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Treatment for gastroesophageal reflux disease - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2585 Questions
User :   I have a burning sensation in the middle of my chest that is getting worse. I have GERD and take nexium but is having no effect in reducingg the burning sensation. Can this be an indication of something else?
Doctor :   Hi
User :   hello
Doctor :   What is your age?
User :   66
Doctor :   Where is the pain?
Doctor :   I mean exact location
Doctor :   Can you pin point it or is it over a wide area?
User :   right beteen by breasts right in the center
Doctor :  
Is it burning or pressing or squeezing pain?
User :   burning and pressing
Doctor :   Did you ever had a heart attack in the past?
User :   no
Doctor :   Do you smoke ?
User :   I quit 20 years ago
Doctor :   What is your height and weight?
User :   5 feet 3 inches 160 lbs
User :   I am female
Doctor :   How long you have been taking Nexium?
User :   2 years
Doctor :   Do you have shortness of breath or palpitations or dizziness now along with the pain?
User :   no
Doctor :   It is most likely due to GERD as your symptoms are consistent with it
User :   what would you suggest
Doctor :   There is only one parameter that suspects me for other reason, that is age
Doctor :   Nexium would not help in immediate relief of burning pain
Doctor :   It is only a proton pump inhibitor which reduces the acid production causing the pain
Doctor :   Actually you have to take an antacid which relieves fast
Doctor :   Hence I suggest you to take like PEPCID and wait for 1 hour
Doctor :   It should help, if not I suggest you a physical examination and further tests
User :   is pepcid over the counter?
Doctor :   by a medical doctor
Doctor :   PEPCID is over the counter
User :   what could I take for now until me doctor is available
Doctor :   I also wanted to ask you, if you have some one to help in the house and how far is ER?
User :   2 minutes away and my husband is with me
Doctor :   Ok that is better
Doctor :   You can take PEPCID AC / MAALOX and wait for one hour
User :   ok, thank you..if it continues today I will contact my doctor when she comes in
Doctor :   Yes I suggest you that
Doctor :   Other symptoms should make you rush to ER are: Doctor :   1) Intense pain, over 6/10
Doctor :   2) Dizziness
Doctor :   3) Repeated vomiting
Doctor :   4) Perspiration
Doctor :   Did you follow?
User :   so far I have none of those symptoms
Doctor :   Ok
Doctor :   Watch them
User :   thank you
Doctor :   Is there anything else I can help you with?
User :   no, that was all...I just wanted a quick opinion until I could call my doctor later
Doctor :   Ok
Doctor :   I hope this is useful
User :   yes
Doctor :   Pleasure to assist you here
Doctor :   Bye for now
Doctor :   Are you back?
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