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Suggest Treatment For IBS And Pain In The Suprasternal Notch
Question: Dear Doctor,
In 2009 I got Diagnosed with IBS .....
Now in 2017 here is what is going on ....
Pain in Suprasternal Notch ....... Bottom of Suprasternal Notch
I thought I was suffering from GERD because I had all the symptoms ...... So I went to the to the Doctor for a Ton of Tests .....
2 Full Blown Blood Tests CBC .... CMP .... Thyroid Tests ..... Everything is Extremely Perfect with ALL Blood Tests ...
Chest Xray - Normal ...
Ultra Sound Entire Neck and from the Bottom of my Rib Cage ALL the Way up to my Chin -- Normal ....
ENT -- Did Throat Exam ..... Said I had Very Mild Silent Reflux .....
Wore a 24 hour Heart Holter -- Normal
I had ALL the Symptoms of GERD .....
Stomach Pain -- ALL over in the stomach and then also in Designated Area's
Bloating at times
Lots of Noises coming from the stomach ... Gurgling and like a half bottle of water swishing around
Lots of Gas .....
Sometimes Light Acid Reflux ... Not often but I did have a little ....
Pain and Bloating after Eating .....
Upper Spasms in my Suprasternal Notch area
Feeling like Any time I was going to burp and feel like I was going to burp up Acid Reflux ..... But never did .... Just felt like it was hanging around below my Suprasternal Notch and at anytime it was going to happen ...
Hard Long Dry Burps .... When I would burp .... The pain in the Suprasternal Notch would subside ..... Get Less and less ....
Pain in Suprasternal Notch -- Like Lumpy Feeling -- Like there is a Golf Ball in my Throat .....
Trouble Swallowing Food ....
Excess Phlegm ....
Feeling like I have Excess Saliva .....
When I would swallow liquids SOMETIMES it would feel like the Liquid would be at the back of my throat and go down slowly ......
Sometimes during the Day.... Every now and then I will feel Absolutely wiped out .... Fatigued and Flu Like and within 20 minutes it ALL goes away .....
My OCD and Anxiety would make ALL this feel worse .....
So I seen a Functional Doctor and did his Protocol .....
Diet
Supplements ...
Even did a 14 Day Juice Diet .....
Included Apple Cider Vinegar - 2 Tablespoons and Water every Morning .....
So Most of ALL the Symptoms went away ......
Then I was having Pain in my Chest .... Mainly on the Left side of my Breast Bone ....
Doctor said it is Costocondritis ...... When I would push on it hard enough I thought I could feel Sensation in my Suprasternal Notch .....
Plus I am High OCD and Anxiety -- HIGH ... Doctors are telling me that Anxiety is Mimicking Symptoms .....
I am at a Loss .....
So Now I am back with Functional Doctor -- Regular Doctor says I should follow his instructions for 3 months ..... because I Only followed them for a month and then switched to 3 different protocols and tried to combine a few as well ....
My Regular Doctor said to Stop Everything and go back to Functional Doctor and Follow Protocol for 3 months and give it time to work .....
I just started doing Coffee Enemas as well --- This is wiping me out .... Ugggggh
I am ALL messed up with what to do ......
Thoughts ....
XXXXXXX
In 2009 I got Diagnosed with IBS .....
Now in 2017 here is what is going on ....
Pain in Suprasternal Notch ....... Bottom of Suprasternal Notch
I thought I was suffering from GERD because I had all the symptoms ...... So I went to the to the Doctor for a Ton of Tests .....
2 Full Blown Blood Tests CBC .... CMP .... Thyroid Tests ..... Everything is Extremely Perfect with ALL Blood Tests ...
Chest Xray - Normal ...
Ultra Sound Entire Neck and from the Bottom of my Rib Cage ALL the Way up to my Chin -- Normal ....
ENT -- Did Throat Exam ..... Said I had Very Mild Silent Reflux .....
