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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Constant Chest Pain, Dizziness. Due To Stress Or Stomach Ulcer?

HI, I have constant chest pain, it's a dull pain i have all the time, it sometimes feel like a squeeze feeling and other times dull, I have been having these pains for a couple of weeks, my gp puts it down to stress and then I went back as it got worst and then said it seems like a stomache ulcer but the medicine did not work, I also get dizzy at times
Mon, 6 May 2013
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Internal Medicine Specialist 's  Response
Hi
Your condition may be due to both Stress(Anxiety Disorder) and Stomach ulcer rather Acid Peptic Disorder with or without H.Pylori Infection. If you are not getting relief managing your Stress, You can try medications like Histamine 2 receptors antagonists - Cimetidine, Ranitidine, Famotidine can be given in divided doses. Or Proton pump inhibitor - Omeprazole, pantoprazole, and lansoprazole can be given in morning empty stomach. Anticholinergic drug like probanthine tab or clinidium bromide alone with or without chlordiazepoxide given 2- 3 times before food help to reduce pain. If no relief, H. pylori infection may be present, treatment is combinations of 2 antibiotics (e.g. Clarithromycin, Amoxicillin, Tetracycline, Metronidazole) and 1 proton pump inhibitor (PPI), sometimes together with a bismuth compound. In complicated, treatment-resistant cases, 3 antibiotics (e.g. amoxicillin + clarithromycin + metronidazole) may be used together with a PPI and sometimes with bismuth compound. An effective first-line therapy for uncomplicated cases would be Amoxicillin + Metronidazole + Pantoprazole (a PPI). In the absence of H. pylori, long-term higher dose PPIs are often used. More over habit of smoking or using any form of tobacco preparations, cosumption of alcohol, tea, coffee, ifrequent use of analgesics for headache or body pain should be avoided.
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Psychologist Dr. K. V. Anand's  Response
Hi
Welcome to HCM
Your condition could be due to two possibilities.
Anxiety or acidity.
Both are related. Anxiety creates acidity and vice versa. And they create stomach ulcers.
Your chest pain and fullness may also be due to Gastric Reflex.
If no relief from medications, try exercising and mind relaxation techniques.Like meditation etc.
Certain home remedies like garlic, banana gives good results.
Wish you speedy recovery.
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Constant Chest Pain, Dizziness. Due To Stress Or Stomach Ulcer?

Hi Your condition may be due to both Stress(Anxiety Disorder) and Stomach ulcer rather Acid Peptic Disorder with or without H.Pylori Infection. If you are not getting relief managing your Stress, You can try medications like Histamine 2 receptors antagonists - Cimetidine, Ranitidine, Famotidine can be given in divided doses. Or Proton pump inhibitor - Omeprazole, pantoprazole, and lansoprazole can be given in morning empty stomach. Anticholinergic drug like probanthine tab or clinidium bromide alone with or without chlordiazepoxide given 2- 3 times before food help to reduce pain. If no relief, H. pylori infection may be present, treatment is combinations of 2 antibiotics (e.g. Clarithromycin, Amoxicillin, Tetracycline, Metronidazole) and 1 proton pump inhibitor (PPI), sometimes together with a bismuth compound. In complicated, treatment-resistant cases, 3 antibiotics (e.g. amoxicillin + clarithromycin + metronidazole) may be used together with a PPI and sometimes with bismuth compound. An effective first-line therapy for uncomplicated cases would be Amoxicillin + Metronidazole + Pantoprazole (a PPI). In the absence of H. pylori, long-term higher dose PPIs are often used. More over habit of smoking or using any form of tobacco preparations, cosumption of alcohol, tea, coffee, ifrequent use of analgesics for headache or body pain should be avoided.