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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Constant Nausea, Fatigue With Chest Pain

no appetite and consistent nausea and fatigue for 3 weeks, with episodes of waves of central chest pain, near syncope, and extreme nausea. Not helped by 40mg Somac daily. Seems to be worse when at rest, lying down or lying back on couch - worse in evenings. Prior history of SVT but this does not feel like heard racing when I have the waves of near syncope. Have ulcerative colitis but this has been very well controlled (in remission) for over 1 year. All bloods normal.
Thu, 5 Feb 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion you are having GERD (gastroesophageal reflux disease) mostly.
But because of your SVT (supra ventricular tachycardia) history, it is better to rule out cardiac cause first.
So get done
1. ECG
2. 2 d echo
To rule out cardiac cause.
If both are negative then no need to worry much for cardiac cause.
Your symptoms are more suggestive of GERD. It is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause the symptoms like central chest pain and nausea.
Along with drugs, you need following life style modifications for symptomatic relief.
1. Avoid hot spot and spicy food.
2. Avoid stress and tension.
3. Avoid large meals, instead take frequent small meals.
4. Go for walk after meals.
5. Keep 2-3 pillows under head in bed.
Don't worry much, you will be alright.
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Suggest Remedy For Constant Nausea, Fatigue With Chest Pain

Thanks for your question on HCM. In my opinion you are having GERD (gastroesophageal reflux disease) mostly. But because of your SVT (supra ventricular tachycardia) history, it is better to rule out cardiac cause first. So get done 1. ECG 2. 2 d echo To rule out cardiac cause. If both are negative then no need to worry much for cardiac cause. Your symptoms are more suggestive of GERD. It is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause the symptoms like central chest pain and nausea. Along with drugs, you need following life style modifications for symptomatic relief. 1. Avoid hot spot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Go for walk after meals. 5. Keep 2-3 pillows under head in bed. Don t worry much, you will be alright.