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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes The Pain In The Chest Around The End Of The Rib Cage?

Painful pain in the left of chest around the end of the rib cage. Comes and goes. Hurts when breath too deeply and when the pain is there is gets worse laying on the left side but laying on the right has no pain. Is this related to my stomach? Because my stomach forms weird sound when I push it out and in...
Tue, 9 Dec 2014
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Pulmonologist,  's  Response
Thanks for question HCM.
In my opinion it is mostly due to reflux disease. But since it is left sided chest pain, we need to rule out cardiac cause first.
So get done ECG. If ECG is normal than no need to worry much. It is mostly related to GERD ( Gastro Esophageal Reflux Disease ) only. It 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.
Try to follow these steps for Reflux Disease.
1. Avoid hot and spicy food.
2. Avoid large meals, instead take frequent small meals.
3. Avoid stress and anxiety.
4. Start proton pump inhibitor.
5. Go for walk after meals.
6. Keep 2 - 3 pillows under head in the bed.
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What Causes The Pain In The Chest Around The End Of The Rib Cage?

Thanks for question HCM. In my opinion it is mostly due to reflux disease. But since it is left sided chest pain, we need to rule out cardiac cause first. So get done ECG. If ECG is normal than no need to worry much. It is mostly related to GERD ( Gastro Esophageal Reflux Disease ) only. It 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. Try to follow these steps for Reflux Disease. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed.