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What Causes Dull Pain In The Armpit Along With Acid Reflux?

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Posted on Thu, 12 Oct 2017
Question: Hello. I've been having acid reflux issues supposedly. I'm on omeprazole but it doesn't seem to be helping. I constantly have a dull ache at the corner of my armpit and upper arm, or at the bottom of my sternum. Does this sound like it is acid reflex or something else?
doctor
Answered by Dr. Ramesh Kumar (40 minutes later)
Brief Answer:
Reflux disorder.

Detailed Answer:
Hello My Dear Patient,
Have gone through your query and i appreciate your concerns.
As per your query most likely your symptoms are due to severe dyspepsia with Gastritis overlapped with acid reflux.


Gatro esophageal reflux disease is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe . The backwash irritates the lining of your esophagus and causes, heart burn,chest pain and intense burning sensation in throat.Both acid reflux and heart burn are a part of GERD.The presence of gastritis has proved additive to your symptoms.In normal digestion, the lower esophageal sphincter (LES) opens to allow food to pass into the stomach and closes to prevent food and acidic stomach juices from flowing back into the esophagus. Gastroesophageal reflux occurs when the XXXXXXX is weak or relaxes inappropriately, allowing the stomach's contents to flow up into the esophagus. If not treated, chronic acid reflux can injure the esophagus and, in some people, progress to a precancerous condition known as Barrett’s esophagus.

Tests suggested are-
Manometry-This test allows to determine if muscle disorders exist in the esophagus, thus making it difficult to push food and liquids down into the stomach.
Endoscopy

Now lets move to your treatment-
See as the name suggests ACID REFLUX should be treated in two phases-
1)Control production of acid-For which you should take Omeprazole .However its just a basic drug hence better substitutes like Rabeprazole 20 mg twice daily should be used.
2)To prevent the acid formed inside stomach to reflux back into esophagus-I would suggest you to add Levosulpiride. Itis a prokinetic drug and is very effective in controlling reflux of acid back into esophagus.A better way is to take it with Rabeprazole trials have shown that its very effective when combined with Rabeprazole.You may need a prescription.
3)Sucralfate is used to treat and prevent ulcers.Sucralfate works by forming a coating' over the ulcer. This protects the ulcer from the acid of the stomach, allowing it to heal. Sucralfate is best taken with water on an empty stomach 1 hour before meals and at bedtime. It should be taken daily by you and would help in healing ulcers.
General precautions are-
Follow a bland diet (low acid levels, low in fat, not spicy)
Eat frequent, small meals.
Lose weight.
Avoid the use of alcohol, tobacco, and caffeine.
Do not eat food less than 2 hours before bedtime.
Raise the head of the bed before sleeping.
Avoid clearing of the throat.


Hope my answer was helpful.
Please do let me know if you need more details.

Thanks!

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ramesh Kumar (6 hours later)
okay. so the pain in my arm is associated with this?
doctor
Answered by Dr. Ramesh Kumar (43 minutes later)
Brief Answer:
follow up.

Detailed Answer:
Yes very likely.
I would say 99% chances are that its gastric as cardiac origin of pain is very unlikely at a age of 27 unless you are a chronic smoker or have strong family history of cardiac disease.

Thanks
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Ramesh Kumar (32 minutes later)
okay. what would you say is strong? great grandfather supposedly died from heart attack. muy grandfather had at least 1 bypass surgery. one of his brothers had a stint placed. I've been on high cholesterol meds since about 13.
Everyone keeps saying gastric, but I just want to make sure.
doctor
Answered by Dr. Ramesh Kumar (6 hours later)
Brief Answer:
follow up.

Detailed Answer:
Hi dear,
By strong family history i mean history of heart attack or any cardiac disease in paternal or maternal side before 55 in male and 60 in female.
To be fully sure get 2d echo and stress test done. If they are normal its gastric.

Regards!
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ramesh Kumar (1 hour later)
Thank you
doctor
Answered by Dr. Ramesh Kumar (15 minutes later)
Brief Answer:
welcome.

Detailed Answer:
Your welcome dear.
Get well soon.
Please do write a review.
Regards!
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2805 Questions

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What Causes Dull Pain In The Armpit Along With Acid Reflux?

Brief Answer: Reflux disorder. Detailed Answer: Hello My Dear Patient, Have gone through your query and i appreciate your concerns. As per your query most likely your symptoms are due to severe dyspepsia with Gastritis overlapped with acid reflux. Gatro esophageal reflux disease is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe . The backwash irritates the lining of your esophagus and causes, heart burn,chest pain and intense burning sensation in throat.Both acid reflux and heart burn are a part of GERD.The presence of gastritis has proved additive to your symptoms.In normal digestion, the lower esophageal sphincter (LES) opens to allow food to pass into the stomach and closes to prevent food and acidic stomach juices from flowing back into the esophagus. Gastroesophageal reflux occurs when the XXXXXXX is weak or relaxes inappropriately, allowing the stomach's contents to flow up into the esophagus. If not treated, chronic acid reflux can injure the esophagus and, in some people, progress to a precancerous condition known as Barrett’s esophagus. Tests suggested are- Manometry-This test allows to determine if muscle disorders exist in the esophagus, thus making it difficult to push food and liquids down into the stomach. Endoscopy Now lets move to your treatment- See as the name suggests ACID REFLUX should be treated in two phases- 1)Control production of acid-For which you should take Omeprazole .However its just a basic drug hence better substitutes like Rabeprazole 20 mg twice daily should be used. 2)To prevent the acid formed inside stomach to reflux back into esophagus-I would suggest you to add Levosulpiride. Itis a prokinetic drug and is very effective in controlling reflux of acid back into esophagus.A better way is to take it with Rabeprazole trials have shown that its very effective when combined with Rabeprazole.You may need a prescription. 3)Sucralfate is used to treat and prevent ulcers.Sucralfate works by forming a coating' over the ulcer. This protects the ulcer from the acid of the stomach, allowing it to heal. Sucralfate is best taken with water on an empty stomach 1 hour before meals and at bedtime. It should be taken daily by you and would help in healing ulcers. General precautions are- Follow a bland diet (low acid levels, low in fat, not spicy) Eat frequent, small meals. Lose weight. Avoid the use of alcohol, tobacco, and caffeine. Do not eat food less than 2 hours before bedtime. Raise the head of the bed before sleeping. Avoid clearing of the throat. Hope my answer was helpful. Please do let me know if you need more details. Thanks!