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    What causes pain in the ribs along with acid reflux?

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Posted on Mon, 10 Jul 2017 in Digestion and Bowels
Question: HI, I have contractions in my upper stomach area, between my rib cage and some gas. Horrible pain though when the contraction happens. It happens every 5 minutes.
doctor
Answered by Dr. Ramesh Kumar 53 minutes later
Brief Answer:
Classical symptoms of acid peptic disorder.

Detailed Answer:
Hello,
Thanks for choosing HealthcareMagic for your query.
Have gone through your details and i appreciate your concerns.

As per your query most likely your symptoms are due to severe dyspepsia with Gastritis overlapped with acid reflux.


Answers to your questions are-

1)"I have reflux and I have had ulcers but it doesn't feel like that it feels like something is sort of stuck in my esophagus."- Classical tell tale symptom of patient of acid reflux. GERD is a condition in which stomach acid travels up the esophagus, which can then create ulcers and scars that constrict the esophagus. Classical complaint of patient is that he/she can feel something is stuck in throat.
Possibility 2-Achalasia is a relatively uncommon condition that is often mistaken for acid reflux.It is a disease that effects the esophagus, specifically the junction between the esophagus and the stomach called the lower esophageal sphincter (LES). Achalasia is a condition where the valve (LES) fails to open.

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 repeat should be done to see the condition of ulcers.


2)I have contractions in my upper stomach area, between my rib cage and some gas. Horrible pain though when the contraction happens-Frequent retrosternal heartburn is a cardinal symptom of reflux disorder; acid reflux causes a retrosternal or epigastric burning feeling that characteristically radiates up towards the throat, Sometimes this burning sensation can be pulsating also.Every time the acid from stomach refluxes back into esophagus it injures esophageal mucosa.This injured mucosa undergoes severe spasmodic contractions due to inflammation causing sensations of abdominal spasm.


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 are on Delixant and Ranitidine.
2)To prevent the acid formed inside stomach to reflux back into esophagus-(This part of treatment is not covered by your doctor)-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.So you can switch over to Rabeprazole from Delixant.

3)Sucralfate is used to treat and prevent l 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
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Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2433 Questions

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