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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Gastric Problems That Causes Pain In Body, ECG And Blood Report Normal. Given Omeprazole, Changed Diet, No Help. Any Advise ?

Hi. I am 39years old and i have gastric problems that causes pain in my body - chest, back, left arm, and the pain sometimes goes down to my elbow and wrist . I ve had an ECG and blood test done just to see if the chest pain is related to my heart or gastric. The results came out clear, my pressure was normal and since i was 106kg at that time, they also had to see my cholesterol level - it was within range. Now, my chest pain comes and goes having intervals of 3 to 4 days. When the chest pain occurs it gives pain to my left arm, shoulder blade, collar bone and as mentioned above, elbow and fingers. I have also been experiencing jawline pain. Sometimes when i have these pain, cold sweat break out and my heart beats a little faster. At times i will have right chest and back pain as well. I have been given omeprazole , and have changed my diet by eating boiled food, fruits and have been going to the gym for 3 weeks now. I have lost 3k. Please advise
Sat, 19 Oct 2013
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Gastroenterologist,  's  Response
hi
According to your saying and clinical data you are providing, they are most likely related to GERD ( gastroesofageal reflux).


You should make an upper endoscopy and an abdominal ultrasound to be diagnosed accurately.


You should make some changes in your lifestyle and diet habits as following:

try to avoid spicy food

try to eat small amount of food each meal and often

try to eat your dinner at least three hours before you go to bed

losing weight is another factor with positive impact

try to raise your head more while you sleep (preferably 2 cushions)

Starting PPI's ( omeprazole 20mg twice daily ,30 min before food) can also improve your symptoms

I hope this will be helpful, you can ask again if you still have problems.

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Have Gastric Problems That Causes Pain In Body, ECG And Blood Report Normal. Given Omeprazole, Changed Diet, No Help. Any Advise ?

hi According to your saying and clinical data you are providing, they are most likely related to GERD ( gastroesofageal reflux). You should make an upper endoscopy and an abdominal ultrasound to be diagnosed accurately. You should make some changes in your lifestyle and diet habits as following: try to avoid spicy food try to eat small amount of food each meal and often try to eat your dinner at least three hours before you go to bed losing weight is another factor with positive impact try to raise your head more while you sleep (preferably 2 cushions) Starting PPI s ( omeprazole 20mg twice daily ,30 min before food) can also improve your symptoms I hope this will be helpful, you can ask again if you still have problems.