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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Lower Chest Under Rib Cage, Hiatal Hernia, Kidney Stones, Asthma, Esphophagal Reflux Disease

I have been having sharp pain in my lower chest under my rib cage lately. I was wondering if it was anything to worry about. I do have a hiatal hernia. I also have suffered from kidney stones and have a cat scan done every year to make sure they don't get too large. I also have asthma, and esphophagal reflux disease and have had my gallbladder removed. Should I be worried about this pain? I am on oxycontin for pain for interstitial cystitis and have to take milk of magnesia every day for bowel movements.
Wed, 23 Oct 2013
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General & Family Physician 's  Response
Hello dear,

The symptoms are related to the acid reflux & secondary to hiatal hernia.
Management consists of:
1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised.
2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol.
3. Medical management- Proton pump inhibitors like Omeprazole, Pantoprazole,etc. (which prevent acid formation in stomach) & Domperidone 10 mg twice a day(to be taken 30 min before meal)
If symptoms still persist, kindly consult a Gastroenterologist for proper clinical examination.
Investigation like upper GI endoscopy will be helpful.

There is no need to worry...you will be fine.
Take care.
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Pain In Lower Chest Under Rib Cage, Hiatal Hernia, Kidney Stones, Asthma, Esphophagal Reflux Disease

Hello dear, The symptoms are related to the acid reflux & secondary to hiatal hernia. Management consists of: 1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised. 2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol. 3. Medical management- Proton pump inhibitors like Omeprazole, Pantoprazole,etc. (which prevent acid formation in stomach) & Domperidone 10 mg twice a day(to be taken 30 min before meal) If symptoms still persist, kindly consult a Gastroenterologist for proper clinical examination. Investigation like upper GI endoscopy will be helpful. There is no need to worry...you will be fine. Take care.