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Chest pain below breast, cardiological tests normal - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2582 Questions
User :   I just cam back from ANOTHER trip to the er with chest pains. They blew me off with having GERD and to follow up with a gastro....but I'm still having left side and between the breast chest you think they might be right? Or do you think I should've asked for more tests? I did see a cardiolologist last week for a stress test and scho cardiogram and all came back normal....then why am I having these hurrendous pains?
Doctor :   Hi
Doctor :   may i know your age ?
User :   33yrs old
Doctor :   and how long have you had this kind of pain ?
User :   I've had chest pains for about 4 months but woke up last night with the pain in the middle of my chest
Doctor :   and is their any specific activity that brings on this pain ?
User :   it woke me up in the middle of the night
User :   so not really
Doctor :   ok
Doctor :   usually this kind of pain is usually common in GERD and this is more common in middle aged adults
Doctor :   let me explain
Doctor :   GERD is due to reflux of acid contents of the stomach and usually presents within hours of food ingestion
Doctor :   this pain is so severe , and confusing, that it may appear to be that like a heart or a lung disorder
Doctor :   have you had loss of weight, or appetite ?
User :   Even after they gave me Malox and antacid and it doesnt seem better...I lost a few appetite is not as hearty as it usually is
Doctor :   cardiac pain is usually associated with activity and increases with activity
Doctor :   and is less common in middle age
User :   no i had a stress test and during the whole thiong didnt have ant pain or discomfort
Doctor :   in that case, we can definitely rule out heart issues ,
Doctor :   you can try the combination of antacids + medications like omeprazole (which reduces acid secretion)
User :   Gerd can even radiate under your breast
Doctor :   prilosec 20 mg tablets taken 30 min before food twice daily will help reduce acid secretion
Doctor :   Yes gerd produces pain, in the epigastric region and left side of the abdomen, and this in women, appears to be in between the breasts
User :   ok thank you for your time and patience with me ...I just wanted to make sure the er did thier job as well as making sure it wasn';t anything serious
Doctor :   ok, you are most welcome
Doctor :   i can give you a few tips
Doctor :   as well
User :   that would be great
Doctor :   keep your head end of your bed, elevated so as to help the gastric secretions not come up into the food pipe
Doctor :   once you have food, try to be up and mobile for about 30 minutes , so that the food moves down into the intestines
Doctor :   avoid highly spicy and fatty foods, which can increase your symptoms
Doctor :   drink enough fluids and water, but avoid soda and caffinated drinks, which can increase your symptoms due to GERD
Doctor :   in addition, if possible get an ultrasound abdomen , to rule out gall bladder stones as well , which can present as pain in the right upper abdomen and the epigastric region
User :   had that done already no gall stones
Doctor :   ok,
Doctor :   in that case, the most definite diagnosis would be GERD
Doctor :   finally, physical exercise and a proper weight maintainance will help to reduce the symptoms due to GERD
User :   ok thank you I'll try yo get an appt. asap w/ a gastro
User :   thank you again
Doctor :   I Hope you have followed my advice
Doctor :   you are most welcome
User :   Yes I did
Doctor :   take care and have a good day
User :   you too
Doctor :   bye for now
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