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Tightness in chest and throat,ringing in ears - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3609 Questions
User :   Dear User, You have started the trial chat with our doctor. This chat is only to provide you an idea how an actual chat would be like. Please note that the time of this chat is insufficient for the doctors to provide you a detailed answer to your questions. After the trial period, you will be redirected to the Payment page and you can select a package of your choice.
User :   Hi
User :   hello
User :   How can I help you?
User :   i am not sleeping well..have tightness in chest and throat and pooping balck liquidy poops constant ringing in ears...and pain in my lower right chest front and back
User :   May I know your age and gender?
User :   35 male
User :   Since when are you having these symptoms?
User :   Do you consume alcohol?
User :   last tuesday i started feeling sick kinda like a cold or flu
User :   Do you have abdominal pain, nausea/vomiting?
User :   i do drink but maybe twice a week
User :   i had vomited three times saturday and am nausious
User :   Have you seen a doctor or taken any medication for your current illness?
User :   no
User :   Ok
User :   Let me brief you.
User :   Presence of black coloured/tarry stools can indicate an upper GI bleed.
User :   I will need few more details regarding you to understand about the problem better to be able to answer you better.
User :   Can I proceed?
User :   It seems you have moved out of the chat window. Please log in back if you have medical queries
User :   yes please proceed
Doctor :   Hi\
Doctor :   Welcome back.
User :   ok
Doctor :   May I know if you the whole stool was coloured black or was it spotted with dark coloured stools?
User :   black...and runny
Doctor :   Since when have you noticed this?
User :   past couple of days
Doctor :   Ok
Doctor :   May I know the quantity of alcohol you take per week?
User :   i drink around 18 to 20 beers a week
Doctor :   Do you use antiinflammatory medications regularly?
User :   not daily
User :   like for acid reflux
User :   i take zantac when it aks up
Doctor :   I mean do you use pain killers regularly?
Doctor :   Do you have any liver disease?
Doctor :   Are you there?
User :   yes i take excedrin ..helps with the ringing in my ears i get headaches from it
User :   not that i know of
User :   yes i am here
Doctor :   Ok
Doctor :   Let me explain you now.
Doctor :   As I mentioned presence of black tarry stool is a sign of upper GI bleed.
Doctor :   Presence of completely dark stained stools, indicate that the bleeding is a significant one.
Doctor :   You probably may be having this bleeding due to multiple factors
Doctor :   such as alcohol intake,
Doctor :   Painkillers (excedrin) that you take and
Doctor :   past history of gastritis and acid reflux that you suffer.
User :   ok
Doctor :   Ideally, you will need an endoscopy to visually examine the upper gut and accordingly treat the condition either by medical drugs, injectables or by banding techniques.
Doctor :   I would suggest you to consider consulting a gastroenterologist for this purpose.
Doctor :   In the mean time, other measures that you need are
Doctor :   1. Stop use of excedrin further, you can use simple analgesics -paracetamol containing drugs such as tylenol for the headaches.
Doctor :   2. Antacid syrups such as syp gelusil one teaspoon thrice a day before each meal.
Doctor :   3. Prilosec OTC one tablet a day before a meal for the next one week
Doctor :   4. Avoid all hot and spicy diet.
User :   ok
Doctor :   6. Restrict any caffeine that you consume
User :   i like dr pepper
Doctor :   Dry pepper, coffee, or any beverages has to be restricted.
User :   ok
Doctor :   7. Watch out for your stools, if they continue to get darker, then you may need to visit an ER.
User :   i am going to mine after we talk..i wanted an idea on what direction....i have not been to work since last tuesday over all this
Doctor :   8. Lastly since you need the endoscopy and evaluation of liver functions, I would strongly recommend that you fix an appointment with a gastroenterologist as soon as possible.
Doctor :   9. any yes, no further alcohol untill a doctor tells you again.
User :   how about the pains in my lower right chest near ribs and tightness in chest and throat
User :   all those related
Doctor :   The pain is probably the sign of GERD(reflux disease)
User :   ringing in ears and afore mentioned
Doctor :   and can be related to the dark stools as well.
Doctor :   Ringing sensation in the ear may or may not be related to the present problem.
User :   alright then ..thanks i am on my way to the hospital now
Doctor :   It can be explained to this problem, if you have anaemia secondary to the loss of blood.
Doctor :   Have you followed what I have suggested?
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