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Suggest Treatment For Heaviness In Chest

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Posted on Mon, 26 Oct 2015
Question: I have heaviness in the middle of my chest. When ever I eat anything I burp and taste it. I have been taking nexium the heaviness goes away for a while but comes back later on in my the day. What should I do
doctor
Answered by Dr. Benard Shehu (1 hour later)
Brief Answer:
Please follow the suggestions below

Detailed Answer:
Hi and thank you for asking!

I read carefully your concerns and I can say that your symptoms are suggestive for Gerd ( acid reflux ).

If you were my patient I would recommend to do :
-upper endoscopy
-abdominal ultrasound.

Meantime I would recommend to change your lifestyle as follows :
- eat often and small amount of meals
- avoid spicy, chilly and fatty foods
-avoid coffee, chocolate and carbonated drinks
-eat 3-4 hours before go to bed
- increase physical activity
-avoid unnecessary stress
- try to loose weight

With regards to medical treatment I would suggest to increase nexium dosage up to 80 mg per day in two divided doses and to use antacids like Gavicson.
Hope it was helpfull to you!
Dr . Shehu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Benard Shehu (6 hours later)
I have had a upper endoscopy came back negative and also a ultra sound came back negative.
doctor
Answered by Dr. Benard Shehu (18 hours later)
Brief Answer:
Following advice.

Detailed Answer:
Hi back,

In few cases in patients with dyspeptic syndrome there's no abnormal findings in endoscopy or abdominal ultrasound.

However, before confirming dyspeptic syndrome cardiac problems should be excluded. If you were my patient I would suggest to do the following examinations:
- ECG
- Cardiac echo
- Stress test

Meanwhile, I would suggest the above mentioned life style and dietary changes. This together with adding antacids and double your nexium dose with help to relieve your symptoms.

Wish you health!
Dr. Shehu
Note: For further follow up on digestive issues share your reports here and Click here.

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

Cardiologist

Practicing since :2004

Answered : 2257 Questions

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Suggest Treatment For Heaviness In Chest

Brief Answer: Please follow the suggestions below Detailed Answer: Hi and thank you for asking! I read carefully your concerns and I can say that your symptoms are suggestive for Gerd ( acid reflux ). If you were my patient I would recommend to do : -upper endoscopy -abdominal ultrasound. Meantime I would recommend to change your lifestyle as follows : - eat often and small amount of meals - avoid spicy, chilly and fatty foods -avoid coffee, chocolate and carbonated drinks -eat 3-4 hours before go to bed - increase physical activity -avoid unnecessary stress - try to loose weight With regards to medical treatment I would suggest to increase nexium dosage up to 80 mg per day in two divided doses and to use antacids like Gavicson. Hope it was helpfull to you! Dr . Shehu