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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Indigestion And Pain In Sternum?

I have been experiencing severe indigestion with burning pain located low. At the bottom of the sternum. Today I have had pain for over 5 hours. Continuous belching. Pain radiating to the back. I do not have a gall bladder. This pain is similar to the pain I had with gall bladder attacks. No relief with antacids. Food choices seem to have no effect. I am 59, female,obese, diabetic.
Thu, 25 Feb 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted that you are a female of 59, fatty and diabetic, having pain in the low at the bottom sternum, severe indigestion, burning pain not relieved by antacid.
The most probable causes are:
Diabetes causes gastroparesis and hence the food and acid is retained for far more time enhancing the GERD, that you have .
Severe form of lower esophagitis may take more time to settle.
Obesity predisposes to hiatus hernia which further leads to the existing problem.
I would suggest you hte following:
Upper GI Endoscopy
Barium study
Control of blood sugar
Control of the obesity by regular exercises and dieting
O consider the option of bariatric surgery which will control all the things.
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What Causes Severe Indigestion And Pain In Sternum?

Hi. Thanks for your query. Noted that you are a female of 59, fatty and diabetic, having pain in the low at the bottom sternum, severe indigestion, burning pain not relieved by antacid. The most probable causes are: Diabetes causes gastroparesis and hence the food and acid is retained for far more time enhancing the GERD, that you have . Severe form of lower esophagitis may take more time to settle. Obesity predisposes to hiatus hernia which further leads to the existing problem. I would suggest you hte following: Upper GI Endoscopy Barium study Control of blood sugar Control of the obesity by regular exercises and dieting O consider the option of bariatric surgery which will control all the things.