Hi,Dear,Thanks for your query to HCM.
Dear I read your query and reviewed it with context to your query facts.
I understood your health concerns and feel Concerned about them.
Based on the facts of your query, you seem to suffer from-
Pregnancy Accompanied with Flare up of GERD.
The pain in the stomach and chest is due to the reflux of the Acid from Stomach,as the LES(lower Esophageal Sphincter)is breached by raised intra-abdominal pressure.
In the absence of specific history about the twin/or single pregnancy,its really difficult to comment on your query.
HIDA scan if not done doesn't affect much in suggesting and commenting on your case,though it would help a little in planning treatment of your GERD
acid reflux.
Remedy-Missing-
GERD with
Gastritis and Acid reflux -causes Stomach and
Chest pain from
Esophagitis from acid contact.
With the history submitted many missing links in the story / query of yours are there.
-Controlled diet/ a 45 degrees upright position,Early meals,
-Low on solid inputs and high on
liquid diet would reduce your Stomach pains from
-Tab Veloz -1 x 2 times a day
-Tab Maxeran-1 x 2 times a day
-Gaviscon Liquid 2 tsf after meals x 2 times if need be-after major meals / feeds.
-Tab
Folic acid -50 mgm / day
-Tab Vit B12 2500 mcgm / week
Hope this would lead to the exact diagnosis and proper treatment with your doctor there.
Hope this reply would help you to plan further treatment with your doctors there.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS