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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Chest Pain,nausea And Vomiting When Suffering From GERD?

HI. I have been diagnosed with diffuse espohageal spasm. I also have GERD & Barrett's esophagus. My episodes include severe chest pain, a squeezing or strangling sensation, and after a while, nausea & vomitting. The onset of these episodes always start with a bowel movement and can last anywhere from 1 minute to over 12 hours straight with little to no relief. There is also some sort of tie to hormones. My GERD symptoms were always worse during my menstral cycle and I was on birth control in addition to prilosec to control the GERD. Now, the severe spasms seem to coincide with hot flashes (I did have a hysterectomy and use an estrogen patch - Vivelle). Have you seen other cases where upper GI or motility was affected by hormones? I currently take Protonix (40mg 2x per day) and Donnatal Exten (2x per day).
Wed, 27 Aug 2014
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HI
Well come to HCM
Gastroesophageal reflux disease could manifest in different ways if not treated properly, you said that the symptoms worse during menses and at another incidence you said that you did the Hysterectomy so could this is possible, in my opinion the best option to treat this condition is Tab Omeprazole 40 mg and Tab Domperidone 30 mg once in day for six weeks, hope this helps.
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What Causes Severe Chest Pain,nausea And Vomiting When Suffering From GERD?

HI Well come to HCM Gastroesophageal reflux disease could manifest in different ways if not treated properly, you said that the symptoms worse during menses and at another incidence you said that you did the Hysterectomy so could this is possible, in my opinion the best option to treat this condition is Tab Omeprazole 40 mg and Tab Domperidone 30 mg once in day for six weeks, hope this helps.