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Suggest Treatment For Symptoms Of GERD

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Posted on Tue, 24 Jan 2017
Question: My son can suddenly feel even when hes very relaxed and emjoying sleep or film etc) a strangling clenching feeling around his heart that makes him feel hes suffocating and yet there is no pain and he can still breath ok which is very bizzare. Could it be a pinched nerve or what. Hes already had an exray which shows his heart is ok and an ECG which also says his heart is ok, yet this sensation extremely distressing for him. What could it possibly be.
doctor
Answered by Dr. Prof. Kunal Saha (2 hours later)
Brief Answer:
Could be due to GERD

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone very carefully through your query. Your son's problem seems to be due to gastritis or gastroesophageal reflux (GERD). I do not think that it is due to a pinched nerve. GERD could give rise to the strangling and suffocating presentation.

In order to relieve himself, he needs to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of his habit).
* Take Prilosec (omeprazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase his our dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Yoga and meditation should help.

Hope that helps.

Let me know if I could help further.

Regards

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Prof. Kunal Saha (3 days later)
Thank you so much. Im pleased i asked i will let you know how he gets on. Meanwhile can you please tell me if Prilosec (omeprazole) that you recomend is ok for him to take with Zopiclone, quietapine and diazepan.
Secondly is there a reasonable alternative to Zopiclone. Its pushed in the UK as though no other sleeping tablet exists.
Thank you Doctor
doctor
Answered by Dr. Prof. Kunal Saha (9 hours later)
Brief Answer:
Can be taken safely

Detailed Answer:
Thanks for writing back.

Prilosec can be taken along with the mentioned medicines. A good alternative for Zopiclone is Zolpidem (prescription medicine). An average level alternative would be clonazepam or alprazolam (prescription medicines).

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (9 hours later)
You mention of the possibility of Gerd. Do you think that the condition called Pots may also be a possibility which caused my son feelings of suffocation.
Furthermore he says these terrible sensations do not affect his breathing in any way, but even so these feelings are extremely distressing and caused him extreme suffering.
So Im wondering about POTS.
What do you think Doctor?
doctor
Answered by Dr. Prof. Kunal Saha (2 hours later)
Brief Answer:
Pleurisy seems to be a more likely possibility. Clinical correlation needed

Detailed Answer:
Thanks for writing back.

Cannot really comment on the possibility of Pot's without proper clinical correlation. However, another possibility to consider is pleurisy. The lungs are lined by pleura which also lines the inner aspect of the chest wall. During the respiration, as the lungs move, the two layers of pleura rub against one another. If a portion is inflammed as in pleurisy, it could give a strangling sensation and could make respiration painful.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (2 days later)
He has been having these strangling sensations, which he says are bizzare and not conventional feelings of pain, and does not impair his breathing oxygen. Would his particular senario still reflect hypothetically the possible condition of Pleurasy ? Even though his actual breathing is not affected with these sensations ?
doctor
Answered by Dr. Prof. Kunal Saha (34 minutes later)
Brief Answer:
Clinical examination essential.

Detailed Answer:
Thanks for writing back. Looking from a broad perspective pleurisy is a possibility. But it is very hard to comment definitively without a thorough clinical examination. A neurological evaluation is also needed in order to assess if the symptoms could be due to some lesion in the spinal cord.

Regards
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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Suggest Treatment For Symptoms Of GERD

Brief Answer: Could be due to GERD Detailed Answer: Thanks for asking on HealthcareMagic. I have gone very carefully through your query. Your son's problem seems to be due to gastritis or gastroesophageal reflux (GERD). I do not think that it is due to a pinched nerve. GERD could give rise to the strangling and suffocating presentation. In order to relieve himself, he needs to do the following: * Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals. * Avoid alcohol intake (if it a part of his habit). * Take Prilosec (omeprazole) once daily before breakfast. * Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase his our dietary fiber intake. * Regular morning walk and exercise to keep the bowel movements proper. * Take curd or yogurt on daily basis. It contains beneficial bacteria and should help. * Yoga and meditation should help. Hope that helps. Let me know if I could help further. Regards