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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain And Gastroparesis On Ingestion?

Swallowing liquids/food hurts my chest and travels to my stomach very slowly. i cough ocassionally i can t eat fast or normal speed, i must eat slow (mostly due to swallowing bigger portions hurts more) I have to burp throughout meals, and when i do it s small burps and it feels like im forcing the burp out with pressure and i may throw up. i have thrown up once this way.
Fri, 18 Mar 2016
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General Surgeon 's  Response
Hi,Dear,Thanks for your query to HCM.
Dear I read facts of your query and reviewed it in context to your query health issues.
I understood your health concerns and feel Concerned about them.

Based on the facts of your query, you seem to suffer from-
Chronic Gastritis with Acid Reflux -GERD.The gastroparesis and belchings are the results from the chronic Gastritis.

Other causes of IBS such as Ulcerative Colitis / Inflammatory Bowel Syndrome -Crohn's disease/ ano-rectal ailments etc need to be ruled out with help from your family / and specialist doctors.

Treatment- suggested-

Bland Diet with Yoghurt
With Butter Milk- with pepper and coriander to cool the inflamed bowel and improve the digestion is a must.

Tab Normaxin - for 2-6 weeks to control the acid reflux till the time the disturbed bowel and acidity is settled in your case.

The right thing in your case would be-to Take Darolac and Loperamide for 2 weeks to stabilise the disturbed Bowel, but Dietary Restriction - to Bland Vegan Diet with more of liquids would help you more with it.

Darolac for 3 months needs to be taken with -Vit B12 and Folic Acid to balance the needs from the effects of Darolac with Ano-rectal spasm in your case.

Liquid diet with 30% solids would be right prescription for your case.

Avoid alcoholic Drinks and tea/coffee and tobacco products in any form and avoid fried / spicy diet for 3 mths time strictly, which seems to be the main reason in your case, as you have accompanying Ano-Rectal ailments.

Long term treatments would recoup the ano-rectal and accompanying acidity problem in 2-3 mths time, under expertise of GI-Physician.


This would help you to recover of this problem for the time being.

Other causes need to be verified with your Surgeon and GI- Physician doctor-like Crohn's disease / TB enteritis / Ulcerative colitis, as the facts which you submitted, may in actual be different than what you may really have after actual GI Surgeon Assessment.

For this Second opinion from General-Surgeon/ and GI-Physician doctor and if need be with Specialist-GI-Endoscopist doctor, is needed who would do proper investigation after proper physical assessment to resolve your health issues.

For early recovery-please follow above do's which would resolve your issues.

Hope this would help you to treat your health issues in the best way possible.

Welcome for any further query in this regard.
Good Day!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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What Causes Chest Pain And Gastroparesis On Ingestion?

Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from- Chronic Gastritis with Acid Reflux -GERD.The gastroparesis and belchings are the results from the chronic Gastritis. Other causes of IBS such as Ulcerative Colitis / Inflammatory Bowel Syndrome -Crohn s disease/ ano-rectal ailments etc need to be ruled out with help from your family / and specialist doctors. Treatment- suggested- Bland Diet with Yoghurt With Butter Milk- with pepper and coriander to cool the inflamed bowel and improve the digestion is a must. Tab Normaxin - for 2-6 weeks to control the acid reflux till the time the disturbed bowel and acidity is settled in your case. The right thing in your case would be-to Take Darolac and Loperamide for 2 weeks to stabilise the disturbed Bowel, but Dietary Restriction - to Bland Vegan Diet with more of liquids would help you more with it. Darolac for 3 months needs to be taken with -Vit B12 and Folic Acid to balance the needs from the effects of Darolac with Ano-rectal spasm in your case. Liquid diet with 30% solids would be right prescription for your case. Avoid alcoholic Drinks and tea/coffee and tobacco products in any form and avoid fried / spicy diet for 3 mths time strictly, which seems to be the main reason in your case, as you have accompanying Ano-Rectal ailments. Long term treatments would recoup the ano-rectal and accompanying acidity problem in 2-3 mths time, under expertise of GI-Physician. This would help you to recover of this problem for the time being. Other causes need to be verified with your Surgeon and GI- Physician doctor-like Crohn s disease / TB enteritis / Ulcerative colitis, as the facts which you submitted, may in actual be different than what you may really have after actual GI Surgeon Assessment. For this Second opinion from General-Surgeon/ and GI-Physician doctor and if need be with Specialist-GI-Endoscopist doctor, is needed who would do proper investigation after proper physical assessment to resolve your health issues. For early recovery-please follow above do s which would resolve your issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS