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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cause For Chest Pain, Indigestion And Dizziness?

my mother is 74 y/o and complains of indigestion, dizziness and sometimes chest pain with activity. She was just in the ER with high BP apporx 189/81. All heart tests, MRI of the brain were negative. All tests have come back in the past, negative. She is on cholesterol medication and now on an antiherpertesive. She is moderately over weight and has lived a healthy life style all her life. No surgeries or allergies. Any ideas on what could be wrong with her that is not obvious to the doctors?
Mon, 3 Mar 2014
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General & Family Physician 's  Response
Hello dear,

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.
However, given the history that your mother has a high BP, a fresh ECG should be done to rule out any Cardiovascular pathology.

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.

And it is also needed that certain precautions be taken regarding her diet & lifestyle, such as:
1. Take soft, plain, non-spicy foods
2. Drink lots of water to maintain adequate hydration
3. Avoid fast foods & gas producing food products like cabbage, etc.
4. Avoid smoking & alcohol.
5. Keep away stress, think positive.

Wishing her a good health.
Take care.
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Cause For Chest Pain, Indigestion And Dizziness?

Hello dear, 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. However, given the history that your mother has a high BP, a fresh ECG should be done to rule out any Cardiovascular pathology. 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. And it is also needed that certain precautions be taken regarding her diet & lifestyle, such as: 1. Take soft, plain, non-spicy foods 2. Drink lots of water to maintain adequate hydration 3. Avoid fast foods & gas producing food products like cabbage, etc. 4. Avoid smoking & alcohol. 5. Keep away stress, think positive. Wishing her a good health. Take care.