Wore a 24 hour Heart Holter -- Normal
I had ALL the Symptoms of GERD .....
Stomach Pain -- ALL over in the stomach and then also in Designated Area's
Bloating at times
Lots of Noises coming from the stomach ... Gurgling and like a half bottle of water swishing around
Lots of Gas .....
Sometimes Light Acid Reflux ... Not often but I did have a little ....
Pain and Bloating after Eating .....
Upper Spasms in my Suprasternal Notch area
Feeling like Any time I was going to burp and feel like I was going to burp up Acid Reflux ..... But never did .... Just felt like it was hanging around below my Suprasternal Notch and at anytime it was going to happen ...
Hard Long Dry Burps .... When I would burp .... The pain in the Suprasternal Notch would subside ..... Get Less and less ....
Pain in Suprasternal Notch -- Like Lumpy Feeling -- Like there is a Golf Ball in my Throat .....
Trouble Swallowing Food ....
Excess Phlegm ....
Feeling like I have Excess Saliva .....
When I would swallow liquids SOMETIMES it would feel like the Liquid would be at the back of my throat and go down slowly ......
Sometimes during the Day.... Every now and then I will feel Absolutely wiped out .... Fatigued and Flu Like and within 20 minutes it ALL goes away .....
My OCD and Anxiety would make ALL this feel worse .....
So I seen a Functional Doctor and did his Protocol .....
Diet
Supplements ...
Even did a 14 Day Juice Diet .....
Included Apple Cider Vinegar - 2 Tablespoons and Water every Morning .....
So Most of ALL the Symptoms went away ......
Then I was having Pain in my Chest .... Mainly on the Left side of my Breast Bone ....
Doctor said it is Costocondritis ...... When I would push on it hard enough I thought I could feel Sensation in my Suprasternal Notch .....
Plus I am High OCD and Anxiety -- HIGH ... Doctors are telling me that Anxiety is Mimicking Symptoms .....
I am at a Loss .....
So Now I am back with Functional Doctor -- Regular Doctor says I should follow his instructions for 3 months ..... because I Only followed them for a month and then switched to 3 different protocols and tried to combine a few as well ....
My Regular Doctor said to Stop Everything and go back to Functional Doctor and Follow Protocol for 3 months and give it time to work .....
I just started doing Coffee Enemas as well --- This is wiping me out .... Ugggggh
I am ALL messed up with what to do ......
Thoughts ....
XXXXXXX
Brief Answer:
Severe GERD causing heartburn.
Detailed Answer:
Hi,
Thanks for query.
Most likely your symptoms are because of Gatro esophageal reflux disease (GERD),It is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe (due to incompetent sphincter at the junction of stomach and esophagus). The backwash irritates the lining of your esophagus and causes, heart burn,chest pain and intense burning sensation in throat.Both acid reflux and heart burn are a part of GERD. Pain is thoracic and retrosternal region is also due to GERD and Heartburn.
Advice
Pantoprazole is just the baseline drug to treat GERD.
Life style modification is effective along with medication.
Initially aggressive medical therapy should be used and once the symptoms settle down medicines can be tappered off.
As you have problem in swallowing water and food to be on a serious node it can also be suggestive of a problem called Achalasia cardia.This condition is very commonly observed in patients having poorly controlled symptoms of GERD.In the early stages of achalasia, chest pain or heartburn, and regurgitation commonly occurs.At this stage its difficult to make a diagnosis on the basis of enoscopy.However proper treatment should be started to revert the changes at the earliest.
Please request your gastroenterologist to start you on PPI-antacids like Rabeprazole or Esomeprazole. Esomeprazole can be used in the dosage as high as 80 mg twice daily.Trials have shown that esomeprazole is superior to other PPI's in controlling reflux symptoms. Also, request him/her to add Domperidone 30mg or Levosulpiride(both are prokinetic)slow release once daily. This will slow down the reflux of acid back.Prokineic should be added in your regimen.
