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Suggest treatment for pain in esophagus area

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Posted on Mon, 18 May 2015
Question: Have pain in esophagus area that spreads across the chest and into both arms. Yes I have a hiatal Hernia and gerd.
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Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
EKG - Additional Medicines - Endoscopy

Detailed Answer:
Hi.
Thanks for you query.
To recapitulate:Male/69 - has Haiatal Hernia and GERD - taking Zantac 150 - pain in esophagus area - spreads across chest into both arms.

The symptoms you have are most probably due to pre-existing Hiatal Hernia and GERD.
Yet on the safe side, it is better to get an EKG Done as the spread of the pain to the arms is very rare occurrence.

I would advise the following in such a patient:
Continue Zantac 12 hourly.
Pepcid every 3 to 4 hours when on empty stomach.
Add Domperidone or such motility regulators.
Soft bland diet.
No aerated colas / soda/ drinks.
Early dinner. No late nights.
Treatment for anxiety (as prescribed / needs a prescription by your Doctor)
Lying in a reclining position
Walk around after dinner.
Think of the factors which increased the present problem, GERD, anxiety and try to avoid.
If no relief, get Upper GI endoscopy done and get prescription for added Medicines.
EKG for the heart n a safer side to rule out cardiac problems.
This helps all my patients and should help you hopefully.
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19088 Questions

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Suggest treatment for pain in esophagus area

Brief Answer: EKG - Additional Medicines - Endoscopy Detailed Answer: Hi. Thanks for you query. To recapitulate:Male/69 - has Haiatal Hernia and GERD - taking Zantac 150 - pain in esophagus area - spreads across chest into both arms. The symptoms you have are most probably due to pre-existing Hiatal Hernia and GERD. Yet on the safe side, it is better to get an EKG Done as the spread of the pain to the arms is very rare occurrence. I would advise the following in such a patient: Continue Zantac 12 hourly. Pepcid every 3 to 4 hours when on empty stomach. Add Domperidone or such motility regulators. Soft bland diet. No aerated colas / soda/ drinks. Early dinner. No late nights. Treatment for anxiety (as prescribed / needs a prescription by your Doctor) Lying in a reclining position Walk around after dinner. Think of the factors which increased the present problem, GERD, anxiety and try to avoid. If no relief, get Upper GI endoscopy done and get prescription for added Medicines. EKG for the heart n a safer side to rule out cardiac problems. This helps all my patients and should help you hopefully.