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    What causes pain in the ribs, indigestion and weight loss?

Posted on Mon, 31 Jul 2017 in Hypertension and Heart Disease
Question: I have the following symptoms; intense pain under my ribcage and back, indigestion, weight loss. I had pale stoles for about a week and a half but then they turned back to normal. I went to the hospital a month ago with heart palpitations, chest pain, high heart rate and blood pressure. They kept me overnight and said to follow up with cardiologist and gi. I followed up cardiologist and had an echocardiogram and stress test and I'm waiting on results. He also ordered a halter monitor test but that wasn't available until later this month. Cardio doesn't want me to get endoscope until his tests are completed. During initial consult, he diagnosed me with tachycardia, skipped heart beats and though anxiety was a contributing factor. He put me on Metroprolol 25 mg. I saw GI but he said he needed to complete endoscope before he could diagnose. He prescribed Protonix for heartburn.
Any thoughts? I am very uncomfortable.
Answered by Dr. Saumya Mittal 53 minutes later
Brief Answer:
you need to wait for the results as of now

Detailed Answer:
I am Dr. Mittal.

I've gone through your query carefully, and think you need to understand exactly what is happening.
That will tell you why your doctors are doing.

Let me explain:

The symptoms of heart palpitations, chest pain, high heart rate and blood pressure are known a symptom of a possible heart attack. And tachycardia and skipped heart beats does add to the possibility.

The problem is that till the diagnosis is decided upon, one needs to wait. This is because the procedures like endoscopy are stressful. A heart disease needs to be ruled out or treated fully before a procedure is taken up.

As for the other symptoms, I think that your gastroenterologist has started the appropriate medicine. I would, however, suggest another syrup of Sucralfate with Oxetacaine, such as Mucaine Gel/Sucralfate O. This may help you further.

What is more, some of the symptoms like heartburn can occur with a cardiac problem as well.

I, therefore, suggest that you need to wait. I understand that you are uncomfortable. But you need to do things in a safe way.

I have tried to make it as simple as possible.
Feel free to ask any follow-up question.

Best wishes, Dr Mittal

Above answer was peer-reviewed by : Dr. Arnab Banerjee
Follow up: Dr. Saumya Mittal 31 minutes later
I know I need to wait and have for just about a month now. However, Cardio's gut feeling is that this is GI but is doing the tests to be certain. If this isn't cardiac related what could be causing the GI issues? Thank you
Answered by Dr. Saumya Mittal 44 minutes later
Brief Answer:

Detailed Answer:
Hello again.

If this is indeed gastroenterology related, it could be acid peptic disease or gastroesophageal reflux disease.

However, pale stools also suggest the possibility of gall stones.

We will need endoscopy for the first two possibilities.

An ultrasound can tell us about the third possibility(gall stones).

The doctor has already started you on medicines for acid peptic disease or gastroesophageal reflux disease. Adding the syrup I suggested may help you further.

Best of luck.
Dr Mittal

Above answer was peer-reviewed by : Dr. Arnab Banerjee
Answered by
Dr. Saumya Mittal


Practicing since :2004

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