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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Probable Diagnosis For Fluttering Sensation In Chest Along With Belching And Gas

I seem to be experience a fluttering sensation in my chest with belching and gas. When I am laying down I hear a thumping sound. I took two tums about 20 minutes ago and I sitting up and the thumping sound seems to be going away. My breathing seems to be ok and I have no pain just a strange feeling in my chest.
Mon, 10 Jun 2019
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General & Family Physician 's  Response
Hello,

I would like to ask:
1. Does all these related to meal?
2. Is the fluttering sensation in chest occurs along with belching and gas only?
3. What type of food you usually eats?
4. When all these started?
5. Is there burning sensation in stomach after eating or before meal?

I would like to give some tests:
1. Stool Analysis
2. Complete Blood Tests
3. Endoscopy
4. Esophageal manometry

Meanwhile, you can follow these:
1. If burning sensation in stomach after eating, take Antacids
2. Sucralfate 1 g orally 2 times a day
-Duration of therapy: Up to 6 months

Other things to follow:
Elevate the head of your bed at least six inches. If possible, put wooden blocks under the legs at the head of the bed. Or, use a solid foam wedge under the head portion of the mattress. Simply using extra pillows may not help.

Avoid foods that cause the esophageal sphincter to relax during their digestion. These include:
Coffee
Chocolate
Fatty foods
Whole milk
Peppermint
Spearmint

Limit acidic foods that make the irritation worse when they are regurgitated. These include citrus fruits and tomatoes.

Avoid carbonated beverages. Burps of gas force the esophageal sphincter to open and can promote reflux.

Eat smaller, more frequent meals.

Do not lie down after eating.

Do not eat during the three to four hours before you go to bed.

If you smoke, quit.

Avoid drinking alcohol. It loosens the esophageal sphincter.

Lose weight if you are obese. Obesity can make it harder for the esophageal sphincter to stay closed.

Avoid wearing tight-fitting garments. Increased pressure on the abdomen can open the esophageal sphincter.

Use lozenges or gum to keep producing saliva.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Dipan Samanta, General & Family Physician
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Probable Diagnosis For Fluttering Sensation In Chest Along With Belching And Gas

Hello, I would like to ask: 1. Does all these related to meal? 2. Is the fluttering sensation in chest occurs along with belching and gas only? 3. What type of food you usually eats? 4. When all these started? 5. Is there burning sensation in stomach after eating or before meal? I would like to give some tests: 1. Stool Analysis 2. Complete Blood Tests 3. Endoscopy 4. Esophageal manometry Meanwhile, you can follow these: 1. If burning sensation in stomach after eating, take Antacids 2. Sucralfate 1 g orally 2 times a day -Duration of therapy: Up to 6 months Other things to follow: Elevate the head of your bed at least six inches. If possible, put wooden blocks under the legs at the head of the bed. Or, use a solid foam wedge under the head portion of the mattress. Simply using extra pillows may not help. Avoid foods that cause the esophageal sphincter to relax during their digestion. These include: Coffee Chocolate Fatty foods Whole milk Peppermint Spearmint Limit acidic foods that make the irritation worse when they are regurgitated. These include citrus fruits and tomatoes. Avoid carbonated beverages. Burps of gas force the esophageal sphincter to open and can promote reflux. Eat smaller, more frequent meals. Do not lie down after eating. Do not eat during the three to four hours before you go to bed. If you smoke, quit. Avoid drinking alcohol. It loosens the esophageal sphincter. Lose weight if you are obese. Obesity can make it harder for the esophageal sphincter to stay closed. Avoid wearing tight-fitting garments. Increased pressure on the abdomen can open the esophageal sphincter. Use lozenges or gum to keep producing saliva. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dipan Samanta, General & Family Physician