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Diet and exercise for acid reflux treatment - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi
Doctor :   Dr XXXXX here
User :   Hello - i will type it out give me a min
Doctor :   Sure
User :   I have had trouble diagnosing a feeling of air hunger - this has been for over 12 months now - but recently I have been getting chest pain - I went to the emergency department and they did ecg and bllod pressure and xray and I was fine, I have had ct of chest before and was fine - I do have high cholestorol
Doctor :   Let me read your query
Doctor :   May i know your age please?
User :   I still have the chest feels like a stitch (if you know what that means) it is slightly to the left of center of my chest and same height as my nipple - they said probably chest wall issue - but it throbs and comes and goes...
User :   I am 37
Doctor :   Since how long are you having this chest pain?
User :   3 days now
Doctor :   Any other associated symptoms as breathlessness, fatigue or palpitation?
User :   A lot of symptoms but dont think related - I suffer air hunger when relaxed
Doctor :   Kindly let me know some symptoms, they may be related.
Doctor :   Do you have raised blood pressure or sugar?
User :   BP is fine...diabetes was checked ok...had bad joint pain ...psoriatic arthritus...have high uric acid level
User :   weird gas escaping
Doctor :   ok
User :   The air hunger onlyhappens when i am relaxed...I can run 5klm 4 times a week no problem...spirometry test was good, and doubled after excercise stress test, ultrasound on heart was ok ecg...this was some time ago...they are confused because breathing issue only happens when relaxed..same with chest pain now
Doctor :   Since you got your all the tests done it probably seems to be GERD
User :   tests were done long before the chest pain
Doctor :   It is a reflux disease
User :   what about prinzmetal......
User :   my o2 sats standing are 99, but sitting and relaxing are 90?
Doctor :   Are you taking Prinzmental?
User :   umm prinzmetal angina is a disease
User :   can reflux cause the breathing issues - air hunger
Doctor :   You mentioned that you got your ECG, X ray done in emergency.
Doctor :   Yes reflux can cause it
Doctor :   And feels like a sharp chest pain
User :   they did some test..i assume ecg..wires on chest, then sent for normal xray
Doctor :   And is relaxed by burping
User :   so should I just take some antaxcid and see if it goes away
Doctor :   Yes that is ECG
User :   not relaxed by burping at all
Doctor :   Do not go for self medication.
User :   I had a big bruise on my arm for no reason too
User :   anacid can be bought off the shelf here....its common...
Doctor :   Sometimes Costochondritis can also cause rib and sternum to pain
User :   if I wanted to rule out a clot or angina..what test would I get done at hospital
User :   it doesnt feel muscular and it throbs
User :   well not throbs...but pulses
Doctor :   Then you will have to go for Two D Echo
User :   ok...important qtn for me
Doctor :   If its for long i will suggest you to go and see a cardiologist
User :   if I do the echo cardiagram....will that rule out a clot if it is in my left arm
Doctor :   He will examine you by Stethoscope and may advise you some investigations to rule out the cause
User :   how long would the pain have to be around for me to justify the echo
Doctor :   Since how long have you this clot in arm
User :   I livbe a long way from hosp and on my own..everyone telling me to go to hosp again..but I dont want to waste peoples time
Doctor :   If pain is persistent and is not being relieved you should go for it
User :   I dont have a clot I want to rule it out as bruising appeared there for no reason
User :   its not overly painful.....just like a stitch or cramp
Doctor :   See bruising in the arm cannot be correlated to
User :   if its reflux...would milk or antacids not fix it pretty quickly
Doctor :   It may be some allergy king also
Doctor :   *kind
User :   its just weird coz I have had breathing issues and now this
Doctor :   See for reflux you have to avoid spicy/fatty food
Doctor :   Have plenty of fruits and veggies
User :   so what do you suggest...hsopital or to know if it is a clot?
Doctor :   Exercise regularly
Doctor :   Avlid smoking and alcohol
User :   I excercise 4 times a week and am on nutritionist controlled diet
User :   I dont smoke..and havent had a drink in 6 months
Doctor :   ok
User :   so hospital or antacids
Doctor :   Take 6 small meals in a day
Doctor :   Better go and get yourself examined completely to see the exact cause
User :   ok - how can I prove it is reflux or not?
Doctor :   Sometimes self medications can be harmful
User :   antacids are basic stuff, you can buy in supermarket....I think its just alkaline
User :   milk?
Doctor :   Yes cold milk will help you
User :   sso should I wait and see a doctor about reflux or go to hospital now in case of clot?
Doctor :   You can take Gas x or tums and try it
User :   ????
User :   ok must be the same as gaviscol
Doctor :   If it does not help then get yourself examined
Doctor :   yes
User :   ok thanks doc
Doctor :   Is there anything else i can help you with?
User :   nah ...all good mate...cheers
Doctor :   Thanks for consulting me, bye for now
User :   bye
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