HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Causes Recurring Chest Pain Post VSL 3 Withdrawal?

Posted on Sat, 6 Jun 2015

Question: I was treated with VSL#3 & Rifagut 400 mg. So i didn't suffer for 2 months. once i stopped the course of tablets, again the problem started. I get pain in chest for some moments then subsides and again after some time it pains.

Answered by Dr. Drkaushal85 (52 minutes later)

Brief Answer:
You are mostly having stress related chest pain.

Detailed Answer:
Thanks for your question on HCM.
VSL 3 is probiotic. And rifagut is gut specific antibiotic (rifaxime).
Both are used in irritable bowel syndrome (IBS).
Stress is common risk factor for IBS.
Ganaton total is having pantoprazole. It is proton pump inhibitors (antacid). This is also stress related.
So possibility of stress related chest pain is more in your case.
Stress is one of the biggest risk factor for GERD (gastroesophageal reflux disease).
And this might be the cause for your chest pain.
So please let me know
1. Do you have stressful life?
2. Do you have burning epigastric pain?
3. Do you have central chest pain with tightness?
3. Do you have belching?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health.
Thanks.

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Drkaushal85 (13 hours later)

Thanks Doctor,

1. Yes I lead a stressful life. Mostly office related.
2. I get central chest pain sometimes and sometimes on either sides of chest.
3. Belching release the pain when the pain is intense.

With regards,

XXXX

Answered by Dr. Drkaushal85 (16 minutes later)

Brief Answer:
Get an ecg done first.

Detailed Answer:
Thanks for your follow up question on HCM.
At your age of 51 years, with stressful life, cardiac risk is more.
So chest pain should be evaluated for cardiac cause first. And get done ecg first. If ecg is normal then you are mostly having GERD (gastroesophageal reflux disease).
Please let me know
1. Have you ever consulted psychiatrist?
2.. Are you smoker?
3. Do you take alcohol?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health.
Thanks.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Drkaushal85 (2 days later)

Thanks Doctor,

1. I have not consulted a pyschiatrist, nor advised to.
2. No, I dont smoke
3. No alcohol either, except company peg more than a month apart.

Can you suggest the way ahead. Should I be continuing with Ganaton total (before breakfast every day), Rifagut 400 twice a day (for 15 days and therafter for 15 days VSL3). Apart from these, I take BP tablet Amlopres AT (BP under control, normally 85/130) and Glyciphage for Diabetes (again under control remaining around 130).

Answered by Dr. Drkaushal85 (4 hours later)

Brief Answer:
Better to consult psychiatrist and follow these lifestyle modifications.

Detailed Answer:
Thanks for your follow up question on HCM.
Your all symptoms are stress related only.
So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution.
You may need anxiolytic drugs too.
Also follow these lifestyle modifications.
1. Avoid stress and tension.
2. Avoid hot and spicy food.
3. Avoid large meals, instead take frequent small meals.
4. Go for walk after meals.
5. Keep 2-3 pillows under head in the bed to prevent reflux.
If you follow these steps then you will not need any of the drugs.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health.
Thanks.

Note: For further queries related to coronary artery disease and prevention, click here.

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