An antacid containing local anesthetic (Mucaine gel or peptobismol) should be taken 2tsf thrice daily.
Acotiamide is another wonderful new drug and is very effective in controlling symptoms of GERD and esophagitis. In trials- Acotiamide, a gastrointestinal motility modulator, at a standard dose of 100mg thrice daily has significantly affected esophageal motor functions or gastroesophageal reflux in healthy adults.
All these drugs can be considered by your gastroenterologist to provide you with symptomatic relief in your problem.All these medicine can be used at a time also by your primary.
To prevent the esophageal damage from developing into Barett or acalasia cardai i would suggest you to ask your gastroenterologist to follow aggressive treatment pattern initially. As your symptoms will improve drugs can be tappered off gradually.
Hope i answered your doubts well.
In case you have any other query or Need a professional advice feel free to ask.
Regards,
Severe GERD causing heartburn.
Detailed Answer:
Hi,
Thanks for query.
Most likely your symptoms are because of Gatro esophageal reflux disease (GERD),It is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe (due to incompetent sphincter at the junction of stomach and esophagus). The backwash irritates the lining of your esophagus and causes, heart burn,chest pain and intense burning sensation in throat.Both acid reflux and heart burn are a part of GERD. Pain is thoracic and retrosternal region is also due to GERD and Heartburn.
Advice
Pantoprazole is just the baseline drug to treat GERD.
Life style modification is effective along with medication.
Initially aggressive medical therapy should be used and once the symptoms settle down medicines can be tappered off.
As you have problem in swallowing water and food to be on a serious node it can also be suggestive of a problem called Achalasia cardia.This condition is very commonly observed in patients having poorly controlled symptoms of GERD.In the early stages of achalasia, chest pain or heartburn, and regurgitation commonly occurs.At this stage its difficult to make a diagnosis on the basis of enoscopy.However proper treatment should be started to revert the changes at the earliest.
Please request your gastroenterologist to start you on PPI-antacids like Rabeprazole or Esomeprazole. Esomeprazole can be used in the dosage as high as 80 mg twice daily.Trials have shown that esomeprazole is superior to other PPI's in controlling reflux symptoms. Also, request him/her to add Domperidone 30mg or Levosulpiride(both are prokinetic)slow release once daily. This will slow down the reflux of acid back.Prokineic should be added in your regimen.
An antacid containing local anesthetic (Mucaine gel or peptobismol) should be taken 2tsf thrice daily.
Acotiamide is another wonderful new drug and is very effective in controlling symptoms of GERD and esophagitis. In trials- Acotiamide, a gastrointestinal motility modulator, at a standard dose of 100mg thrice daily has significantly affected esophageal motor functions or gastroesophageal reflux in healthy adults.
All these drugs can be considered by your gastroenterologist to provide you with symptomatic relief in your problem.All these medicine can be used at a time also by your primary.
To prevent the esophageal damage from developing into Barett or acalasia cardai i would suggest you to ask your gastroenterologist to follow aggressive treatment pattern initially. As your symptoms will improve drugs can be tappered off gradually.
Hope i answered your doubts well.
In case you have any other query or Need a professional advice feel free to ask.
Regards,
Above answer was peer-reviewed by :
Dr. Yogesh D
I am not having much Acid Reflux ..... maybe once or twice a Month .... Depending on what I eat .... I might get some backwash .... but ONLY a little bit .....
I thought it went away but it seems like it came back .....
It is possible to come and go like that .... ???
I thought it went away but it seems like it came back .....
It is possible to come and go like that .... ???
Brief Answer:
Follow up.
Detailed Answer:
Hello again Dear,
As explained earlier all these conditions from GERD to acid reflux to heartburn dyspepsia and gastritis are all interlinked and related to each other.
Most of the symptoms are more or less overlapping in nature and treatment is also same.
1)Then I was having Pain in my Chest .... Mainly on the Left side of my Breast Bone -Due to gastritis and heartburn.
2)Bloating at times -Dyspepsia.
