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Chest comfort, Radiating pain to the arms, Diagnosed with GERD - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: GERD
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3620 Questions
User :   sir i'm having left side chest discomfort from last few years now. i had consulted mayn times but there is no result as every report is the doctors adviced me to take practin 2mg mrning and 2mg at night along with rameprazole 300mg at bed time .... so please let me know is this fine to take it and whetehr this med.helps me or not.....thanx
Doctor :   HI
User :   hi
User :   sir r u a physician
Doctor :   Yes, i am a general physician
User :   k from where
User :   sir r u dere
Doctor :   Banglore ,India .
User :   can u pls help me in this
Doctor :   Yes sure
Doctor :   Do you have burning sensation in he chest ?
User :   no sir only heaviness and pain
User :   that radiates also some time to left side
Doctor :   Do you get headaches during the pain ?
User :   no
Doctor :   Ok, Is that the pain is more in specific time of the day ?
User :   no specific time it can sart any time
Doctor :   Ok, do you relate the severity of the pain with stress ?
User :   yes
Doctor :   Ok, can you state any other associated symptoms you get during the chest pain ?
User :   whenever i'm tensed or angry it might aggravates
User :   sometime it radiates to left arm.....sometimes my left hand finges get numb... sometimes my upper jaw felt pain also
Doctor :   Ok, the radiation appears typical to cardiac pain
User :   choking sensation also there sumtime in thoat
Doctor :   May i know your age , gender and occupation ?
User :   m-32nd businessman
Doctor :   ok, Have you got ECG done ?
User :   many times
Doctor :   Well i do not expect Heart attack in your age , but its always better to rule out
User :   echo...stess echo....lipid profile.... all r normal
User :   holter monitor was also normal
User :   is there any other test also required to rule out
Doctor :   oh , those are much enough to rule out cardiac pathologies
Doctor :   Have you got an endoscopy done ?
User :   yes a year back
Doctor :   Ok, what was the report ?
User :   in which he wrotes gerd grade II
User :   thats it
Doctor :   ok, yes that could be a possible reason for pain you have
User :   sir whether i should go for angiogram or not
Doctor :   But have you got examined for pancreatic pathologies
User :   whether i should go for angiography or not
Doctor :   Angio is always helpful
Doctor :   But the reason for the same should be strong, the cardiologist should doubt the heart involvement in you only the he can take risk of getting the test done
Doctor :   Its a invasive procedure
Doctor :   where a small tube ( catheter )is passed til the heart via a blood vessel and a dye injected
User :   what u suggest after doing these investigations should i try that also or not required
Doctor :   yes, getting that will completely rule out the heart involvement
User :   but sir if aalll other reports are normal then also
Doctor :   thats why i told it depends on the cardiologist
Doctor :   before the same i would advice you to get a simple test of Pancreatic amylase , which will help in ruling out chronic pancreatitis
User :   i consulted cardiologist they also say rest all the investigations had been done ...that ae normal so if you u want we can try angio also..sir that is not the proper answer
Doctor :   yes they are right , you have to decide by your self
User :   i have to decide but why ....
User :   then what are they suppsed to do
Doctor :   As they do not have any supporting test result to confidently decide for you
Doctor :   if you are sure about the radiation then you have to decide
Doctor :   i mean the pain radiating to left arm and jaw
User :   these radiations are only in cardiac
Doctor :   yes , it is very typical
User :   but i felt pain and discomfort in jaw for hours regularly
Doctor :   i see there is no relation of pain or discomfort in the jaw with gastric pathologies
User :   then
Doctor :   its always a symptom on heart disease
Doctor :   i would ask you to wait for some more days , observe the patten of pain and make sure that the radiation is there
User :   radiation means what sir
Doctor :   meanwhile get the Pancreatic amylase test done to rule out Chronic pancreatic which also can be responsible for chest pain
Doctor :   radiation means spreading
User :   how a person can observe radiation sir
Doctor :   its just to see where al the pain spreads when you have it
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