I am a 39 year old nonsmoker and about 3 weeks ago i expierienced a very dull PAIN free ache in the middle of my chest that was so uncomfortable it didnt pass for about 3 hrs. 2 weeks went by and the same dull ache as i like to call them episodes were occuring on a more regualr basis. It is not not pain but it does hurt so bad i just sit and cry. went to dr he gave me nexium said it sounds like ulcer was on it 3 days no change now 3 weeks later from 1st episode have a hard time going bed it usually is an hour of aches and terrible headaches and my left are is achy. it feels like an intense charley horse in my upper chest now it is a slight burn i am thinking gerd went had heart tested it is perfect lungs r good hard time walking up stairs the ache arrives have to sit a few min till it subsides tired burping are also symptoms. thxs for any imput u can give. should i make an appt with a gastroenterologist?
Hi, and thanks for your medical question on eHealth forum!
One possibility is severe acidity with reflux. It could also be hiatal hernia. Treatment is a combination of drugs to reduce the acid and lifestyle changes. You will need to take a combination of medications (under medical supervision) like a proton pump inhibitor such as omeprazole, lansoprazole or pantoprazole empty stomach in the morning and an antacid gel after meals for complete relief. Possibility of H pylori infection too should be looked into by a carbon urea breath test and a combination antibiotic tried. Many a times a persisting H pylori infection can be the cause behind acidity not responding to treatment.
Life style changes that will help include: Avoid heavy meals and eat frequent small meals. Avoid too much of caffeine, tea, smoking, fried food and drinks both alcoholic and non alcoholic fuzzy ones. Avoid heavy exercises within 4 hours of a heavy meal. Raise the head end of the bed by pillows to 30 degrees. Avoid lying down for least 2 hours after food. Maybe these tips will help you.
If these tips do not help, then liver function test, pancreatic enzymes, and HIDA scan for gall bladder should be done. Food intolerance and inflammatory bowel conditions such as IBS, Crohnâs, celiac etc should be considered. Log in what you eat and see if there is a correlation between a certain food type and the symptoms.
You should consult a gastroenterologist (a specialist who looks after the diseases of our digestive system) or a physician for this if these tips reduce your symptoms. The other possibility is that it is costochondritis. Take care!
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