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Suggest Treatment For Severe Chest Pain

Posted on Wed, 15 Jun 2016

Question: He got severe chest pain and was admitted in hospital.Velix injection was given and after 2 days angiogram was done and found that there were 2 blocks.So stents were placed.Initially he was given metxl 12.5,deplatt in morning,ecosprin 150 mg in after noon,storvas 40 mg and deplatt 75 mg in night.

After a month the medicines were changed to metxl 12.5 in morning,CERUVIN AF 75+150MG TABLET in after noon,storvas 40 mg in night.The doctor has prescribed storvas 20 mg ez since he was feeling tired and was told it was because of high power of cholesterol tablet but i was continuing storvas 40 mg only.CERUVIN AF 75+150MG TABLET was started only from past 4 days and he was feeling more stomach pain from these 4 days only.Ultrasound scan was done only 2 months back and there were no issues found in ultrasound scan.
When he followed the previous tablets of deplatt and ecosrpin there was no major stomach pain but now when he started CERUVIN AF 75+150MG he was feeling more stomach pain.Is it due to the change in tabs.Is there any thing to worry.Is there any stomach infection or is it due to the cardiac medicines and can any antibiotics/antacids(syrup) be given to him.

Answered by Dr. Anantharamakrishnan (25 hours later)

Brief Answer:
Aspirin likely cause / go for Gastroscopy

Detailed Answer:
Hi friend
Welcome to Health Care Magic

Normal ultrasound practically excludes liver, gall bladder, pancreas, kidney as the cause of pain… and is reassuring
     Meftalspas is not useful for such pain...that itself may cause some burning or pain… It needs to be stopped. Change to drugs from PPI (Proton Pump Inhibitor) class – like Omeperazole
And Antispasmodic like Buscopan which could help
     The pain is most probably from aspirin… he is taking it. Before and now, he is taking the same dose – individually or as combination. There is no change.
     An Upper GI Endoscopy (Gastroscopy) is the ideal way – to see the oesophagus (food pipe), stomach etc to rule out ulcer… Consult a Gastroenterologist. In the meantime, reduce aspirin to 75 mg – after food / give Omeperazole and Buscopan, before food

Good luck
God bless you

Above answer was peer-reviewed by : Dr. Deepak

Follow up: Dr. Anantharamakrishnan (33 minutes later)

He is already Pan-D in the morning before breakfast.But he is getting more pain in the night after he sleeps.Does storvas cause any stomach pain.He doesn't get the pain daily but once in 2-3 days.In the day time he gets but very less.If he is getting stomach pain he feels like vomiting sensation and gets head ache.Doe she have any stomach infection?Can he undergo endoscopy now since its only 40 days he had angioplasty done.Is it any gas causing the stomach pain.Can he take any gas reducing syrups like ulgel/digene or any gas table in the night?

Answered by Dr. Anantharamakrishnan (11 hours later)

Brief Answer:
Endoscopy can be done

Detailed Answer:
Hi

Pan-D is good – Pantoperazole (Pan) for stomach irritation and Domperidone (D) for vomiting
Pain after lying down may mean hiatus hernia…
He needs endoscopy
Storvas is unlikely to e the cause of stomach pain
Stomach infection is not likely
Yes, endoscopy is safe // no anaesthesia is needed
Yes, Digene or Gaviscon / enzyme tabletss may help

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar