Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

183 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for intermittent burning sensation around the chest region

Answered by
Dr. Rishu Saxena


Practicing since :2012

Answered : 696 Questions

Posted on Wed, 16 May 2018 in Hypertension and Heart Disease
Question: 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
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.

Above answer was peer-reviewed by : Dr. Kampana

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Lab Tests
Medical Topics ,  

Recent questions on  Epigastric pain

doctor1 MD

Hello.... Had outside food day and night two weeks back.... Post two days started having abdominal pain and epigastric pain .... Doctor ran antacid.... But no improvement.... Have bloating and gas as well.... Stool routine was normal except...

doctor1 MD

Hello I hope someone can shed some light I am 45 and for the last month or so I have had stomach issues on and off with dyspepsia so I am told one of the symptoms is burping full feeling in the throat also every once in awhile I have like air is...

doctor1 MD

Hello Doctor i am 32 years old. I am 18 weeks 6 days pregnant . My Anamoly Scan report suggest that i have high resistance flow with a notch in both my uterine arteries. My BP was high at 100/140 in early stage of pregnancy. so i am taking lobet 100mg, 2 tablets 3 times a day.I had one miscarriage 5 years ago during 7th month. So i am very scared. Pls. guide me on this issue.

doctor1 MD

Dear Sir,
I am Swastik, 27 years old , male, I am suffering from Gastritis and GERD for the last 15 years. I have consulted to gastroenterologists many times and they have done endoscopy 3 times on me and prescribed medicines.At present I am taking pantoprazole 40 mg ,ondansetron 4 mg b.i.d daily.In the endoscopy report it was found that I have Distal eosophagitis and gastritis.But,now also the symptoms are persisting.I feel epigastric burning pain in the morning and frequent bouts of vomiting also happens.Basically in the morning I feel nausea and then after eating anything I vomit.This is continuing for the last so many years.Please suggest some line of treatment. Thanking you in antecepation.

doctor1 MD

I had my gallbladder removed in May 2012 and I felt great afterwards. Now a few months later, I started getting severe epigastric pain that goes into my back and shoulder blades. It is so painful that it stops me in my tracks. It will usually last from 15 minutes to half an hour. I get this usually a few times a week. I feel nauseous when it is happening and sometimes vomiting makes it feel a bit better. I know I am about to get it as I usually feel a pain in my lower left ribcage or lower right ribcage before it happens. Any idea what this could be?