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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Chest Tightness With Abdominal Sore And Nausea Suggest?

My aunt is 40 years old and diabetic and has been awake the past hour. She said she feels really funny. She said she has like a tightness in the center of her chest that almost feels like heart burn and he upper abdomen is sore and she feels nauseous. She also feels tingling in her forearms. What do you think it is and what should we do?
Fri, 22 Sep 2017
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Possibility of GERD (gastroesophageal reflux disease) is more likely in her case.
GERD is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause nausea, chest tightness, abdominal pain etc.
So telling her top follow these.
1. Avoid hot and spicy food. Avoid junk food.
2. Avoid large meals, instead take frequent small meals.
3. Take pantoprazole and levosulperide combination twice daily on empty stomach.
4. Avoid stress and tension, be relax and calm. Go for walking after meals.
5. Keep 2-3 pillows under head in bed to prevent reflux.
She will mostly be alright with all these.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your aunt. Thanks.
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What Could Chest Tightness With Abdominal Sore And Nausea Suggest?

Thanks for your question on Healthcare Magic. I can understand your concern. Possibility of GERD (gastroesophageal reflux disease) is more likely in her case. GERD is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause nausea, chest tightness, abdominal pain etc. So telling her top follow these. 1. Avoid hot and spicy food. Avoid junk food. 2. Avoid large meals, instead take frequent small meals. 3. Take pantoprazole and levosulperide combination twice daily on empty stomach. 4. Avoid stress and tension, be relax and calm. Go for walking after meals. 5. Keep 2-3 pillows under head in bed to prevent reflux. She will mostly be alright with all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your aunt. Thanks.