Non-Cardiac Chest Pain: GERD

I am just waiting for a new referral to another doctor, but the truth is I am much afraid and sometimes think I should just keep trying what little food stays down. Can anybody out give me any help please there. I have recently been diagnosed with GERD after suffering for a while with almost constant heartburn and a feeling of a lump in my throat.

Your GP might want to make sure you haven’t got a specific underlying problem causing inflammation of the lining of oesophagus, stomach or the duodenum, the first part of the intestine. This section of the gut is called the upper gastrointestinal UGI or tract. Inflammation there might be due to acid reflux (gastrooesophageal reflux disease, or Gord), ulcers, the effects of drugs (such as ibuprofen), bacterial infection (by HP, for example) or, rarely, a cancer. The tests shall include a blood test for anaemia, stool test for HP and referral for endoscopy for a direct view. You’re more likely to have them if you’re over 50, or have developed persistent indigestion recently that is getting worse.

Your symptoms might be triggered by acid irritating your sensitive stomach lining. If you have heartburn (acid reflux), stomach acid rises and reaches your throat through your oesophagus up.

Heartburn can worsen as pregnancy progresses and the fetus starts to fill out the entire uterus. This can cause the uterus to press up against the stomach, pushing its contents up into the esophagus. Progesterone relaxes a muscle called the lower esophageal sphincter, which acts like a valve, separating the stomach from the esophagus. When this muscle relaxes, it allows stomach acid to rise up out of the stomach and into the esophagus.

Even experienced doctors can’t always tell the difference from your medical history and a physical exam. That’s why, if you go to the emergency room because of chest pain, you’ll immediately have tests to rule out a heart attack. If you get symptoms such as indigestion out of the blue – especially if this is accompanied with pressure or pain in the chest, neck and arms, breathlessness, nausea, sweating and pallor – it’s reasonable to call 999, says Dr Knapton. “No one will criticise you for misusing the health service because the sooner you get treatment, the less damage to the heart muscle will be there.

I am not sure if they understand how, as much as you want to keep an optimistic attitude, . every day it chips away at you. The constant chest pain, the constant meal planning, always worrying about what drugs you are taking and are they safe long term, the side effects and other digestive upsets caused by these drugs, being up all night and the fatigue from sleeplessness and pain. I have anxiety about going to bed because I have woken up many nights with rapid heart rates, bloating, gas, pain.

If your chest is tender and painful to touch, it may be caused by a strained muscle in your chest wall. This can be surprisingly painful, but with rest the pain should ease and the muscle will heal in time. Both of these conditions can cause a dull, tight or heavy pain in the chest that can spread to the arms, neck, jaw or back.

Any suggestions as it is severely impacting my life. I have been suffering from heartburn, constipation, . severe bloating and GI discomfort since my teenage years generally. I am now 33 and was finally diagnosed with GERD and hiatal hernia following a barium swallow and gastroendoscopy. Was told that my esophagus was “raw” because of all the acid reflux and was immediately put on Nexium which I took for about 3 months. I did notice an improvement during those months but the idea of a lifetime commitment to taking this drug bothered me so I researched other alternative ways to cope with it, which did help a little but by any means, do not prevent the GERD symptoms from occurring.

Too much irritation to the esophagus for extended periods of time can lead to ulceration as well as to precancerous and cancerous changes to the esophagus. If OTC medication or lifestyle changes don’t help your heartburn or if you experience heartburn frequently, talk to your doctor. They can help identify underlying causes for your heartburn and an appropriate treatment plan. Muscle problems, also called esophageal motility disorders.

You may find it helps if you keep a diary before you see your GP. You can use our symptoms and food diary below. Your GP may feel your tummy and ask about your medical history also.

The pain may shift to your shoulders, arms or neck. Again, if you are not sure seek medical attention immediately. The most common symptom of heart attack for both women and men is chest pain or discomfort. But women are more likely than men to experience some of the other symptoms, such as jaw or pain back, shortness of breath, and vomiting or nausea.

pain in chest for houra due to indigestion

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