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

173 Doctors Online
Doctor Image
MD
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.

What causes constant chest discomfort when diagnosed with gastritis?

Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2119 Questions

default
Posted on Thu, 30 Mar 2017 in Liver and Gall Bladder
Question: Wha does it mean when your chest hurts after pushing on your stomach? I was diagnosed with gastritis back in January and have been on Protonix since december 31st. I just had a ultrasound on my upper right quadrant to see if i have gallstones because i am still suffering from the chest pain that ive had. I have mostly had pain on the right side but now i am experiencing sight pain on the left as well. All day today i have felt like ive needed to burp but could never expell enough gas to feel better. I have had 3 ekgs and they all came back normal and i have had blood tests and they came back normal as well. They checked my liver heart and pancreas enzymes as well which were all in normal limits. I sometimes feel the chest pain in my back as well. My stomach doesnt hurt but my chest does.
doctor
Answered by Dr. Ramesh Kumar 2 hours later
Brief Answer:
Detailed answer below.

Detailed Answer:
Hello,
Thanks for choosinG HealthcareMagic for your query,
Have gone through your details.

You are a diagnosed case of Gastritis.Your history is highly suggestive that chest discomfort you are experiencing is because of gastritis.
Your cardiac investigations are also normal this again favour's gastritis to be a cause of chest pain in your case.
I would suggest you to rule out other GI causes initially-
Tests adviced are-
Ultra sound whole abdomen.
24-hr pH study to see if any GERD or reflux esophagitis is present along with gastritis.
A HIDA scan with CCK stimulation to make sure that the gall bladder is not causing your discomfort.
Upper g.i endoscopy.

Treatment suggestions to be discussed with Gastroenterologist-
-Firstly i would suggest you to switch over to Nexium(Esomeprazole),Initially take it 40mg twice daily,However if pain not relieved doses can be increased to 80mg twice a day.Ask you gastroenterologist to add Levosulpride;It is a sulpride isomer and exerts its prokinetioc effect by blocking D2 receptors,Recent studies have shown that combining it with proton pump inhibitors have shown good effect in patients suffering from Gastritis and esophagitis.

-Some times increased anxiety and stress levels can also cause cardiac pain.If not relieved from above mentioned drugs then a mild dose of anxiolytic can be taken once daily for few weeks.
-As your age is just 25 cardiac cause is very unlikely,However as chief complaint in your case is chest pain only i would suggest you to go for Few cardiology tests like Echo doppler and Stress test to rule out possibility of cardiac disease.

Few life style and dietary changes are also advocated along with medications'
-Take 2 glasses of cold milk daily.
-Avoid taking extra fibres in your diet to control gases.
-Restrict intake of carbohjydrates.
-No aerated drinks or alcohol.
-Fruit juice should be avoided.
-Avoid spicy or oily food.
Take a probiotic daily.

Follow up with reports.

Regards.


Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
premium_optimized

The User accepted the expert's answer

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

Recent questions on  Reflux esophagitis

doctor1 MD

I woke up this morning with a black coating on my tongue . I had diarrhea the night before and took pepto bismol to help relieve the diarrhea. I have acid reflux and at one time I had ulcers on the back of my tongue which caused a small amount of brown when scraping my tongue, but nothing like this dark coating that covers my entire tongue that I am scraping dark substance from the back of my tongue.

doctor1 MD

Ive had my symptoms for more than 24 hours. It feels like I have a large piece of food stuck in my esophegous and over last few hours this had became increasingly painful to the extent of unbearable. It s like indigestion but much much worse. I m on medication for heartburn which I take every day, ranitidine , for acid reflux , (it is NOT rhe same symptoms) I have taken several doses of this medication over 24 hours but it s not helped at all. I m convinced something is stuck. My stomach is bloated so much to extent it feels like its going to burst. Please help!!!! Should I go to ER?

doctor1 MD

My 83 year old Mother has had for several years sudden nausea that happens for no apparent reason. She has had scans, procedures, & blood work to check for ulcers , acid reflux , stomach emptying problems, heart conditions etc. with no major problems found. Her gall bladder has been removed for at least 10 years, as well as her female organs. She does have diviticulitis and high blood pressure, which she takes meds for. It seems that her nausea comes on rapidly when she is shopping or moving her arms or bending. Her gastro , family and heart doctors have not found any reasons for these nausea attacks. Can you offer any possible reasons for what is happening to her. She does not feel dizzy, have headaches or notice anything before these episodes happen.

doctor1 MD

hi my name is mac I m 47. I was diagnosed with osteophytosis.i have vary bad stomach and back pain in the lower part it hurt so bad i can hardly walk, set , stand, or even lay down. i had a ultrasound done the dr. said my ovaries and everything down there was fine i have bad constipation and acid reflux , heartburn gird the dr. had given me all kinds of medicine nothing seems to help do you have any advice thank you

doctor1 MD

I have had trouble swallowing food. My doctor put me on Prilosec and it was better for a month. I am still taking the medication but by the end of the day I have problems swallowing food or drink. throat is irritated.

doctor1 MD

Hi. I am a 59 year old women. Never had a colonoscopy . Scared. But I have had a few CT with contrast. Abdominal/pelvic. They said I have some Diverticulitis but no polyps or tumors from colon. Can I feel comfortable with that for now? I check for...

doctor1 MD

Horrific as this is I need to ask a question. My son was sexually abused very young by his father, He was forced to swallow my x-huband's semen many times until he was 5 when I was made aware of this. I don't know the full details except what's in...