question-icon

I have a pain in my chest that is worse

default
Posted on Sat, 30 Mar 2019
Question: I have a pain in my chest that is worse when I swallow something like drinking water - feels like heartburn but in a particular place like a lump.
doctor
Answered by Dr. Prasad (1 hour later)
Brief Answer:
Need evaluation...

Detailed Answer:
Hi,

The most common reason for heartburn and "lumpy" sensation while drinking fluid is GERD. But there are other causes too - both systemic and gastrointestinal pathologies. At this point, I would treat you with a proton pump inhibitor + prokinetic agent (like esomeprazole and levosulpride) for a period of 2-3 weeks. These are prescription drugs; your doctors will know about it. If symptoms doesn't resolve, you need to be evaluated further - blood counts, liver function tests and endoscopy + ultrasound scan are necessary.

Hope this helps. Let me know if you need clarifications.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Prasad

General & Family Physician

Practicing since :2005

Answered : 3568 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

173 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
I have a pain in my chest that is worse

Brief Answer: Need evaluation... Detailed Answer: Hi, The most common reason for heartburn and "lumpy" sensation while drinking fluid is GERD. But there are other causes too - both systemic and gastrointestinal pathologies. At this point, I would treat you with a proton pump inhibitor + prokinetic agent (like esomeprazole and levosulpride) for a period of 2-3 weeks. These are prescription drugs; your doctors will know about it. If symptoms doesn't resolve, you need to be evaluated further - blood counts, liver function tests and endoscopy + ultrasound scan are necessary. Hope this helps. Let me know if you need clarifications. Regards