3)Lots of Noises coming from the stomach ... Gurgling and like a half bottle of water swishing around -Formation of lot's of gases.When food is not digested properly a number of bacterias act on it causing its fermentation in intestine producing gases.
4)Pain in Suprasternal Notch -- Like Lumpy Feeling -- Like there is a Golf Ball in my Throat ...-Classical feature of reflux disorder.
5)
When I would swallow liquids SOMETIMES it would feel like the Liquid would be at the back of my throat and go down slowly ....-can be suggestive of achalasia cardia initial stages.
6)Excess Phlegm ....-constant irritation of mucosa by acid causes secretion of mucous in pharynx.
Different patients have different presentation.In some it can be there always in others it can be off and on in nature.
Hope it helped you.
Regards.
Follow up.
Detailed Answer:
Hello again Dear,
As explained earlier all these conditions from GERD to acid reflux to heartburn dyspepsia and gastritis are all interlinked and related to each other.
Most of the symptoms are more or less overlapping in nature and treatment is also same.
1)Then I was having Pain in my Chest .... Mainly on the Left side of my Breast Bone -Due to gastritis and heartburn.
2)Bloating at times -Dyspepsia.
3)Lots of Noises coming from the stomach ... Gurgling and like a half bottle of water swishing around -Formation of lot's of gases.When food is not digested properly a number of bacterias act on it causing its fermentation in intestine producing gases.
4)Pain in Suprasternal Notch -- Like Lumpy Feeling -- Like there is a Golf Ball in my Throat ...-Classical feature of reflux disorder.
5)
When I would swallow liquids SOMETIMES it would feel like the Liquid would be at the back of my throat and go down slowly ....-can be suggestive of achalasia cardia initial stages.
6)Excess Phlegm ....-constant irritation of mucosa by acid causes secretion of mucous in pharynx.
Different patients have different presentation.In some it can be there always in others it can be off and on in nature.
Hope it helped you.
Regards.
Above answer was peer-reviewed by :
Dr. Yogesh D
Well if I am going to eat something ..... How would an Antacid help If you are saying .....
When food is not digested properly a number of bacterias act on it causing its fermentation in intestine producing gases.
Then wouldn't the Above Statement .... mean that when I eat ... I Do Not have Enough HCL .... Wouldn't a person take HCL to help then Digest .... instead of an Antacid reducing the Acid in the Gut ???
Confused ..... ???
When food is not digested properly a number of bacterias act on it causing its fermentation in intestine producing gases.
Then wouldn't the Above Statement .... mean that when I eat ... I Do Not have Enough HCL .... Wouldn't a person take HCL to help then Digest .... instead of an Antacid reducing the Acid in the Gut ???
Confused ..... ???
Brief Answer:
Role of HCL is to sterilize food we eat and to activate enzymes.
Detailed Answer:
Hi again,
Gut flora is the complex community of microorganisms that live in the digestive tracts of humans,The intestinal microflora is a complex ecosystem containing over 400 bacterial species. Anaerobes outnumber facultative anaerobes. The flora is sparse in the stomach and upper intestine, but luxuriant in the lower bowel.These good bacterias are responsible for proper digestion of food.However in patients suffering from gastritis,GERD or other gastric disorder this flora get disturbed causing severe indigestion and improper food fermentation.
The primary role of hydrochloric acid is to sterilize the food you eat and to prevent harmful bacteria from entering the GI tract.The presence of HCl in the body of the stomach causes the activation of enzymes.It is not directly related to digestion of food.Acidic medium is required for activation of digestive enzymes and sterilization of food we eat.
Antacid neuralise the excess acid in stomach hence prevent the mucosal layer of esophagus from damage caused due to reflux. Mucosa of stoamach can tolerate acid but when this acid refluxes back into esophagus(mucosa not designed to tolerate acid) problems start.
Thats why antacid and acid formation inhibitors like(pantoprazole) are suggested.
Hope you got your answers.
