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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pressure In Chest And Throat Post Steroidal Treatment?

Husband has mpa renal and pulmonary vasculitis (mycophenolate treament) and currently being investigated regarding a presumed relapse. He has had a blood test, chest x ray, sputum samples etc and is back to consultant on Tuesday. Meanwhile they have temporarily increased steroids and given a course of amoxcillin. He is not getting better and now feels like he has blocked throat and pressure on chest and throat....should he be seen before Tuesday, we have a very good walk in urgent care system?
Tue, 10 May 2016
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Possibility of steroid induced gastritis and GERD (gastroesophageal reflux disease) is more for his symptoms.
But better to get done ecg to rule out heart diseases as a cause.
If ecg is normal then no need to worry much.
Steroids are known to cause gastritis and GERD.
And in his case, his steroid dose has been increased. So chances of steroidal side effects like gastritis and GERD are also increased.
So give him antacid like pantoprazole on empty stomach. Ask him to avoid hot and spicy food.
If required, he can split the steroid dose (half in the morning and half in the evening) after discussing this with your treating doctor.
Don't worry, he will be alright.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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What Causes Pressure In Chest And Throat Post Steroidal Treatment?

Thanks for your question on Healthcare Magic. I can understand your concern. Possibility of steroid induced gastritis and GERD (gastroesophageal reflux disease) is more for his symptoms. But better to get done ecg to rule out heart diseases as a cause. If ecg is normal then no need to worry much. Steroids are known to cause gastritis and GERD. And in his case, his steroid dose has been increased. So chances of steroidal side effects like gastritis and GERD are also increased. So give him antacid like pantoprazole on empty stomach. Ask him to avoid hot and spicy food. If required, he can split the steroid dose (half in the morning and half in the evening) after discussing this with your treating doctor. Don t worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.