HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Chest Pain While Swallowing Food?

default
Posted on Sat, 24 Jun 2017
Question: Hi, i am 32 years old. I am having a pain in the chest. It pains a lot while swallowing food. X ray looks normal. Doctor says acidity issue. Have been taking medicine for last 10 days. It beacme normal after 5 days taking medicine. Though i continue the medicine, i am getting the pain again. The tablet am taking is pantoprazole gastro resistant 40. Please advise as why the issue comes back after a few days gap even though am continuing my tablets.
doctor
Answered by Dr. Prof. Kunal Saha (2 hours later)
Brief Answer:
Likely to be due to gastritis

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone very carefully through your query. Your problem seems to be due to gastritis or gastroesophageal reflux. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and on the other hand the bowel habits would not be proper.

In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Continue to take pantoprazole gastro resistant 40 once daily before breakfast for 6 weeks.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake.
* Take Syr. Riflux Forte or Mucaine Gel 10-20 ml when needed if a similar pain arises.
* Regular morning walk and exercise to keep the bowel movements proper.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.

Hopefully that should help.

Let me know if I could help further.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Prof. Kunal Saha (4 hours later)
Thank you so much for the detailed explanation. I am sure this would give me releif from the pain.

- Is this going to be an ongoing issue?

- how often do i need to take fiber supplements?

- what are the dietary fiber foods? Sorry i am not familiar with the names you mentioned. What are the common food which has the fiber conent?
doctor
Answered by Dr. Prof. Kunal Saha (5 hours later)
Brief Answer:
Lifestyle modification is needed

Detailed Answer:
Thanks for writing back.

Lifestyle modification is very important. Follow the mentioned steps and I do not think that it would become an ongoing issue. You need to take the fiber supplements daily at dinner.

Fiber rich food items include:
* Apples, pears, parsnip, berries, raspberries, kumquats, guavas, squash, oranges, passion fuit, avocado, blackberries, pomogranate, currants, persimmons, kiwi fruits, figs, bananas, blueberries, cherries, apricots, strawberries, tangerines, papaya, mangoes, pineapple, plums, litchi, grapes, watermelon
* Broccoli, cauliflower, cabbage, lettuce, brussels sprout, carrots, leafy vegetables and spinach, amaranth, artichokes, green peas, collard greens, XXXXXXX sweet potato, okra, fennel, eggplant/brinjal, sweetcorn, beets, turnip, asparagus, onions
* Legumes, beans, lentils, chickpeas, celery, soybean, navy beans, cranberry beans, french beans
* Whole grains, quinoa, brown rice, millets and oats, squash and pumpkin seeds, seasame seeds, dried coconut, almonds,
* Mushrooms
* Flax seeds, chia seeds, corn XXXXXXX

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Prof. Kunal Saha (1 hour later)
Thanks a lot. I do appreciate your detailed explanation.

What could have caused this?

My Routine is as follows:

I get up at 10 or 10:30 in the morning. I normally have corn flakes as breakfast. My job is between 1pm to 10pm. I take my lunch by 2:30 which is normally rice. I have 3 times tea during working hours. Night at 11, i will have my dinner which is again rice. I got to bed by 1:30 am.

I know its bit weird time table. I am not able to change my Job timing.

Once again thanks a lot for your valuable advice.
doctor
Answered by Dr. Prof. Kunal Saha (5 hours later)
Brief Answer:
Stress is the most important offending cause

Detailed Answer:
Thanks for writing back. Stress is the primary offending agent and could have caused it. Try the suggestions and I hope that you would see some improvement.

Regards
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Chest Pain While Swallowing Food?

Brief Answer: Likely to be due to gastritis Detailed Answer: Thanks for asking on HealthcareMagic. I have gone very carefully through your query. Your problem seems to be due to gastritis or gastroesophageal reflux. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and on the other hand the bowel habits would not be proper. In order to relieve yourself, you need to do the following: * Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals. * Avoid alcohol intake (if it a part of your habit). * Continue to take pantoprazole gastro resistant 40 once daily before breakfast for 6 weeks. * Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake. * Take Syr. Riflux Forte or Mucaine Gel 10-20 ml when needed if a similar pain arises. * Regular morning walk and exercise to keep the bowel movements proper. * Take curd or yogurt on daily basis. It contains beneficial bacteria and should help. * Stress reduction has a very important role to play. Yoga and meditation should help. Hopefully that should help. Let me know if I could help further. Regards