In case you need further explaination feel free to question.
Thanks
Role of HCL is to sterilize food we eat and to activate enzymes.
Detailed Answer:
Hi again,
Gut flora is the complex community of microorganisms that live in the digestive tracts of humans,The intestinal microflora is a complex ecosystem containing over 400 bacterial species. Anaerobes outnumber facultative anaerobes. The flora is sparse in the stomach and upper intestine, but luxuriant in the lower bowel.These good bacterias are responsible for proper digestion of food.However in patients suffering from gastritis,GERD or other gastric disorder this flora get disturbed causing severe indigestion and improper food fermentation.
The primary role of hydrochloric acid is to sterilize the food you eat and to prevent harmful bacteria from entering the GI tract.The presence of HCl in the body of the stomach causes the activation of enzymes.It is not directly related to digestion of food.Acidic medium is required for activation of digestive enzymes and sterilization of food we eat.
Antacid neuralise the excess acid in stomach hence prevent the mucosal layer of esophagus from damage caused due to reflux. Mucosa of stoamach can tolerate acid but when this acid refluxes back into esophagus(mucosa not designed to tolerate acid) problems start.
Thats why antacid and acid formation inhibitors like(pantoprazole) are suggested.
Hope you got your answers.
In case you need further explaination feel free to question.
Thanks
Above answer was peer-reviewed by :
Dr. Yogesh D
Then One should take an Antacid in the Morning and .....
1. ALONG with the Antacid ..... Should a person also take HCL to boost the Digestion of Food ????
2. Plus take Digestive Enzymes to help process the Food .....
3. and follow with a Probiotic to replace Good Bacteria ......
Should this be Just this Simple as I explained above ????
Seems Proper ......
1. ALONG with the Antacid ..... Should a person also take HCL to boost the Digestion of Food ????
2. Plus take Digestive Enzymes to help process the Food .....
3. and follow with a Probiotic to replace Good Bacteria ......
Should this be Just this Simple as I explained above ????
Seems Proper ......
Brief Answer:
Follow up.
Detailed Answer:
Hello again dear,
You are suffering from gastritis this means that already secretion of acid is on higher side.
You need to take only antacids and proton pump inhibitors.
Its not that they are going to neutralise every drop of acid in stomach rather the excess acid which is left after activating enzymes would be neutralised.
Yes digestive enzymes are good you can take them along wit probiotic.
So final Rx is
Tab Nexium 40 mg twice daily.
Syrup Mucaine gel 2tsf thrice before bf,lunch n dinner
VSL# 3 twice daily
Cap aristozyme twice daily.
if still not relieved add Domperidon 30 mg once daily.(Get a prescription from General physician)
Tell me how you feel after 10 days
Follow up.
Detailed Answer:
Hello again dear,
You are suffering from gastritis this means that already secretion of acid is on higher side.
You need to take only antacids and proton pump inhibitors.
Its not that they are going to neutralise every drop of acid in stomach rather the excess acid which is left after activating enzymes would be neutralised.
Yes digestive enzymes are good you can take them along wit probiotic.
So final Rx is
Tab Nexium 40 mg twice daily.
Syrup Mucaine gel 2tsf thrice before bf,lunch n dinner
VSL# 3 twice daily
Cap aristozyme twice daily.
if still not relieved add Domperidon 30 mg once daily.(Get a prescription from General physician)
Tell me how you feel after 10 days
Above answer was peer-reviewed by :
Dr. Raju A.T
Brief Answer:
Follow up.
Detailed Answer:
Hi again,
Yes Prilosec 40 mg initially and if not relieved 40 mg twice daily.However if you feel its not helping switch over to nexium
Mucaine gel composition is- Each 5 mL contains 10 mg oxethazaine aluminium hydroxide (Al(OH)3) 291 mg, magnesium hydroxide (Mg(OH)2) 98 mg.You can ask your pharmacy for the same cpmposition oy you can order it online.
