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What Causes Severe Chest And Abdominal Pain With Acid Reflux?

Posted on Wed, 8 Jun 2016

Question: Hello I have panic disorder and latelt ive been getting heart pain with gas and stomach pain all the time. Ive had numerous ekg and calcium ct score done which was zero. the pain is right over the heart. I went to the er with the pain the other day and my eck came back normal but for the last couple days ive had muscle weakness while walking gas pain and heart burn ive also had this feeling like theres a bubble under my heart and its gonna pop.

could I be having a heart attack?

I had an echocardiogram back in jaunary normal and febuary I had chest ct normal.. I have a feeling of dissocaiation all the time and shakeiness and lack of balance and vertigo with quick movements. could this be heart attack? or gas pain with bad anxiety? or something else? I also get vertiogo when I move my neck and sometimes I get a little shakey for a few seconds. vertigo occurs especially if I move my neck to fast.

Answered by Dr. Benard Shehu (1 hour later)

Brief Answer:
Following advice

Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.

What you are experiencing is more likely related to:
- Gastro esophageal reflux disease (GERD or acid reflux disease).
- Cervical spondylitis
- Inner ear problems
- Anxiety

Since all cardiac exams including ECG, echo and cardiac CT scan were normal , you shouldn't worry about heart attack. It's important to definitely exclude the first three disorders. If this is your case than your symptoms are definitely due to anxiety.

If you were my patient I would recommend to do:
- abdominal ultrasound
- upper endoscopy
- neck x-ray for spondylitis
- audiogram to exclude inner ear problems

Hope this helps!
Wish you health!
Dr. Shehu

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

Follow up: Dr. Benard Shehu (11 minutes later)

Thank you so much for your time doc. Does my calcium score of zero rule out heart disease? I also had an endoscopy back In XXXXXXX came back mormal

Answered by Dr. Benard Shehu (5 minutes later)

Brief Answer:
Following advice

Detailed Answer:
Hi back

A zero calcium score together with other cardiac exams you have already done exclude the possibility of cardiac problems.

Since the endoscopy was normal around 1 year ago you have few possibilities to have GERD.

You should do the remaining above mentioned test. If normal than your symptoms are stress related.

Wish you health!
Dr. Shehu

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

Follow up: Dr. Benard Shehu (10 minutes later)

Only cardic test I haven't done is a stress test

Answered by Dr. Benard Shehu (25 minutes later)

Brief Answer:
Following advice

Detailed Answer:
Hi back,

No your symptoms aren't typical for coronary spasm to. You have done ECG, stress test and cardiac CT scan which were all normal. These exams are needed in every patients to exclude coronary issues.

Wish you health!
Dr. Shehu

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

Follow up: Dr. Benard Shehu (3 hours later)

I've had no stress test yet as I stated earlier I still need to have one so am I safd despite my symptoms and no stress test finished yet?

Answered by Dr. Benard Shehu (3 hours later)

Brief Answer:
Following advice

Detailed Answer:
Hi back,
Yes you are safe and you shouldn't worry about heart attack. The stress test should be done to exclude any minor heart disease in mid term. This will help to relive your anxiety.

Wish you health!
Dr. Shehu

Note: For further queries related to coronary artery disease and prevention, click here.

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