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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chest Pain While Swallowing And Lying Down

Hi, I have a friend who has what is believed to be a pulled chest or pectoral muscle. He went to the emergency room and they took an x-ray and basically rushed him out of the door due to his lack of insurance. His symptoms are extreme pain, with no bruising or swelling. It hurts when he lays down and even when he swallows. He was prescribed Ibuprofin 800 as well as a muscle relaxer but the pain does not let up. Is there anything else he can do?
Tue, 29 Sep 2015
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Pulmonologist,  's  Response
Thanks for your question on Health Care Magic.
I can understand your friend's situation and problem.
He is having chest pain on swallowing and lying down, and not improving with painkiller (ibuprofen) so possibility of GERD related pain is more.
GERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms.
Lying down position makes reflux more easy.
So better to keep 2-3 pillows under head in the bed to prevent reflux.
Ask him to avoid painkiller drugs. Start proton pump inhibitors (antacid). Ask him to avoid stress and tension, avoid hot and spicy food, avoid large meals, instead take frequent small meals.
Ask him to quit smoking and alcohol if he has these habits.
He will mostly improve with all these.. If not improving than consult gastroenterologist and get done upper GI (gastrointestinal) scopy.
Hope I have solved your query.
Wishing good health to your friend. Thanks.
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Suggest Treatment For Chest Pain While Swallowing And Lying Down

Thanks for your question on Health Care Magic. I can understand your friend s situation and problem. He is having chest pain on swallowing and lying down, and not improving with painkiller (ibuprofen) so possibility of GERD related pain is more. GERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Lying down position makes reflux more easy. So better to keep 2-3 pillows under head in the bed to prevent reflux. Ask him to avoid painkiller drugs. Start proton pump inhibitors (antacid). Ask him to avoid stress and tension, avoid hot and spicy food, avoid large meals, instead take frequent small meals. Ask him to quit smoking and alcohol if he has these habits. He will mostly improve with all these.. If not improving than consult gastroenterologist and get done upper GI (gastrointestinal) scopy. Hope I have solved your query. Wishing good health to your friend. Thanks.