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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Suffering With Mitral Valve Prolapse, IBS, Have Swelling Around Ribcage Causing Breathing Difficulty, Severe Heartburn With Back Pain. Hernia?

I am a 55 year old female with no known heart prblems other than mild mitral valve prolapse and IBS . For at least 3 or 4 years I have noticed a smooth swelling or rise jsut below the left breast bone, around top of the rib cage area. No history of injuries to the area. On one or two occasions I have had severe pain in that area, almost like a nerve pain; bad enough to create breathing difficulty. With reast, it goes away. I also have regular reoccurence of chronic burping (harder than burps) and swelling in the upper abdomen, along with frequent heartburn . This conditoin may last a few hours or a few days. On occassion, I get accompanying back pain and shortness of breath that is relieved by lying on my right side. During these flareups, they are aggravatged and occur almost immediately after eating. Could all this be caused by a hernia or some form of prolapse? (A few years ago I believe I suffred a pelvic and/or abdominal prolapse after extensive exercise, after I had not exercised for several years). Thanks for your input.
Tue, 23 Apr 2019
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General Surgeon,  's  Response
Hi,

Noted you history about a known heart problems, swelling left lower breast area with pain and swelling, heartburn, back ache, burping and so on.
To discuss the points one by one:
Heartburn, burping and related back pain is indicative of a condition called GERD. The following measures will help you to get over these problems.
A PPI like Pantoprazole or Ranitidine.
Domperidone for motility regulation.
Antacids when on empty stomach.
Soft bland diet in small frequent ways.
Avoidance of stress and anxiety. Upper GI Endoscopy will help to get a proper additional diagnosis like Hiatus Hernia and treated accordingly.

As for the swelling and pain on left lower chest, this can be most probably due to a condition called costochondritis.
Take an opinion of your Doctor as you need an actual examination.
Local rubefacient liniments, stomach friendly anti-inflammatory can help a lot. Local strapping may help further to give rest to the area. If something else is identified as the cause, it will be treated accordingly.
Cardiologist must be taking care of your heart problems.

I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant,
General Surgeon
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Suffering With Mitral Valve Prolapse, IBS, Have Swelling Around Ribcage Causing Breathing Difficulty, Severe Heartburn With Back Pain. Hernia?

Hi, Noted you history about a known heart problems, swelling left lower breast area with pain and swelling, heartburn, back ache, burping and so on. To discuss the points one by one: Heartburn, burping and related back pain is indicative of a condition called GERD. The following measures will help you to get over these problems. A PPI like Pantoprazole or Ranitidine. Domperidone for motility regulation. Antacids when on empty stomach. Soft bland diet in small frequent ways. Avoidance of stress and anxiety. Upper GI Endoscopy will help to get a proper additional diagnosis like Hiatus Hernia and treated accordingly. As for the swelling and pain on left lower chest, this can be most probably due to a condition called costochondritis. Take an opinion of your Doctor as you need an actual examination. Local rubefacient liniments, stomach friendly anti-inflammatory can help a lot. Local strapping may help further to give rest to the area. If something else is identified as the cause, it will be treated accordingly. Cardiologist must be taking care of your heart problems. I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, General Surgeon