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Experiencing muscle pain, Costochondritis and finally belching. What is the remedy?

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Gastroenterologist, Surgical
Practicing since : 1989
Answered : 883 Questions
Hi Best wishes of the day. I am a regular gym hitter. Had pain on the chest due to hitting the dumbbells, which turned into muscle pain, CostoChondritis and finally belching. Belching started when I took NONI Fruit juice (which contains artificial sweetener) to replace pain killer for chest muscle pain and COSTOCHONDRITTIS. I am experiencing belching since 6 months, whenever I wake up from the bed or getting off the chair, or even touching my chest, or moving my hands, or turning my neck, or while driving in a unevenly developed road. Now it has been reduced to 80% after taking home remedy and getting in good shape. There was not any stomach pain. Took general checkup like blood pressure, urine test, ECG and Abdomen & Chest X ray. The report was good and there wasn't any issue. The Doctor gave PAN D and GANATON 10 for some month, which never worked properly. So I took home remedy like ginger water with fennel seeds (every day in empty stomach) and Green tea, twice a day. Its working good now. I avoided gassy vegetables and foods like cabbage, cauliflower, beans, and broccoli, Daal, Milk, fruits, junk food etc. Would you tell me the remedy and how long it will take to cure? Thank you
Posted Tue, 31 Dec 2013 in Abdominal Pain
Answered by Dr. Ketan Vagholkar 16 hours later
Brief Answer: USG/Endoscopy may be required Detailed Answer: Hi, Thanks for writing in. The most possible cause for your initial symptoms could be mild reflux.If you are now relieved of symptoms then you can stop all medications. However if symptoms persist or restart then I would suggest the following investigations. 1. USG of the abdomen. 2. Upper GI endoscopy. Both these will help in detecting any underlying abnormality. IN the mean time avoid exercises which will put strain on the upper abdomen and chest. This could aggravate the issue. I hope this answers your query. Regards
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Follow-up: Experiencing muscle pain, Costochondritis and finally belching. What is the remedy? 23 hours later
Hi Thank you for your reply. I would like to know the differences of pain between Costochondritis and gastro pain on the chest. Would both occur at same place? If chest pain starts again after medication, that may be symptoms of reflux? Can person survive for a long time if he does not treat for reflux and taking current remedies that I do? Regards
Answered by Dr. Ketan Vagholkar 25 minutes later
Brief Answer: Answers to your doubts Detailed Answer: Thanks for the feedback. I will answer all your questions sequentially. 1. Costochondritis will cause pain at a particular site whichever joint is affected. In short it is more localized and is very tender to touch. Whereas pain of gastrointestinal tract origin is more diffuse and has a dull burning nature which is typically aggravated by spicy foods etc. 2. There could be superimposition of the area of origin but the nature of pain as well as the aggravating and relieving factors are distinct. 3. Typically retrosternal pain is pathognomic of reflux especially after lying down or after eating spicy or irritant foods. 4. Yes surely. Reflux is not a life threatening problem but can lead to lot of discomforting symptoms. I hope that answers all your doubts. Regards
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Follow-up: Experiencing muscle pain, Costochondritis and finally belching. What is the remedy? 2 hours later
Hi Thank you very much. I would like to ask final couple of questions. Still I feel little pain on the upper chest (left). Is it because of GI? Because there was not any sign of Costochondritis in the X ray. If reports of USG and GI Endoscopy shows positive and then I go for Laparoscopic surgery, Could I do my normal work very soon and even other activities like cycling, gym etc? Regards
Answered by Dr. Ketan Vagholkar 3 hours later
Brief Answer: Conservative approach is better Detailed Answer: Hi, Thanks for the feedback. 1. High likelihood of it being GI in origin. The best way to confirm is by taking a course of antacids. If it responds then that would preclude a endoscopy. 2. Well costochondritis is rarely picked up on x ray. It is more of a clinical diagnosis. 3. In early stages the approach is mainly conservative. Surgeons always are persuasive for surgery. But surgery is the last resort required in less than 10% cases. Yes you can go ahead with workouts. But avoid stressful exercises as far as possible. I hope this answers all your remaining doubts. Regards
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Follow-up: Experiencing muscle pain, Costochondritis and finally belching. What is the remedy? 3 hours later
Hi Would you recommend any of your friends in chennai? Thanks & Regards
Answered by Dr. Ketan Vagholkar 14 hours later
Brief Answer: Cannot suugest as I am unaware. Detailed Answer: Hi, Well sorry to say that I cannot suggest any name as I am unaware of their pattern of practice. Regards
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