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Suggest Treatment For Sudden Profuse Sweating And Tightness In Chest

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Posted on Fri, 23 Jan 2015
Question: Hello i was sitting at a bar (not drinking) and all of a sudden i felt like a wave of pressure i immediatly got up and i just could relax i started to sweat and my left arm was tightening followed by some chest and sweating i could not relax or sit down i am h pylori posotive could this be causing my problems? I have been to tge docptor for my heart had a ecg 4 times and blood test followed by a xray everything came back fine what could this be ? I am 21 years old, overweight and am a smoker
doctor
Answered by Dr. Pankaj Borade (2 hours later)
Brief Answer:
Symptoms suggestive of GERD

Detailed Answer:
Hi,
Since your doctor ruled out cardiac issues by doing tests. It seems related to gastric problem but still if you have doubt I suggest you get 2D Ehco test done
Your symptoms are consistent with Gastro Esophageal Reflux Disease ( GERD).
It is due to malfunctioning of lower Esophageal sphincter that leads to regurgitation of acidic content back into the esophagus.
24 hr ph monitoring of the easophagus is indicated to confirm the disorder.
Proton pump inhibitor drugs can be taken once a day to prevent acidity.
Avoid large meals and heavy dinner.
H pylori infection does predispose to acid production and ulcers, therefore needs to be managed promptly. GERD is highly associated with h pylori infection.

Kindly discuss this with your treating doctor.
Regards,
Dr Pankaj Borade


Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Pankaj Borade (14 hours later)
Ok thank you i tried to go work put todat (first time in months) and i was having some chest discomfort while on the tredmill and after 30 minutes of working out im still having a little but of chest pain on my left side by my heart and stomach could this be the cause of the gastrointestinal problem because i am burping alot i dont belive its the heart because im only 21 and heart problems are exteemely uncommon at my age and only one person in my family had a heart attack and he was 55 when it happend
doctor
Answered by Dr. Pankaj Borade (7 minutes later)
Brief Answer:
An ECG is a safe thing to do to rule out heart issues...

Detailed Answer:
hi, thanks for the reply.
Well, your complaints of chest discomfort while on treadmill, can be seen in both cardiac problems and GERD. I agree, it's probably not a Cardiac issue. But we don't want to miss something by making assumptions.
The best way to rule cardiac issues out would be an ECG, and 2D ECHO if affordability is not an issue. These two investigations will rule out any cardiac pathology.

A 24 hour Ph monitoring of esophagus will help to confirm and establish Gastro intestinal problems, which is likely the case here. In the mean time, try using a Proton Pump inhibitor like Omeprazole (Prilosec, Omez, which does not require a prescription), eat a diet with plenty of fiber and stay away from spicy and oily foods for awhile. Alcohol too, can cause major issues with GERD, it would be a good idea to cut back.

Welcome for further queries.
Thank you

Regards,
Dr Pankaj Borade
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Pankaj Borade (19 minutes later)
Yes i have had 4 ecgs and 2 x rays and 3 blood teats for heart a couple weeks ago all came back fine and i am on 3 anibiotics for h pylori and on anxiety medication . I am not im my home country at the moment i will be back home in 2 weeks and i will go follow up with my doctor . Do you think it would be safe to wait 2 weeks
doctor
Answered by Dr. Pankaj Borade (11 minutes later)
Brief Answer:
follwing meds will help you

Detailed Answer:
hi,
well, as your ecg is fine, it suggest that your heart is all fine.
With the H pylori infection in the background, a possibility of Esophageal reflux disorder is very likely. However it has to be confirmed by doing 24 hour ph monitering, as mentioned by me before.
For now untill you get back to your home, I suggest to have one tablet of pantoprazole 40 mg in morning for 5 days. Pantoprazole is a prescription medication, so you will need to see a doctor to get a prescription for it. It will reduce acidity into your esophagus that is causing the chest irritation.
Avoid large meals. Avoid lying immediately after meals. Avoid alcohol.

welcome for further queries.
regards,
Dr Pankaj Borade
Note: For further follow-up it is advisable to consult an emergency medicine specialist. Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
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Dr. Pankaj Borade

Psychiatrist

Practicing since :2011

Answered : 571 Questions

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Suggest Treatment For Sudden Profuse Sweating And Tightness In Chest

Brief Answer: Symptoms suggestive of GERD Detailed Answer: Hi, Since your doctor ruled out cardiac issues by doing tests. It seems related to gastric problem but still if you have doubt I suggest you get 2D Ehco test done Your symptoms are consistent with Gastro Esophageal Reflux Disease ( GERD). It is due to malfunctioning of lower Esophageal sphincter that leads to regurgitation of acidic content back into the esophagus. 24 hr ph monitoring of the easophagus is indicated to confirm the disorder. Proton pump inhibitor drugs can be taken once a day to prevent acidity. Avoid large meals and heavy dinner. H pylori infection does predispose to acid production and ulcers, therefore needs to be managed promptly. GERD is highly associated with h pylori infection. Kindly discuss this with your treating doctor. Regards, Dr Pankaj Borade