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Sharp chest pain on swallowing or breathing, vomiting - 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 : 2584 Questions
User :   I am a 19 year old male.. recently I have had a sharp pain in the centre of my chest everytime i swallow or breathe. in the last couple months I have had some serious problems with indigestion and heartburn and when I drink alcohol I have been vommiting after about 2 beers followed by bloody saliva. are these related? and what should I do
Doctor :   Hello
Doctor :   I m am Dr XXX here
Doctor :   Please give me a min, let me read your query
Doctor :   Well from the history that you have given me it seems that you have a case of gastritis
Doctor :   As it does presents with the typical symptoms like the ones mentioned by you
User :   oh yeh
Doctor :   So tell me, have you been taking any medications ?
User :   nah none at all. was thinking about going to get it checked out a few months ago but havnt had the time or the money really
Doctor :   do you smoke ?
User :   yes, have cut back since then though as i noticed it was not helping the heartburn at all
Doctor :   True you are right
Doctor :   How is your health otherwise ?
User :   yeh not bad.. havnt really had any other illnesses in awhile
User :   few light coughs but nothing major
Doctor :   Ok well don't worry what your really need now is some lifestyle modifications
User :   thought that might be the case
Doctor :   You are young and if you change this will never be a problem in the future
Doctor :   Do follow my advice
User :   yep.
User :   should i go and get some tests for antibiotics?
Doctor :   To begin with i would like you to take antacid
Doctor :   PROLOSEC 40 mg take daily for 14 days
User :   are they prescription or can i get from a pharmacy?
Doctor :   You can get them without prescription
User :   thats good
Doctor :   Also
Doctor :   1) Have water in larger quantities.
User :   ok
Doctor :   2) Have half a tsp of baking soda in a glass of water. It is effective in treating heartburn.
User :   yep
Doctor :   3) Don't smoke before or while eating. Smoking often causes one to swallow small amounts of air, that creates air pockets in the digestive tract with the added pressure of food. It also slows down the body's ability to digest food. chewing gums before meals can also cause one to swallow air.
Doctor :   4) Avoid gas forming foods like beans, cauliflower etc. Avoid raw vegetables like cabbage, cucumbers, onion, radish, and peppers.
Doctor :   5) Improve sitting posture while eating. Sit at the dining table in an upright position.
User :   yep
Doctor :   6) Walk a little after eating. It helps stimulate the digestive system but avoid brisk walking just after meals. Never exercise after a large meal.
Doctor :   7) Avoid wearing tight or restrictive clothing.
Doctor :   8) Chew food thoroughly and slowly.
Doctor :   9) Avoid alcohol intake while having meals.
User :   oh k
Doctor :   Well all these along with the medication i have told you , and i can assure you will be fine
User :   oh k thanks heaps~
Doctor :   Aslo in the night when you go to sleep, You can also try elevating the head of your bed. The head of the bed can be elevated by putting wooden blocks under the legs at the head of your bed. The height of the elevation is critical and must be at least 6 to 8 inches (15 to 20 cm) to be at least minimally effective to prevent the backflow of gastric fluids.
Doctor :   Thats about it and once you incorporate in your life you will see the changes soon
Doctor :   Glad i could be on help
Doctor :   Is there anything else i can help you with ?
Doctor :   did you follow what i have told you /?
Doctor :   Take care of your self
Doctor :   bye
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