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

153 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 retrosternal chest pain

Answered by
Dr. Ramesh Kumar


Practicing since :1986

Answered : 1990 Questions

Posted on Thu, 2 Mar 2017 in Digestion and Bowels
Question: i have had discomfort just below the breastbone i believe it is related to hiatal hernia/vagus nerve aspect. I have a hiatal hernia I am 70 and have had atrial fib but had ablation at XXXXXXX in 2008 and have Hashimotos thyroiditis i take synthroid for thyroid and i also take toprol 25 er and 50 flecainide twice a day. Its seems when it comes after exercise like i played golf today and i swing pretty hard. I have an alivecor EKG on my smartphone and it is normal and blood pressure is 135/74 heart rate in low 60s. I am in florida now and before i came here from philly had an endoscopy and it showed gastritis i do take prilosec I don't know if there are any other answers for this discomfort it does create some anxiety also.
Answered by Dr. Ramesh Kumar 2 hours later
Brief Answer:
Can be due to cardiac cause or heart burn due to gastritis!

Detailed Answer:
Thanks for choosing HCM for your query!

Retrosternal chest pain,Heaviness and discomfort is a characterstic feature of angina pectoris.As per the history it comes after exercise and goes off on resting.Any pain which starts on exertion is retrosternal in nature and is relieved on resting,Should thoroughly be detected for angina.Athough you are a diagnosed case of gastritis and usually heart burn due to gastitis also presents with same feature,But as it is evident cardiac cause is always investigated on top priority because it cam lead to emergency conditions.
Few investigations suggested by me are-
Stress test- to rule out any significant ischemia to your heart.
2d echo-To see if all cardiac functions are normal.
if both these tests are normal then you are free from cardiac side.
Ask your gastroenterologist to add domperidome 30 mg or levosulperide to your PPI(pantoprazole) regimen.They will prevent acid reflux hence will relieve heart burn.An antacid containing local anaesthetic like Mucaine gel could also be added to provide you with symptomatic relief.

Some general instructions to be followed are-
Drink a lots of COLD milk.
Don't drink juices of citrus fruits like orange.
Don't eat spicy,oily and fried food.
Eat simple home made food for a few days.
No smoking or alcohol.

Above answer was peer-reviewed by : Dr. Yogesh D
Follow up: Dr. Ramesh Kumar 22 hours later
Hi, I have provided some attachments. Please review them.
Answered by Dr. Ramesh Kumar 21 minutes later
Brief Answer:
Heart burn!

Detailed Answer:
Your stress echo is normal which clears you from cardiac side.
Just follow what was adviced by me earlier you will start feeling much better in a week or two.
Follow up after 1 week.
Apart from medicines follow-
A low fat diet.
Avoid too much spices or fast food.
Drink COLD milk everyday.
Avoid juices of citrus fruits.
Eat a lots of yoghurt in food.

Above answer was peer-reviewed by : Dr. Prasad

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Drug/Medication ,  
Medical Topics ,  

Recent questions on  Chest pain

doctor1 MD

I ve got iron deficiency and I m experiencing pain in the neck and ears and headaches. What should I do? Does it go away on its own or should I take medicine? These are happening recently. Previous pain included chest pain, diziness, rapid heartbeat and shortness of breath.

doctor1 MD

i did angoplasty on 29 July last month. My one artry LAD was blocked 99%. The doctors said is perfect. They advise me the following medicins LOWPLATE PLUS ( Aspirin USP 75mg, Clopidogrel 75 mg) TENORMIN ( Atenolol 25 mg) RAST (Rosuvastatin 10 mg), LANOXIN ( Digoxin .25 mg). I have no chest pain, no problem in breathing but from last 12 days I am getting weak even I cant walk freely. My fingertips and foot are feeling dazzyness. The doctor says that it will be recovered in due course of time . I need your advice. Thanks.

doctor1 MD

Hello Doctor, My name is Careyanne Johnson I am a 21 year old female. I am growing concerned with my well being because I have been experiencing some foreign symptoms. Starting with today the right side of my mouth has been partially numb for going on several hours now & I am having throbbing headache that comes and goes behind the back of my lower head & temples. Just a couple days ago my toes (on the right side again) were numb as well. I have also been having sharp, deep chest pains for a few months now. At first I thought it could maybe be heart burn but realized it is a much different ache. I think its safe to say the chest pains have grown more frequent because I m counting them every day now instead of once or twice a week. The only other symptoms I can think of is my ears will ring every now and then but still more so then I would think is normal. & I feel like I have poor circulation to my legs cause sometimes they feel stiff, however I also have a job where I stand without sitting for up to 8 hours a day. I have had Health issues in the past where I would become very light headed, my vision would go black, and I sometimes would faint. the fainting spells never lasted more then 5 mins. I was only unconscious for 30 seconds to 1 min. I have seen a neurologist and he conducted many tests, an MRI or brain scan being one of them. My results were all negative. The dr. did refer me to a cardiologist that I never went to. My fear is I may have a stroke or heart attack please help!

doctor1 MD

43 year old female, normal weight in good health. .Total hysterectomy done Dec. 2010, benign ovarian mass; 2 weeks after episode of PSVT, then next week chest pain and spasms. 1 episode of tachycardia of 140's bpm sustained for 1 hour. Preop ekg normal and new ekgs show slight t wave changes. Checked for PE, CT clear and lower ultrasound clear. ECHO 67% EF, normal nuclear and treadmill stress test, normal cardiac cath, carotid us. TSH was 5.4 at the beginning of Jan. but returned to 2.3 2 wks later. Taking Cartia 120 mg once daily and Metoprol 12.5 bid. Sent to cardio EP, who states that condition is due to low sodium levels and advised to up sodium. Sodium levels taken 3xs over this period have been between 133 -135. Intermittent slight chest pain continues, returning to work next week. Primary care does not believe it is due to low sodium levels, doing 24 hr osmality and sodium tests. Is there anything else we should look for?

doctor1 MD

getting pain in some parts of chest in random time any type of injections for D3 and B12 and dose for same as per reports

doctor1 MD

I started having symptoms about 7 weeks ago. Head congestion, then chest congestion, some fever, a cough, shortness of breath , and now pain in my chest under my left breast. (always after eating or drinking and random, when not, pain is worse...

doctor1 MD

i. I am 30 year old obese when I tried to laugh too hard had strange feeling in head for a second.later next day I laughed even harder this time felt like head was holding or dizzy kind of like passing out it stopped when I stoped laughing feeling...