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Fibromyalgia, infection, sharp pain in chest, acid reflux, heart burn. Treatment ?

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Hi, i am a 29 year old male 5'10 and skinny, previously diagnosed with fibromyalgia though in reading things online I may just be experiencing my first flare up. At the end of last year I had what the Dr. thought was gastritis, I had blood tests to rule out any diseases and that came back clean. Also I had a stool test and that showed I had an infection and low good bacteria. I took probiotics for awhile and the gastritis went away and began feeling just fine.

Now its 9 months later and I am feeling sick again. I am having sharp very short lasting razor blade like pains in my upper chest on the right middle or left side. Also I am having dull throbbing or sometimes sharp and short pains in various parts of my body mostly in my arms, hands feet or legs. On top of that I am having acid reflux, heart burn and the middle of my back has been hurting the last few days on and off. I have never had pains like this and I am a bit scared. I know I need to see a Dr but I was hoping I could get some reassuring answers online. What do you think?
Posted Sun, 6 May 2012 in General Health
Answered by Dr. Rakhi Tayal 2 hours later

Thanks for writing to us.

The symptoms you are having are most probably indicative of Peptic ulcer disease or Hiatal hernia.

Diagnosis can be confirmed by upper GI endoscopy.

It should go away with the right treatment and the following lifestyle measures:

1) Try raising the head of your bed about four inches with blocks.

2) It also might help to avoid eating or drinking for two hours before you lie down. Also avoid taking two or three heavy meals. Instead, take regular frequent small meals. Avoid taking tea or coffee prior to bedtime and concentrate more on a healthy diet.

3) To help control the stomach acid, one should not drink alcohol or drinks with caffeine in them, or eat chocolate or spicy or greasy foods. Further, avoid eating any junk food or oily, spicy food. Take a healthy, balanced and nutritious diet consisting more of fruits, salads, soups and raw vegetables (after proper washing). Also increase the protein content in your diet instead of carbohydrates and fats. An advice from a dietitian will be helpful.

4) Also take some antacid but if the symptoms are severe, then you may need drugs like proton pump inhibitors like omeprazole after consulting your doctor.

The other possibilities that need to be ruled out by your gastroenterologist are Pancreatitis, Pleuritis, etc.

The pain in different parts of your body is a muscular pain due to fatigue or viral syndrome.

Taking acetaminophen and high dose of vitamin C will help you.

Definitely I would reassure you saying that there is no major health concern with you. Do not worry. You should be fine soon.

I hope my answer and recommendations are adequate and helpful. Waiting for your further follow up queries if any.

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