Feeling Ill And Severe Stomach Pain Radiating Through Back. Pain In Sternum Area. Having Diverticulosis And Polyps. Advise?
GERD is most likely....
Detailed Answer:
Hi,
Pain around sternum that shoots to the back and above stomach is a classical description of heart burn. This is caused by reflux of acid, undigested food particles and bile secretions into the food pipe.
Endoscopy is an useful test to diagnose GERD; but one research reports that about 70% individuals with GERD can have normal endoscopy. Further GERD is very well an associated complication of gall bladder.
I feel you should try a brief course of proton pump inhibitor with a prokinetic drug with or without antacid for 2-3 weeks and see if that makes you feel better.
I usually treat my patients with the above regimen instead of asking for more testing. But if you wish to test further, then you can discuss the option of 24 hour esophageal pH monitoring.
Hope this helps. Let me know if you need clarifications.
Regards
You can remain at home during the test...
Detailed Answer:
Hi,
Prokinetic drug is a class of pills prescribed for vomiting. This acts on the stomach to force the stomach content into the intestine. As the pill propels the contents down, it does not regurgitate back into the food pipe. I use this pill to enhance the net results of proton pump inhibitor while dealing with GERD patients.
Metoclopramide, domperidone and mosapride and the commonly known prokinetic drugs.
As far as 24 esophageal pH is concerned the test needs you to attend a clinic or institute and get the probe attached. I would rather say the probe is sent through the food pipe and then other end would be monitoring the activity. You can go about doing your regular activities before getting the probe removed at the same centre. You can learn more of this test from your treating doctor. I'll be available here at all times to discuss further.
Hope this helps.
If you have no more questions to discuss, please close this discussion.
Regards