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What Causes Burning Sensation Chest Area Radiating To Stomach?

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Posted on Mon, 16 Feb 2015
Question: burning sensation chest area travels up and down to stomach area, and I also have a little tiny bulge size of a peanut on the left side lower abdominal area which It hurts after eating spicey food and that aslo triggers panic attacks, abnormal heart beat starts racing, trouble breathing.
doctor
Answered by Dr. Grzegorz Stanko (58 minutes later)
Brief Answer:
Gastroesophageal reflux disease is most probable reason of your symptoms.

Detailed Answer:
Hello!

Thank you for the query.

Burning sensation is most likely caused by a gastroesophageal reflux disease (called GERD). Due to stomach acid presence in the stomach, it gets irritated. This gives chest burning, nausea, acid taste in the mouth.
As GERD is very often associated with asthma, cough and trouble breathing can also be present.
All this symptoms can trigger anxiety indeed. Especially that many patients takes this symptoms as a heart attack (heart attack gives chest burning and squeezing which radiates to the left arm or jaw).
Moreover, anxiety and stress stimulates stomach acid secretion and makes GERD symptoms even worse.

There is no possibility that lower left bulge gives pain after spicy foods. The worst it can be is a hernia. It can be painful. The pain can be related with foods intake if there is intestine inside. But there is no difference for hernia if the food is spicy or not.
Hernia give a lump in the groin. Such lump is usually soft and less visible when lying down. It gets much larger when standing and coughing.

Here is what you should do:
- avoid fatty foods, spicy foods, coffee, alcohol, chocolate, orange juices
- start Magnesium supplementation
- have soft tissues ultrasound of the bulge area
- consult pulumonologist and have spirometry (blow test)
If the diet wont settle the symptoms, you should consult your doctor and get medicines which decrease stomach acid secretion (like Omeprasole).

If the bulge is hernia, should be checked by a general surgeon. Surgery might be necessary.

Hope this will help. Feel free to ask further questions.
Regards.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Grzegorz Stanko (34 hours later)
Hi, thank you for answering my question. My Doctor had an EKG done at his office and everything was good, he had prescribed me with OMEPRAZOLE 20MG Capsules, to take one capsule by mouth before a meal for Acid Reflux. And he also prescribed ALPRAZOLAM (generic for Xanax) 0.5MG tablets, to take one tablet by mouth three times daily as needed, because I would feel anxious,I only take one tablet in the morning, but I do not want to rely on that medication. I did visit my doctor couple days ago, and told him about the symtoms of burning sensation up and down the stomach and if I'm laying down or had something to eat it would make me feel uncomfortable and discomfort and than that's when my panic Attack happens, i had one on Friday 1-16-15, couple days after I visited my doctor, I would feel warm and trouble breathing, with my heart just racing! Than I felt weak, I've never experienced anything like that, it felt like heart atack. But I manage to cold water over my head and lay down until my breathing and heart rate went down. So I'm taking the acid reflux medication that my Doctor prescribed since 1-17-15 sat and sun 1-18-15. And staying away from what you he mentioned. He did prescribed me another Anxiety Medication which is BUSPIRONE 10MG Tablets, take 1 tablet by mouth daily for anxiety. Because the Alorazolam(Xanax) Is something that people rely on and I don't want that.
doctor
Answered by Dr. Grzegorz Stanko (8 hours later)
Brief Answer:
You should consider SSRI treatment and psychiatrist consult.

Detailed Answer:
Anxiety treatment is sometimes a hard task. Alprazolam can be used only in short term and can cause addiction indeed. Buspiron is a better choice. But I suggest you to consult specialist (psychiatrist) and consider more complex and effective treatment with medicines called SSRI (antidepressants). The anti anxiety effected achieved with this medicine can be permanent.
Omeprazole is fine for acid reflux disease along with mentioned diet.

Regards.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5795 Questions

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What Causes Burning Sensation Chest Area Radiating To Stomach?

Brief Answer: Gastroesophageal reflux disease is most probable reason of your symptoms. Detailed Answer: Hello! Thank you for the query. Burning sensation is most likely caused by a gastroesophageal reflux disease (called GERD). Due to stomach acid presence in the stomach, it gets irritated. This gives chest burning, nausea, acid taste in the mouth. As GERD is very often associated with asthma, cough and trouble breathing can also be present. All this symptoms can trigger anxiety indeed. Especially that many patients takes this symptoms as a heart attack (heart attack gives chest burning and squeezing which radiates to the left arm or jaw). Moreover, anxiety and stress stimulates stomach acid secretion and makes GERD symptoms even worse. There is no possibility that lower left bulge gives pain after spicy foods. The worst it can be is a hernia. It can be painful. The pain can be related with foods intake if there is intestine inside. But there is no difference for hernia if the food is spicy or not. Hernia give a lump in the groin. Such lump is usually soft and less visible when lying down. It gets much larger when standing and coughing. Here is what you should do: - avoid fatty foods, spicy foods, coffee, alcohol, chocolate, orange juices - start Magnesium supplementation - have soft tissues ultrasound of the bulge area - consult pulumonologist and have spirometry (blow test) If the diet wont settle the symptoms, you should consult your doctor and get medicines which decrease stomach acid secretion (like Omeprasole). If the bulge is hernia, should be checked by a general surgeon. Surgery might be necessary. Hope this will help. Feel free to ask further questions. Regards.