Suggest Treatment For Intermittent Chest Pain

Posted on Wed, 14 Oct 2015

Question: my husband is 27 years old and is having a bad air bubble pain in his chest. he has eased it by laying on his stomach. he tried pepto bismol and slippery elm pwd and didnt help , can you help us to see what this could be and is there are any concers
he has had this off and on for the last couple years. sometimes with a couple month break between. and he can relieve it sometimes the way he lays ,stands or sits
am i doing this correctly ? should i be getting a answer soon

Answered by Dr. Shafi Ullah Khan (1 hour later)

Brief Answer:
Acid reflux needs management

Detailed Answer:
Thank you for asking
I read your question and I understand your concern. On and off chest pains for years not relieving by pepto bismol are likely acid reflux needing more than pepto.

He should visit ER to rule out any serious concern like heart problem or perfusion defects.once ruled out all he will need is a management for acid reflux also called gerd.

A good start is always modifying diet and lifestyle like losing weight, avoiding spices, sweets, chococolate, smoking, beverages of all kind, over eating and alcohol etc. Eat fiber and take plenty of fluids and eat small frequent meals and keep head side of the bed elevated for at least 8 inches.

Make sure you keep a gap of 2 hours between lying down and eating.

80 percent of cases resolve with just modifications I mentioned above. Seek a gastroenterologist and get a prescription for omeprazole or any other ppi and do as directed.

I am sure symptoms shall subside. I hope it helps.
Take good care of yourself and your husband and don't forget to close the discussion please.
Regards XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shafi Ullah Khan (12 minutes later)

Ok thank you for your help , but to try and rule out the er would you be comfortable with that , does the symthoms seem like it would need er ?

Answered by Dr. Shafi Ullah Khan (6 hours later)

Brief Answer:
er just to be on the safer road

Detailed Answer:
Thank you for getting back
ER is the safest road approach and I always advise my patients to get an EKG done as it is most of the time clear and nothing to worry about and there is no harm in getting ruled out for any heart problem as heart problems also present with such chest pain. I am sure it won't be that.
I hope it helps.
Take care
Khan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shafi Ullah Khan (6 hours later)

Thanks so much for your help and time with us we will start working on this. Thanks have a great day
We do think it is the acid reflux or hital hirnia so what would be the next step ?

Answered by Dr. Shafi Ullah Khan (7 hours later)

Brief Answer:
hernia needs correction

Detailed Answer:
Thank you for getting back to me
Hiatal hernia is a cause of acid reflux. If hernia is mild then it may self resolve but most of the time it needs a correctional surgery like fundoplication. Consult your gastroenterologist and let them decide what is best for your husband.
I hope it helps.
Take care
Khan

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar