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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest remedy for Chest pain just under sternum associated with swallowing solid or liquid

Hi 22 yo male c/o odynophagia x2 d started suddenly and associated with swallowing solids or liquids. Chest pain just under sternum is also associated with swallowing solid or liquid. Pain score 5/10 and it disappears shortly after eating or drinking. No shortness of breath, no lightheadedness. No fever, no diarrhea, no vomiting. Healthy, go to gym 3 times per week. no chronic diseases. should I worry for tonight and when should I worry tonight to go to ER?
Sat, 26 Jul 2014
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General & Family Physician 's  Response
There is acute pain associated with swallowing or drinking any thing . Pain relieved after sometime after drinking or eating.
The possibility may be of sever acute esophagitis ( corrosive type ) , in this patient feel acute excruciating pain when eats or drinks something. When such case visit my clinic I at once introduce dextrose infusion with sodium bicarbonate injections in drip 5-6 in each drip . Usually 3-4 drips sufficient ( provided patient don't have heart problem ).
Also take some antacid containing oxetacaine , provide instant relief because of anesthetic in it.
After this I advise my patient to take proton pump inhibitors according to need.
Acute gastritis may be due to spicy food, greasy , alcohol , excessive with caffeine in them .
Tension is another cause of acute gastritis .
Still no improvement with these measures within ONE day consult a physician and get his opinion.
Good luck.
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