VSL#3 If you are in europe or states you will get it at pharmacy can get it online also.
https://www XXXXXXX com/xxxxxx-xxxxxxx-xxxxxxx-xxxxxxxx-xxxxxxx/dp/B0014R4RZW
xxxxxx- Digestive enzymes ( YYYY@YYYY +1-917-310-3767(USA)
Thanks
Follow up.
Detailed Answer:
Hi again,
Yes Prilosec 40 mg initially and if not relieved 40 mg twice daily.However if you feel its not helping switch over to nexium
Mucaine gel composition is- Each 5 mL contains 10 mg oxethazaine aluminium hydroxide (Al(OH)3) 291 mg, magnesium hydroxide (Mg(OH)2) 98 mg.You can ask your pharmacy for the same cpmposition oy you can order it online.
VSL#3 If you are in europe or states you will get it at pharmacy can get it online also.
https://www XXXXXXX com/xxxxxx-xxxxxxx-xxxxxxx-xxxxxxxx-xxxxxxx/dp/B0014R4RZW
xxxxxx- Digestive enzymes ( YYYY@YYYY +1-917-310-3767(USA)
Thanks
Above answer was peer-reviewed by :
Dr. Raju A.T
Brief Answer:
Follow up answer.
Detailed Answer:
Hi again.
Aludrox sypup twice daily(available in states)
Tepilta(oxetacaine)5 ml twice daily.
GERD can be controlled effectively by medicines and diet restrictions however it does not go away on its own.
You have to take medicines initially for 3 month then doses would be tappered for next 3 months then come back to natural medication(Ayurveda).
Ayurveda takes time but control symptoms effectively.
Regards.
Follow up answer.
Detailed Answer:
Hi again.
Aludrox sypup twice daily(available in states)
Tepilta(oxetacaine)5 ml twice daily.
GERD can be controlled effectively by medicines and diet restrictions however it does not go away on its own.
You have to take medicines initially for 3 month then doses would be tappered for next 3 months then come back to natural medication(Ayurveda).
Ayurveda takes time but control symptoms effectively.
Regards.
Above answer was peer-reviewed by :
Dr. Raju A.T
I am Looking at this article ....
I am trying to do this from a Holistic Standpoint .... which I know you Understand ....
https://yyyyyyyyyy.com/get-rid-of-yyyyyyyyy-and-yyy-yyyyyyy-in-three-yyyyy-yyyy/
Thoughts
I am trying to do this from a Holistic Standpoint .... which I know you Understand ....
https://yyyyyyyyyy.com/get-rid-of-yyyyyyyyy-and-yyy-yyyyyyy-in-three-yyyyy-yyyy/
Thoughts
Brief Answer:
Follow up.
Detailed Answer:
Hello again Dear,
All the studies mentioned in the article are performed on small number of people only(either 5 or 7) secondly these are just paid sites(even you can design a site and can write articles) and have no authenticities thirdly what i have suggested you was what we studied in our medical schools(things documented in standard texts afte trying them on millions of people in four stages over a period of 20-30 years).
So yes you can follow the article also more or less the article also mentions the same points but as far as out text is cncerned symptoms of gerd can be controlled very well but full cure is very rarely encountered.
If you want to read then go for standard research agencies like NCBI.
Regards.
Follow up.
Detailed Answer:
Hello again Dear,
All the studies mentioned in the article are performed on small number of people only(either 5 or 7) secondly these are just paid sites(even you can design a site and can write articles) and have no authenticities thirdly what i have suggested you was what we studied in our medical schools(things documented in standard texts afte trying them on millions of people in four stages over a period of 20-30 years).
So yes you can follow the article also more or less the article also mentions the same points but as far as out text is cncerned symptoms of gerd can be controlled very well but full cure is very rarely encountered.
If you want to read then go for standard research agencies like NCBI.
Regards.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
What if a Person does not have Enough Acid ... as I feel I do because all my Lon symptoms I have are right there ..... Which leads to Not enough Acid in the Gut ....
