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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Constant Left Shoulder And Chest Pain, Bloating, Severe Belching, Vomiting After Eating, Hernia, GERD. Treatment?

i have been having constant left shoulder/ chest pain for months now that is worse at times. I also have bloating severe belching and gas and often vomit after eating and feel dizzy at times. i have been seeing a GI they have done scopes and said that i have a hernia that shouldnt be causing any problems and GERD . i have been on several meds for this but none of my symptoms are improving. help
Sat, 2 Feb 2013
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General & Family Physician,  's  Response
Hello dear...
Gastro esophageal reflux disease, is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus.
Presence of a hiatal hernia is a contributing factor.
Medical management consist of taking Proton pump inhibitors like Omeprazole, Pantoprazole,etc. (which prevent acid formation in stomach)
Metoclopramide can also be used but it has some side effects on long term usage.
Surgical treatment includes Fundoplication, in which the hernia is corrected & upper part of the stomach is wrapped around the lower esophageal sphincter to strengthen the sphincter and prevent acid reflux.
So...it will be better to consult a Gastroenterologist.
Also avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol.
Try to sleep on the left side, or with your upper body raised.
There is no need to worry...you will be fine.
Wish you a good health & speedy recovery.
Thanks & Take care.
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General & Family Physician,  Dr. Olubusola Brimmo's  Response
You may be experiencing a problem called dumping syndrome which may cause this dizziness after eating. You may also be experiencing excess insulin secretion after eating as well. I would recommend you discuss these 2 options with your gastroenterologist
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Constant Left Shoulder And Chest Pain, Bloating, Severe Belching, Vomiting After Eating, Hernia, GERD. Treatment?

Hello dear... Gastro esophageal reflux disease, is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus. Presence of a hiatal hernia is a contributing factor. Medical management consist of taking Proton pump inhibitors like Omeprazole, Pantoprazole,etc. (which prevent acid formation in stomach) Metoclopramide can also be used but it has some side effects on long term usage. Surgical treatment includes Fundoplication, in which the hernia is corrected & upper part of the stomach is wrapped around the lower esophageal sphincter to strengthen the sphincter and prevent acid reflux. So...it will be better to consult a Gastroenterologist. Also avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol. Try to sleep on the left side, or with your upper body raised. There is no need to worry...you will be fine. Wish you a good health & speedy recovery. Thanks & Take care.