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Suggest Treatment For Severe Shoulder Pain And Chest Pain
Sudden onset 7 weeks ago in my sleep of severe back shoulder blade pain, Other sxs to follow included significant dyspepsia, midsternal chest pain, raw throat, some occas. hoarseness, cough, dry and sometimes productive clear mucous, occas shortness of breath. Started dosing of Prilosec x 2 weeks with minimal improvement in dyspepsia only, changed to Nexium OTC with resolution of heartburn. Now on Prevacid, started today, Rawness to throat is mostly present now, chest pain and burning much greater when coughing. Significant belching after any eating or drinking. Chest rawness and pain at times requiring Ibuprofen 800 mg which resolves for a while. No coffee ground emesis, nausea, or black stools. Tried allergy regimen thinking cough and raw throat related to seasonal allergies with no change.
Sat, 1 Oct 2022
Hello,
Your symptoms point towards severe peptic ulcer disease with gastroesophageal reflux GERD. Symptoms of GERD are burning pain in midsternal region, throat irritability, cough, and repeated burping. Treatment options for GERD with peptic ulcer are totally avoiding NSAIDs like Ibuprofen.
As you have already started tab. Prevacid, you can continue. In case of severe pain in the midsternal region, take a sachet of OMEZ Insta and mix it with half glass of water and drink. It gives relief. Avoid lying immediately after food. Sit upright for at least 2 hours after eating. Avoid increase in intraabdominal pressure for eg coughing etc.
Avoid spicy food. Stick to bland food and fiber rich diet. Avoid milk as it can exaggerate peptic ulcer. For treating H. pylori infection of stomach, triple regimen with PPI like Prevacid, Amoxicillin and Clarithromycin for 14 days is recommended.
Take Lansoprazole (Prevacid) daily, Clarithromycin (Biaxin) daily, and Amoxicillin (Amoxil) daily. You can try the above regimen for 14 days.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist
Your symptoms point towards severe peptic ulcer disease with gastroesophageal reflux GERD. Symptoms of GERD are burning pain in midsternal region, throat irritability, cough, and repeated burping. Treatment options for GERD with peptic ulcer are totally avoiding NSAIDs like Ibuprofen.
As you have already started tab. Prevacid, you can continue. In case of severe pain in the midsternal region, take a sachet of OMEZ Insta and mix it with half glass of water and drink. It gives relief. Avoid lying immediately after food. Sit upright for at least 2 hours after eating. Avoid increase in intraabdominal pressure for eg coughing etc.
Avoid spicy food. Stick to bland food and fiber rich diet. Avoid milk as it can exaggerate peptic ulcer. For treating H. pylori infection of stomach, triple regimen with PPI like Prevacid, Amoxicillin and Clarithromycin for 14 days is recommended.
Take Lansoprazole (Prevacid) daily, Clarithromycin (Biaxin) daily, and Amoxicillin (Amoxil) daily. You can try the above regimen for 14 days.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist
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