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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Taking Ranitidine For GERD. Have Stress And Anxiety. Palpitation, Back Discomfort. Reason?

Hi doctor my name is fernando angel i have a gerd my doctor put me in ranitidine bid it helps me a little but i feel a lot of side effects .it is been a month now and never go away this unpleasant feeling inside my stomach dont have that much pain but i get worried a lot and stress and anxiety it is hard lost some of my interest in playing guitar and sometimes i even dont want to talk to my frineds .in the past few days i feel something like palpatation and it goes up to my chest and my waist line and my back is affecting me now also is this because of gerd ?.went to see my doctor again last week to check if i have H-pylory took a blood sample and it turns out negative.Also i had blood sample no diabetes my heart is ok only my ldl cholesterol mildly elevated.tommorow i am going to see my doctor again for either ultrasound or endoscopy pleasa doctor can you give me a good advice thank you.
Thu, 25 Jul 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum .
Ranitidine only relieves some hyper acidity.
As you stated that there is still pain and mild palpitation even after one month of treatment.
L D L cholesterol is high , so may high Blood pressure , haven't mentioned in query.
Sometimes due to high Blood pressure patient feels fullness in stomach and he or she feels pain in stomach.
In my opinion endoscopy will find out the & nature of disease in stomach, if any.
In my opinion also consult physician for blood pressure.
Till get blend diet & avoid fried food.
Good luck.
Dr. HET
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Internal Medicine Specialist Dr. Amitkumar Sharma's  Response
hello,
Mr. Fernando Angel, first and foremost, ranitidine is an antacid of the H2 antagonist class, and not as effective as PPI (proton pump inhibitors). The reason that you are not on these drugs may be because your doctor may plan to do a UBT (urea breathe test) to diagnose an H.Pylori infection (which is more accurate than blood test for the same). This UBT test requuires PPI's to be stopped atleast 2 weeks prior to the UBT.
now, GERD by itself can cause a lot of symptoms which may include a burning sensation in your chest or just under the chest bone. palpitations however, usually do not accompany GERD. these symptoms may increase when you lie down and improve when sitting or standing. if this describes what you are feeling, than it may be because of GERD. if u feel your heart beat or feel like you are able to hear it (palpitations), they may be because of Anxiety, which is common before any procedure, like your endoscopy tomorrow, or because of underlying Hypertension (high Blood Pressure), abut which you have not mentioned in your query.
as far as your endoscopy is concerned, it is a very important investigation to:
-see the extent of damage in your food pipe (Oesophagus),
-to see if you have any ulcers (gastric or duodenal),
-to take a biopsy to confirm H.Pylori infection (best test)
do not worry, GERD can be managed effectively, also keep a tab on your ldl.
regards,
Dr. Amitkumar Sharma.
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Taking Ranitidine For GERD. Have Stress And Anxiety. Palpitation, Back Discomfort. Reason?

Hello, Thanks for the query to H.C.M. Forum . Ranitidine only relieves some hyper acidity. As you stated that there is still pain and mild palpitation even after one month of treatment. L D L cholesterol is high , so may high Blood pressure , haven t mentioned in query. Sometimes due to high Blood pressure patient feels fullness in stomach and he or she feels pain in stomach. In my opinion endoscopy will find out the & nature of disease in stomach, if any. In my opinion also consult physician for blood pressure. Till get blend diet & avoid fried food. Good luck. Dr. HET