So can I use HCL before I eat to digest better .... And still take Prilosec in the Evenings to control acid from coming up form time to time ....
Can this be effectively used together is the Question ???
Thoughts ....
So can I use HCL before I eat to digest better .... And still take Prilosec in the Evenings to control acid from coming up form time to time ....
Can this be effectively used together is the Question ???
Thoughts ....
Brief Answer:
Never try to take HCL xternally.
Detailed Answer:
Hi,
Symptoms are more or less the same so very difficult to diagnose just on the basis of symptoms whether you ahave hypchorhydric state.Medical science has nothing to do with what you feel sir.Every thing depends on investigations.We can't prescribe a medicine without thoroughly investigating you.
The Heidelberg Stomach Acid Test shpuld be done initially to see if levels are XXXXXXX then normal.
NO you can't take HCL externally otherwise you can have lifethreatning consequences.
No one cant suffer from Hypochlorhydria and GERD at the same time.Only one condition can be there at a time and you are a clear cut case of GERD. However to calm your mind get Heidelberg test done.
Regards.
Never try to take HCL xternally.
Detailed Answer:
Hi,
Symptoms are more or less the same so very difficult to diagnose just on the basis of symptoms whether you ahave hypchorhydric state.Medical science has nothing to do with what you feel sir.Every thing depends on investigations.We can't prescribe a medicine without thoroughly investigating you.
The Heidelberg Stomach Acid Test shpuld be done initially to see if levels are XXXXXXX then normal.
NO you can't take HCL externally otherwise you can have lifethreatning consequences.
No one cant suffer from Hypochlorhydria and GERD at the same time.Only one condition can be there at a time and you are a clear cut case of GERD. However to calm your mind get Heidelberg test done.
Regards.
Above answer was peer-reviewed by :
Dr. Prasad
Got Another Question .....
1. Sometimes when I take a Deep Breath .....
I feel a pain in the Lower part of my Suprasternal Notch ......
I have had Ultra Sound .... All Clear .....
2. And at times if I push into the right side of my Supreasternal Notch I get a Tickle and it will make me cough .....
Thoughts of these 2 Concerns ....
1. Sometimes when I take a Deep Breath .....
I feel a pain in the Lower part of my Suprasternal Notch ......
I have had Ultra Sound .... All Clear .....
2. And at times if I push into the right side of my Supreasternal Notch I get a Tickle and it will make me cough .....
Thoughts of these 2 Concerns ....
Brief Answer:
Folow up advice.
Detailed Answer:
Hello Dear,
Chest pain due to heart disease is not affected by position or breathing. The most likely cause is a problem in your rib cage or the cartilage joining rib to your sternum.You may have a cracked oor strained ligaments/muscles between your ribs and sternum.
Swelling or ligamental problem will not be relected in an ultrasound.
A MRI shoud be done to rule out ligaental prob;lem.Other wise take a Tylenol and see if pain responds to it.
Tickle and cough can be due to injured ligamental irritation termed as irritant cough.However it can also be suggestive of chronic obstructive pulmonary disease,A pulmonary function test should be done for the same.
Hope you got your ansers.
Incase you have further doubts feel free to answer.
Regards,
Folow up advice.
Detailed Answer:
Hello Dear,
Chest pain due to heart disease is not affected by position or breathing. The most likely cause is a problem in your rib cage or the cartilage joining rib to your sternum.You may have a cracked oor strained ligaments/muscles between your ribs and sternum.
Swelling or ligamental problem will not be relected in an ultrasound.
A MRI shoud be done to rule out ligaental prob;lem.Other wise take a Tylenol and see if pain responds to it.
Tickle and cough can be due to injured ligamental irritation termed as irritant cough.However it can also be suggestive of chronic obstructive pulmonary disease,A pulmonary function test should be done for the same.
Hope you got your ansers.
Incase you have further doubts feel free to answer.
Regards,
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Remy Koshy
Answered by
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