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Suggest treatment for intermittent burning sensation around the chest region

Dec 2016
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Answered by

Practicing since : 2012
Answered : 691 Questions
Hi doctor,
I am 36 years of age with 71 kg as weight and 5 ft 8 inch height. since last 1 year at times I feel burning sensation around heart area which lasts for 5-10 minutes.its occurenCe is twice and thrice in 15 days.
I have got all checkup done 6 months back and everything found to be normal like ecg, lipid profile, Cbc , Tmt and echo. now frequency has reduced but at times it's there.
I don't drink and smoke regularly and do daily 30 min rigorous exercise.
do i need to worry and get some test done. if yes which one. please advise
Wed, 16 May 2018 in Hypertension and Heart Disease
Answered by Dr. Rishu Saxena 1 hour later
Brief Answer:
Non cardiac pain most likely due to gastritis.

Detailed Answer:
Hello dear, thanks for your question on HCM.
In my opinion you are having GERD associated with gastritis.GERD is due to laxity of gastroesophageal sphincter. Because of this, the acid from the stomach goes upside and cause heartburn, throat irritation, burning epigastric pain, belching etc. The symptom you are having is called heartburn.Acid causes inflammation in esophagus causing burning sensation.

As TMT,ECHO and Ecg are normal chances of it being a cardiac problem is almost zero.Secondly risk of coronary artery disease is very less in non smokers and Non alcoholic at age of just 36.
Echo and TMT are more then 85% sensitive to rule out cardiac disease.

So your symptoms are mostly due to GERD and gastritis most likely.
Though i am a cardiologist but i would suggest you to take Tab Pantoprazole 40mg once daily for few days.
Whether you need a endoscopy or not should be decided by a Gastroenterologist.
Some general suggestions are-
1. Avoid hot and spicy food.
2. Avoid large meals, instead take frequent small meals.
3. Avoid stress and anxiety.
4. Start proton pump inhibitor.
5. Go for walk after meals.
6. Keep 2 - 3 pillows under head in the bed.

Consult a Gastroenterologist on this forum for further medications and line of investigation sir.
You are clear from cardiac side.

Hope i was helpful.
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