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Suggest Treatment For Severe Pain In The Side Of The Shoulder

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Posted on Mon, 14 Nov 2016
Question: Hello am experiencing unusual pain in my left side shoulder and mild pain in chest area.
I'm on hypertension medication, 1/2 Nebicard SM tablet every morning! I have extreme gastritis from 5-6 years now.. I can feel there is some good amount of gas comes out every minute from my left side chest area. Right below my heart. If the gas fills up i feel tightness in chest. I have to forcefully burp it out to feel comfortable.

I use to do this and i use to feel alrite for a while. But from two days i'm having a night mare and i have following symptoms:
1. Heart flutters while sitting ideal and i need to burp out or cough to feel better.
2. I have palpitations which gets worsen if gas builds up more.
3. I have dizzyness and feeling constantly dizzy and i experienced short two to three seconds giddiness as well. am feeling like going crazy since i use feel dizzy and foggy for some time and it use to go away! but now it has become more and more constant.
3. I have tinnutis which is always constant in my left ear.
4. I got my BP checked today its 120/80 and pulse is 86 BPM.
5. When i burp out i get some food with lime water like feel in mouth which i have to spit out.
6. I have more mucus build up as well which comes while coughing when i feel heart flutter.
7. I have pain in my left hand and horrible head ache as well which is getting worse.
8. Head ache is like head pounding and if head ache starts, i feel like vomiting but i cant vomit.

All these factors are happening with me and i'm going crazy and unable to find out what is wrong with me. Do i have any heart related issue or its because of extreme gastritis? Or is pounding headache and constant dizziness / foggy feel is due to heart related issue or gastritis?

Is it related to any parasite activity in my body? or anything related to more sever and complex condition?
doctor
Answered by Dr. Geeta Sundar (6 hours later)
Brief Answer:
Hi XXXXXXX welcome to HCM. I think all your symptoms are due to severe acid

Detailed Answer:
Hi XXXXXXX welcome to HCM. I think all your symptoms are due to severe acidity. I do not think it is due to parasites or anything complex.
The tinnitus is an independent phenomenon.
Incidentally your BMI is high. You can lose 10 kg weight.
I will suggest you go on a simple diet--vegetarian,(non-veg food is acidic) easy to digest (low spice, less sour) with plenty of greens (all greens are alkaline). Avoid big legumes--kabuli chana, rajma etc. Avoid groundnuts, chocolates.
Exercise regularly.
Take an Omeprazole preparation with domperidone twice a day for a month.
I think you will improve. Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Geeta Sundar (2 hours later)
Thanks for the response doctor.. i've been advised to take pantadoc msr twice a.day for two weeks and one a day in the. Morning for next three. Months. .. i was diagnosed with mild lax hiatus two years back when i had an endoscopy.. may be that is causing all these problems.. as mentioned i have constant chest pain as well on left side, if it is due to gastritis does. It hurt when i press the painful area? Also the flutter in the heart when i will be calm.. i will have to cough to bring it to normal.. i cant do. More physical activity also.. i feel light headache on right or left side of head above the ears.. how can rule out if it is complicated?
doctor
Answered by Dr. Geeta Sundar (2 hours later)
Brief Answer:
Hi XXXXXXX Pantodac DSR is fine.

Detailed Answer:
Hi XXXXXXX Pantodac DSR is fine. Yes Hiatus hernia can cause all these symptoms. I think exercise and acidity treatment should help you. I am really not worried about the headache or the flutter. If you are not better in a month then you can explore the need of further tests. One test you can do is a 2D Echo for MVP--mitral valve prolapse. It is a mild and common problem of the heart that normally requires no treatment. Regards
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. REMY KOSHY
doctor
Answered by
Dr.
Dr. Geeta Sundar

Internal Medicine Specialist

Practicing since :1975

Answered : 1329 Questions

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Suggest Treatment For Severe Pain In The Side Of The Shoulder

Brief Answer: Hi XXXXXXX welcome to HCM. I think all your symptoms are due to severe acid Detailed Answer: Hi XXXXXXX welcome to HCM. I think all your symptoms are due to severe acidity. I do not think it is due to parasites or anything complex. The tinnitus is an independent phenomenon. Incidentally your BMI is high. You can lose 10 kg weight. I will suggest you go on a simple diet--vegetarian,(non-veg food is acidic) easy to digest (low spice, less sour) with plenty of greens (all greens are alkaline). Avoid big legumes--kabuli chana, rajma etc. Avoid groundnuts, chocolates. Exercise regularly. Take an Omeprazole preparation with domperidone twice a day for a month. I think you will improve. Regards