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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain While On Metformin And Losartan?

I am 61 with type 2 diabeties and high blood pressure doctor has me on metformin 1000mg twice a day with glipizide 10mg twice a day and losartan 100mg once a day and lately have had a pain in chest when shovling with hard to pass gas and when I stand up goes away after a bit but starts again when shovling also lately food going right threw me sometime not totally digested and gas hard to tell what to eat as most stuff makes me sick. also get lots of itching mostly at night . I have a veterans doctor and not always pleased with what he does. some of these drugs don t jive with congestive heart failure but this is what I get
Wed, 24 Oct 2018
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Pulmonologist,  's  Response
Hi,

Since you are having diabetes and hypertension, we should definitely rule out cardiac chest pain first.

So get done ECG and 2D echo. If both these are normal then no need to worry about heart diseases.

Metformin can also cause gastritis and this, in turn, causes indigestion and chest pain. So take Pantoprazole and Levosulpiride combination.

Avoid hot and spicy food. Avoid junk food. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright with all these.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Kaushal Bhavsar,
Pulmonologist
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What Causes Chest Pain While On Metformin And Losartan?

Hi, Since you are having diabetes and hypertension, we should definitely rule out cardiac chest pain first. So get done ECG and 2D echo. If both these are normal then no need to worry about heart diseases. Metformin can also cause gastritis and this, in turn, causes indigestion and chest pain. So take Pantoprazole and Levosulpiride combination. Avoid hot and spicy food. Avoid junk food. Quit smoking and alcohol if you have these habits. Don t worry, you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Kaushal Bhavsar, Pulmonologist