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Suggest Remedy For Pain In Lower Left Rib

Posted on Thu, 30 Jun 2016

Question: I have pain in my lower left rib and a cm below it. it also goes up to my heart. it feels like I have to burp, pain also travels to the second rib of the right side. I also feel really tired my bp goes back and forth from 100/55 to 130/80 throughout the day. pulse goes from 55-99 throughout day. ive had ecg and calcium score test all came back normal. I am being treated for panic disorder with Zoloft 100mg buspar 5mg 2 times a day. could this be a side effect, I also feel a little flush. I have no fever. and it is a little warm in my house. my breathing kinda goes fast and than normal this happens periodically . I am having what seems to be a acid reflux like pain over my heart

im 6ft 170 pounds decent health don't smoke or drink. normal complete white blood count and normal brain mri. echocardiogram done in January came back perfect.

Answered by Dr. Benard Shehu (35 minutes later)

Brief Answer:
Following advice

Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.

What you are reporting seems related to side effects of your actual treatment. Zoloft and buspar are responsibile for acid reflux like pain pver your chest and on your left rib.

As long as your examinations especially cardiac exams were normal you shouldn't worry about those symptoms.

However I would recommend to do upper endoscopy for a proper evaluation and to exclude GERD. GERD is a common finding in patients with anxiety disorders.

Hope this will be of help!
Wish you health!
Dr. Shehu

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Benard Shehu (12 minutes later)

I had an endoscodpy back in XXXXXXX and it was normal but I did have acid reflux symptoms even though doc didn't see it. only cardic test I have not have is stress test. I am waiting for results of 24hr holter monitor. I think this could be anxiety or gas

Answered by Dr. Benard Shehu (7 minutes later)

Brief Answer:
Following advice

Detailed Answer:
Hi back,

As i said earlier your symptoms most probably are related to anxiety and their treatment (a side effect). As long as all exams were normal you shouldn't worry about.

Wish you all the best!
Dr. Shehu

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Benard Shehu (4 minutes later)

so these arnt heart attack symptoms or anything like that, just seems like acid reflux? or something of that nature?

Answered by Dr. Benard Shehu (2 hours later)

Brief Answer:
Following advice

Detailed Answer:
Hi back,

Your symptoms aren't typical for cardiac issues but seems like related to medical induced GERD (acid reflux) or panic attack.

Please keep in mind that the treatment you are taking may provoke or aggravate GERD (acid reflux).

Hope this will be of help!
Wish you health!
Dr. Shehu

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar