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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering from gastric problem, left chest pain, digestion problem. Normal ECG. Taking medication. Suggestions?

Hello doctor!
I am from Bangladesh aged 23. I have been suffering from acidity or gastric problem for about three months .At first my symptoms were as follows:
1. Feeling pressure in the middle of the chest and
2. Feeling uncomfortable after each meal.
When there is any bobs, I feel better, but that does not release me from the problem all together and that my condition remains the same (feeling pressure).
I have also been suffering from left chest pain that moves from left side to the upper left and sometime to the down left side.Here I would like to mention that I undergo a kind of bad (weird) feeling rising from my chest and reaching head through my neck. Because of this weird feeling, I get very nervous. Moreover, sometimeIi suffer form breath problem. I have digestion problem too.
My ECG and ECHO CARDIOGRAPH Y report is normal but pain is still there.
Now I'm taking the following medicine:
1. capsul-ESOMEPRAZOL MAGNESIUM UPS 40mg twice a day and
2. Entacyd liquid two spun three times a day (after meal).
3. Propranolol hydrochoride br 10mg for palpitation.
Note that because of my sleeping problem, I took bromazepam 3mg half last night.

Now sometime I feel nausea, and do not feel like taking meal or food.
Now I'm so upset and tense. Please give me a solution.

Regards,
Bipasha
Wed, 14 Aug 2013
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General & Family Physician 's  Response
Hello Good Evening,

According to your symptoms you might be suffered from Gastric or duodenal ulcers which cause pain/burning sensation and nausea and even vomiting.

For the confirmation of your diagnosis you should go through UGI Endoscopy.

After that you should be prescribed PPI, Domperidone, Antacids and Sucralfate as per guidance of your GP, as per you, already PPI and antacids are ongoing.

Following steps should follows to lessen your symptoms:

-Walk after eating a meal.
-Exercise
-Avoid coffee and chocolates.
-Avoid Meals that are high in fat.
-Avoid extremely hot or cold food.
-Avoid alcohol and smoking

Regards,

Dr. Naresh Jain.
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Suffering from gastric problem, left chest pain, digestion problem. Normal ECG. Taking medication. Suggestions?

Hello Good Evening, According to your symptoms you might be suffered from Gastric or duodenal ulcers which cause pain/burning sensation and nausea and even vomiting. For the confirmation of your diagnosis you should go through UGI Endoscopy. After that you should be prescribed PPI, Domperidone, Antacids and Sucralfate as per guidance of your GP, as per you, already PPI and antacids are ongoing. Following steps should follows to lessen your symptoms: -Walk after eating a meal. -Exercise -Avoid coffee and chocolates. -Avoid Meals that are high in fat. -Avoid extremely hot or cold food. -Avoid alcohol and smoking Regards, Dr. Naresh Jain.