Brief Answer:
Gastrointestinal cause
Detailed Answer:
Hello XXXXXXX
Thanks for your query.
Normal findings on X ray & absence of discomfort while breathing rules out any Respiratory cause for your symptoms.
However, given the history that you have a high BP, an ECG should be done to rule out any Cardiovascular pathology.
The symptoms as mentioned in your post can be attributed to production & accumulation of gas in the stomach, which can be secondary to increased acid formation.
The reason for increased acid production can be Stress/ Anxiety (as suspected by your Doctor), inappropriate diet & lifestyle methods or infection associated with a type of bacteria called
Helicobacter pylori (H pylori).
Other than the basic investigations like
complete blood count, estimation of serum electrolytes & blood glucose,
Lipid profile & Thyroid profile, certain specific investigations such as Endoscopy & Ultrasound scan of abdomen will be helpful in detecting any pathology in the Gastrointestinal tract.
Symptomatic relief can be obtained with intake of:
1.
Proton pump inhibitors (which prevent acid formation in stomach) like Omeprazole,
Pantoprazole,etc. to be taken twice a day, half an hour before meals.
2. Antacid gel can also be taken after meals for the same.
3. Regular intake of Anti hypertensive medications to keep the BP in control.
It is also needed that you take certain precautions regarding your diet & lifestyle, such as:
1. Take soft, plain, non-spicy foods
2. Drink lots of water to maintain adequate hydration
3. Avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol.
4. Have your meals regularly and at appropriate time of the day. Do not skip breakfast & never stay hungry.
5. Keep away stress, think positive.
6. Exercise regularly & practice
meditation.
7. Avoid medicines like Ibuprofen,
Diclofenac, etc for pain relief. They may further aggravate the condition.
8. Avoid staying awake late at nights. Get sufficient sleep.
There is no need to worry, you will be fine.
Please let me know if I can clarify further.
Wishing a good health.
Take care.