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Chest pain pulsating to neck. Bloating, belching. What could this be?

I ve recently been experiencing a quick (2 second) pain in my left chest that feel like it pulsates up through my left side of my neck for those 2 seconds. This is immediately followed by almost non-stop belching . I was so scared this was heart related i went to the er and after an EKG , chest x ray, and blood work, they said my heart was fine and that it could be something with my GI tract? I have notice lately that after eating, i get bloated fast and would do a small burp and literally get acid regurgitation from the burp and taste vomit . Now its the dull chest pain on the left up that as soon as i feel the dull quick pain, i feel it in my neck simultaneously and then i belch a lot or pass gas. What could this be? I had a bagel with cream cheese and a glass of orange juice this morning and about an hour later I felt the phantom pains again and decided not to go to the ER and just like clock work have been belching (and i mean huge long burps) ever since. What
Asked On : Tue, 18 Dec 2012
Answers:  1 Views:  186
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Emergency Medicine Specialist 's  Response
Hi Arty,
Thanks for writing your query.

The symptoms described by you are indicating towards GERD (Gastro Esophageal Reflux Disease).
Pain in the chest and excessive burping is due to increased acid production and gas production.

Taking antacid like Omeprazole 20 mg along with Domperidone 10 mg early in the morning will be beneficial. Antacid gel will be more effective as it forms a protective layer over the damaged mucosa.

Follow following precautions:-
1. Take care of your diet. Avoid spicy and oily foods. Donot miss a meal or remain empty stomach for long.
2. Avoid emotional/mental stress.
3. Avoid cigarrete smoking/tobacco and alcohol intake.
4. Donot self medicate especially with pain killers and steroids.

Get yourself investigated for H. pylori, a common cause of gastritis and also get an endoscopy done.

I hope this is helpful to you.
Answered: Tue, 18 Dec 2012
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