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Suggest Treatment For Indigestion, Shortness Of Breath And Chest Pain

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Posted on Mon, 9 Mar 2015
Question: My 58 year old husband is experiencing indigestion, shortness of breath, very tired and a sweet smell to his breath as soon as he eats dinner. No chest pain and bp is normal.
doctor
Answered by Dr. Muhammad Ali Rauf (1 hour later)
Brief Answer:
need some details to guide you better

Detailed Answer:
Hello

My name is Dr Muhammad Ali Rauf & i will look into your problem.

I have gone through your query and would try to help you in the best possible way. There could be a number of causes for your husband's symptoms. I would be in a better position to guide you anything of you please answer following questions please:
1.Since when is he having this problem?
2. Does he feel burning sensation in chest?
3. does he has diabetes, heart problem or having any other illness?
4. How good is his appetite?
5. Have you observed yellow discoloration of his eyes or skin?
6. is he on any kind of medication?
7. is he having diarrhea? if yes then how is the consistency?(water, semi solid with or without mucus/blood)
8. any other symptom that you would like to share?

I will be looking forward for the answers to conclude the discussion in the best interest of yours.
Thank You
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Muhammad Ali Rauf (18 hours later)
This seems to be a more recent issue - perhaps within the last 4-6 weeks. Some increased heartburn/reflux.
No diabetes, heart problems or any other issues.
No yellow discoloration.
Appetite is not as robust as it was a few months ago.
Meds are Prilosec, 81mg aspirin, labetalol, lisinopril.
Bowel movements have not really changed from his normal pattern.
Very limited alcohol use.
Very tired after eating. Sleeping pattern also seems off - goes to bed early and is up very early.
Blood work performed in November was normal.
doctor
Answered by Dr. Muhammad Ali Rauf (5 hours later)
Brief Answer:
Most probably due to Gastroesophageal reflux disease

Detailed Answer:
Hello

Thank you for the answers. I've gone through them. There is high possibility that these symptoms are because of maldigestion & Gastroesophageal reflux disease(GERD). If i were your treating doctor then i would have advised following things:

> Medical Care:
- Continue prilosec for 14 days
- sucralfate suspension thrice a day for 10 days
- a baseline ECG to confirm status of heart & blood sugar level (BSR)

> General Care:
Medical care can do NOTHING if he doesn't take general care about his health. Following steps would help him to recover slowly:

- take small frequent meals.
- take 30-45mins walk/exercise daily in the evening. It will make you fresh, healthy and is good for digestion.
- Don't lie down immediately after taking meal
- raise head end of your bed slightly(by an inch)
- Eat a diet rich in fiber, especially from fruits and vegetables

> AVOID:
-fatty & oily food.
-spices
-heavy meals at night
-carbonated & caffeine drinks
-chocolates

Hopefully he will see improvement in 5-7 days. If improvement does not occur or condition deteriorates then visit hospital and get an appointment for a gastroenterologist as he is specialized in treating these conditions. Also you would be requiring some medicines which are prescription only medicines and you can get easily by visiting him.

Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it.
Wishing you good health !!
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Muhammad Ali Rauf

General & Family Physician

Practicing since :2013

Answered : 1312 Questions

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Suggest Treatment For Indigestion, Shortness Of Breath And Chest Pain

Brief Answer: need some details to guide you better Detailed Answer: Hello My name is Dr Muhammad Ali Rauf & i will look into your problem. I have gone through your query and would try to help you in the best possible way. There could be a number of causes for your husband's symptoms. I would be in a better position to guide you anything of you please answer following questions please: 1.Since when is he having this problem? 2. Does he feel burning sensation in chest? 3. does he has diabetes, heart problem or having any other illness? 4. How good is his appetite? 5. Have you observed yellow discoloration of his eyes or skin? 6. is he on any kind of medication? 7. is he having diarrhea? if yes then how is the consistency?(water, semi solid with or without mucus/blood) 8. any other symptom that you would like to share? I will be looking forward for the answers to conclude the discussion in the best interest of yours. Thank You