
Suggest Treatment For Hypertension

these symptoms are not related to betablocker or mild thyroid issues
Detailed Answer:
Hi
Thanks for asking your query on HealthcareMagic,
Have gone through your history in detail.
As per your query these symptoms are not related to betablocker or mild thyroid issues.
Betablockers are not drug of choice for treatment of hypertension.To treat hypertension initially either calcium channel blockers or Ace inhibitors should be given.Pain in xiphoid area with burning in esophagus is highly suggestive of GERD with reflux esophagitis.However,As the pain get worse at night it can be because of duodenal ulcers also.I would suggest you to go for upper G.I endoscopy once to rule out the exact cause.
As per you blood pressure and pulse is concerned it has nothing to do with anxiety,Pain any where in body stimulates the autonomous nervous system leading to increased blood pressure and heart rate.So basic cause of your elevated and fluctuating blood pressure is Pian and discomfort in chest,Once it is relieved things will automatically settle down.
As you are not at all relieved by Nexium and other PPI's Which are drug of choice in GERD.I would suggest you to go for two tests of cardiology to rule out any possibility of coronary artery disease;Nam,ely stress test and 2D echo doppler.
Once the possibility of coronary involvement is ruled out we can proced with treatment of GERD and esophagitis.Heartburn is the primary symptom of GERD which causes a feeling like burning , nausea, vomiting ,and severe pain. It's not necessary that all symptoms are there in every patient.
Tests advised -
Stress test and 2D echo.
Endoscopy to examine the inner part of the oesophagus.
Ambulatory acid test for monitoring the amount of acid within the oesophagus.
Treatment-
If diagnosed as GERD,
You have to make several changes to your daily lifestyle and diet plan for controlling symptoms of GERD.
Food and beverages like chocolates, fatty food, coffee, alcohol and peppermint should be avoided in order to reduce the weakening of the lower oesophageal sphincter. Several food items irritate the damaged oesophageal lining and should also be avoided. They include citrus fruits, tomato and pepper.
Smoking cigarettes results in weakening of the lower oesophageal sphincter and should be stopped to reduce GERD
Increase XXXXXXX warm water intake,Try to eat vegetable,Take a lot of Yoghurt along with food.Don't eat spicy food.Add lot of vegetables and fruits to your diet.Fruit juices should not be taken they increase acidity.Take small amount of food every 2 hours,Don't take large meals at one time.
Take Neksium(Esomeprazole) 40mg twice daily.Ash your gastroenterologist to add Domepridome 30mg slow release once daily,This will slow down the reflux of acid back and would provide symptomatic relief.An antacid containing local anaesthetic could be added to drug regimen.Acotiamide is a 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 gastroentrologist to provide you with symptomatic relief.
Don't worry to much about blood pressure once GERD symptoms are relieved your autonomous nervous system becomes normal and blood pressure and heart rate will stop fluctuating.
Follow up with reports.
Thank you!


Yes GERD can cause all symptoms you are experiencing.
Detailed Answer:
Hello again,
GERD and other gastric issues can cause pain in chest which can radiate to neck also.Gastritis and GERD mimics cardiac origin of pain.Hence without proper investigation its very difficult to reach a final diagnosis.Headaches,Nusea etc can also be caused by gastritis and heart burn,See overall body is a system which contain various organs,If functioning of one organ is disturbed the body as a whole is affected.
As per your query YES GERD complexed with esophagitis and gastritis can cause all the symptoms you are having.
As your stress test was ok so most likely every thing is related to gastric issues.
Follow my advice and tell me how are you feeling after a week.

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