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Suffer from breathing difficulty and gastric problems. Worried about having heart attack. Need help - Online Doctor Chats

Date : 11-Jun-2013
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2568 Questions
User:Hello Good afternoon Doctor
Doctor:How can I help you?
User:Thank you I am fine Doctor
User:I had a question
User:Sometimes I feel as if i need toke efforts to breathe, my pressure is low and as if I will get a heart attack
Doctor:Proceed with your query.
User:I have a gas problem
User:i smoke regularly
User:and i also indulge in alcohol
User:twice a week
User:when i did a blood test and a medical check up for my insurance
User:everything was fine
User:except my bad
User:and my family history has diabetes
User:im a 34 years old
User:i am not under any medication
User:and no allergies too
User:i am 76 kgs
Doctor:May I know since when are you experiencing the pains?
User:and 175 cmc
User:last 2 years
User:and my wife laughs it out
User:saying its gas
Doctor:And can you explain what you meant by pressure low?
Doctor:Do you notice any factors that triggers these episodes?
User:so i feel like i need to sit
User:when im angry
User:or am shouting
Doctor:Do you feel better after food?
User:infact yes
Doctor:Is there any relation with food?
User:not sure
User:i eat anything
User:mostlt meat
User:infact i have been a very bad eater
Doctor:Could you briefly describe the events that occur during a typical attack?
Doctor:How does it start and how does it end?
User:so say
User:suddenly im furiou
User:and screaming and stressed
User:i suddenly feel i need to burp or i will get a heart attack
User:and i can keep burping
User:like for hours
User:to make me feel comfortable
User:someone also told me if u get a chest pain cough
User:i know i have a bad tummy
User:and have not cleaned it for a long time
User:so i feel because i smoke drink and dont exercise like i used
User:i will get an attack
Doctor:For how long do these symptoms last and does it disappear spontaneously?
User:i drink a lot of cola too
User:yes in like sometime
Doctor:Let me brief you.
User:all ears
Doctor:I also do not feel the symptoms you describe classically represents a heart attack/heart problem.
Doctor:It probably may be related to gastritis or a condition called GERD.
Doctor:GERD - the contents of the stomach (undigested food and acid) gets into the esophagus leading to heartburns (similar to chest ache) and burping.
Doctor:Some people also described inability to breathe during a severe GERD attacks.
Doctor:I would suggest you to try taking antacid syrups like say Syp Mucaine gel or Syp gelusil MTS;
Doctor:drink a warm glass of water.
User:absolutely great doctor
Doctor:In addition try a course of proton pump inhibitors for 2-3 weeks.
User:when i drink hot or warm glass of water it helps
Doctor:The symptoms of GERD also reduce with this course.
User:what are proton pump
Doctor:Proton pump inhibitors are a class of drugs used to lower acid secretion of the stomach. Omeprazole, pantoprazole, rabeprazole are classical examples of these drug.
Doctor:You will need a prescription from a doctor to get these medications.
Doctor:In addition to the above measures, it is important that you follow a healthy life style.
User:yes doctor
User:i have been told that
User:i lso dont hac=ve a good sleep pattern
Doctor:GERD are prominent in smokers, those who do not consume regular meals, do not sleep well, are easily stressed and in those who consume spicy food.
User:yes doctor absolutely
User:i am all of what you have written
Doctor:Therefore sleep well, eat at regular intervals, practice early morning exercise, yoga, meditation and last but not least stop smoking.
Doctor:Apart from these measures I suggested, I would also urge you to get an endoscopy done by a gastroenterologist.
Doctor:I would like to rule out hiatus hernia as well as H.pylori infection.
Doctor:Have you followed?
User:ok so ure saying
User:haitus hernia is not a problen
User:wat is H pylori
Doctor:Hiatus hernia is another factor that causes frequent GERD like symptoms. It can be ruled with investigations.
Doctor:H.pylori is a bacteria which colonizes the stomach. It is one of the factor responsible for gastritis. It is detected by use of breathe test ( I do not feel such test is available in India) and by endoscopy biopsy.
Doctor:If found it needs to be eradicated with means of triple therapy.
Doctor:Your gastroenterologist will know about these treatment. Therefore I urge you to consult and get an endoscopy done whenever feasible.
Doctor:Have you followed?
User:Absolutely Doctor followed.
User:Thank you so much. I always have this fear that i will have multiple
User:blockages and get a severe heart attack
Doctor:Do not worry, I do not think you have such a serious issue. But fear the same if you continue to smoke further.
Doctor:Though the new year is already past, make a good resolution to stop smoking by this year or before that.
Doctor:Wish you good health.
Doctor:Do you have any other query?
User:Sure Doctor
User:No i am fine and thank you for the conversation it really helped
Doctor:You are most welcome.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
User:Bye Doctor
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