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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes odd sensations in the left chest along with constant burp?

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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 5771 Questions

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Posted on Wed, 30 May 2018 in Hypertension and Heart Disease
Question: I have had a stress test (last year), a carotid doppler, and an echocardiogram.The results were fine. I still get what I call brief "pings" or odd sensations in my left chest and occasionally in my right chest. In addition I burp all the time and get a strange choking sensation at the back of my throat. I am very concerned.
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Answered by Dr. Ilir Sharka 1 hour later
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome on HCM!

I passed carefully through your concern and would like to explain that your clinical symptomatology is not specific for any cardiac related issues (especially cardiac ischemia).

In fact a migrating and well localized discomfort, especially associated with extra-cardiac signs (including burping) goes in favor of an extra-cardiac origin.

Your normal medical tests (normal cardiac stress test and echo) support further this conclusion.

This clinical presentation is more suggestive of a gastrointestinal problem, such as gastroesophageal reflux, hiatal hernia.

Coming to this point, I recommend trying a gastric anti-secretory medication such as pantoprazole, omeprazole, etc. and discussing with your doctor on the opportunity of performing additional tests, such as a fibrogastroscopy, chest imagine study, etc.

Hope to have been helpful to you!

In case of any further questions, feel free to ask me again.

Kind regards,

Dr. Iliri



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