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Is Indigestion, GERD, Bloating And Belching Related To Stomach Or Heart Related Issue?
Question: Gastroenterologist
Dear Doctor,
I am 75 year old man.I take daily Betacard,Ismo,Deplattcv,Thyronorm,Glycomet,Urimax and Amtas.I know because of taking all these medicines, there is bound to be stomach disturbance like gas, indigestion, GERD,bloating ,belching etc. At that time i take Rabium DSR in the early morning and Aristogime capsule after lunch for about 3 or 4 days.. At times i take Gelusil MPS. Many people express they were not able to differentiate between stomach problem or heart related problem. With this every time we cannot run to a cardiologist or a gastroenterologist or a phsycian. At first instance we have to make our mind to whom to do we have to approach. As such, I shall be glad if you will please kindly give a clear cut picture about the symptoms of discomfort in stomach and symptoms of heart related problem. So that i can enlighten my friends about this apart myself. I do not rely on internet.I only have confidence in Doctors like you.
Dear Doctor,
I am 75 year old man.I take daily Betacard,Ismo,Deplattcv,Thyronorm,Glycomet,Urimax and Amtas.I know because of taking all these medicines, there is bound to be stomach disturbance like gas, indigestion, GERD,bloating ,belching etc. At that time i take Rabium DSR in the early morning and Aristogime capsule after lunch for about 3 or 4 days.. At times i take Gelusil MPS. Many people express they were not able to differentiate between stomach problem or heart related problem. With this every time we cannot run to a cardiologist or a gastroenterologist or a phsycian. At first instance we have to make our mind to whom to do we have to approach. As such, I shall be glad if you will please kindly give a clear cut picture about the symptoms of discomfort in stomach and symptoms of heart related problem. So that i can enlighten my friends about this apart myself. I do not rely on internet.I only have confidence in Doctors like you.
Brief Answer:
Cardiac consultation should be the 1st priority
Detailed Answer:
Hello Sir
I can certainly understand your concern
I have worked through your attached query in detail
Considering your age and history of Diabetes/Hypertension it's important to rule out cardiac abnormalities even though predominantly they reflect Gastrointestinal disturbances.
Cardiac abnormalities can be pretty latent and notorious for their presentation in Diabetic individuals.
Hence I advise you to have cardiac screening via tests like ECG, 2D ECHOCARDIOGRAM and Treadmill testing if necessary. Therefore my suggestion would be to seek cardiology consultation first, get cardiac disorders rule out and then focus on Gastrointestinal disturbances once they have been confirmed.
Gastrointestinal disturbances are very common with Polypharmacy.
Meanwhile you can continue taking Rabeprazole.
Please do not take Gelusil MPS along with Rabeprazole DSR as the later's action gets neutralized.
Review with reports to determine further course of action.
Are you satisfied with my consultation ? Is there anything else left to be discussed ?
Post your further queries if any
Thank you
Cardiac consultation should be the 1st priority
Detailed Answer:
Hello Sir
I can certainly understand your concern
I have worked through your attached query in detail
Considering your age and history of Diabetes/Hypertension it's important to rule out cardiac abnormalities even though predominantly they reflect Gastrointestinal disturbances.
Cardiac abnormalities can be pretty latent and notorious for their presentation in Diabetic individuals.
Hence I advise you to have cardiac screening via tests like ECG, 2D ECHOCARDIOGRAM and Treadmill testing if necessary. Therefore my suggestion would be to seek cardiology consultation first, get cardiac disorders rule out and then focus on Gastrointestinal disturbances once they have been confirmed.
Gastrointestinal disturbances are very common with Polypharmacy.
Meanwhile you can continue taking Rabeprazole.
Please do not take Gelusil MPS along with Rabeprazole DSR as the later's action gets neutralized.
Review with reports to determine further course of action.
Are you satisfied with my consultation ? Is there anything else left to be discussed ?
Post your further queries if any
Thank you
Above answer was peer-reviewed by :
Dr. Kampana
Der Doctor,
I have undergone 2 D echo, ECG and TMT in May last year.The 2 D echo and TMT are for the first time in my life, which is nearly after 45 years when I am told that i have T wave inversion in V3,V5 and V6.All the reports are normal.My question is how a person can differentiate between stomach problem,GERD etc and a heart problem?
I have undergone 2 D echo, ECG and TMT in May last year.The 2 D echo and TMT are for the first time in my life, which is nearly after 45 years when I am told that i have T wave inversion in V3,V5 and V6.All the reports are normal.My question is how a person can differentiate between stomach problem,GERD etc and a heart problem?
Brief Answer:
Organ involvement is predominantly differentiated on symptoms
Detailed Answer:
Hello Sir
Let me guide you...
Heart disease presents as follow ( predominant symptoms)
Chest pain
Difficulty in breathing
Exertional breathlessnes
Swelling of feet
Gastrointestinal symptoms present as follows ( predominant symptoms )
Pain Abdomen
Nausea and Vomiting
Epigastric discomfort
Recurrent belching
Loose stools
Passage of blood in the stools
This is how a basuc differentiation is made on symptoms
Post your further queries if any
Thank you
Organ involvement is predominantly differentiated on symptoms
Detailed Answer:
Hello Sir
Let me guide you...
Heart disease presents as follow ( predominant symptoms)
Chest pain
Difficulty in breathing
Exertional breathlessnes
Swelling of feet
Gastrointestinal symptoms present as follows ( predominant symptoms )
Pain Abdomen
Nausea and Vomiting
Epigastric discomfort
Recurrent belching
Loose stools
Passage of blood in the stools
This is how a basuc differentiation is made on symptoms
Post your further queries if any
Thank you
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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