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Suggest Treatment For Severe Chest Pain And Tiredness

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Posted on Tue, 19 May 2015
Question: Yes.... I have been sufferersing with pain in chest rib it is awful..... My poo is colour of sand... I feel tired.... When I trump it gives relied
doctor
Answered by Dr. Anshul Varshney (14 minutes later)
Brief Answer:
Acid reflux.

Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney. I understand your concern.

You seem to be suffering from Acid reflux disease associated with Irritable bowel syndrome (IBS). Since your scans are clear so gall bladder issues are unlikely. In IBS you have variable presentation of stools and a lot many people get sand like stools as you have described.

In my opinion an upped GI Endoscopy should be performed to rule our Peptic ulcers and Gastro esophageal reflux disease. Also stool for occult blood should be performed to rule out any Upper gastrointestinal bleed.

You should also get an ECG to rule out any possibility of Cardiac issues that can cause chest pain.
I would recommend in such scenario to take a combination of Pantoprazole and Domperidone which helps greatly with reflux.

In case you have any associated weight loss or anemia you would also require evaluation of Malabsorption Syndrome like Celiac disease. If your doctor suspects that in Endoscopy he will order a blood test known as Anti TTG Antibody.

I hope the information helps you.
Share my opinion with your doctor. If you have any further query, please ask me.
Stay Healthy.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Anshul Varshney (12 minutes later)
had ecg heart was fine
doctor
Answered by Dr. Anshul Varshney (2 minutes later)
Brief Answer:
Then follow as discussed.

Detailed Answer:
If your ECG was fine then the course of action would be the same as discussed. Share my opinion with your doctor.
If you have any further query, please ask me else you may close the discussion and rate it.
Stay Healthy.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
Dr.
Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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Suggest Treatment For Severe Chest Pain And Tiredness

Brief Answer: Acid reflux. Detailed Answer: Welcome To HCM. I am Dr Anshul Varshney. I understand your concern. You seem to be suffering from Acid reflux disease associated with Irritable bowel syndrome (IBS). Since your scans are clear so gall bladder issues are unlikely. In IBS you have variable presentation of stools and a lot many people get sand like stools as you have described. In my opinion an upped GI Endoscopy should be performed to rule our Peptic ulcers and Gastro esophageal reflux disease. Also stool for occult blood should be performed to rule out any Upper gastrointestinal bleed. You should also get an ECG to rule out any possibility of Cardiac issues that can cause chest pain. I would recommend in such scenario to take a combination of Pantoprazole and Domperidone which helps greatly with reflux. In case you have any associated weight loss or anemia you would also require evaluation of Malabsorption Syndrome like Celiac disease. If your doctor suspects that in Endoscopy he will order a blood test known as Anti TTG Antibody. I hope the information helps you. Share my opinion with your doctor. If you have any further query, please ask me. Stay Healthy.