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Suggest Treatment For Severe Chest Pain Caused By A GERD

Posted on Wed, 31 Aug 2016

Question: Dear sir,
I am having chest pain in right and in centre and some times in left side.I can swallow food but it pain somewhat in centre after eating since 15 to 20 days i was a passive smoker but quit smoking.I had done echo and Tmt test.One of MD said echo is good and tmt is positive but when he told to consult cardiologist he said tmt is also ok nothing to worry it is acidity only And told to neglect the pain and continue with Pan- d tablet but no effect since 10 days.please help me out of this.

Answered by Dr. Dr.P.Ratnakar Kini (7 hours later)

Brief Answer:
GERD/Esophagitis

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

You are having symptoms of gastroesophageal reflux disease and esophagitis.
An upper GI endoscopy may be done to confirm esophagitis.
Along with Pan D twice a day, take Mucaine 10 ml thrice a day.
Avoid coffee, citrus, carbonated beverages, chocolates, spicy food.
Eat multiple smaller meals and go to bed at least 2-3 hours after good.
Sometimes this pain could be muscular pain and dolo 650 would provide relief.

Regards ,
Dr.R.K

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

Follow up: Dr. Dr.P.Ratnakar Kini (4 days later)

Dear doc,
Has youbtold i have done upper GI endocscopy. The report has been attached.Now tell what is the problem and shold i change tje preaciption told my you and is there any need of operation or any major risk.

Answered by Dr. Dr.P.Ratnakar Kini (30 hours later)

Brief Answer:
Nothing serious, medicines as advised earlier

Detailed Answer:
Hi,
Endoscopy did not show anything abnormal.
There is nothing serious.
Please take the medicines as advised in my earlier post.

Regards,
Dr.R.K.

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

Follow up: Dr. Dr.P.Ratnakar Kini (4 hours later)

Dear doc,
Thanks for your reply. I consulted dr here in our city he gave famocid 40 and pantodac dsr to take daily 1 time. Should take this or continue with Mucaine syrup.

Answered by Dr. Dr.P.Ratnakar Kini (10 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Take Pantodac DSR before breakfast, Famocid 40 before dinner and Mucaine thrice a day.

Regards,
Dr.R.K

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

Follow up: Dr. Dr.P.Ratnakar Kini (2 days later)

Dear Doc,
Here in our city doctor told not to take analgesic like mucaine gel.Should continue or stop taking mucaine as 2 doctor told not to take mucaine.

Answered by Dr. Dr.P.Ratnakar Kini (8 hours later)

Brief Answer:
You can take

Detailed Answer:
Hi,
Mucaine is an antacid anesthetic preparation.
It is not called an analgesic medication.

It has the same indication as Pantodac DSR.
So you can take.

You discuss these with your doctor who advised not to take it and start taking it after that.

Regards,
Dr.R.K

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