :   which would be very helpful.
User :   See little pain in the left side of my chest... feeling it right now. :/
User :   almost in my armpit
Doctor :   20 smoke years is said to be the precipitating factor for Lung cancers, Sorry to say that and increases the chance of carcinoma of lung by 100 times.
Doctor :   This can be the last reason for possible discomfort.
Doctor :   1 smoke year is 1 pack for 20 yrs.
Doctor :   You have been smoking for 22 yrs now.
User :   Can I discard heart problems with this symptoms?
User :   I mean, eminent hearth attack
Doctor :   I have to admit this fact that heart problems are more acute and do not show up like this, i mean so mld.
Doctor :   They are a bit violent or the pain is excruciating.
User :   what a relieve
Doctor :   So I would stand by the 3 things that I have mentioned and the last possible Lung problem.
User :   A xray taken two months ago could detect any lung cancers?
User :   Cuz I had one two months ago, and the doctors said nothing... only that I should stop
User :   I mean, could this lung thing happen in two months and be already causing pain or disconfort
Doctor :   Ok. But they can start without much foci in x-ray and they develop pretty fast , but i still feel that lung could be the last or least possible problem.
Please get the two tests and let us see what has happened .
User :   I'll Dr Tosh
Doctor :   It must be more of a Gastrointestinal problem like Acidity,Ulcer, Malory weiss.
User :   I really appreciate your help
User :   My time is almost up
User :   Thanks you again
Doctor :   Yeah. Dont worry and take care of yourself.I would really appreciate if you visit a de-addictiopn specialist.
Doctor :   Bye for now.
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