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Having stomach ache, shoulder and chest pain. Due to gastric problem?

first of all i had stomachache and after that i had severe chest pain including back and shoulder pain. i want to ask you whether is it due to gastric? when i went for check up they said its because of gastric so please can you tell me that i am having this problem because of gastric? and do gastric cause all these pain?
Asked On : Wed, 27 Mar 2013
Answers:  2 Views:  160
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Internal Medicine Specialist 's  Response
Jan 2013
Thanks for posting your query.
Do you have watery diarrhea/ vomiting/ spasmodic abdominal pain/ acidic belching?
With the available described symptoms, there could be possibility of peptic ulcer disease.
Peptic ulcer disease is a combination of multiple pathology including nodular gastritis, follicular gastritis, gastric ulcer and duodenal ulcer, adenocarcinoma and esophagitis.
Gastric ulcer may cause pain in abdomen and esophaeal irrtation may cause pain in chest with radiation to back.
You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up.
You should also go for complete blood count, blood sugar both fasting and postprandial, thyroid profile, serum electrolytes and endoscopy & biopsy.
You should also go for urea breathe test for Helicobacter pylori bacteria.
You should take proton pump inhibitors along with prokinetics and antacids for relief of your symptoms.
You should avoid tomatoes, citrus fruits and oily spicy foods.
Take care,
Dr. Mayank Bhargava
Answered: Wed, 27 Mar 2013
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General Surgeon Dr. Grzegorz Stanko's  Response

Thank you for the query.

Upper abdominal pain, chest pain and left shoulder pain can appear due to heart ischemic disease. Especially if shortness of breath is also present. In such situation, heart problems should be always ruled out with heart ECG and heart enzymes. Cardiologist consult and stress test seems to be advisable as well.

Only after heart issues ruling out, you may assume that you pain is due to peptic ulcers or gallstones. Abdominal ultrasound, blood work, upper GI endoscopy should be done to confirm or rule this conditions out.
In a meanwhile you should avoid spicy foods, fatty foods, soft drinks, coffee, chocolate and alcohol.

Hope this will help.
Answered: Thu, 28 Mar 2013
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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