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What Causes Chest Discomfort Along With Shortness Of Breath And Fatigue?

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Posted on Mon, 9 Feb 2015
Question: Hello,

(58Y M)
What may be the reason for Chest discomfort, shortness of breath and subsequent fatigue. if I go for long drive in morning hours (before 9-10am). How to get rid of it?

ECG, TMT, Echocardiogram are normal.

H Pylori treatment completed and 3 month pantoprazole course continuing. Mild gastritis and Lax XXXXXXX diagnosed during endoscopy.
doctor
Answered by Dr. Suresh Heijebu (1 hour later)
Brief Answer:
Antacid therapy with Fundoplication will offer cure.

Detailed Answer:
Hi Sir,

I understand your query and concern.

The symptoms in your case are strongly related to the underlying Lax XXXXXXX provoking acid reflux.

You can comfortably rule out cardiac disease since the entire cardiac workup is absolutely normal.

The symptoms in your case can be completely eliminated through combination of antacid therapy with pantocid coupled with antireflux surgical procedure like Nissen's fundoplication.

You need to consult a gastrointestinal surgeon regrading this procedure of fundoplication.

Post your further queries,if any.
Thank you.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Suresh Heijebu (14 hours later)
Thanks.

Till surgical treatment, what precautions may be taken in order to minimize the symptoms/ difficulty felt.

This usually also triggers (aggravates) after having a rich (oily/ fatty) food. Kindly note that amount of food doesn't matter, simply high oil content food in little amount also triggers it, usually very next morning.

Regards..
doctor
Answered by Dr. Suresh Heijebu (4 hours later)
Brief Answer:
Lifestyle modifications are suggested to minimize the symptoms.

Detailed Answer:
Hi Sir.

I understand your concern.

Yes you can adopt certain lifestyle modifications/precautions which are can minimize your symptoms.They are as follows.

1.Lose weight(if overweight).

2.Avoid Alcohol, Coffee, Citrus fruits, Tomato based products, Peppermint, Chocolate and Onion family.

3.Avoiding large meals.

4.Wait for 3 hours after a meal before lying down.

5.Elevating the head end of the bed by 8 inches.

6.Avoid bending or stooping postures.

7.Eat small frequent meals.

8.Refrain from ingesting foods(except liquids) within 3 hours of bedtime.

9.Avoid Fried and fatty food altogether.

Thank you.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Suresh Heijebu

Psychiatrist

Practicing since :2010

Answered : 3646 Questions

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What Causes Chest Discomfort Along With Shortness Of Breath And Fatigue?

Brief Answer: Antacid therapy with Fundoplication will offer cure. Detailed Answer: Hi Sir, I understand your query and concern. The symptoms in your case are strongly related to the underlying Lax XXXXXXX provoking acid reflux. You can comfortably rule out cardiac disease since the entire cardiac workup is absolutely normal. The symptoms in your case can be completely eliminated through combination of antacid therapy with pantocid coupled with antireflux surgical procedure like Nissen's fundoplication. You need to consult a gastrointestinal surgeon regrading this procedure of fundoplication. Post your further queries,if any. Thank you.