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Discomfort in the chest due to Gastritis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   2 weeks ago I woke up with burning in both nipples (male) and the pain then move to left side of chest and down left arm. After 2 trips to the E.R heart issues were ruled out. Pain is now across my back mid rib area also pain in abdomen both sides. Back pain 8, adbomen pain 6. Upper G.I was done this AM along with a Mammogram right side and ultrasound on left side. Area of pain seems to change every few days. Any thoughts would be appreciated before I march back to the E.R.
Doctor :   Hi,
Doctor :   Please give me a minute read your post
Doctor :   ok,
Doctor :   Is the pain deep or superficial ?
User :   The pain is deep
Doctor :   any relation to the food ingestion ?
User :   does not appear to be. But every time I eat or drink I get bloated and need to have a bowel movement.
Doctor :   ok,
Doctor :   is the pain associated with burning sensation of the skin over the chest ?
User :   At first, yes but has not been that way for the past 3 or 4 days.
Doctor :   ok, i think the problem lies in the stomach which can be picked up in Upper GI endoscopy,
Doctor :   i say this because the nerves supplying to the stomach are the branches of the nerves which als give branches to the chest wall, and other many structures in the chest
User :   Had one today. will get results on Fri. Should I just endure the pain and discomfort that I;
User :   '
Doctor :   its a common presentation expected in gastritis\tis /gastric ulcers
Doctor :   gastritis*
Doctor :   its called referred pain
User :   Even with the burning in the nipples and discomfort in the left arm and later in the abdomen?
Doctor :   yes,
User :   Should I seek further treatment before Fri?
Doctor :   as i told there is considerable sharing of nerves in the structures you mentioned
Doctor :   when will you b getting the reports ?
User :   Friday 10-1
User :   Is it OK to take ibupropen/vicodin or will that compound the problem?
Doctor :   no, need no emergency treatment , all you need is a long term antacids ( strength depending on the severity )
Doctor :   no, its not advisable to take IBUPROFEN or any other pain killers ( NSAIDs )
Doctor :   they do aggrevate the problem
User :   So should I just take over the counter antacids?
Doctor :   have TUMS twice or thrice a day , which may help
User :   How about liquids such as Mylanta?
Doctor :   ya, thats a better one too
User :   Initially there was sensitivity to touch in the left breast area with the onset of these sympp
Doctor :   but dosing titration is required
Doctor :   can be expected
Doctor :   its due to the irritation of the nerves
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