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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering with GERD, feeling of anxiety rush with warmness in chest radiating to arms, neck, face, normal EKG, ECHO. Alarming?

I m 38 years old. Last week I had a normal EKG and Echo because of palpitations. All was normal. I also have GERD . Last night I woke up with what felt like an anxiety rush and then I got warmth in my chest . This has continued today. Periodically, I ll feel warmth that wells up from my chest and then radiates into my arms, neck and face. It s not painful, just...odd. I started my period today as well. Am I getting hot flashes? Or is this GERD? Should I worry about heart stuff with this? They pass pretty quickly, but they keep coming back. I did take Tums when I had it earlier and didn t have the sensation again for another 30 minutes or so. Thank you for your time! Heather
Fri, 10 Aug 2012
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General & Family Physician 's  Response
Hi Heather,

Most likely your symptoms might be due to GERD. You can be reassured that it is not due to a cardiac problem since your EKG and ECHO are normal. You might want to take Omeprazole 20 mg one tablet half an hour before breakfast daily for a week. Omeprazole is a proton pump inhibitor and reduces the acidity.

I would suggest that you do not lie down immediately after eating a meal. Preferably wait for at least 2 hours after having a meal before lying down.
Avoid fatty and oily food.
Have frequent small meals rather than 3 large meals a day.
Avoid smoking and alcohol

I would also like you to get certain blood tests like complete blood picture,blood sugars and thyroid function test done as anaemia, low blood sugars, thyroid disorders may sometimes present with palpitations.

Hope this helps.

Dr. Divya Kuttikrishnan
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