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Suggest treatment for GERD and pain below sternum after eating spicy food

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Posted on Mon, 1 Jun 2015
Question: Hi. After a spicy meal and some wine I woke up in the middle of the night with a dull pain just below my sternum which worsens with deep breaths. I have been treated for GERD with nexium but never had symptoms like this before.
Thanks
doctor
Answered by Dr. Muhammad Ali Rauf (1 hour later)
Brief Answer:
need some details to guide you better

Detailed Answer:
Hello

My name is Dr Muhammad Ali Rauf & i will look into your problem.

I have gone through your query and would try to help you in the best possible way. There could be a number of causes for abdominal pain. I would be in a better position to guide you anything if you answer following questions please:

1. since when are you having pain?
2. Does pain settle/improve after taking food?
3. does pain radiate from one side to any other side?
4. any history of nausea, vomiting or fever?
5. any history of constipation or diarrhea?
6. have you undergone any test like CBC, ultrasound abdomen, etc? if yes then please share results
7. are you on any medication?
8. any history of diabetes, hypertension or other illness?
9. any family history of chronic illness?
10. any other symptom that you would like to share?
11. does pain radiate to left arm or jaw?

I will be looking forward for the answers to conclude the discussion in the best interest of yours.
Thank You
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Muhammad Ali Rauf (10 minutes later)
1 just started last night
2 I had a very spicy meal last night and I woke up with discomfort. I got up this morning hungry and had a lite meal. I am still feeling a dull pain that seems to become worse when I take a deep breath.
3 seems to be just behind the sternum.
4 no
5 no
6 not yet
7 nexus, aspirin 81mg daily, Crestor
8 no other than prostatectomy 2008 psa undetectable
9na
10 slight headache
11 no

Also, I have been experiencing a lot of joint paint. While I excercise 4-5 times a week I usually don't have these kind of issues?
Thanks
doctor
Answered by Dr. Muhammad Ali Rauf (14 minutes later)
Brief Answer:
most probably GERD

Detailed Answer:
Hello

Thank you for getting back with the answers. Probable diagnosis from your symptoms could Gastroesophageal reflux disease (GERD). If i were your treating doctor then i would have advised following things:

> Medical Care:
- Omeprazole one daily for 14 days
- sucralfate suspension thrice a day for 10 days
- a baseline ECG to confirm status of heart

> General Care:
Medical care can do NOTHING if you donot take general care about your health. Following steps would help you to recover slowly:

- take small frequent meals.
- take 30-45mins walk/exercise daily in the evening. It will make you fresh, healthy and is good for digestion.
- Don't lie down immediately after taking meal
- raise head end of your bed slightly(by an inch)
- Eat a diet rich in fiber, especially from fruits and vegetables

> AVOID:
fatty & oily food.
spices
heavy meals at night
carbonated & caffine drinks
chocolates

If joint pain is recurrent then do visit hospital & get an appointment for a rheumatologist for workup of joint pain.

Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it.
Wishing you good health !!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Muhammad Ali Rauf

General & Family Physician

Practicing since :2013

Answered : 1315 Questions

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Suggest treatment for GERD and pain below sternum after eating spicy food

Brief Answer: need some details to guide you better Detailed Answer: Hello My name is Dr Muhammad Ali Rauf & i will look into your problem. I have gone through your query and would try to help you in the best possible way. There could be a number of causes for abdominal pain. I would be in a better position to guide you anything if you answer following questions please: 1. since when are you having pain? 2. Does pain settle/improve after taking food? 3. does pain radiate from one side to any other side? 4. any history of nausea, vomiting or fever? 5. any history of constipation or diarrhea? 6. have you undergone any test like CBC, ultrasound abdomen, etc? if yes then please share results 7. are you on any medication? 8. any history of diabetes, hypertension or other illness? 9. any family history of chronic illness? 10. any other symptom that you would like to share? 11. does pain radiate to left arm or jaw? I will be looking forward for the answers to conclude the discussion in the best interest of yours. Thank You