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What Could Cause Radiating Pain From The Chest To The Back Along With Bloating And The Frequent Urge To Defecate After Meals?
Question: Hello doc,
Request an urgent advice here.
Medical history
1. Bronchitis asthma
2. Beta Thalassemia Minor
3. Severe Iron deficiency anemia
4. Shoulder pain , muscle pain in shoulder has supraspinatus tear
5. She goes to the washroom for 4 5 types a day
Current medication
1. Dilzem 90 --- Blood pressure and pulse
2. Rozavel F --- cholesterol
3. seroflo 125 MCG - Asthma
5. Vitamins
• Evion LC
• Folvite
• Uprise D 360
doc, my mom has been in the gastro problem from past 2 years , she goes to the washroom for around 4 - 5 times specially after food and that too with urgency but with very less passage of washroom. She feels little bloating in the stomach.
also recently she has started getting chest pain in the middle of the chest which radiates to the back and the pain is very severe. This has started from past 5 months and the pain comes once in 10 days types .
We thought it is related to heart and we got the heart reports done, but all seems normal.
Endoscopy and colonoscopy was done in 2017 and recently we have got the C reative, calprotectin and MRI enterography done .
I am attaching the reports for the same, please advice if she needs to be put on aany medication or any further investigation
Request an urgent advice here.
Medical history
1. Bronchitis asthma
2. Beta Thalassemia Minor
3. Severe Iron deficiency anemia
4. Shoulder pain , muscle pain in shoulder has supraspinatus tear
5. She goes to the washroom for 4 5 types a day
Current medication
1. Dilzem 90 --- Blood pressure and pulse
2. Rozavel F --- cholesterol
3. seroflo 125 MCG - Asthma
5. Vitamins
• Evion LC
• Folvite
• Uprise D 360
doc, my mom has been in the gastro problem from past 2 years , she goes to the washroom for around 4 - 5 times specially after food and that too with urgency but with very less passage of washroom. She feels little bloating in the stomach.
also recently she has started getting chest pain in the middle of the chest which radiates to the back and the pain is very severe. This has started from past 5 months and the pain comes once in 10 days types .
We thought it is related to heart and we got the heart reports done, but all seems normal.
Endoscopy and colonoscopy was done in 2017 and recently we have got the C reative, calprotectin and MRI enterography done .
I am attaching the reports for the same, please advice if she needs to be put on aany medication or any further investigation
Brief Answer:
Acid reflux.
Detailed Answer:
Hello,
Have gone through your details and i appreciate your concerns
Gastroesophageal reflux disease (GERD), also known as acid reflux, occurs when acid or other stomach contents back up in the esophagus. The most common symptom of GERD is heartburn ehich mimics the symptoms of cardiac problem.
Use antacids like omeperazole or pantoprazole before . In my clinic, I suggest 40 mg before breakfast.
Using motility agents like domperidone will help with rapid stomach emptying and decreased refurge or heart burn.
Don't lye flat right after meals but take brisk walk or stay upright for almost half an hour after meals.
Avoid spicy, greasy, oily foods as well as fizzy drinks. Avoid too much quantity if hot beverages.
Acid reflux.
Detailed Answer:
Hello,
Have gone through your details and i appreciate your concerns
Gastroesophageal reflux disease (GERD), also known as acid reflux, occurs when acid or other stomach contents back up in the esophagus. The most common symptom of GERD is heartburn ehich mimics the symptoms of cardiac problem.
Use antacids like omeperazole or pantoprazole before . In my clinic, I suggest 40 mg before breakfast.
Using motility agents like domperidone will help with rapid stomach emptying and decreased refurge or heart burn.
Don't lye flat right after meals but take brisk walk or stay upright for almost half an hour after meals.
Avoid spicy, greasy, oily foods as well as fizzy drinks. Avoid too much quantity if hot beverages.
Above answer was peer-reviewed by :
Dr. Kampana
Hello Doc,
Can you please let me know if we need to do any further investigation as her CRP and Calprotectin levels are too high. should she go for capsule endoscopy ?
regards
Can you please let me know if we need to do any further investigation as her CRP and Calprotectin levels are too high. should she go for capsule endoscopy ?
regards
Brief Answer:
Follow up answer.
Detailed Answer:
Hello again and its nice to see your follow up mam,
Calprotectin is just a marker of inflammation in intestine.So if there is an inflammation in intestine any where along the path of gut calprotectin would be raised.
CRP is also a marker of inflammation very old and non specific usually significant only in arthritic or tubercular patients.
We already know that she has a terminal ileum ulcer so i don't think doing capsule endoscopy as such would give us something new.
Secondly some times capsule got impacted in intestines and that can cause lots of problem.
Why your gastroenterologist(primary) wants to do it?
Wants to know his side for a better professional advice.
Waiting for reply.
Follow up answer.
Detailed Answer:
Hello again and its nice to see your follow up mam,
Calprotectin is just a marker of inflammation in intestine.So if there is an inflammation in intestine any where along the path of gut calprotectin would be raised.
CRP is also a marker of inflammation very old and non specific usually significant only in arthritic or tubercular patients.
We already know that she has a terminal ileum ulcer so i don't think doing capsule endoscopy as such would give us something new.
Secondly some times capsule got impacted in intestines and that can cause lots of problem.
Why your gastroenterologist(primary) wants to do it?
Wants to know his side for a better professional advice.
Waiting for reply.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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