Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Abdominal Pain And Pain Behind Breast Bone?
Question: im having some upper to mid abdominal pains coming and going in waves, pretty intense at times but mild right now. seemed to come on after i drank a large iced coffee with 4 shots of espresso, (on a full stomach) i tolerate caffeine well and consume it daily in fairly large quantities, the pain in mostly intense right below by breast bone (sternum ?) kind of feels like severe heart burn but like i said comes in waves. antacids didnt seem to touch it.
Brief Answer:
Features are suggestive of acidity related stomach upset.
Detailed Answer:
Hi
Thanks for posting your query on HCM.
I appreciate your concern for the upper abdominal pain.
Heartburn, or pain behind the breastbone, is a condition in which there is reflux of acid from the stomach into the sensitive esophagus caused by a relaxation of the lower esophageal sphincter, the ring of muscle between the esophagus and the stomach.
Foods like dietary fat, chocolate, coffee, onions, alcohol, citrus fruit, and tomatoes, have been associated with increased incidence of acid reflux in susceptible persons.
Heartburn is the most frequently reported symptom after coffee drinking. It is demonstrated that coffee
Caffeine stimulates gastric acid secretion and reduces the competence of the lower esophageal sphincter thus promoting gastro-oesophageal reflux.
Each shot of expresso coffee contains as much as 70-80 mg of caffeine per 44 ml or 1-5 fl Oz.
So in view of the above explanation, excessive coffee consumption is responsible for the heart burn or Gastro esophageal reflux disease.
The most effective drugs used in the treatment of GERD are Proton pump inhibitors like Omeprazole, etc.
Take one tablet every day one hour before the breakfast for at least 4-6 weeks.
You must avoid excessive coffee intake, stress, alcohol consumption, fatty meals, chocolates etc.
Do not sleep immediately after having the dinner, sleep at least 2-3 hrs after having the dinner. Regular exercise, light dinner meal, use yoghurt in the dinner.
Hope the suggestions given above could be beneficial in getting the treatment for heart burn or GERD.
Should you need more information, please feel free to send your query.
Wish you good health.
Features are suggestive of acidity related stomach upset.
Detailed Answer:
Hi
Thanks for posting your query on HCM.
I appreciate your concern for the upper abdominal pain.
Heartburn, or pain behind the breastbone, is a condition in which there is reflux of acid from the stomach into the sensitive esophagus caused by a relaxation of the lower esophageal sphincter, the ring of muscle between the esophagus and the stomach.
Foods like dietary fat, chocolate, coffee, onions, alcohol, citrus fruit, and tomatoes, have been associated with increased incidence of acid reflux in susceptible persons.
Heartburn is the most frequently reported symptom after coffee drinking. It is demonstrated that coffee
Caffeine stimulates gastric acid secretion and reduces the competence of the lower esophageal sphincter thus promoting gastro-oesophageal reflux.
Each shot of expresso coffee contains as much as 70-80 mg of caffeine per 44 ml or 1-5 fl Oz.
So in view of the above explanation, excessive coffee consumption is responsible for the heart burn or Gastro esophageal reflux disease.
The most effective drugs used in the treatment of GERD are Proton pump inhibitors like Omeprazole, etc.
Take one tablet every day one hour before the breakfast for at least 4-6 weeks.
You must avoid excessive coffee intake, stress, alcohol consumption, fatty meals, chocolates etc.
Do not sleep immediately after having the dinner, sleep at least 2-3 hrs after having the dinner. Regular exercise, light dinner meal, use yoghurt in the dinner.
Hope the suggestions given above could be beneficial in getting the treatment for heart burn or GERD.
Should you need more information, please feel free to send your query.
Wish you good health.
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
ok thank you so much, i run a rather large construction company and i need to use caffeine often to keep going when sleep is in shortage, would caffeine pills be a better solution ?
Brief Answer:
You must reduce coffee intake gradually.
Detailed Answer:
Hi
Welcome back!
I understand the nature of your job, however giving importance to your health is also equally important. Over a period of several weeks you may gradually reduce the no of expresso shots and other risk factors.
Caffeine-free herbal coffee Teeccino could be a better alternate choice.
It has certain advantages:
It helps coffee drinkers replace their regular or decaf coffee.
It has a delicious, deep roasted flavor that is very coffee-like.
It gives an enticing aroma and a natural energy boost.
Hope this suggestion could be of great help to you.
Once again, wishing you best of your health.
Take care of your health.
You must reduce coffee intake gradually.
Detailed Answer:
Hi
Welcome back!
I understand the nature of your job, however giving importance to your health is also equally important. Over a period of several weeks you may gradually reduce the no of expresso shots and other risk factors.
Caffeine-free herbal coffee Teeccino could be a better alternate choice.
It has certain advantages:
It helps coffee drinkers replace their regular or decaf coffee.
It has a delicious, deep roasted flavor that is very coffee-like.
It gives an enticing aroma and a natural energy boost.
Hope this suggestion could be of great help to you.
Once again, wishing you best of your health.
Take care of your health.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
