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Suggest Treatment For Chest Pain And Hiatus Hernia

Posted on Mon, 16 Nov 2015

Question: HELLO I BEEN HAVING CHEST PAIN THAT BUILD UP IN A FEW SECOND LIKE A CRESCENDO BUT WHEN DRINK SOME WATER IT DIES DOWN. IT BEEN HAPPING FOR QUITE A WHILE IT SEEM TO BE HAPPING MORE NOW.. I WAS TOLD THAT I HAD A HIATAL HERNIA COULD THAT BE IT?

Answered by Dr. Anantharamakrishnan (55 minutes later)

Brief Answer:
Yes, it could be / need further investigations

Detailed Answer:
Hi friend
Welcome to Health Care Magic

True, it could well be a problem of the food pipe (Esophagus) and/or stomach

Pain from the heart is oppressing, in central chest (and left), worse on effort, relieved by rest, may radiate to shoulders and arms, associated with sweating and so on…
Relation to food or fluids suggest gastro-intestinal problem…

However, at this age, Coronary Artery Disease, has to be routinely excluded, as it can masquerade! .
ECG, and subsequently, TMT (Treadmill Exercise ECG) is the ideal non-invasive way to exclude….

An Upper Gastro Intestinal Endoscopy (‘Gastroscopy’) can rue in or rule out the other issue

Appropriate treatment demands accurate diagnosis / And that demands examination; probably investigation too; GET EXAMINED

In the meantime, antacid like magaldrate / Proton Pump Inhibitor like Omeprazole or H2 antagonist like ranitidine / Prokinetic agents like Domperidone – may help

Good luck
God bless you

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Anantharamakrishnan (2 hours later)

Hello and God bless too, I had an endoscopy a year ago. I had H pilori and they also did a biopsy which came our metaplaisia sorry I may not be spelling it right. They did see bothered by it should I be?

Answered by Dr. Anantharamakrishnan (7 hours later)

Brief Answer:
The endoscopy should be repeated

Detailed Answer:
Hi

H. Pylori is an infection and completely curable

Metaplasia is may be a cause for concern… the cell takes a form, different from the original. It could revert to normalcy or progress.
The endoscopy and biopsy ought to be repeated now to make sure – that there is no progression or there indeed is reversal. Follow up with your Gastro-enterologist

Regards

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Neel Kudchadkar