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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cure For Severe Epigastric Pain In The Right Side Of My Chest?

I am suffering from regular severe epigastric pain in the right side of chest. The pain occurs around 4- 5pm in the evenings.Some days it starts even around 12 noon. My lunchtime is 2 pm. I have tried pantaprazole / rabeprazole, itopride, etc. but the severe pain comes back the next day. I also have the problem of constipation for which I am taking lactulose.
Thu, 6 Feb 2014
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General & Family Physician 's  Response
Hi,

I have gone through your query.
Based on your symptoms, more likely cause may be Gastro esophageal reflux disease (GERD) with or without H.pylori infection. Since the mentioned medicines are not giving you much relief, it is advised to go for Upper GI endoscopy with Urea Breath test. It will confirm the Ulcers or H.Pylori.
You have mentioned about constipation also, so overall it can be a Inflammatory Bowel Disease (IBD). Colonoscopy will rule out IBD.
Take High fibre diet and avoid Junk and spicy foods. Maintain proper hydration.


Do consider a positive feedback as a credit to my work. Let me know if you have any further questions.
You can contact me on my page http://bit.ly/1dYupT2
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What Is The Cure For Severe Epigastric Pain In The Right Side Of My Chest?

Hi, I have gone through your query. Based on your symptoms, more likely cause may be Gastro esophageal reflux disease (GERD) with or without H.pylori infection. Since the mentioned medicines are not giving you much relief, it is advised to go for Upper GI endoscopy with Urea Breath test. It will confirm the Ulcers or H.Pylori. You have mentioned about constipation also, so overall it can be a Inflammatory Bowel Disease (IBD). Colonoscopy will rule out IBD. Take High fibre diet and avoid Junk and spicy foods. Maintain proper hydration. Do consider a positive feedback as a credit to my work. Let me know if you have any further questions. You can contact me on my page http://bit.ly/1dYupT2